Nursing 1160A/B Chapter Notes - Chapter week 4: Situated Learning

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Helping novice nurses make effective clinical decisions: the situated clinical. Decision-making among novice nurses tends to be linear, based on limited knowledge and experience in the profession, and focused on single tasks or problems. As they make decisions, their focus leans toward doing, rather than on thinking and reflecting. Novice nurses often do not recognize or appreciate the relevance of deviations from the textbook picture of a clinical situation. When novices lack confidence in the clinical setting, they may rely excessively on more experienced nurses and avoid situations that require them to make decisions. Conveys the process of clinical judgment within four aspects: in noticing, the nurse develops a perceptual grasp of the situation. Situated learning theory (lave & wenger, 2003), with its central premises of learning as social and situated within a greater context, also provides theoretical grounding for the situated clinical decision-making framework. These theoretical foundations are reflected in six assumptions that underlie the framework.

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