Safety in Numbers 7: veni,vidi, duci: A grounded theory evaluation of nursing students' medication dosage calculation problem-solving schemata construction |
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Authors: | Keith W Weeks Ray Higginson John M Clochesy Diana Coben |
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Institution: | 1. Sydney Nursing School, University of Sydney, Room A5.04, MO2, NSW 2006, Australia;2. Faculty of Nursing and Health, Avondale College of Higher Education, 185 Fox Valley Rd, Wahroonga, NSW 2076, Australia |
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Abstract: | This paper evaluates nursing students' transition through schemata construction and competence development in medication dosage calculation problem-solving (MDC-PS). We advance a grounded theory from interview data that reflects the experiences and perceptions of two groups of undergraduate pre-registration nursing students: eight students exposed to a prototype authentic MDC-PS environment and didactic transmission methods of education and 15 final year students exposed to the safeMedicate authentic MDC-PS environment. We advance a theory of how classroom-based ‘chalk and talk’ didactic transmission environments offered multiple barriers to accurate MDC-PS schemata construction among novice students. While conversely it was universally perceived by all students that authentic learning and assessment environments enabled MDC-PS schemata construction through facilitating: ‘seeing’ the authentic features of medication dosage problems; context-based and situational learning; learning within a scaffolded environment that supported construction of cognitive links between the concrete world of clinical MDC-PS and the abstract world of mathematics; and confidence-building in their cognitive and functional competence ability. Drawing on the principle of veni, vidi, duci (I came, I saw, I calculated), we combined the two sets of evaluations to offer a grounded theoretical basis for schemata construction and competence development within this critical domain of professional practice. |
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