Using visual thinking strategies with nursing students to enhance nursing assessment skills: A qualitative design

Construction and application of procedural pathways combined with information management in nursing staff skills training system

OBJECTIVE

To explore the application effect of procedural pathways combined with information management in the construction of nursing staff skills training system.

METHODS

This was a quasi-experimental study with a control group and an experimental group. A total of 300 newly admitted nurses or nurses who required training within three years of admission were selected as the experimental group, and 267 nurses who were trained in the same hospital during the same period in 2020 were selected as the control group. The experimental group received skills training using a system that combines procedural pathways with information management, while the control group received traditional teaching mode. The outcome measures included theoretical score, operation score, nurse competency, patient satisfaction, and nursing-related adverse events. The data were analyzed using t-test, chi-square test, and rank-sum test.

RESULTS

The experimental group had higher scores in theoretical assessment, skills assessment, nurse competency, and patient satisfaction, and lower incidence of nursing-related adverse events than the control group (P < 0.05).

CONCLUSION

The strategy of procedural pathways combined with information management provides a new perspective and method for nursing operation skills training, effectively improves clinical nursing quality and ensures patient safety.

Undergraduate nurses' reflections on visual thinking learning to construct inductive reasoning through situated patient pictures: A mixed-method study

BACKGROUND/OBJECTIVE

Deductive logic has often been used to develop critical thinking. However, inductive logical thinking, essential to care decision-making, has yet to be emphasized. This study aimed to explore visual thinking learning among undergraduate nursing students by asking them to draw situated patient pictures in order to integrate theoretical knowledge and promote inductive logical thinking.

METHODS

A mixed-methods research design was used to obtain quantitative and qualitative data from a convenience sample of 100 students. The study was conducted in a Taiwanese university from September 2022 to January 2023. In the quantitative component, learners' views of situated patient pictures were captured based on 15 paired identifiers and two questions: (a) What word should be used in describing the situated patient's picture? (b) How strongly do you feel about the selection? Written feedback was analyzed using qualitative content analysis.

RESULTS

Quantitative analysis identified specific, unpretentious, humorous, harmonious, conservative, realistic, rational, entire, image performance, professional performance, understandable, expressive, static performance, rigorous, and profuse with a reasonable degree of choice. Qualitative analysis identified four stages in participants' development of inductive reasoning through situated patient pictures and visual thinking learning. These were: exploration, intuition, theme, and logic and creation.

CONCLUSIONS

The results suggest that visual thinking learning is a practical pedagogical approach to increasing learners' communication abilities, group cooperation, theoretical knowledge integration, and logical thinking. Neither educators nor learners required any artistic skills. Nonetheless, participants demonstrated creativity and innovation through continuous visual thinking learning.

The transformative palette: the use of art and Visual Thinking Strategies in nursing

Visual Thinking Strategies is a teaching technique initially studied in primary education but recently has been used to teach nursing students and other healthcare professionals. VTS has been found to help participants think and see differently, explore learning in safe environments, and develop ethical competencies. Experiences with VTS can create rich discussions and present opportunities for nurses to talk about issues and concerns that may not always present in the classroom. VTS can provide participants with the ability to explore meanings and engage in conversations about diversity and social determinants of health. This article explores how teachers can use VTS to create meaningful dialogue with participants and relate it to their care of patients.

Engaging the creative heArts of nurse educators: a novel conceptual model

OBJECTIVES

Nurse educators are increasingly challenged in preparing future nurses to be creative thinkers. The purpose of this innovative quality improvement initiative is to share nursing students' interpretations of the value arts-based pedagogy (ABP) brings to their nursing practice.

METHODS

Braun and Clarke's approach to thematic analysis was utilized to identify and report patterns of ideas within learners' interpretations of engaging in an ABP assignment.

RESULTS

The analysis of students' interpretations led to the creation of a novel conceptual model to encourage and support nurse educators in the use of innovative ABP approaches.

CONCLUSIONS

ABP can be seamlessly integrated within teaching and learning methodologies to cultivate meaningful student learning.

IMPLICATIONS FOR INTERNATIONAL AUDIENCE

The intent of the conceptual model is to encourage and support nurse educators in the use of innovative ABP approaches designed for engaging nursing students in active, creative, and challenging learning environments.

The effect of decorative arts course on nursing students' creativity and critical thinking dispositions

BACKGROUND

Nurses use their critical thinking skills and creativity to solve complex problems. Nursing students should access effective and appropriate educational materials to develop critical thinking skills and creativity.

OBJECTIVE

This study investigated the effect of the "decorative arts" course on nursing students' creativity and critical thinking dispositions.

METHOD

The study was conducted in the nursing departments of two universities between May 2021 and December 2021. The sample consisted of 141 nursing students. Data were collected using a sociodemographic characteristics questionnaire, the Critical Thinking Disposition Scale (CTDS), and the Marmara Creative Thinking Dispositions Scale (MCTDS).

RESULTS

Fourth-year students had a significantly higher mean CTDS score than third-year students (p = 0.009). Participants who took the "decorative arts" course for two semesters had a significantly higher mean CTDS score than those who took it for one semester at most (p < 0.05).

CONCLUSION

The "decorative arts" course helped nursing students develop critical thinking skills and creativity.

Nursing student learning of biosciences through movies and concept maps: A mixed study

BACKGROUND

acquisition of bioscience knowledge is challenging for nursing students. This calls for teaching methodologies that allow them to acquire this knowledge and add value in the nursing context.

OBJECTIVE

to evaluate a teaching experience using a movie clip and the collaborative use of C-Maps in first-year bioscience learning in nursing students.

DESIGN

embedded mixed methods study.

PARTICIPANTS

143 students.

METHODS

data were collected in two phases: first, collecting quantitative data through a questionnaire on utility, satisfaction and perceived competency development, and collecting qualitative data on learning, teaching materials and developed competencies through an open-question instrument. The second phase consisted of a focus group to explore in greater depth learning experience.

RESULTS

six themes emerged from the qualitative analysis: using C-Maps as a learning process; developing group competencies; knowledge integration and transfer; teacher-student relationship; art as a didactic support; and difficulties encountered and proposals for improvement. Regarding utility, the students highlighted learning and relating concepts. Elements of satisfaction were working in small groups and having the teacher as a guide. Finally, the competencies most developed were teamwork and learning ability.

CONCLUSION

the combination of a movie clip and a C-Map is an innovative strategy motivating and valuable for learning biosciences.

Visual Thinking Strategies—Theory and Applied Areas of Insertion

Twenty-first century learners live in a highly visual world, being constantly surrounded by visual, technologized stimuli and the educational system, be it general or specialized—as in the case of higher education—needs to creatively meet and answer these learning requirements. Among the plethora of new or updated approaches, the concept of Visual Thinking Strategies (VTS) designed by Philip Yenawine and Abigail Housen has gained extensive popularity due to its capacity of being adapted to a wide range of specialized fields with notable improvement results. The main purpose of the present review is to synthetically and critically present relevant scientific work related to the application of the VTS procedure and to further identify possible study areas that would highly benefit from the insertion of this procedure. Thus, the theoretical perspective is tackled from a cognitive-psychology standpoint, followed by a rendering of the research variety in applied VTS contexts pertaining to different study domains, as well as online VTS web clustering. These contexts have shown a predilection for VTS usage, which improves higher-education students’ specialized vocabulary and speaking skills in the same target language, but not in the case of ESP (English for specific purposes) classes.

Integration of visual thinking strategies to undergraduate health assessment course: A mixed-method feasibility study

BACKGROUND

The COVID-19 pandemic has accelerated demands for a shift from traditional face-to-face learning to online learning. Visual Thinking Strategies (VTS) is an inquiry-based teaching method using various visual artworks to improve critical thinking and interpersonal skills. VTS has been studied in health professional education mostly in art gallery settings. Implementing VTS during online learning in nursing education has not yet been investigated.

OBJECTIVES

This study evaluated the feasibility of incorporating VTS into an undergraduate nursing health assessment course and explored students' perceptions and experiences of VTS.

DESIGN

A single-group, posttest-only, concurrent mixed-methods design was used.

SETTING

This study was conducted in an urban nursing college in Seoul, Korea.

PARTICIPANTS

A convenience sample of 60 second-year undergraduate nursing students enrolled in a health assessment course.

METHODS

We integrated VTS into three skills lab sessions (assessment of older adults, skin assessment, and musculoskeletal system assessment) via on-site sessions or real-time online videoconferencing sessions. Through an online survey, we obtained sociodemographic information, previous VTS experience, measures of teaching orientation, perception of arts-based learning, and VTS evaluation. Additionally, participants were asked to comment on their VTS experiences through free-response questions.

RESULTS

Participants rated VTS as an interesting and easy-to-concentrate learning method compared with traditional classes during a COVID-19 pandemic. In participants' narratives, being able to learn diverse perspectives, expanding the scope of thoughts and observations, and sustainable learning were the most commonly positive experiences. A lack of familiarity and the open-ended nature of observations were reported as the most common challenges.

CONCLUSION

Applying VTS in undergraduate nursing education may help students develop critical thinking, communication, and collaboration skills. As an alternative to traditional teaching, implementing VTS via online may have potential to motivate students' engagement to active learning. Future randomized controlled trials are warranted to build evidence on the benefits of VTS.

Cultural adaptation, the 3-month efficacy of visual art training on observational and diagnostic skills among nursing students, and satisfaction among students and staff- a mixed method study

Background

Visual art training is a student-led approach using Western art pieces as the main teaching resources. It has been developed and applied in nursing and medical education in the United States. This study aimed to adapt visual art training to Chinese cultural context, then to compare the efficacy of the culturally-tailored visual art training versus traditional education on observational and diagnostic skills at 3-month follow-up among Chinese nursing students in master program.

Methods

This study included Phase 1 (cultural adaptation) and Phase 2 (3-month efficacy evaluation). It was conducted from June to September, 2019. In Phase 1, cultural barriers were identified and cultural adaptation strategy were made based on two focus group interviews. Phase 2 was a randomized controlled trial in a local museum. A total of 106 first-year nursing students in master program were randomized to the intervention group or the control group. Both groups received traditional education. In addition, intervention group received a visual art training (including a field-guided museum visit with observation and debriefing of Chinese oil paintings and clinical images, four teaching hours). Data were collected for both groups at baseline and 3-month follow-up on the observational and diagnostic skills measured by clinical image tests. Learning satisfaction with the visual art training was investigated among 53 intervention students and teaching satisfaction was done in 10 staff members by self-administered questionnaires.

Results

In phase 1, we adapted a culturally-tailored visual art training for nursing students in China. Observational skills of the intervention group increased significantly compared with the control group 3 months after the training (p < .001). A trend towards the improvement of diagnostic skills was indicated with increment of 2.92 points of the intervention group vs. 0.39 of the control group (p > .05). In general, all participants and staff were satisfied with the visual art training, especially the selected Chinese oil paintings and the student-led teaching process, but 34% (n = 18) were not satisfied with the long distance from the museum.

Conclusions

A culturally-tailored visual art training with great acceptability and feasibility was implemented in China. It had a sustained positive effect on improving the observational skills of Chinese nursing students. This study can be used for a reference to introduce visual art training to nursing students or nurses from other cultures.

Trial registration

Retrospectively registered in Chinese Clinical Trial Registry (ChiCTR2000037956) on 4th September, 2020.