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Supervisors’ experiences of undergraduate nursing students’ learning in clinical practice when applying caring and learning as parallel processes in a caritative caring conceptual learning model (Part 2)
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Jönköping, Sweden;Linköping University, Sweden.ORCID iD: 0009-0000-4639-7582
Jönköping University, Sweden;Linköping University Hospital, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Jönköping University, Sweden. (Child Research Group)ORCID iD: 0009-0003-8659-8698
2021 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 52, no March, article id 103004Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages, SDG 4: Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all
Abstract [en]

The Model for Improvements in Learning Outcomes (MILO) is theoretically grounded and designed to intertwine didactics, pathophysiology and medicine with specific concepts important for learning. The aim was to describe supervisors’ experiences of undergraduate nursing students’ learning during clinical practice when using MILO. A qualitative and explorative design was used. Seventeen supervisors, thirteen women and four men from different departments at three hospitals in southern Sweden participated. After using the model, data were collected through four focus group interviews with open unstructured interview questions and analysed using inductive latent content analysis. Twelve subcategories, four generic subcategories and one main category emerged. The students developed a questioning approach and were more reflective, open and compliant. Twosomes enhanced learning. Specific documents generated structure and feelings of participation. The supervisors felt that taking the students’ pre-understanding into account and a caring approach in the learning environment were valuable for enhanced learning. The students established a caring relationship with the patients and the patients’ perspective became emphasized. Using MILO, intertwining between the natural and the professional became possible; enhanced learning in nursing skills together with a more caritative caring approach towards the patient was revealed. The need of compassion is discussed. 

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 52, no March, article id 103004
Keywords [en]
Clinical practice, Learning, Caring, Models educational
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-101756DOI: 10.1016/j.nepr.2021.103004ISI: 000651644500017PubMedID: 33684871Scopus ID: 2-s2.0-85101980826Local ID: 2021OAI: oai:DiVA.org:lnu-101756DiVA, id: diva2:1540074
Funder
Futurum - Academy for Health and Care, Jönköping County Council, SwedenAvailable from: 2021-03-26 Created: 2021-03-26 Last updated: 2025-05-07Bibliographically approved
In thesis
1. MILO - A Conceptual Learning Model Grounded in a Hermeneutical and a Caritative Caring Perspective: Development and Evaluation
Open this publication in new window or tab >>MILO - A Conceptual Learning Model Grounded in a Hermeneutical and a Caritative Caring Perspective: Development and Evaluation
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
MILO - en konceptuell lärandemodell grundad i ett hermeneutiskt och ett karitativt vårdande perspektiv : Utveckling och Utvärdering
Abstract [en]

Aim: The overall aim was to develop and evaluate a conceptual learning model grounded in a caritative caring perspective aimed to facilitate undergraduate nursing students’ learning during clinical practice.

Methods: This thesis comprises four studies with a descriptive explorative design overall. In the inductively applied research, different designs using both qualitative and quantitative methods, were used. Studies I–III used qualitative methods; data for study I were collected using the Delphi method and analysed using qualitative data analysis. In study II, data were collected using focus group interviews and analysed using latent content analysis. In study III, data were collected using individual interviews and analysed using a phenomenographic approach. Study IV used quantitative methods and data were collected using a questionnaire and analysed using statistical methods.

Results: Study I resulted in a conceptual learning model grounded in hermeneutics and a caritative caring perspective. The Model for Improvement in Learning Outcomes (MILO) encompasses eight concepts: four intrapersonal, i.e. the students’ own characteristics, reflecting understanding, and four contextual concepts, i.e. environmental concepts, reflecting structure. Study II showed that students’ learning is facilitated as a result of natural actions and elements that occur in daily life, integrating natural caring with professional caring. Studies III and IV showed that students’ learning was a gain in knowledge and understanding of supportive elements for learning and the perspective of the patients, and a gain in engagement and dedication. Study IV also showed that the intrapersonal concepts were valued more than the contextual concepts in the three different semesters studied. The use of the applications was valued more at the start of the students’ education. Some of the concepts and their applications had not been used in accordance with MILO’s implementation in the region involved.

Conclusions: The fundamentals needed to become a professional caring nurse include having compassion and competence. Undergraduate nursing students’ learning during clinical practice needs to be facilitated by a theoretical foundation establishing an ethical bearing, by knowledge and understanding of one self and of the patient as a whole, and by challenged learning using a diversity of tools to achieve the intended outcome of better health and well-being for the patient.

Place, publisher, year, edition, pages
Linnaeus University Press, 2024. p. 110
Series
Linnaeus University Dissertations ; 518
Keywords
conceptual model, learning, undergraduate nursing students, hermeneutics, caring, caritas, competence, understanding, natural caring, professional caring
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-128335 (URN)10.15626/LUD.518.2024 (DOI)9789180821339 (ISBN)9789180821346 (ISBN)
Public defence
2024-04-12, Linnésalen, Hus H, Växjö, 11:00 (Swedish)
Opponent
Supervisors
Available from: 2024-03-21 Created: 2024-03-19 Last updated: 2025-05-07Bibliographically approved

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Koldestam, MariaKnutsson, Susanne

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