Louisiana State University LSU Digital Commons LSU Doctoral Dissertations Graduate School 2010 The ac re plan as an indicator of change in nursing science instruction: a textbook-based analysis Lindsay Bratton-Mullins Louisiana State University and Agricultural and Mechanical College Follow this and additional works at: https://digitalcommons.lsu.edu/gradschool_dissertations Part of the Education Commons Recommended Citation Bratton-Mullins, Lindsay, "The care plan as an indicator of change in nursing science instruction: a textbook-based analysis" (2010). LSU Doctoral Dissertations. 3832. https://digitalcommons.lsu.edu/gradschool_dissertations/3832 This Dissertation is brought to you for free and open access by the Graduate School at LSU Digital Commons. It has been accepted for inclusion in LSU Doctoral Dissertations by an authorized graduate school editor of LSU Digital Commons. For more information, please [email protected]. THE CARE PLAN AS AN INDICATOR OF CHANGE IN NURSING SCIENCE INSTRUCTION: A TEXTBOOK-BASED ANALYSIS A Dissertation Submitted to the Graduate Faculty of the Louisiana State University and Agricultural and Mechanical College in partial fulfillment of the requirements for the degree of Doctor of Philosophy in The Department of Educational Theory, Policy, and Practice by Lindsay Bratton-Mullins B.S.N., Louisiana State University Health Sciences Center, 2001 M.S.N., Georgetown University, 2004 December 2010 ACKNOWLEDGEMENTS May the future of nursing be even brighter than its past. Without my faith in God this dissertation could not have been a thought. Without my husband, Grey, and the joy of my two beautiful children, William and Vivian, my work would be meaningless. Professor Jim Wandersee has been the humble, guiding hand through this educational endeavor and through his kind actions and words I have learned more about valuing students than ever imagined. My family, Pam and Larry Bratton, Shea Beard, Ann, Regi, Sara, Matt, and Currie Mullins have believed in me and come to my aid when work called. Thank you to all for making this experience possible. ii TABLE OF CONTENTS Acknowledgments.................................................................................................................... ii List of Tables........................................................................................................................... vii List of Photographs…………………………………………………………………………. viii List of Figures……………………………………………………………………………… ix List of Charts………………………………………………………………………………. x Abstract.................................................................................................................................... xi Introduction............................................................................................................................. 1 Research Paucity................................................................................................................. 6 Research Design................................................................................................................. 7 Final Product...................................................................................................................... 8 Research Questions............................................................................................................. 11 Main Question............................................................................................................... 11 Subquestions............................................................................................................. 11 Definitions.......................................................................................................................... 12 Literature Review.................................................................................................................... 15 Nursing Science Education Context................................................................................... 15 Researcher Intent................................................................................................................ 15 Nursing Education Background.......................................................................................... 16 Critical Thinking............................................................................................................ 16 Nursing Process............................................................................................................. 18 Nursing Science.................................................................................................................. 19 Content of Nursing Courses................................................................................................ 22 Current Methods of Instruction........................................................................................... 23 Lecture......................................................................................................................... 25 Clinical........................................................................................................................ 28 Patient Simulation........................................................................................................ 29 Nursing Care Plans........................................................................................................ 31 Vee Diagram................................................................................................................. 34 Constructivism................................................................................................................... 34 Teacher and Learner...................................................................................................... 35 Individual as Learner..................................................................................................... 36 Bloom‟s Revised Taxonomy.............................................................................................. 37 National Research Council Report..................................................................................... 38 Preexisting Understanding............................................................................................. 40 Foundation of Factual Knowledge................................................................................. 43 Metacognition................................................................................................................ 44 Learner Characteristics....................................................................................................... 45 iii Millennials..................................................................................................................... 46 Phase One of Historical Research....................................................................................... 47 Historical Narrative............................................................................................................ 48 250 BCE to 250 CE....................................................................................................... 49 1300 to 1600.................................................................................................................. 49 1800 to 1890.................................................................................................................. 50 1890 to 1900.................................................................................................................. 52 1900 to 1910.................................................................................................................. 55 1910 to 1920.................................................................................................................. 57 1920 to 1930.................................................................................................................. 59 1930 to 1940.................................................................................................................. 60 1940 to 1950.................................................................................................................. 61 1950 to 1960.................................................................................................................. 63 1960 to 1970.................................................................................................................. 66 1970 to 1980.................................................................................................................. 68 1980 to 1990.................................................................................................................. 69 1990 to 2000.................................................................................................................. 70 Conclusion.......................................................................................................................... 72 Methods.................................................................................................................................. 75 Introduction....................................................................................................................... 75 Theoretical Framework....................................................................................................... 77 Research Design................................................................................................................ 78 Historical Research Method..........................................................................................