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"Thinking aloud" as a strategy to improve clinical decision making
S Corcoran1, S Narayan, H Moreland
1School of Nursing, University of Minnesota, Minneapolis 55455.
Heart & Lung : the Journal of Critical Care
|September 1, 1988
Summary
Thinking aloud, a method for studying nurse cognition, can be an effective teaching strategy for staff development. This approach reveals nurses' knowledge and cognitive processes during activities like triage decision-making.
Area of Science:
- Nursing Education
- Cognitive Science
- Healthcare Professional Development
Background:
- Thinking aloud is a research method to understand nurses' knowledge and cognitive processes.
- Its application as an instructional strategy in nursing education is limited.
Purpose of the Study:
- To propose thinking aloud as an effective teaching strategy for nursing staff development.
- To describe methods for integrating thinking aloud into nursing education and mentorship.
Main Methods:
- Describing two techniques for incorporating thinking aloud into nurse dialogues and expert-novice mentoring.
- Presenting an excerpt of a nurse thinking aloud during triage decision-making to illustrate the method's utility.
Main Results:
- Thinking aloud can elicit and reveal nurses' tacit knowledge and cognitive processes.
- The strategy has potential educational benefits for staff development.
Conclusions:
- Thinking aloud is a valuable, underutilized instructional method for nursing.
- Implementation strategies can enhance staff development and knowledge transfer in nursing practice.