Background: The implementation of unfolding scenario-based case studies in the didactic classroom is associated\r\nwith learner-centered education. The utilization of learner-centered pedagogies, such as case studies, removes the\r\nfocus from the instructor and instead places it on the student. Learner-centered pedagogies are believed to\r\nimprove students� levels of cognition. The purpose of this study was to examine how nurse educators are\r\nimplementing the pedagogies of case studies in their undergraduate didactic courses. The goal was to examine,\r\ndocument, report, and, ultimately, implement the strategies.\r\nMethods: Purposeful sampling was utilized in this qualitative, multisite-designed study. For each of the four\r\nparticipants, three separate site visits were completed. Observations and post-observational interviews took place at\r\neach site visit. Transcribed data from interviews, observations, and course documents were imported into the\r\ncomputer program Nvivo8. Repetitive comparative analysis was utilized to complete the data coding process.\r\nResults: The guiding research question of this study sought to investigate the implementation strategies of case\r\nstudies in didactic nursing courses. The implementation of case studies by the participants reflected two primary\r\npatterns: Formal Implementation (FI) and Informal Implementation (II) of case studies. The FI of case studies was\r\nfurther divided into two subcategories: Formal Implementation of case studies used Inside the Classroom setting\r\n(FIIC) and Formal Implementation of cases studies used Outside of the Classroom (FIOC).\r\nConclusion: Results of this investigation have led to an increased understanding of implementation strategies of\r\nunfolding scenario-based case studies in undergraduate nursing didactic courses. Data collected were rich in the\r\ndescription of specific methodologies for utilization of case studies and may serve as a resource for faculty in\r\ndevelopment of creative strategies to enhance the didactic classroom experience.
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