• Home
  • Start Here
  • The Learning Challenge
  • The ASCEND Framework
  • Implementation Strategies
  • Reflection and Assessment
  • Build Your ASCEND Plan
  • Resource Library
  • Evidence Behind ASCEND
  • More
    • Home
    • Start Here
    • The Learning Challenge
    • The ASCEND Framework
    • Implementation Strategies
    • Reflection and Assessment
    • Build Your ASCEND Plan
    • Resource Library
    • Evidence Behind ASCEND
  • Home
  • Start Here
  • The Learning Challenge
  • The ASCEND Framework
  • Implementation Strategies
  • Reflection and Assessment
  • Build Your ASCEND Plan
  • Resource Library
  • Evidence Behind ASCEND
Medical students studying together in a library.

The Learning Challenge

 Many nursing students work hard yet continue to struggle in pharmacology. Success requires more than effort—it requires learning strategies grounded in cognitive science. 

Why Students Struggle

 Students often rely on familiar study habits such as rereading notes or highlighting text. Although these strategies feel productive, they frequently produce an illusion of learning rather than durable understanding. Pharmacology requires students to organize large amounts of information, retrieve knowledge under pressure, and apply concepts in clinical situations. Without structured learning strategies, many students become overwhelmed despite investing significant study time. 

Common Barriers

Information Overload

Information Overload

Information Overload

 Students must learn hundreds of medications while understanding mechanisms of action, indications, adverse effects, contraindications, and nursing implications. 

Passive Study Habits

Information Overload

Information Overload

 Many students rely on rereading and highlighting instead of retrieval practice and application. 

Limited Metacognitive Awareness

Limited Metacognitive Awareness

Limited Metacognitive Awareness

 Students often cannot accurately judge what they know and what requires additional study. 

Disconnected Study Strategies

Limited Metacognitive Awareness

Limited Metacognitive Awareness

 Individual study techniques are often introduced separately without an integrated system that guides implementation. 

Define Your Learning Challenge

 You have already identified a meaningful learning challenge during your ASCEND Reflection.  As you explore the ASCEND Framework, keep that challenge at the center of your instructional decisions. 

 Select instructional strategies that directly address your identified challenge and align with your instructional goals. 


As you review each strategy below, consider:

  • Does this strategy address my identified learning challenge? 
  • How might I adapt this strategy for my course? 
  • What evidence will tell me the strategy is working?

How ASCEND Addresses Your Challenge

Teach Learning Strategies

 Students benefit when educators explicitly teach how to learn, not just what to study. 

Promote Retrieval

 Frequent, low-stakes retrieval strengthens memory and improves long-term retention. 

Organize Knowledge

Organize Knowledge

 Concept mapping helps students connect medications, mechanisms, and nursing implications into meaningful patterns. 

Encourage Reflection

Support Implementation

Organize Knowledge

 Guided reflection helps students evaluate their learning and adjust ineffective study habits. 

Support Implementation

Support Implementation

Support Implementation

 ASCEND combines these strategies into one cohesive framework that educators can adapt to their own courses. 

Continue to the ASCEND Framework

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