title: Promoting clinical competence: using scaffolded instruction for practice-based learning.
abstract: Competency-based education is essential for bridging the gap between education and practice. The attributes of competency-based education include an outcomes focus, allowance for increasing levels of competency, learner accountability, practice-based learning, self-assessment, and individualized learning experiences. One solution to this challenge is scaffolded instruction, where collaboration and knowledge facilitate learning. Collaboration refers to the role of clinical faculty who model desired clinical skills then gradually shift responsibility for nursing activity to the student. This article describes scaffolded instruction as applied in a Web-based second-degree bachelor of science in nursing (BSN) program. This second-degree BSN program uses innovative approaches to education, including a clinical component that relies on clinical coaches. Students in the program remain in their home community and complete their clinical hours with an assigned coach. The method will be described first, followed by a description of how the method was applied.
authors: Texas Christian University, Fort Worth, TX, USA. d.tilley@tcu.edu
authors: Donna Scott
authors: DS
authors: Tilley
authors: Patricia
authors: P
authors: Allen
authors: Cathie
authors: C
authors: Collins
authors: Ruth Ann
authors: RA
authors: Bridges
authors: Patricia
authors: P
authors: Francis
authors: Alexia
authors: A
authors: Green
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003142:Communication; D003162:Competency-Based Education / Q000458:organization & administration*; D003299:Cooperative Behavior; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration*; D004518:Education, Professional, Retraining / Q000458:organization & administration*; D005181:Faculty, Nursing / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet / Q000458:organization & administration; D007400:Interprofessional Relations; D019359:Knowledge; D017145:Models, Educational; D024802:Nurse's Role / Q000523:psychology; D015402:Nursing Education Research; D009736:Nursing Process; D009937:Organizational Objectives; D011231:Preceptorship / Q000458:organization & administration; D012647:Self-Assessment; D013338:Students, Nursing / Q000523:psychology; D013850:Thinking