[Narrative Pedagogy in Nursing Education: The Essence of Clinical Nursing Process Recording].
BACKGROUND
Clinical nursing process recording (CNPR) has been shown to be an effective tool for facilitating student-centered teaching and learning in nursing education. Yet, the essence and process of this tool have yet to be sufficiently explored and clarified.


OBJECTIVE
To explore the essence of CNPR in the contexts of clinical teaching and learning.


METHODS
Reflective analysis was used as the phenomenological approach to analyze the qualitative data, which were transcribed from the oral responses of the six participants who were attending the Clinical Nursing Education Forum. A total of five sessions of the Clinical Nursing Education Forums were conducted. The content of the Clinical Nursing Education Forums consisted of a series of 12 narrative writings of CNPR that were written by a senior student and read and commented on by the student's clinical instructor.


RESULTS
Three groups of the essence and process of clinical teaching and learning were inductively identified as: (a) mobilizing autonomous, self-directed learning behavior from self-writing and re-storying; (b) establishing the student-instructor dialogical relationship from mutual localization; and (c) co-creating a learning environment in education and in clinical practice.


CONCLUSIONS
When used as an interactive teaching and learning tool, CNPR promotes mutual understanding by re-locating the self in the coexisting roles of student nurse, instructor, and patient in a series of nursing care situations. This re-location facilitates students' self-directed learning, enhances the abilities of asking question, waiting for and accompany with the instructor; and promotes the self-care capabilities of patients.
Dao-Chen Nursing Education Research Foundation, Taiwan, ROC.
Yu-Mei Y
YY
Chao
Institute of Clinical Nursing, School of Nursing, National Yang-Ming University, and Professor (Joint Appointment), School of Nursing, National Defense Medical Center, Taiwan, ROC. hhchiang@ym.edu.tw.
Hsien-Hsien
HH
Chiang
D004506:Education, Nursing; D006801:Humans; D007398:Interpersonal Relations; D007858:Learning; D009723:Nurse-Patient Relations; D013338:Students, Nursing / Q000523:psychology; D013663:Teaching
clinical nursing process recording (CNPR); clinical-teaching and learning; nurse-patient relationships; reflective analysis; student-instructor relationships