One of the goals of baccalaureate nursing education is to facilitate s
tudents' cognitive development, that is, their ability to employ reaso
n, manage diversity, and engage in contextual decision-making. Despite
this goal, however, studies indicate that the majority of nursing stu
dents tend to be at the lower levels of development, rather than at mo
re advanced levels. The purpose of the study reported here was to desc
ribe the cognitive development of one university's nursing student pop
ulation at the beginning and end of the freshman year, investigate the
effects of planned developmental instruction strategies on cognitive
growth, and investigate the relationship among cognitive development,
GPA, and SAT scores. While subjects evidenced some cognitive growth, t
he mean level of cognitive development for all subjects was at the low
er end of the scale. Specific instructional strategies are described,
statistical and qualitative analyses of groups are reported, and sugge
stions for further research are proposed.