Julie Andrews sang, “Let’s start at the very beginning. A very good place to start.” Well I’ve been thinking about this for a while now and in terms of nurse education its probably very bad advice.
Instead I would advise that we start at the end: And what is the end? Well the end for us must be the patient experience. If we start with the patient experience and then begin to trace backwards we can start to uncover the elements that need to be present in an educational transaction/transformation, (or a teaching episode).
I see it a bit like this:
It takes me to a place where recently I have been advising my students that I’m not in the game of changing practice but rather changing practitioners. If I can change or influence practitioners who then change their practice then I can see how my pedagogy is clinically relevant and has currency.
As you can see my model of nurse education is still very much predicated on reflection. It also tried to name some of the sources of information that a student will have access to but I accept that I’ve taken a broad brush approach here and that there may be many more.