Working under stress requires the ability to prioritise, multi-task, advocate, maintain effective time management and is part of a suite of learning skills considered ‘novice to expert’ in nursing (Benner, 1982). This ability to transfer thoughts and process information, which are relevant to the particular situation, time and place, is of utmost importance for effective decision-making. Moreover, Jean Piaget’s theory of cognitive development states that thoughts, memory, past experience, problem solving, and processing information all influence the learner.