促进护理教育中转化式学习模型的构建研究

A model to facilitate transformative learning in nursing education

目的转化式学习是以学习者为中心的学习过程,学习者通过批判性的反思和话语来质疑假设和期望。本文旨在构建促进护理教育中转化式学习的模型。方法本研究选择用于形成理论的质性、探索性、描述性和情境化的设计,描述促进护理教育中转化性学习的模型。第一阶段,运用Walker和Avant概念分析法对转化式学习进行概念分析,阐明其概念和意义。第二阶段,应用概念分析结果指导进行资料收集。对护理教育工作者进行了11次半结构化访谈,探讨和描述他们对如何在护理教育中促进转化式学习的看法。采用矩阵建立法对采集的数据进行分析。第三阶段是在实践理论的基础上,利用相关文献对第二阶段的发现进行概念化。第四阶段主要是描述和评估该模型,以促进护理教育中的转化式学习。结果在实践理论的6个要素,即语境、主体、接受者.动态、过程、程序和结果中,出现了4个主题和9个子主题,并对其进行了概念化。结论阐明各要素间关系为模型描述提供了基础,对模型进行描述和评价的方法是可靠的,模型开发和质性研究方面的专家使该模型的呈现更为完善。

Objective:Transformative learning is a learner-centered process of learning.Learners are actively engaged through critical reflection and discourse to question assumptions and expectations.The purpose of this article is to describe a model to facilitate transformative learning in nursing education.Methods:A qualitative,exploratory,descriptive and contextual design for theory generation was selected in this study to describe a model to facilitate transformative learning in nursing education.Concept analysis of transformative learning was done in the first stage of the main study using Walker and Avant's eight step approach to clarify the conceptual identification and meaning.The results of concept analysis guided data collection in the second stage.Eleven individual agenda semi-structured interviews were conducted with nurse educators to explore and describe their perceptions regarding how transformative learning can be facilitated in nursing education.Matrix building approach was used to analyse the collected data.The third stage constituted the conceptualisation of findings from the second stage using relevant literature within the elements of practice theory.The fourth stage focused on the description and evaluation of a model to facilitate transformative learning in nursing education.Findings:Four themes and nine sub-themes emerged and were conceptualised within the six elements of practice theory namely the context,agent,recipient,dynamic,process and procedure and outcome.Conclusion:The relation statements provided the basis for model description.Reliable method was used to describe and evaluate the model.The refinement of the model by experts in model development andqualitative research was made.