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Det lärande utrymmet: lärande och vårdande möten mellan patienter, studentpar och handledare vid Utvecklande och Lärande Vårdenheter
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0003-0400-9208
2017 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim is to create knowledge about how nursing students’ learning in pairs can be supported in order to create prerequisites for encounters that provide caring and learning support during clinical practice.

Approach and method: A reflective lifeworld research (RLR) approach founded on the epistemology of phenomenology and hermeneutics was used. Based on interviews, diary entries and observations with patients, students and supervisors, descriptive and interpretive analysis in accordance with the RLR approach was performed.

Main findings: Students’ learning in pairs is based on encountering and caring for the patients together. The responsibility of caring for the patients, which is given to the students by their supervisors, is based on supportive relationships that are characterized by movements between independence and cooperation. Supporting students learning in pairs is characterized by a reflective approach focusing on learning in togetherness, where the individual student is also reached and seen, providing opportunities for developing important abilities for learning and caring. Depending on the ability to show respect and to take responsibility a more or less supportive relationship between the patients, the students and the supervisors is created within the learning space.

Conclusions: Supporting students’ learning in pairs is complex due to it taking place in a caring context, where respect must be given towards the patients, the students, the supervisors and other participants who are closely connected to the learning space. Since learning in pairs affects and interweaves learning and caring environments, a reduction to either one of them, learning or caring, is not possible but instead the learning space must be understood as a whole. Optimal conditions for learning in pairs are based on dynamic movements, which require a reflective supervising approach. If these conditions are missing, there is a risk of creating both fragmented caring and learning, where the patients ́ vulnerability and safety needs to be taken into account.

Keywords: caring science; clinical practice; learning space; learning support; pairs of nursing students; reflective lifeworld approach 

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2017. , p. 73
Series
Linnaeus University Dissertations ; 291/2017
Keywords [en]
caring science; clinical practice; learning space; learning support; pairs of nursing students; reflective lifeworld approach
Keywords [sv]
vårdvetenskap, verksamhetsförlagd utbildning, lärande utrymme, lärande stöd, par av sjuksköterskestudenter, reflekterande livsvärldsforskning
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-67723ISBN: 978-91-88357-83-0 (print)OAI: oai:DiVA.org:lnu-67723DiVA, id: diva2:1138256
Public defence
2017-09-15, Wicksell, Hus K, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2017-09-05 Created: 2017-09-04 Last updated: 2025-02-06Bibliographically approved
List of papers
1. The experiences of supporting learning in pairs of nursing students in clinical practice
Open this publication in new window or tab >>The experiences of supporting learning in pairs of nursing students in clinical practice
2017 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 26, no September, p. 6-11Article in journal (Refereed) Published
Abstract [en]

The purpose of this study is to describe how supervisors experience supporting nursing students' learning in pairs on a Developing and Learning Care Unit in Sweden. The present study has been carried out with a Reflective Lifeworld Research (RLR) approach founded on phenomenology. A total of 25 lifeworld interviews were conducted with supervisors who had supervised pairs of students. The findings reveal how supervisors support students' learning in pairs through a reflective approach creating learning space in the encounter with patients, students and supervisors. Supervisors experience a movement that resembles balancing between providing support in learning together and individual learning. The findings also highlight the challenge in supporting both the pairs of students and being present in the reality of caring. In conclusion, the learning space has the potential of creating a relative level of independency in the interaction between pairs of students and their supervisor when the supervisor strives towards a reflective approach.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Learning, Supervision, Pairs of students, Nurse education, Lifeworld, Phenomenology
National Category
Other Health Sciences
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-65709 (URN)10.1016/j.nepr.2017.06.002 (DOI)000412249800003 ()28646680 (PubMedID)2-s2.0-85021149848 (Scopus ID)
Available from: 2017-06-21 Created: 2017-06-21 Last updated: 2023-08-09Bibliographically approved
2. Students ’ learning in an encounter with patients – supervised in pairs of students
Open this publication in new window or tab >>Students ’ learning in an encounter with patients – supervised in pairs of students
2012 (English)In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 13, no 5, p. 693-708Article in journal (Refereed) Published
Abstract [en]

Caring science didactics is the framework of a supervision model that includes students learning process, from a lifeworld perspective, in an encounter with patients, supported by supervision in pair of students. A challenge in nursing education is to bridge the gap between theory and praxis. Reflection and a model for learning and supervision enable students to learn in meeting patients and to get a deeper understanding of their lifeworld. The aim of this study was to describe the learning process of students, in an encounter with a patient, when supported by supervision given to pair of students. Data were collected through interviews and diary entries, interviews in pair of students, and diary entries in private. The analysis was based on reflective lifeworld research approach, founded on phenomenology. Results show that security and insecurity in pair of students, environmental conditions and attitude of health care professionals have influence on students’ learning process. Meeting patients is described as important for the student learning process, but also as indiscernible and that supervised reflection serves to bridge the gap between theoretical and practical knowledge. Structured supervision is shown to be supportive for nursing students when developing in their learning process.

Keywords: caring science; learning; lifeworld; nursing students; phenomenology; reflection

Place, publisher, year, edition, pages
Taylor & Francis, 2012
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-19718 (URN)10.1080/14623943.2012.670623 (DOI)000212766300006 ()2-s2.0-84866725593 (Scopus ID)
Available from: 2012-06-11 Created: 2012-06-11 Last updated: 2023-08-09Bibliographically approved
3. Students learning in clinical practice, supervised inpairs of students: a phenomenological study
Open this publication in new window or tab >>Students learning in clinical practice, supervised inpairs of students: a phenomenological study
2013 (Swedish)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 8, p. 113-124Article in journal (Refereed) Published
Abstract [en]

Background: Clinical studies have an important position in Nursing Education, it is thus important to develop the learning strategies of students in order to facilitate their learning process during the clinical practice. The aim of the study is to describe the process of students’ learning towards their profession, when supported by supervision in pairs.

Methods: Data has been collected through interviews of students during their clinical studies. The study has been carried out with a Reflective Lifeworld Research (RLR) approach founded on phenomenological traditions. The clinical settings are based on the model of the Developing and Learning Care Unit that has a structure that supports students in their learning towards becoming nurses.

Results: Results show that structured supervision is favourable for students learning, where pair of students, space and time play a significant role. The results are illustrated in following themes: The significance of responsibility for learning, the strength and sensitivity in pairs of students, the focus on doing, the significance of the attitude of the supervisor, the vulnerability and potential of the learning environment and Reflection as a possibility and a pre-requisite.

Conclusions: The study shows that the conduct of supervising in pair of students is of great importance for students’ learning and it is thus important to develop a reflective supervising approach and also knowledge of how to support students’ learning.

Place, publisher, year, edition, pages
Sciedu Press, 2013
National Category
Other Health Sciences
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-24038 (URN)10.5430/jnep.v3n8p113 (DOI)
Available from: 2013-02-04 Created: 2013-02-04 Last updated: 2023-08-09Bibliographically approved

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Citation style
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