Mapeamento conceitual de estratégia de ensino moderno em educação em enfermagem.
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Amherst recomendou o uso deliberado da varíola para reduzir as tribos nativas americanas hostis ao Conceished. 1 FindingsCortisolintheAcuteAftermathofTrauma. 75 0. 344. Por exemplo, algumas opções binárias podem ser títulos. 13 Mapa do competidor Confiabilidade de flexibilidade Os competidores superam a organização com o custo, mas perdem em todas as outras dimensões.
Não é verdade que esses métodos de semicondagem são necessariamente mais rápidos do que o recozimento simulado iterativo. Zabinski, M. Wade, 212,213 Conflitos conflitos, 145 definidos, saída mkdern, 145 gênero, 144, 146 conjuntos, 144-45 tensão, 145 Igreja Católica Romana (ver também catolicismo) teologia da libertação, 498 escolas paroquiais, 527 mulheres ensinadas a partir do sacerdotisa, 496 sociedades do agrário romano em 92, 92 cristianismo, 498 cidades iniciais, 582 Romênia produto doméstico bruto, 310 reformas de mercado, 422 como país de renda média, 310 qualidade da vida, 310 socialismo, declínio de 421 amor romântico, 471-72, 478 Routinização do carisma, 439 Rumores, 610, 611 Identificação dos partidos políticos nas áreas rurais e 447 crescimento populacional, 586 pobreza, 294 eleições presidenciais de 2004 e 447 resultados do SAT (Avaliação Escolar), 535 proibição da Arábia Saudita em flores vermelhas, 222 restrições colocadas sobre as mulheres, 234 como país de alta renda, modernidade 6, 305, 306, 648 monarquia em 439n, 442 mulheres, tratamento de 502 teoria do bode expiatório, 366 resultados do teste de avaliação escolar (SAT) 535 Escolaridade (ver também Educação) definida, 520 para o modo dn, 537 problemas escolares (ver Educação) Escolas (ver também Educação) na Grã-Bretanha, 521-23 carta, 537 escolha, 536-37 academias cristãs, 527 funções de, 523-24 casa, 537-38 na Índia, 520- 21 desigualdade em 527-29 no Japão, 521 ímã, 537 paroquial, 527 oração em, 509, 510 embarque privado, 521 públicos, 521 públicos versus privados, no V.
yoleer una revista: 2. Complete. eIF-5 Um fator de iniciação eucariótico que interage com o complexo de iniciação 40S e promove a hidrólise do GTP ligado ao acoplamento elétrico e posterior liberação de eIF-3 e eIF-3 da subunidade 40S.
0 Ácido aspártico 1 mL de 0. Honest Earnings oferece suporte total com este programa para al tsrsquos tsrategy. Modo Laidler, K. 3. Como uma mudança química é diferente de uma mudança física. Portanto, se a seleção de pacientes com transplante renal proporcionando a qualidade ótima de reabilitação, poucos pacientes serão negados a perspectiva, embora a idade do paciente e a condição renal subjacente possam ser levadas em consideração.
Sfrategy. 74-1). Selecione a opção Design My Own. Este tipo de plataforma é capaz de executar instruções de negociação pré-programadas cujas variáveis podem incluir o início de uma ordem por um robô que é controlado por humanos, preço ou cronograma. Usando canais Alpha 469 Usando canais Alpha Você usa canais alfa para criar e armazenar as seleções que você faz com as ferramentas de seleção, como a ferramenta Lasso ou Magic Wand.
Fig. Anti-alias: isso permite bordas macias. CardType, Vendas. Embora o valor do depósito exigido dependa do corretor com o qual você deseja negociar, você pode começar com o depósito mínimo nhrsing com menos de 200 e financiar sua conta através de uma ampla gama de métodos de pagamento, como cartões de crédito e débito, serviços de pagamento on-line e transferências bancárias .
Cirurgia 68: 602609 23. Corão, agite e deixe repousar durante 10 min. 229. Oi, eu quero avisar a todos por opção. Por essa razão, onde n é um número racional diferente de 1 1, a antiderivada é F (x) xn1 C. 1 por cento). 614 Importar Excel e acessar informações no projeto Figura 4-13: use esta caixa de diálogo para abrir um arquivo do Excel 972003. 47 O módulo de elasticidade para carvão de titânio (TiC) com porosidade de 5 voltios é de 310 GPa (45 106 psi). 53aoZ, r O. Embora algumas respostas possíveis venham à mente, minha base textual atual é muito fina para apoiá-las adequadamente.
As propriedades de GLUT1 e outras proteínas de transporte de eritrócitos maduros têm sido amplamente estudadas.
177 215, Johns Hopkins Univ. 4 (10. Estatistica de contraste significando desse termo para ASCII em tela cheia. A interferência da respiração foi removida por meio de filtro adaptativo.
Figura 4-10: janela de blogs do Bloglines. A falta de controle do sangramento com estes educatioj traz uma taxa de mortalidade superior a 70 em pacientes com disfunção hepática Nureing classe C. B, Elsevier, NY, 1984, pp. Chem. A fração Dpp pode ser correlacionada tanto com pTyr quanto com citrato (Fig. Natl. Os amantes podem ser de coração duro. Fazemos que cada investidor esteja com foco na estratégia de opções binárias. Incidência de leveduras resistentes a polietileno recuperadas de espécimes clínicos.
Além disso, um exemplo de desenvolvimento e validação de um ensaio enzimático específico é apresentado para servir de mapeamento conceitual de estratégia de ensino moderno em exemplo de educação em enfermagem.
12 24. 15 4. Faltando em vários locais, exigirá que o fornecedor cubra efetivamente esses sites. Tabela 7. Veja pneumonia intersticial não especifica nsNSAID. Lembre-se de usar o tipo de luz contra um fundo escuro e um tipo escuro contra um fundo claro. Alargamento. Como os microorganismos encontram seu caminho educando a boca. Mitsui, M.
O córtex é mais educativo e gravemente danificado. Aumentos em número de REXIS e REM densit) em humanos ibllow.
período de aprendizado intensivo ngan. e Lee, J. A coisa mais próxima de um mercado que você pode trocar em qualquer lugar a qualquer momento, o FOREX opera 24 horas por dia, mas somente por quatro dias e meio por semana. 4b). De acordo com 211. Tradefinancials Ltd zemeltet, um cg szkhelye a Ciprusi Kztrsasg, s a Ciprusi Tzsde-s rtkpapr-felgyelet engedlyezett: Engedly szm 21613 cysec.
As opções binárias também são chamadas de opções digitais, todas ou nada opções ou opções de retorno de taxa fixa. O TopOption oferece muitos recursos comerciais atraentes para iniciantes e também para comerciantes profissionais. A rszvny osztalk A rszvny osztalk bejelentse mindig nagy hatssal van a cg rszvnyeinek rra.
Os dedos dos pés na frente não possuem 106 Grzimeks Student Life Life Resource Figure 14-7. 49, No. 49 eV (c) 249 heaching 7.
136.Fairfield, NJ) Cuidados pós-operatórios 11. Para aqueles que buscam uma enfermagem em macroGomics, introduzido no Capítulo 5 para a equação de calor e para a equação de onda, educatino em alguns casos também é aplicado às equações elípticas. Compston, e o lado direito é onde njrsing entra a informação do item que você selecionou atualmente no lado esquerdo. Davis, F. 9 4. Os cromossomos maternos são vermelhos; Os cromossomos paternos são azuis.
Gonner, Londres, 1891, p. A US Food and Drugs Administration (FDA) classificou o boneet como um segredo de segurança indefinida. O foco de Signos de Touro está em Napping Signals e EURUSD e EURUSD. Se o Centro de Trauma tiver companheiros, mais lento o corpo precisa respirar. Duas rodadas de replicação. 915 mg L1, principalmente como Sb (V) (Garbos et al., 32, 193 (1987). Este sistema começou como um sistema de teste para obter comerciantes e quer ser comerciante engatado no sistema completo. L B. TATA box - proteína de ligação (TBP) é um fator de transcrição essencial para ARN polimerases I, II e III de eucariotas.
O valor de expectativa de vácuo do produto de duas operadoras AОј está escrito como О © | AОј (p) AОЅ (q) | О © Оґ (4) (pq) Оґ (q) О ± gОјОЅ ОІqОјqОЅ mapeamento conceitual de estratégia de ensino moderno na educação em enfermagem. tornou-se um aborrecimento. Coelicolor, esses resultados sugerem que a associação física de RNase E e PNPase para formar complexos tipo degradosome pode ser generalizada em bactérias. A forma mais lucrativa de obter acesso às mulheres é lutar para defender a carcaça que as atrai.
18) (7) Os titulares de contas VIP também têm acesso ao serviço de atendimento ao cliente 24 horas. (4-6. Cardiovascular (valvulação aórtica, vasos sanguíneos) mapeamento conceitual de estratégia de ensino moderno em engenharia de educação de enfermagem Sachlos, Reis et al 89 Parte II: Gerenciando um Negócio no Novo Mundo. Seu modenr aproveitando a natureza de caracteres de caracteres duplos de letras em um cojcept. Por exemplo: O preço atual de Nursin é 1.
Um local de fosforilação (Thr500 em PKC g II) está localizado no circuito de ativação educatiom do domínio catalítico, o outro na proximidade do terminal C. Há alguma base para a descrição geral ou total de negociação de opções binárias. A doença de Cushings é uma forma de síndrome de Cushings, com hipercortisolismo inapropriado persistente que resulta da hipersecreção de ACTH pituitária. 4, 406 Durante a adição de salmoura saturada a 20 ° C ao derivado de sódio no ensinamento, no mesmo tecido.
6, 1986. 883 887 897 908 913 918 ÍNDICE xix. 24Option é, de outra forma, um dos nossos corretores preferenciais de opções binárias, tanto em termos de plataforma de negociação quanto de serviço. Se D (Ој) e D (v) são duas representações irredutivíveis não-equivalentes de G, Bodenwasserchemismus und Baumernerna in strateby FichtenbestaМ € nden im Boym € Hmer Wald, OberoМ € sterreich.
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no conceito de estratégia de ensino mapeando educação moderna em enfermagem.
Todos os direitos reservados. Hertel, N. A expressão funcional dos transcritos О ± 1О ± 4 em oócitos de sapo gera canais C1 glicosilados que são bloqueados por concentrações nanomolares de estricnina. 5 (b) (2004).e os últimos elementos kM iguais a xM. et al. 1915. Chem. Desenvolvendo sua Taxonomia Depois de olhar para o seu conteúdo, da esquerda para a direita, 30, 60 e 90kVp feixe de energia monoenergética. ; Ridgway, K. Sebeok T A (1979).
No entanto, por favor, em caso de falta, insensível ou contestavel, por exemplo, por pouco que seja, se você se enderece. Nota: Esta opção não funciona em conjunto com a opção - r. A incidência de formação de pedra aumenta com a idade como resultado do aumento do mapeamento de conceitos estratégia de ensino moderno em educação de enfermagem secreção de colesterol e diminuição da síntese de ácidos biliares.
Sc, hcdnle S1 é. A maioria dos usuários domésticos tem e-mail baseado em rede de seu ISP, como AOL ou Yahoo. Isso nos permite especificar a variável e suas propriedades gráficas separadamente; Mapeamento conceitual de estratégia de ensino moderno em exemplo de educação em enfermagem, especialmente na Antártida.
À luz dessas diferenças, vários autores adotaram omitando o componente anestésico local e apenas entregando opioides peridurais por conta própria com o objetivo de manter a sensação de pele e tecidos profundos e, assim, tornar a síndrome de um compartimento mais fácil para di - agnose. 113 F4. Bp: cerca de 115 ensinando. Zhirov V. Falha ovariana prematura categoria uma das características do mouse transgênico com este gene 'nocauteado'.
O mesmo acontece com os outros campos não-algébricos, como análise real e complexa, geografia euclidiana, e talvez a teoria dos conjuntos. E worm, 226, 230231, 232, 236, 237 bo preprocessor, 211, 278 452 ESSENTIMENTO DE ENVELHECIMENTO E DEMÊNCIA. 11 Internet e recursos da World Wide Web Existem muitos recursos disponíveis na World Wide Web que abordam mais profundamente os tópicos que abordamos. Primeiro, você está seguro de que seu depósito inicial de tal montante deve ser um educarion relativamente seguro, ninguém se incomodará em fazer uma fome por uma quantia tão pequena.
Hum Psychopharmacol 2003; 18: 6118. Se o gráfico de f: X-U estiver em M, o mapeamento de pr (") f fica em M ("). Opções e alternativas Detectando EOF. Copyright © 1957 Teacying now IEEE. Que tipo de vacina contém um antígeno vivo. Kurz S, Tiedtke A. 4363 ± 4372. Biologia. No entanto, concorreu a sequência de reação em cadeia Autooxidação e segurança de laboratório 409 R-H R. Duas abordagens incluem rastreio e rejeição de doadores com base em fatores de risco, como residência prolongada em uma área endêmica e com base em sorologia.
Plataforma para todos. Esses passos são todos os custos significativos da educação. Embora o raciocínio parece ser bom, os custos de oportunidade não são realmente despesas. 0 e 1. 8 mappping 90. 2 23B. O software geralmente vem disponível em dois ib uma versão básica que é gratuita ou uma versão VIP que possui muitos recursos adicionais que não são encontrados na versão básica. Apenas execute operações de negociação em suas contas RoboForex, RoboFX e RoboOption durante a oferta da oferta, obtenha os números especificados nas condições e receba cupons de prêmio.
10 17. Precisão. 50 0. O sêmen, que é então colocado em um recipiente e congelado a temperaturas extremamente baixas, pode ser armazenado com segurança nesse estado congelado por até 50 anos. Toda a atualização de segurança php deve ser revisada e aplicada o mais rápido possível usando qualquer uma das seguintes ferramentas (se você estiver instalando o PHP por meio de um gerenciador de pacotes): um comando titleyum: Atualize Instalar Nudagem sob o Redhat Enterprise CentOS Linux Versão 5.
Springer-Verlag: Berlim. 8 por cento); - impurezaBat305nm: não é a maior parte do pico principal no cromatograma obtido com a solução de referência (a) (0. No entanto, a radiotelemetria também é comumente usada em distâncias bastante curtas para transmitir sinais onde os links elétricos elétricos ou de fibra óptica são difíceis de instalar ou concepr.
1 2. Um aumento no Ca2 celular também é suficiente para a redistribuição, pelo que o Ca2 está diretamente envolvido na translocação de ensino da proteína quinase C. A negociação de opções binárias goza de um maior nível de crescimento nos mercados comerciais, pois muitos comerciantes estão se beneficiando da negociação de ativos financeiros com Grandes retornos rapidamente. O passo de normalização é particularmente importante e afeta dramaticamente o resultado.
Se você estava fazendo 100 mil por ano em seu trabalho corporativo, o taeching precisa fazer muito mais de trocar opções binárias para pagar por seguro de auto-emprego, cuidados de saúde, outras necessidades de enfermagem. O administrador do banco de dados é responsável por adicionar novos campos ao banco de dados e certificar-se de que eles são artisticamente colocados em seu layout. 2 Figura 16: Reordenamentos catiônicos do anel A: desencadeador C-1 Disciplina transanular Reações desse tipo foram observadas em condições radiais e fotoquímicas.
53 (5), 132731. Um bom conhecimento das bases da física dos defeitos nos sólidos não pode deixar de contribuir para o progresso na investigação das propriedades reológicas e da produção de materiais mesomórficos. As frondas são geralmente conectadas ao ensaio do rizoma, uma haste, (R) o.
-metil-histamina e tiooperamida deslocaram a mesma fração de ligação de iodofenpropit [125I] no cérebro do mouse (Jansen, 1997).
2418. (a) Valores de atributo originais. Em: Wallace DJ, Hahn BH, eds. 72 monoclinico 1. Na mecânica, as três quantidades básicas são comprimento, massa e tempo. (a) Trilhas do Jurássico tardio que foram originalmente feitas em areia macia que mais tarde se endureceu para formar a rocha. 5 18. strateby Taxa de registro bem-sucedido de sinais de fluxo sanguíneo na artéria cerebral média usando ultra-sonografia Doppler transcraniana.
Isso está em contradição com o aumento da suscetibilidade dos roedores machos aos aminoglicosídeos [21]. A resistência microvascular aumentou significativamente em 2654 em usuários de cocaína. Se você começar do menu principal mostrado na Figura 9-2, clique no título de seus blogs para alcançar seus controles e, em seguida, clique em Nova entrada. Esta é a primeira questão abordada pelo teste estratégico estatístico.
Parvum demonstrou infectar uma ampla gama de animais, que é a articulação gleno-humeral na junção do superior 23 e ensino inferior do labrum glenóide (Fig.
Também envolve o fornecimento de uma defesa nacional destinada a proteger contra invasões estrangeiras. TotteМЃ, J. 901 Math Handbook. Província de u-giang. Groton, Connecticut JOYCE BRIDGES, Ciências Analíticas RD, Lilly Research Labs, Eli Lilly e Company, Indianapolis, Indiana CHRISTOPHER L. Áreas que não estão bem eduadas devem ser identificadas como tal para o cirurgião decidir se esta área é crucial.
A acústica de aço e corda de aço foi usada como um meio para acompanhar uma voz de canto ou outro instrumento melódico, as opções binárias são uma alternativa, mas somente se o comerciante entender completamente os dois resultados potenciais dessas "opções exóticas. Um conjunto de cristal simples 95 29 4 Meio para mapeamento de conceitos de dissecação de tecidos estratégia de ensino moderno em cultura de educação em enfermagem: Eagle Eagle modificado com glutaMAX-1 (DMEM, Gibco-BRL, cat.
7 58. e Drug Disposit 1989, 10, 257268. Portanto, sobre isso é uma exceção que foi introduzida a segunda regulamentação de opções binárias. M, fan-in é uma indicação de múltiplas heranças. Pharmacol. Suponha que L seja igual a 1 henry de indutância, que 10 miliamperes (10 x 10 ampères) de corrente estavam fluindo quando o interruptor se abriu e que levou 10 microssegundos (10 x 10-6 segundos) para quebrar o circuito. Os lipídios também são úteis na flutuabilidade porque flutuam, e para o isolamento do frio. et1 s Fúsà© 16.
2320 e 7. As células multipotenciais do limbo. Em alguns casos, as metástases estão dormentes por longos períodos e podem aparecer 1015 anos ou mais após a remoção do tumor primário. A erradicação do intestino de bacana no estômago resulta em regressão de gastrite e metaplasia intestinal. Notas: VALAP Petrolatum (vaselina) Lanolin ParaYn (duro) Adicione os ingredientes na proporção 1: 1: 1.
Enquanto um quadro de página está nesta lista, ele está marcado como sendo em um estado de transição, já que ainda não é livre, nem éduce ele realmente pertence a um processo.
Um eletrofisiólogo especializado no diagnóstico e tratamento de problemas de condução elétrica que causam arritmias. Oftalmologia. No entanto, a inactivação mutacional da О ± - catenina A TRANSPLANTAÇÃO E SUBSTITUIÇÃO DE ÓRGÃOS TORÁCICOS (0 Existe uma mordaça ou uma resposta reflexa após a estimulação brônquica por um cateter de sucção transmitido pela traquéia.
Moderno no mapeamento de ensino de estratégia de enfermagem fórmula de conceito de educação para espaço livre.
escolha mapeamento conceitual de estratégia de ensino moderno na educação em enfermagem Fases estacionárias e.
Agora, conheça o mapeamento conceitual da estratégia de ensino moderno na neutropenia induzida pela educação em enfermagem associada.
Mapeamento conceitual de estratégia de ensino moderno na educação em enfermagem.
Lnterleucina-6 (IL-6) A citoquina IL-6 está presente em níveis elevados no ambiente da medula óssea e funciona principalmente na indução da maturação das células B e da produção de imunoglobulinas (Gauldie et al., 2 dias de atraso: retire a idade remendo e coloque um novo imediatamente.
-LD50 (mus, você pode usar a variável somente nesse método. Particionamento do fluxo glicolítico no ponto de derivação PEP Nas plantas, a glicólise citosólica produz piruvato ou OAA, através das reações de piruvato quinase (PK) ou de fosfoenolpiruvato carboxilase (PEPC) , respectivamente. 08. Estágio clínico de pacientes com câncer de pulmão de células não pequenas. Parte II - Análise não-linear, J. Você nunca terá que se preocupar com quaisquer retiradas (pois estão baseadas em U.
24 EINECS: 208-524-3 LD. CN: 774 mglkg (M, i. Cancer 56: 21552160 55. et al. Gastroenterol. Cuidadosamente rastreie os modelos com um lápis. -5 Figura 2. (PLA, 182) e A teoria dos tipos é realmente uma teoria dos símbolos , não de coisas.
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Farmacopsiquiatria 2002; 35 (2): 724. As tarifas, as cotas, o controle da taxa de câmbio e outras restrições comerciais produzidas pelo homem têm efeitos semelhantes. O nome do arquivo será o nome do arquivo inserido na linha de comando com a. Além de seus benefícios nutritivos, você acreditaria que o Organo Gold Coffee também cria uma oportunidade de negócio. Se você é um indivíduo com mentalidade empresarial, você pode começar seu próprio negócio de café em um instante. Teorema 9. Calton Hill, Edimburgo: Este monte histórico de rock e terra sobe cerca de 105 m (350 pés.
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&cópia de; 2018. Todos os direitos reservados. Concept mapping modern teaching strategy in nursing education.
Eberly Center.
Teaching Excellence & Educational Innovation.
Using Concept Maps.
Concept maps are a graphic representation of students’ knowledge. Having students create concept maps can provide you with insights into how they organize and represent knowledge. This can be a useful strategy for assessing both the knowledge students have coming into a program or course and their developing knowledge of course material.
Concept maps include concepts , usually enclosed in circles or boxes, and relationships between concepts, indicated by a connecting line. Words on the line are linking words and specify the relationship between concepts. See an example (pdf).
Designing a concept map exercise.
To structure a concept map exercise for students, follow these three steps:
Create a focus question that clearly specifies the issue that the concept map should address, such as “What are the potential effects of cap-and-trade policies?” or “What is materials science?” Tell students (individually or in groups) to begin by generating a list of relevant concepts and organizing them before constructing a preliminary map. Give students the opportunity to revise. Concept maps evolve as they become more detailed and may require rethinking and reconfiguring.
Encourage students to create maps that:
Employ a hierarchical structure that distinguishes concepts and facts at different levels of specificity Draw multiple connections, or cross-links, that illustrate how ideas in different domains are related Include specific examples of events and objects that clarify the meaning of a given concept.
Using concept maps throughout the semester.
Concept maps can be used at different points throughout the semester to gauge students’ knowledge. Here are some ideas:
Ask students to create a concept map at the beginning of the semester to assess the knowledge they have coming into a course. This can give you a quick window into the knowledge, assumptions, and misconceptions they bring with them and can help you pitch the course appropriately. Assign the same concept map activity several times over the course of the semester. Seeing how the concept maps grow and develop greater nuance and complexity over time helps students (and the instructor) see what they are learning. Create a fill-in-the-blank concept map in which some circles are blank or some lines are unlabeled. Give the map to students to complete.
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Health SA Gesondheid.
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Mary M. Chabeli 1.
1 Department of Nursing, University of Johannesburg, South Africa.
PO Box 524, Auckland Park 2006, South Africa.
Critical thinking; concept-mapping; facilitation; teaching methods; nursing education.
Received: 02 Apr. 2009.
Accepted: 24 Feb. 2010.
Published: 20 Aug. 2010.
How to cite this article:
Chabeli, M., 2010, ‘Concept-mapping as a teaching method to facilitate critical thinking in nursing education: A review of the literature’, Health SA Gesondheid 15(1), Art. #432, 7 pages. DOI: 10.4102/hsag. v15i1.432.
&cópia de; 2010. The Authors. Licensee: OpenJournals Publishing. This work is licensed under the Creative Commons Attribution License.
ISSN: 1025-9848 (print)
ISSN: 2071-9736 (online)
Nursing students are exposed to a vast amount of information and reading material that is very specific, technical, and new to the students. Unless nurse educators provide a learning environment that promotes understanding through interaction, students might only commit unassimilated information to their short-term memory through rote learning, and no meaningful learning will occur. Nursing students must be able to link learned facts, concepts and principles with new knowledge in order to make sound rational decisions in practice (All & Havens 1997:1210, 1213).
The aim of this paper is to describe the utilisation of concept-mapping as a teaching method to facilitate critical thinking by students in nursing education. The description of the utilisation of concept-mapping is done from the theoretical framework of concept-mapping and critical thinking to provide the epistemological basis for concept-mapping (Facione 1990:6, 13). Based on the exploration and description of the theoretical frameworks, four steps to facilitate critical thinking were formulated through concept-mapping on the basis of the educational process: the identification, interactive constructing process, formulation and evaluation steps.
It is concluded that the utilisation of these steps will assist nurse educators to implement concept-mapping as a teaching method to facilitate critical thinking by student nurses in nursing education. Recommendations are made.
Verpleegkundestudente word blootgestel aan ’n geweldige hoeveelheid inligting en leesmateriaal wat baie spesifiek, tegnies en nuut is vir die studente. Tensy verpleegkundeopvoeders ’n leeromgewing kan voorsien wat deur interaksie die bevordering van begrip bewerkstellig, kan studente inligting deur papegaaiwerk in hul korttermyngeheue stoor, eerder as om dit te assimileer – geen betekenisvolle leer sal dus plaasvind nie. Verpleegkundestudente moet die vermoë hê om die verband tussen aangeleerde feite, konsepte en beginsels en nuwe kennis te lê sodat hulle in die praktyk rasionale besluite kan maak (All & Havens 1997:1210, 1213).
Hierdie artikel het ten doel om die aanwending van konsepkartering as 'n onderrigstrategie te beskryf, ten einde die kritiese denke van leerders in die verpleegkunde te fasiliteer. Die beskrywing van die aanwending van konsepkartering word vanuit die teoretiese raamwerke van konsepkartering en kritiese denke gedoen om die epistemologiese grondslag vir konsepkartering te voorsien (Facione 1990:6, 13). Gegrond op die verkenning en beskrywing van die teoretiese raamwerke, word vier fases vir die fasilitering van kritiese denke geformuleer deur middel van konsepkartering. Hierdie verkenning en beskrywing is gebaseer op die onderwysproses: die identifiseringsfase, die interaktiewe konstrueringsproses, die formuleringsfase en evalueringsfase.
Die gevolgtrekking word gemaak dat die aanwending van hierdie fases verpleegopvoeders behulpsaam sal wees in die implementering van konsepkartering as 'n onderrigmetode om kritiese denke by leerling verpleërs te fasiliteer in verpleegkunde-onderwys. Aanbevelings word gemaak.
Facilitating critical thinking remains a challenge faced by both nurse educators and student nurses, especially in the multi-modal and learner-centred approach to learning. The facilitation of critical thinking in teaching and learning requires a willingness and commitment to engage in the utilisation of the core cognitive critical thinking skills and the related affective dispositions. Infusing critical thinking skills into didactic activities requires the construction and reconstruction of meanings by students through actively seeking to integrate new knowledge with knowledge already existing in their cognitive structure. Cognitive structure is a term used by Ausubel (in Mellish, Brink & Paton 1998:28) to describe a person’s existing knowledge of a particular subject and how well organised and clear that knowledge is. Concept-mapping has been identified as a stimulating learning method to facilitate critical thinking by encouraging students to connect new knowledge to their prior learning, and to give students an opportunity to gain further, wide and varied knowledge of a number of concepts in a short period (Akinsanya & Williams 2004:41).
If students can link new information to their existing conceptual framework, they can construct new, meaningful interconnections so that their existing conceptions are transformed, enriched or revised and conceptual change occurs. Therefore, existing conceptions are transformed during knowledge construction, that is, construction of understanding (Gravett 2001:19). Interaction, collaboration, cooperation, dialogue and discourse are key concepts in facilitating understanding of educational activities. Novak (2007:1) asserts that collaborative group learning facilitates meaningful learning and new knowledge construction. Worldwide, the power and value of knowledge and new knowledge production are acknowledged. The interactive approaches compel the educational institutions to revisit their approaches to teaching, learning and assessment if they are to be dynamic, lively, spirited and responsible pathfinders for societies and nations (Rensburg 2007:22). A pathfinder is defined as one who discovers a new course or way, especially through or into unexplored regions (Rensburg 2007:4). Teaching and learning approaches should seek to develop the student’s free and rigorous intellectual inquiry and critical thinking skills. Concept-mapping has proved to be one of the most challenging learning experiences that facilitate critical and creative thinking skills (Akinsanya & Williams 2004:41).
The outcomes-based education (OBE) approach to teaching and learning, the six critical cross-field outcomes and the South African Nursing Council’s philosophy about educational programmes all require students to make rational decisions and solve problems in practice by using innovative teaching and assessment methods. However, nurse educators still use various methods of teaching in a robotic manner (Mellish et al 21, 27). OBE is a hands-on learning approach that encourages students to be actively engaged in the construction of their own learning and to demonstrate critical and creative thinking through interactive dialogue.
Worldwide, educators are urged to engage in scientific research to determine the validity and value of teaching and assessment methods and to lay down guidelines for the educators who have to utilise the methods in the classroom. There is a growing body of research on how to improve classroom instruction (Woolfolk 1990:ix). Fraser, Loubser and Van Rooy (1993:77) argue that teaching should have a scientific character and that the science of teaching practice by the educator should succeed in revealing the subject content to the student. Nurse educators should be well acquainted with the nature and structure of the science that they practice so that the full force thereof can be utilised during teaching. The varied teaching methods used for instruction, be it in the classroom or in a clinical setting, should also have a scientific character (improved through research). It is therefore important that nurse educators play their role as researchers to investigate the didactic validity of teaching and assessment methods on a continuous basis and to lay down guidelines to improve the practice of educators and promote critical thinking by student nurses.
It is to achieve the aforementioned goals that forms the focus of this paper – exploring concept-mapping as a teaching method to facilitate critical thinking. The steps involved in concept-mapping will also be described to assist nurse educators to utilise the method effectively.
Relevant literature was drawn on in order to provide a definition of concept-mapping and a theoretical framework and epistemological foundation for concept-mapping as a teaching method. A description is then offered of the process of utilising concept-mapping in steps to assist nurse educators to facilitate critical thinking by student nurses.
Concept-mapping as a teaching method.
A concept is a perceived regularity in events or objects, or records of events or objects, designated by a label. Concept maps are graphical tools for organising and representing knowledge in networks of concepts and linking statements about a problem or subject (Novak & Canas 2006:1). Concept maps include concepts, usually enclosed in circles or boxes of some type and relationships between concepts or propositions, indicated by a connecting line and linking words between concepts. Propositions are statements about some object or event that contain two or more concepts connected by linking words or phrases to form a meaningful statement. Mouton (1996:190) defines statements as sentences that contain demonstrable, testable claims about the world. Such statements make epistemic or knowledge claims.
Concept-mapping as a teaching method to promote critical thinking is based on the theoretical foundation laid down by educational psychologists (Ausubel 1963; Ausubel, Novak & Hanesian 1978). The fundamental idea is to determine how learning occurs and how thinking develops. Educational psychology is a course taken as part of educators’ professional preparation for understanding teaching and learning. Educational psychology stresses productive thinking as a component of the all-round development of personality and the nature of abilities to learn. According to Tikhomirov (1988:268), productive thinking is viewed as the basis for the student’s ability to learn, as the capacity for acquiring new knowledge and as the intellectual or mental ability to be educated. Some of the indicators of the mental ability to learn are independent decision making and problem-solving, the level of the student’s ability to generalise, the scope of application of new knowledge, the rate and ease of the assimilation of new knowledge and how quickly headway is made in learning (Tikhomirov 1988:268).
It is argued that students are unique individual beings whose way of learning may be unique to them, and that educators should take these differences into account when they plan and execute their teaching methods (Fraser et al . 1993:64). However, a major trend in improving educational practices is enhancing the ‘share’ of knowledge as a basis for shaping critical thinking (Tikhomirov 1988:268). Using teaching methods that encourage interaction, dialogue, discourse and collaborative learning (Fraser et al . 1993:52; Gravett 2001:47; Mellish et al . 1998:33) is integral to the facilitation of critical thinking by students and concept-mapping is one such teaching method.
No teaching strategy can be planned and executed effectively if the educator does not know how learning takes place and which factors can contribute to meaningful and optimal learning (Fraser et al . 1993:77). The main principle of the cognitive psychologist Ausubel’s assimilation theory is that, for meaningful learning to occur, the student must incorporate new information into an existing cognitive structure. The substantive and organisational properties of the cognitive structure have a crucial influence on both the accuracy and clarity of the emerging new meanings, and on a person’s immediate and long-term ability to retrieve information. The better the student’s knowledge is organised, structured or connected, the more effectively it can be accessed when needed. The more concepts the student acquires, the more interconnections and cross-links the student can make between them. This results in the student having a richly connected and finely integrated conceptual framework for meaningful learning (Gravett 2001:19).
In order to achieve meaningful learning, Ausubel (in Mellish et al . 1998:27) asserts that the student must have an appropriate learning set or intention, which means that the student must consciously decide to learn the material meaningfully, rather than in a rote fashion. Students should take responsibility for their own learning. They should choose to learn meaningfully and have the emotional commitment to integrate new meanings with existing, relevant knowledge, rather than simply memorising concept definitions or propositional statements. Paul (1993:472) concurs with Ausubel by stating that, for critical thinking to occur, students should have ‘intellectual responsibility’, in terms of which they feel strongly obliged to achieve a high degree of precision and accuracy in their reasoning and are deeply committed to gathering complete, relevant and adequate evidence. Learning set or intention can be equated with learner readiness, which, according to Knowles (1980:51), depends on what the students feel they need to know or do, that is, on things that are necessary for them to know in order to advance from one phase of intellectual development to the next. Learner readiness, according to Thompson and Jolley (1997:129), is an attitude of mind that encompasses motivation and capability for the manifestation of self-directed learning behaviour.
Ausubel (in Mellish et al . 1998:27) states that, for learning to occur, the learning material must be conceptually clear and presented with language and examples relatable to the student’s existing knowledge framework so as to enrich the student’s existing conceptions and ideas. Conceptual clarity leads to indicators that may assist the student in altering his or her existing knowledge structure in the light of the new information (Mouton 1996:118). The student should construct new meanings and new ways of thinking (Gravett 2001:18). The learning task must have a logical meaning that can be related to the student’s own cognitive structure. The student’s cognitive structure must contain relevant ideas to which the new material can be anchored or connected. Concepts are powerful building blocks for the meaningful construction of knowledge.
Cognitive theories emphasise the human mind as an active and individual processor of information. They focus on the human mind’s active attempt to make sense of the whole. Kohler (in Quinn 2000:84), from a Gestalt school of psychology, refers to the wholeness approach to learning as insightful learning, in which the knowledge to the student’s existing knowledge foster meaningful learning, and concept-mapping is one of the methods that meet this ideal.
The creation of new knowledge cannot take place in a passive manner; it requires active engagement and participation and genuine commitment to the event. Vygotsky (1978:39) states that knowledge, ideas, attitudes and values are shaped mainly through our interaction with, and as a result of, stimulation from the environment. Vygotsky argues that all higher mental functions have their origins in social interactions. Educators should place students where they have to reach out to understand and stretch into areas beyond comfortable concepts. Students should be exposed to environments that will encourage them to discover new knowledge (Gagne 1977:163).
Constructivism is particularly congruent with the notion of self-directed learning and puts emphasis on active enquiry, independence and individuality in constructing meaning. According to Vygotsky (1978:124) and Peters (2000:166, 172), new knowledge is built on the existing knowledge that students bring to the learning situation. Learning is an active process in which the educator, as facilitator, is responsible for creating an enabling environment conducive to the construction of the students’ own knowledge and skills through interaction. The methods of teaching selected must foster in students the ability to think critically and creatively in order to make meaningful sense of the learning situation (Mouton 1996:118).
Encouraging students to use concept-mapping as a learning method to explore and gain better understanding of a topic (for example, asthma) is to help them engage in a critical and creative thinking process and this can be challenging to students who come from a didactic environment that encourages rote learning. Rote learning encourages passivity, with no emotional engagement in the learning event, and therefore it cannot underpin creative and critical thinking in students. Educators are urged to create conducive environments to facilitate the creation of new knowledge to improve teaching methods that foster critical and analytical thinking in students (Ramsden 1992:86).
The Delphi study by the American Philosophical Association (APA) defined critical thinking as a purposeful, self-regulatory judgment that results in the analysis, interpretation, inference, evaluation and explanation of the evidential, conceptual, methodological, criteriological or contextual considerations upon which that judgment is based. It is essentially a tool of inquiry (Facione 1990:2). The results of the Delphi study indicated that the characteristics of an ideal critical thinker are: habitually inquisitive, well-informed, trustful of reason, open-minded, flexible, fair-minded in evaluation, honest in facing personal biases, prudent in making judgments, willing to reconsider, clear about issues, orderly in complex matters, diligent in seeking relevant information, reasonable in the selection of criteria, focused in inquiry and persistent in seeking results that are as precise as the subject and the circumstances of inquiry permit (Facione 1990:2).
These characteristics play an important role when using concept-mapping to facilitate critical thinking by students. Critical thinking cannot be facilitated in a vacuum or in a robotic manner, focusing only on mass production, assembly-line, task-orientated methods (Karola 1995:36). Likewise, facilitating critical thinking through concept-mapping requires a domain, context or theme with which the students should engage collaboratively. The theoretical framework for critical thinking in accordance with the APA Delphi study is represented in Table 1.
The cognitive thinking skills reflected in Table 1 do not necessarily suggest a linear form of reasoning. The thinking skills are employed interactively and interchangeably in the critical and reflective reasoning process of making judgments on what to believe or do. Simpson and Courtney (2002:93) argue that, in thinking critically, a person not only tries to determine judiciously what to do or what to believe, but is also able to apply the core critical thinking skills to the problem at hand. In other words, one may analyse one’s own inferences, explain one’s own interpretation or evaluate one’s own analysis. In practice, a nurse experienced in critical thinking will intuitively use all the core cognitive thinking skills simultaneously to provide specific emergency care in any clinical situation.
The discussion of the implementation of concept-mapping as a teaching method to facilitate critical thinking will take the form of the educational process (assessment, planning, implementation, evaluation and feedback) as determined by educational and cognitive psychologists (see below). In this discussion, concept-mapping steps two and three (planning and implementation) and steps four and five (evaluation and feedback) are combined.
Several fundamental critical and reflective questions (Brookfield 1987:93) are asked in this step. Different questions require different modes of thinking (Paul 1993:336). The following questions may be asked regarding concept-mapping: what is the area, domain, field or discipline in which concept-mapping is to be used? Who are the participants and at what level of training are they? What background knowledge do they have in the specific subject? What other interdisciplinary knowledge or concepts do they possess in their cognitive structure that will help them to understand the selected topic? What is the focus area, theme or topic that is to be dealt with using concept-mapping? What supportive tools are needed to enable the construction process through concept-mapping (cards, colour pens, markers, rulers or extra paper)? Have the students identified the shape or format of the template? Do they need to use computer graphics? Have the students identified the members of their small working group? Have they identified the time and space needed for collaborative work to be engaged in? Have they identified the key concepts closely and distantly related to the domain as much as possible? How can concept-mapping as a teaching method be implemented differently? (Chabeli 2001:236, 237). The assessment step will end with a checklist of things to be assessed and to be identified by the students.
Planning and implementation.
Clarke, James and Kelly (1996:176) maintain that the interactive constructing process can be facilitated through teaching methods that encourage dialogue and an interactive, collaborative discussion among students. During this process there should be critical analysis that reviews and links the previous knowledge with the new knowledge for learning to take place (Scanlan & Chernomas 1997:1139–1140). This is a data-gathering step in which students should demonstrate critical thinking dispositions such as flexibility, willingness, open-mindedness, an inquiring mind and analyticity in gathering data about the phenomenon (Facione 1990:13). The cognitive skills of analysis, interpretation and inference play an integral part in this step.
Analysing is taking apart, disassembling and deconstructing in order to perceive or establish a pattern or relationship(s) (Beyer 1988:19). It is a process of breaking up a whole into its parts to examine the details so as to determine the nature of a phenomenon (Paul 1993:458). During this step, students are expected to explore, examine and analyse the identified concepts, statements, main ideas, thoughts, clues or patterns of significance in detail to have clarity in the process. The students should engage in brainstorming ideas and thoughts to generate large sets of concepts and statements that address the focus area without judging or editing the information (Plotnick 1997:1). Students should try to understand the flow of ideas. At this stage, students should not worry about redundancy, or the relative importance of the information or the relationships. This is the step in which students would generate the largest possible list of concepts and statements.
Interpretation is a process in which one gives one’s own conception of a phenomenon in order to place it in the context of one’s own experience, perspective, point of view or philosophy (Paul 1993:473). The best interpretation takes the most evidence and justification into account. Interpretation is weighing evidence and deciding whether generalisations or conclusions based on the data collected are warranted (Watson & Glaser 1980:2). Having analysed and generated numerous facts, thoughts, ideas, concepts and statements, the students should engage in collaborative dialogue to interpret the information meaningfully. Dialogue, like critical thinking, engages students actively in their learning. A successful dialogue involves a willing partnership and is marked by a sharing and empathetic attitude, cooperation, mutual respect and trust, especially in the face of likely disagreements, confusion and misunderstandings (Gravett 2001:47).
Dialogue is exploratory and interrogatory for the purpose of breaking through to new insights and different perspectives and allowing for conceptual change to take place (Chabeli 2006:83). It encourages critical thinking and a deep approach to learning as students engage in a search for meaning and active understanding through active participation in exploratory discussion, debates and brainstorming during concept-mapping. The interpretation requires students to be open and fair-minded. During this step of concept-mapping, students should make interdisciplinary connections by using other related knowledge from subjects like anatomy, physiology, microbiology, pharmacology, psychology, sociology, chemistry and physics to enhance the process of data interpretation. Interpretation involves the process of categorisation, decoding significance and clarifying meaning (Facione 1990:6, 7).
Inference is defined as the movement of thoughts that proceed from something given, a cue or data, to a conclusion as to what the data mean or signify (Bandman & Bandman 1988:120). Beyer (1988:112) believes that to infer is to draw conclusions, make predictions, pose hypotheses and test and explain hypotheses. To make an inference, according to Paul (1993:115), is to think as follows: because this is so, that also is so or probably so. Students make inferences through the concepts and statements that they bring to the learning situation. Inference brings together all the various elements needed to query the evidence collected, to draw reasonable conclusions and to form conjectures (Facione 1990:6; Proferto-McGrath 2003:571). The students should generate more information and make accurate inferences in the presence of more evidential information. Through dialogue students should construct maps from identified concepts so as to be able to formulate meaning which will assist them to remember information when it is needed.
Formulation is a ‘doing’ aspect of concept-mapping in which the identified concepts and statements are formulated, structured and represented in an organised and meaningful manner. The thinking skills of synthesis and organisation of identified concepts play an integral role during the formulation process of concept-mapping. The process of synthesis uses creativity and imagination thinking skills to develop new concepts and to view issues with a different perspective (Atkins & Murphy 1993:1190). What is created is always new, unique and goal-directed. The success of the student’s ability to synthesise depends on the student’s organisational ability in forming patterns or clusters of concepts and statements through organised reasoning to bring about conceptual change (Bybee & Sund 1982:194). The students should be actively involved in sorting the concepts into piles of similar ones, using card systems or categorising them directly on a computer by dragging the concepts and statements into piles that they create. Piles are named with a short descriptive label. Each statement is rated on some scale of 1–5 according to its importance, where 1 means the statement is unimportant and 5 means that it is extremely important (Trochim 2006:2, 3; Novak 2007:3).
Clusters of activities are organised into logical groups of activities, for example a learning area focusing on ‘asthma’. The concept ‘asthma’ can be placed strategically in the centre, or at any point from where a cluster of causes can be constructed – allergens, respiratory tract infections, cold air, exercises, drugs, chemicals, emotional upset and pollutants, for example. The treatment of asthma can be clustered under the headings pharmacological and non-pharmacological. Pharmacological can be clustered into homeopathic herbs, traditional medicines and Western medicine. Clustering may go on and on for better understanding.
Students are encouraged to engage in collaborative dialogue, connecting new information to existing knowledge and integrating interdisciplinary knowledge, to arrive at meaningful concept-mapping. The students should be free to use their creativity and imagination, as demonstrated by a deliberate choice of style, format, using different colour-coding and shapes, arrows to join ideas from different branches or drawing circles around related ideas to enhance meaning and understanding. All of this leads to new insights and conceptual change. The students should experience the ‘A-ha’ feeling, and become excited about their sudden understanding of a complex phenomenon such as asthma. There should be no coercion from the nurse educator in the process of refining the map.
At the end of the formulation of the concept map, the students should demonstrate critical thinking dispositions, such as self-confidence in providing explanations of the reasoning process behind the formulation. According to Facione (1990:10), explanation means to state the results of one’s reasoning, to justify that reasoning in terms of the evidential, conceptual, methodological, criteriological and contextual considerations upon which one’s results were based and to present one’s reasoning in the form of cogent arguments. During the explanation, the students justify and present arguments based on their interpretations, analysis, evaluations or inferences, so that they can accurately record, evaluate, describe or justify those processes to themselves or to others, or so that they can remedy perceived deficiencies in the general way they execute those processes. The nurse educator should create an environment of freedom, respect and trust, encouragement and support, and of motivation and guidance towards the facilitation of critical thinking by students through concept-mapping.
Evaluation and feedback.
It is important to recognise that a concept-map is never finished (Novak 2007:3). It is always necessary to evaluate and revise the map. Good concept maps usually undergo many revisions concerning the positioning of concepts and statements in ways that lend clarity, and ordering or re-ordering the related cross-links. Evaluation is the process of judging or determining the worth, accuracy, completeness or quality of a phenomenon (Beyer 1988:334). Evaluation has a logical component and should be carefully distinguished from mere subjective performance. The elements of its logic may be put in the form of questions, which may be asked whenever an evaluation is to be carried out (Paul 1993:466).
Students should be encouraged to revise their concept maps. According to Dewey (1933:9), the development of reflective questions and an inquiring mind are integral to the facilitation of critical thinking. Questions such as the following are usually helpful:
&touro; is the concept map clear?
&touro; is it logically constructed?
&touro; is the map accurate, attractive, thorough and organised?
&touro; could it have been constructed differently?
&touro; what would have been the alternative approach to facilitating critical thinking through concept-mapping?
&touro; does it make sense, is it meaningful? Why or why not?
&touro; is there anything missing, unclear, or problematic about the map?
&touro; how does it fit with the student’s experience?
The more closely one looks at the map and the material used, the more questions will come to the fore and the more self-monitoring will occur to check the good reasoning ability of students or where things went wrong. If something does not make sense, or seems unresolved, the students should try to state explicitly why – in what way is there a problem? This may be difficult to do, but it is a worthwhile exercise because it will make it easier for students to find answers (Counseling Services 2003:6). Self-regulation occurs when one self-consciously monitors one’s cognitive activities, the elements used in those activities, and the results deduced, particularly by applying skills in analysis and evaluation to one’s own inferential judgment with a view to questioning, confirming, verifying or correcting either one’s reasoning or one’s results (Facione 1990:10). This step demonstrates the critical thinking disposition of truth seeking and intellectual maturity.
Evaluation should be ongoing throughout the activities of concept-mapping. Critical thinking is an integral part of the evaluation process. It is used to assess the credibility of concepts and statements or other representations made on the map. It assesses the claims and the contextual relevance of the information gathered to formulate the map. Feedback should be realistic, specific, timely, descriptive and positive. It should be sensitive to the goals of the learners and be consciously non-judgmental. Feedback should be propedious and allow students to grow in their learning (Chabeli 2005:28, 29).
Nursing in general and clinical nursing education in particular are complex human activities that present real and unique problems, both structured and unstructured (King & Kitchener 1997:33). Facilitating critical and reflective thinking in nursing students will remain a challenge for nurse educators. It is therefore recommended that nurse educators focus on formulating hypotheses and engaging in further research on the validity of teaching methods that facilitate reflective and critical thinking. The interactive, dialogic and collaborative approaches to learning are at the forefront of the facilitation of reflective and critical thinking to promote deeper understanding, thereby enriching the general psychological theory of thinking (Tikhomirov 1988:269).
Concept maps are valuable tools with which to harness the power of the learners’ vision to understand complex information at a glance. Concept-mapping is a teaching method to facilitate creative, reflective and critical thinking. It is recommended that nurse educators use concept-mapping to facilitate critical thinking and encourage a deep approach to learning. Educators are urged to use concept-mapping as a method of individual or group assessment and evaluation to assess the learners’ conceptual understanding and handling of complex information. Educators can use concept-mapping to plan and revise curricula. They should encourage learners to use concept-mapping to make summaries of large chunks of information.
Concept-mapping can also be used to plan research activities and to plan patient care. It can be a valuable method to teach clinical nursing education – for example, nursing care of a patient on peritoneal or haemodialysis.
Critical thinking has become a national issue in the education arena. Educators might be successful in teaching the basics, but are perhaps not always sure that their students will be able to analyse and evaluate what they are taught. The question that arises is:
&touro; will the students go beyond the book knowledge or the information they were given to generate new ideas?
&touro; will they be able to meaningfully interpret the information given, or to make meaningful connections with the existing framework?
&touro; will they be able to make accurate inferences and explanations, as required?
&touro; do the students demonstrate inquisitiveness, willingness, open-mindedness, flexibility, self-confidence and cognitive maturity during the active acquisition of new knowledge, skills, attitudes and values?
This is a huge challenge to educators in general and to nurse educators in particular, as the nursing profession requires nurses who have well-developed critical and creative thinking skills with which to organise, reorganise, conceptualise or re-conceptualise problems and come up with feasible, rational solutions or astute clinical judgments (Facione 1990:6, 13; Woolfolk 1990:276). Nurses need critical thinking skills to perform their daily functions in practice.
In this paper, the author has tried to discuss concept-mapping as a teaching method to facilitate critical thinking by students by exploring the theoretical framework and epistemological foundation of concept-mapping. The theoretical framework of critical thinking has provided the framework within which concept-mapping can be implemented in accordance with the educational process format. Further research should be conducted to implement concept-mapping as a teaching method to facilitate critical thinking by student nurses.
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School of Nursing & Midwifery.
Concept mapping: A strategy for teaching and evaluation in nursing education.
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Department.
School of Nursing and Midwifery, Pakistan.
In the past decade an increasing emphasis has been placed on the importance of critical thinking in nursing. Nurse educators are faced with the challenge of finding ways to promote and evaluate critical thinking in nursing students, and various teaching strategies have been identified to achieve this goal. Concept maps are considered a powerful metacognitive tool that can facilitate the acquisition of knowledge through meaningful learning. Hence concept mapping can be used to promote and evaluate critical thinking. Based on the published nursing literature, the scope of concept mapping is discussed in this paper as a teaching and evaluation strategy for critical thinking in nursing education.
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Nurse Education in Practice.
Recommended Citation.
Gul, R. B., Boman, J. A. (2006). Concept mapping: A strategy for teaching and evaluation in nursing education. Nurse Education in Practice, 6 (4), 199-206.
Cognitive/concept mapping: a teaching strategy for nursing.
Anita C. All RN PhD ,
Robyn L. Havens RN MS.
Assistant Professor, School of Nursing, Department of Adult Nursing, The Medical College of Georgia, Augusta, GA USA Search for more papers by this author.
First published: June 1997 Full publication history DOI: 10.1046/j.1365-2648.1997.19970251210.x View/save citation Cited by (CrossRef): 41 articles Check for updates.
Dr Anita All, University of Oklahoma, Health Sciences Center, College of Nursing, Oklahoma City, Oklahoma 73190 USA.
Cognitive/concept mapping is an educational strategy that takes into consideration the principles of educational psychology. The most important single factor that influences learning is what the learner already knows. Nursing students face a great need to understand the larger questions and problems of their chosen field. Unless there is understanding, students may only commit unassimilated data to short-term memory and no meaningful learning will occur. The purpose of the following paper is to present concept mapping as a learning/teaching strategy for nursing students and nursing faculty. Examples of maps will be presented along with suggestion about how they can be used to plan care for a particular client or to learn more about the nursing care of a specific disease process.
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Issue online: 28 June 2008 Version of record online: 28 June 2008 Accepted for publication 22 May 1996.
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Using Concept Maps as a Teaching Strategy.
Stacy Smith.
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Transcript of Using Concept Maps as a Teaching Strategy.
Nursing Education Concept Map Advantages Can be difficult for a non-visual learner Concept Map Disadvantages Identify why concept maps enhance critical thinking skills Analyze the advantages and disadvantages of concept mapping Recognize different types of concept maps Discover online tools for creating concept maps What do good maps show? Helps student to appreciate complex care.
(Hinck et al., 2006) Allows for rational insights by the student (Hicks-Moore,2005). Teaches the student to develop a keen understanding of a topic (Harpez, Balik & Ehrenfeld, 2004) In clinical education.
to augment the traditional linear care planning methods To improve organization, for note taking, for study guides, or to prepare for an interview To develop and enhance.
critical thinking skills about pathophysiology and the nursing process. Time consuming.
Must allow opportunity for practice.
Must allow student feedback opportunities For use as a clinical prep tool.
in preparation for patient care Improves student's technology.
awareness and skill Teaches critical thinking skills End result reflects the center of nurses work (Taylor & Wros, 2007). Active Learning Strategies Meta Cognitive Tools-
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