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Model for Improvements in Learning Outcomes (MILO): Development of a conceptual model grounded in caritative caring aimed to facilitate undergraduate nursing students’ learning during clinical practice (Part 1)
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Jönköping, Sweden.ORCID iD: 0009-0000-4639-7582
Jönköping University, Sweden;Linköping University Hospital, Sweden.
Jönköping University, Sweden;Region Jönköping, Sweden.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Jönköping University, Sweden.ORCID iD: 0009-0003-8659-8698
2021 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 55, no August, article id 103144Article 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]

Aim: The aim was to describe the development of a caritative caring conceptual model aimed to facilitate undergraduate nursing students’ learning during clinical practice.

Design: An explorative design was used.

Methods: The Delphi method with a panel of 12 experts together with a literature search with a systematic approach were used and data were analysed according to content analysis.

Results: The Model for Improvements in Learning Outcomes (MILO) consists of eight core concepts divided into four intrapersonal concepts (nursing, a reflective approach, a critical approach, quality and safety) and four contextual concepts (peer learning, co-clinical teachers, student-centred and student-active supervision, a good learning environment). MILO is grounded in the theory of caritative caring with a hermeneutic approach and the understanding of caring and learning as parallel processes. Tools such as reflection, structure and guiding pm are used to intertwine caring, nursing, pathophysiology and medicine.

Conclusions: MILO intertwines didactics with concepts important for nursing students’ learning with a foundation in caritative caring and may facilitate undergraduate nursing students’ learning in clinical practice.

Place, publisher, year, edition, pages
Elsevier, 2021. Vol. 55, no August, article id 103144
Keywords [en]
Clinical practice, Learning, Caring, Educational models, Nursing
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-106226DOI: 10.1016/j.nepr.2021.103144ISI: 000701903200013PubMedID: 34298404Scopus ID: 2-s2.0-85110598459Local ID: 2021OAI: oai:DiVA.org:lnu-106226DiVA, id: diva2:1586897
Funder
Futurum - Academy for Health and Care, Jönköping County Council, SwedenAvailable from: 2021-08-23 Created: 2021-08-23 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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