Scaffolding in clinical skill development: A concept analysis for contemporary nursing education

IF 2.5 Q2 NURSING

Teaching and Learning in Nursing Pub Date : 2026-10-01 Epub Date: 2026-06-18 DOI:10.1016/j.teln.2026.05.033

John Paulo C. Pineda RN, MN, Ma. Teresa Cabanayan RN, MN, Isabelito Nabong RN, MAN

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引用次数: 0

Abstract

Background

Scaffolding is widely used in nursing skills laboratories, simulation, clinical placement, and preceptorship, yet its meaning in clinical skill development remains inconsistently defined.

Objectives

This concept analysis clarified scaffolding in clinical skill development by identifying attributes, antecedents, consequences, empirical referents, and cases.

Methods

Walker and Avant’s method guided synthesis of nursing education, simulation, preceptorship, and educational theory literature, prioritizing 2021-2024 sources while retaining seminal works.

Results

Scaffolding was defined as a structured, adaptive process that supports learners from guided participation toward independent clinical performance. Attributes included intentional support, contingent guidance, active participation, fading, and progressive task complexity. Antecedents included learner need, an experienced educator or preceptor, defined competencies, a safe learning environment, and competency-based expectations. Consequences included clinical competence, clinical judgment, confidence, reduced anxiety, and patient safety.

Conclusion

Intentional scaffolding can guide educators in sequencing support, feedback, and autonomy during clinical teaching.

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临床技能发展中的支架：当代护理教育的概念分析

脚手架广泛应用于护理技能实验室、模拟、临床实习和实习，但其在临床技能发展中的意义仍不一致。目的通过对临床技能发展的属性、前因由、后果、经验参照物和病例的分析，阐明了临床技能发展中的脚手架。方法swalker和Avant的方法指导护理教育、模拟、指导和教育理论文献的综合，优先考虑2021-2024年的来源，同时保留开创性的作品。结果脚手架被定义为一个结构化的、自适应的过程，支持学习者从指导参与到独立的临床表现。属性包括有意支持、偶然指导、积极参与、消退和渐进任务复杂性。前因包括学习者需求、经验丰富的教育者或导师、明确的能力、安全的学习环境和基于能力的期望。结果包括临床能力、临床判断、信心、焦虑减少和患者安全。结论在临床教学中，有目的的“脚手架”可以指导教师进行排序支持、反馈和自主教学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Teaching and Learning in Nursing NURSING-

CiteScore

2.60

自引率

10.50%

发文量

119

审稿时长

37 days

期刊介绍： Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty