2005
DOI: 10.1097/00006223-200503000-00010
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Academic and Clinical Dissonance in Nursing Education

Abstract: The experience of cognitive dissonance in novice clinical nursing students is examined. These students often confront an incongruity between the rule-bound academic ideal of nursing with which they have been prepared and the more flexible, intuition-driven clinical reality they encounter. Without insightful guidance from clinical faculty, the students' response to this dissonance could include disillusionment with clinical nursing practice or devaluation of the academic ideal of nursing. Cognitive Dissonance T… Show more

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Cited by 30 publications
(11 citation statements)
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“…The comparison of actual behavior with the personal and socially constructed ideal was framed as a more general theory by Festinger (1957). Cognitive dissonance theory indicates that people prefer consistency in their beliefs, attitudes, and behaviors and that any inconsistency or dissonance will result in changes intended to restore the preferred state (Meyer & Xu, 2005). Cognitive dissonance gives insight into the reasoning of people who change their ideas, opinions, and behaviors to support situations that appear to be contrary to their behaviors.…”
Section: Discussionmentioning
confidence: 99%
“…The comparison of actual behavior with the personal and socially constructed ideal was framed as a more general theory by Festinger (1957). Cognitive dissonance theory indicates that people prefer consistency in their beliefs, attitudes, and behaviors and that any inconsistency or dissonance will result in changes intended to restore the preferred state (Meyer & Xu, 2005). Cognitive dissonance gives insight into the reasoning of people who change their ideas, opinions, and behaviors to support situations that appear to be contrary to their behaviors.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally a study by Coombs et al outlines several clinical academic roles from beginners to professor level, understanding the nature and contribution these roles can make in the organization [25] . Perhaps tools like Cognitive Dissonance Theory, the Novice to Expert Model, and the Neuman Systems Model serve as a theoretical foundation for recommended strategies and interventions for optimal response to dissonance between academic ideal and clinical reality in nursing students [8] . Development of an accelerated nursing programs focusing on the challenges on both clinical and academic experiences via immersions [26] can also be adopted.…”
Section: Discmentioning
confidence: 99%
“…Although there is widespread agreement exists that clinical experience is central to learn nursing, a finding suggests that teachers' and students' focus on task completion rather than a deeper understanding and readiness for nursing practice [7] . The idealistic rule bound classroom setting and intuition based clinical setting differs that dissonance might occur if not properly guided by clinical instructors, thus resulting in disillusionment and devaluation in nursing performance [8] . Students also have the notion of nursing theory and practice as a divided discipline.…”
Section: Introductionmentioning
confidence: 99%
“…Professional identity is said to develop out of the professional and educational socialization process that nurses engage in (Hardy & Hardy ; Meyer & Xu ). Accepting this would imply that peoples' understanding of any area of nursing practice can only be understood through direct or indirect experience with nurses in the health‐care environment.…”
Section: Challenges To Our Role As Mhnmentioning
confidence: 99%