Theoretical Framing of High-Fidelity Simulation With Carper’s Fundamental Patterns of Knowing in Nursing

Abstract

Many nursing programs integrate high-fidelity simulation(HFS) into the curriculum. The manikins used are modeled to resemble humans and are programmed to talk and reproduce physiological functions via computer interfaces.When HFS design negates a theoretical framework consistent with the interpersonal and relational nature of nursing,it can problematically focus simulation on psychomotor skills and the physical body. This article highlights a theorized approach to HFS design informed by Carper's seminal work on the fundamental patterns of knowing in nursing(i.e., empirics, esthetics, personal knowing, and ethics). It also describes how a team of Canadian nurse educators adopted these patterns of knowing as a theoretical lens to frame scenarios, learning objectives, and debriefing probes in the context of maternal and newborn assessment. Institutions and practitioners can draw on Carper's work to facilitate focusing on the whole person and expanding the epistemological underpinnings of HFS in nursing and other disciplines.

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Understanding How Nursing Students Experience Becoming Relational Practitioners: A Narrative Inquiry

“…It is crucial to dig beyond the surface of the one-to-one encounters and to consider what shapes those connections to act with intention to build trust, compassion, and respect (Doane & Brown, 2011;Doane & Varcoe, 2007, 2015. McGovern et al (2013) propose the use of Carper's patterns of knowing as a framework for teaching nursing students how to recognize relational cues in high fidelity simulations. These authors believe that without framing the experience through this lens, the potential for preoccupation with a psychomotor acquisition could become more prominent.…”

“… McGovern et al (2013) propose the use of Carper's patterns of knowing as a framework for teaching nursing students how to recognize relational cues in high fidelity simulations. These authors believe that without framing the experience through this lens, the potential for preoccupation with a psychomotor acquisition could become more prominent.…”