Krau has declared Bloom’s taxonomy as the keystone for achieving this target as it provides a framework for classification of objectives. This has increased the nurses understanding of the patient situation and has lead to a decrease in patient complications.
Developed in 1956 and last revised in 2001, Bloom’s taxonomy remains one of the most universally applied models (C. Clark). For decades it has been used primarily for classifying learning outcomes. Originally it consisted of only cognitive domain, but subsequent revisions in 1972 and 1973 added the psychomotor and affective domains respectively.
Cognitive domain is associated with knowledge and the development of intellectual skills (C. Clark). This domain can be divided into simpler and difficult behavioral objective categories. Each category denotes a degree of difficulty and the whole domain is structured like a ladder, each and every step needs to be bested before moving on. C. Clark indicates six categories of this domain. These are Remembering, Understanding, Applying, Analyzing, Evaluating and Creating.
Affective domain centers on a nurse’s ability to handle different situations. According to D. Clark the domain deals with the targets feelings, values, appreciation, enthusiasm and attitudes. C. Clark also classifies this domain into five categories. Receiving phenomena, Responding to phenomena, Valuing, Organizing values and Internalizing values.
Finally the Psychomotor domain involves physical movement, coordination and use of motor skills (C. Clark). Practice makes these skills better which can be assessed by precision and execution of the technique. D. Clark mentions seven categories ranging from simple to complex behavior. These are Perception, Readiness to act, Guided response, Mechanism, Complex to over response, Adaptation and Origination. All the skills from any of the above domains can be applied to nursing ...
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