| 1. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Patients' Variations of Reflection About and Understanding of Long-term Illness : Impact of Illness Perception on Trust in Oneself or Others
- 2017
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Ingår i: Open Nursing Journal. - : Bentham Science Publishers Ltd.. - 1874-4346. ; 11, s. 43-53
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Tidskriftsartikel (refereegranskat)abstract
- Background: Patients' understanding of their illness is of great importance for recovery. Lacking understanding of the illness is linked with the patients' level of reflection about and interest in understanding their illness. Objective: To describe patients’ variations of reflection about and understanding of their illness and how this understanding affects their trust in themselves or others. Method: The study is based on the “Illness perception” model. Latent content analysis was used for the data analysis. Individual, semi-structured, open-ended and face-to-face interviews were conducted with patients (n=11) suffering from a long-term illness diagnosed at least six months prior to the interview. Data collection took place in the three primary healthcare centres treating the participants. Results: The results show variations in the degree of reflection about illness. Patients search for deeper understanding of the illness for causal explanations, compare different perspectives for preventing complication of their illness, trust healthcare providers, and develop own strategies to manage life. Conclusion: Whereas some patients search for deeper understanding of their illness, other patients are less reflective and feel they can manage the illness without further understanding. Patients' understanding of their illness is related to their degree of trust in themselves or others. Patients whose illness poses an existential threat are more likely to reflect more about their illness and what treatment methods are available.
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| 2. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Strategies for healthcare professionals to facilitate patient illness understanding.
- 2017
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 26:23-24, s. 4696-4706
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Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: To describe how healthcare professionals facilitate patient illness understanding.BACKGROUND: Healthcare professionals and patients differ in their illness understanding. If the information provided by healthcare professionals is not adapted to the patient's daily life it may be unusable for the patient. Previous research has found that healthcare professionals should individualise the information to enable the patient to apply the knowledge to the personal situation and to develop illness understanding. However, little is known of how healthcare professionals can facilitate patient illness understanding.METHOD: A qualitative descriptive study based on individual, semi-structured, open-ended and face-to-face interviews was conducted with healthcare professionals (n=11) concerning how they facilitate patients illness understanding. Three health centres were involved during the period of March to November 2014. The interviews were analysed with qualitative content analysis.RESULTS: The result identified a continuous and collaborative process with three strategies used by healthcare professionals to facilitate the patient's illness understanding: 1) assess the patient's illness understanding, 2) interact with the patient to develop illness understanding, and 3) support the patient's personal development for illness understanding. The steps in the process depend on each other.CONCLUSIONS: The results of our analysis indicate that healthcare professionals can use the continuous and collaborative process to enhance the patient's self-care ability and turn his or her knowledge into action for improving illness understanding.RELEVANCE TO CLINICAL PRACTICE: The three continuous and collaborative process strategies involving pedagogical approaches can create conditions for healthcare professionals to obtain a holistic view of the patient's life and to be a key resource for person-centred care. This article is protected by copyright. All rights reserved.
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| 3. |
- Ahlstrand, Inger, et al.
(författare)
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Health-promoting factors among students in higher education within health care and social work : a cross-sectional analysis of baseline data in a multicentre longitudinal study
- 2022
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Ingår i: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work.Methods: This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ).Results: Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC.Conclusions: Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach.
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| 4. |
- Andrén, Ulla, 1955-, et al.
(författare)
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Utveckling av ett nytt yrke inom socialpsykiatrisk vård
- 2019
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The program in Social Psychiatric Care is a three-year program at the university level leading to a vocational qualification in social psychiatric care and a bachelor's degree in the field of Health Sciences. Until the spring of 2018, six litters have graduated. Students in the social psychiatric care program often have personal interest, previous professional experience from the business areas or inspiration from related friends working in the field of activity. Personal experiences of problems in the fields of activity are also prominent among the students. Students believe that personal experience, willingness and ability is important in order to work within the profession. Characteristics of the students are also an interest and a clear empathetic willingness to work with people and they consider that the profession primarily requires characteristics such as altruism, empathy, social skills and deeper knowledge and understanding in the field. Upon completion of education, students want a career role where they can help other people, feel motivated, or they aim for specific positions or areas of activity. Both managers and alumni from the Social Psychiatric Care program value the broad professional competence that the program leads to. Psychiatric competence is emphasized as particularly valuable by both alumni and managers. This competence means that they also complement the other professions in the activities. Students consider themselves possessed a professional identity that involves introducing psychiatric and custody skills to organizations that previously lacked these perspectives. Something that also brings new approaches to patients, users and clients. Being able to use knowledge from several disciplines are considered to be a strength and competence that are well-needed in environments where people with mental ill health are cared for. The alumni perceive their knowledge as both interdisciplinary and interprofessional.
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| 5. |
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| 6. |
- Dahlqvist Jönsson, Patrik, 1974-, et al.
(författare)
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Problematization of perspectives on health promotion and empowerment in mental health nursing : within the research network "MeHNuRse" and the Horatio conference, 2012
- 2014
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 9, s. 22945-
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Tidskriftsartikel (refereegranskat)abstract
- Mental illness is increasing worldwide, while society's response seems to be a trend toward narrower and more specialized mental health care. This development is creating great demands on mental health nurses to include a health promotion perspective in care and support of persons with mental illness. A health promotion perspective emphasizes cooperation and communication with people who suffer from long-term mental illness, focusing on their independence and health. From a health perspective, every human being is an actor in his/her own life, with an inherent ability to make his/her own choices. However, persons who suffer from long-term mental illness are at risk of losing power and control over areas of their lives and their health. Mental health nurses are in a position to support these individuals in promoting health and in maintaining or regaining control over their lives. The emphasis of this paper is to problematize mental health nurses' responsibility to provide health-promoting nursing care in relation to empowerment by means of emancipation, self-efficacy, and self-management. We argue that mental health nurses can work from a health-promoting perspective by using these concepts and that this challenges some of the traditional ideas of health promotion in mental health nursing. The theoretical background discussions in this paper have their origin in the research network ''Mental Health Nursing Research in Scandinavia'' (MeHNuRse) and from the professional discussions developed during a 2012 workshop that included mental health nurses and researchers at the European Horatio Festival in Stockholm.
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| 7. |
- Eriksson, Monica, 1952-, et al.
(författare)
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Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses : Identifying Resistance Resources against Stress
- 2024
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Ingår i: International Journal of Environmental Research and Public Health. - 1661-7827 .- 1660-4601. ; 21:2, s. 1-15
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Tidskriftsartikel (refereegranskat)abstract
- Extensive research shows nurses’ work environment to be particularly stressful. This study develops, explores, and psychometrically tests a new profession-specific questionnaire identifying generalised and specific resistance resources, that make it possible to measure resources to manage work-related stress. An exploratory study design was employed. The questionnaire development was inspired by the MEASURE approach and the salutogenic theory of health. Building on the results from a literature review of nursing research and salutogenesis, supplemented by twelve interviews with hospital nurses, an item pool was generated. The first version was pilot-tested in a group of nurses who were studying to become specialist nurses. The second version of the questionnaire was psychometrically tested on a sample of registered nurses in close patient care (n = 475), analysed using confirmatory factor analysis to test seven predefined domains of the questionnaire. The analysis revealed a first order seven-domain model of 21 items: job satisfaction, professional role, work motivation, commitment, belonging in the workplace, factors and conditions for remaining in the profession, and workload. The structure of the questionnaire indicates its usefulness in clinical practice for measuring resistance resources.
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| 8. |
- Eriksson, Monica, 1952-, et al.
(författare)
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The level of sense of coherence among Swedish nursing staff
- 2019
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Ingår i: Journal of Advanced Nursing. - : Wiley-Blackwell Publishing Inc.. - 0309-2402 .- 1365-2648. ; 75:11, s. 2766-2772
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Tidskriftsartikel (refereegranskat)abstract
- Aim To explore the level of sense of coherence among Swedish nursing staff.Design: An explorative quantitative study design was adopted using a short form for measuring sense of coherence.Methods Data were collected in January 2018 from nurses working in full‐time positions at two hospitals in Western Sweden. A total of 93 nurses completed the 13 item questionnaire measuring sense of coherence. Descriptive statistics were applied to obtain means and standard deviations. Spearman's rank correlation was used to describe strength of association between sense of coherence and socio‐demographic categories. Between‐group differences were defined using the nonparametric tests of Mann Whitney U test and Kruskal‐Wallis test.Results The internal consistency of the SOC‐13 was low. An inter‐item‐correlation test indicated that two items decreased the internal consistency of the scale. The level of the three dimensions of sense of coherence varied; manageability was weakest and decreased the total sense of coherence. The meaningfulness dimension was as strongest.Conclusion On a national level, nurses reported weaker SOC than the general population, but stronger in an international comparison of nurses. They found their work difficult to manage, but meaningful.Impact On a national level, the nurses report weaker SOC than the general population, but stronger in an international comparison of nurses. Findings from this study will have an impact on how nurses can manage work related stress in terms of sense of coherence. There will also be an impact on nurses' well‐being, which in a long run benefits patients.
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| 9. |
- Larsson, Margaretha, Lektor, et al.
(författare)
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Occupational balance and associated factors among students during higher education within healthcare and social work in Sweden : a multicentre repeated cross-sectional study
- 2024
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 14:4, s. e080995-e080995
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe aim was to explore whether occupational balance is associated with health, health-promoting resources, healthy lifestyle and social study factors among students during higher education within healthcare and social work.DesignThe study has a multicentre repeated cross-sectional design. Data were collected via a self-reported, web-based questionnaire based on the validated instruments: the 11-item Occupational Balance Questionnaire (OBQ11), the Sense of Coherence (SOC) Scale, the Salutogenic Health Indicator Scale (SHIS) and five questions from the General Nordic Questionnaire (QPS Nordic) together with questions about general health and lifestyle factors.SettingStudents at six universities in western Sweden at one of the following healthcare or social work programmes: biomedical scientists, dental hygienists, nurses, occupational therapists, physiotherapists, radiology nurses and social workers. Participants Of 2283 students, 851 (37.3%) participated.ResultsThe students experienced that occupational balance increased during education. The total OBQ11 score was higher among students in semesters 4 and 6/7, compared with semester 1 students. Students with higher OBQ11 also reported higher SOC throughout their education, while health seemed to decrease. Students who reported higher levels of OBQ11 reported lower levels of health and well-being in semesters 4 and 6/7, compared with semester 1. There was an opposite pattern for students reporting lower levels of OBQ11.ConclusionsThe association between higher levels of OBQ11 and lower levels of health and well-being is remarkable. There is a need for more research on this contradiction and what it means for students’ health and well-being in the long run.
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| 10. |
- Lindmark, Ulrika, 1965-, et al.
(författare)
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Health-promoting factors in higher education for a sustainable working life : protocol for a multicenter longitudinal study
- 2020
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Ingår i: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work. METHODS: This protocol describes a multicenter longitudinal study involving Swedish students on higher education programs in the healthcare and social work sectors. In 2018, the study invited students on seven education programs at six universities to participate. These programs were for qualification as: biomedical laboratory scientists (n = 121); dental hygienists (n = 87); nurses (n = 1411); occupational therapists (n = 111); physiotherapists (n = 48); radiographers (n = 60); and, social workers (n = 443). In total, 2283 students were invited to participate. Participants completed a baseline, a self-reported questionnaire including six validated instruments measuring health-promoting factors and processes. There are to be five follow-up questionnaires. Three while the students are studying, one a year after graduating, and one three years after graduating. Each questionnaire captures different health-promoting dimensions, namely: health-promoting resources (i.e. sense of coherence); occupational balance; emotional intelligence; health and welfare; social interaction; and work and workplace experiences/perceptions. DISCUSSION: This study focuses on the vastly important aspect of promoting a sustainable working life for healthcare and social work employees. In contrast to previous studies in this area, the present study uses different, validated instruments in health promotion, taking a salutogenic approach. It is hoped that, by stimulating the implementation of new strategies, the study's findings will lead to education programs that prepare students better for a sustainable working life in healthcare and social work.
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| 11. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Att arbeta med förståelse utifrån portfoliometoden
- 2021. - Upplaga 1
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Ingår i: Att förstå sjukdomen. - Lund : Studentlitteratur AB. - 9789144126043 ; , s. 159-183
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 12. |
- Nunstedt, Håkan, 1956
(författare)
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Ett lärande verktyg-Hur patienter med egentlig depression och vårdpersonal erfar och använder portfoliometoden inom psykiatrisk öppenvård
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Major depressive disorder is an increasing problem in society. In recovery from major depression, the patient’s own abilities, such as control, understanding, and management of depression, play an important role. The portfolio method focuses on those abilities and the patient’s learning, understanding, and responsibility. The aim of this thesis was to follow and describe how patients with major depression and health care staff experience and use the portfolio method in psychiatric outpatient care and to follow and describe patient health for the duration of the study. An action research design allowed the portfolio method to be put into practice, and the study was conducted between April 2008 and August 2009 in two psychiatric outpatient clinics in western Sweden. During this time, the method was used and experienced by patients (N=5) diagnosed with major depression and by health care staff (N=7) working in these clinics. Data were collected from patients through individual interviews and from health care staff through group discussions and individual interviews. Patients also completed questionnaires (i.e., at baseline; after 3, 6, and 8 months; and after one year) to identify and assess depressive symptoms (Montgomery-Åsberg Depression Rating Scale – MADRS), control functions (Multidimensional Health Locus of Control Scale – MHLC), self-efficacy (General Perceived Self-Efficacy Scale – GSE), and the presence of negative automatic thoughts (Automatic Thoughts Questionnaire – ATQ-N) to describe their health during the study period. The quantitative data were displayed graphically. Qualitative data were analysed using latent content analysis and finally interpreted from the perspective of social constructivist theory. The study results indicate that the portfolio was used by patients as a management strategy for processing and analysis, and that a portfolio’s structure affects its usability. For health care staff, the portfolio method contributed to new thinking and served as a tool for delegating responsibility, building alliances, and learning. The results for the health care staff also indicate that a care portfolio requires a structured introduction. From a social constructivist perspective, the core of portfolio use and experience was learning. Statements about learning are regularly made by both patients and health care staff. Structure, power, process, and understanding have emerged as important factors for learning. The main conclusion of the study is that patients use the portfolio for reflection on and confirmation of their progress, to create structure in their situation, as a management strategy for remembering situations and providing reminders of upcoming activities, and for expressive storytelling through documentation and processing. Health care staff experienced and used the method to allow for accountability, participation, and empowerment, to support patients’ self-care work, to help patients reflect on and understand their depression from a longer-term perspective, and as a method for creative activity and structure building that can be used in combination with other methods. It is necessary that issues be tailored to patients’ needs and abilities, that patients’ use of the portfolio be supported by health care staff, and that portfolio content is designed to help the patient understand their disease. It is also important that those who work with the method understand how to do so and what the purpose of the method is; for full usefulness. The method must also be accepted by health care staff and supported by management.
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| 13. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Förståelse av sjukdom
- 2021. - 1
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Ingår i: Att förstå sjukdomen. - Lund : Studentlitteratur AB. - 9789144126043 ; , s. 49-72
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 14. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Förståelse av sjukdom utifrån tre olika tillstånd
- 2021. - Upplaga 1
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Ingår i: Att förstå sjukdomen. - Lund : Studentlitteratur AB. - 9789144126043 ; , s. 75-115
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 15. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Förståelse som fenomen
- 2021. - Upplaga 1
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Ingår i: Att förstå sjukdomen. - Lund : Studentlitteratur. - 9789144126043 ; , s. 21-45
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 16. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Portfoliometoden : Ett pedagogiskt verktyg för att integrera teori och praktik i sjuksköterskeprogrammet
- 2017
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Portfolio är en systematisk, målmedvetet sammanställd och strukturerad samling studiearbeten som läraren och de studerande använder för att följa upputvecklingen av kunskaper, färdigheter och attityder inom något område. Arbetsintegrerat lärande kan ses som en process och en pedagogisk strategi för ett aktivt kunskapsutbyte, reflekterad handling och ett livslångt lärande. Syftet med rapporten är att beskriva och diskutera portfolio som en pedagogisk metod och AIL som en pedagogisk strategi under den verksamhetsförlagda utbildningen på sjuksköterskeprogrammet vid Högskolan Väst. En av de viktigaste idéerna bakom AIL-portfolion är att studenten får möjlighet att ta kontroll över sitt lärande och därigenom bli mer aktiv i lärandet, förstå lärandet och vilken kunskap som genereras. AIL-portfolion kan skapa förutsättningar för sjuksköterskestudenterna att utveckla ett yrkeskunnande som kan systematiseras med hjälp av portfolions struktur och innehåll. AIL-portfolions metodiska process utgörs av de sex faserna; förreflektion, reflektion i handling, reflektion på handling, självvärdering, metareflektionen och kunskap i handling. AILportfolion kan på detta sätt fungera som ett stöd för reflektion och bli en spegelbild av lärandet, såväl i nuet som i framtiden och bidra till att kunskapen omsätts i praktisk handling. AIL-portfolio kan därmed möjliggöra en utveckling av ett yrkeskunnande för studenter i sjuksköterskeprogrammet för ett livslångt lärande.
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| 17. |
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| 18. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Salutary factors and hospital work environments: a qualitative descriptive study of nurses in Sweden
- 2020
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Ingår i: BMC Nursing. - : Springer Science and Business Media LLC. - 1472-6955. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundExtensive research describes how nurses experience their work environment. The conditions are described as stressful and dissatisfying with nurses intending to leave their workplace. Knowledge about the personal perception regarding why nurses consider leaving the hospital workplace is limited. The purpose of this study was to understand why hospital nurses remain in their workplace, which facilitates their continuation in the profession.ObjectiveThe objective was to explore and describe factors explaining why hospital nurses remain in the workplace.MethodsThis was a descriptive qualitative study with a purposive sample of hospital nurses in Sweden. The salutogenic theory was the basis for the interview guide and the semi-structured questions. Individual interviews were conducted in a hospital in western Sweden. Content analysis was performed to organize the coded data according to the sense of coherence.ResultsData saturation was achieved with 12 interviews. Within the three themes of coherence (comprehensibility, manageability, and meaningfulness), ten subthemes were categorized from the data as follows: job satisfaction and fun at work, acknowledgement and productivity, togetherness and team security, manageable workload, variable work and challenging situations, workplace and personal space balance, collaboration and supportive leadership, valued role and good work, commitment and involvement, and pride in the professional role.ConclusionsThe main findings of this study have shown the critical importance of being in a meaningful, comprehensible and manageable work context that supports nurses in maintaining their professional identity.
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| 19. |
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| 20. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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The portfolio method as management support for patients with major depression
- 2014
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Ingår i: Journal of Clinical Nursing. - Oxford : Wiley. - 0962-1067 .- 1365-2702. ; 23:11-12, s. 1639-1647
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives To describe how patients with major depression in psychiatric outpatient care use the portfolio method and whether the method helps the patients to understand their depression. Background Major depressive disorder is an increasing problem in society. Learning about one’s depression has been demonstrated to be important for recovery. If the goal is better understanding and management of depression, learning must proceed on the patient’s own terms, based on the patient’s previous understanding of their depression. Learning must be aligned with patient needs if it is to result in meaningful and useful understanding. Design Each patient’s portfolio consisted of a binder. Inside the binder, there was a register with predetermined flaps and questions. The patients were asked to work with the questions in the sections that built the content in the portfolio. Methods Individual interviews with patients (n = 5) suffering from major depression according to Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (DSM-IV) (American Psychiatric Association 1994) were repeatedly conducted between April 2008 and August 2009 in two psychiatric outpatient clinics in western Sweden. Data were analysed using latent content analysis. Results The results showed that the portfolio was used by patients as a management strategy for processing and analysis of their situation and that a portfolio’s structure affects its usability. The patients use the portfolio for reflection on and confirmation of their progress, to create structure in their situation, as a management strategy for remembering situations and providing reminders of upcoming activities. Conclusions Using a clearly structured care portfolio can enable participation and patient learning and help patients understand their depression. Relevance to clinical practice The portfolio method could provide a tool in psychiatric nursing that may facilitate patient understanding and increase self-efficacy.
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| 21. |
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| 22. |
- Pennbrant, Sandra, 1967-, et al.
(författare)
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Learning Through Reflection : The Portfolio Method As A Tool To Promote Work-Integrated Learning In Higher Education
- 2019
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Ingår i: INTED2019 Proceedings. - Valencia : The International Academy of Technology, Education and Development. - 9788409086191 ; , s. 729-739
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Konferensbidrag (refereegranskat)abstract
- Students need to develop meta-reflection to strengthen their learning process and to be able to manage the continuous changes encountered both higher education and in workplaces. Reflection is the most important for achieving progress within work integrated learning. For students to develop meta-reflection and achieve progression within work integrated learning, they need a systematic structure and conscious tools. The Portfolio method can be one of those tools.In this article we are going to discuss, from a theoretical standpoint, how teachers can develop a better structure for students so that they can strengthen their learning-process and progression of work integrated learning in higher education during internships which in turn promote lifelong learning. This progression of work integrated learning will be discussed in relation to the “WIL4U” model together with examples of reflection questions, learning outcomes, learning activities and examination forms. The “WIL4U” model was developed from the “AIL 4E (DUCATION)” model created by Bernhardsson, Gellerstedt and Svensson.The purpose of this conceptual discussion article is to highlight the portfolio method as a structure and tool for progress work integrated learning by reflection.With support of the portfolio method, the students can develop their ability to make well-balanced, and reflected choices in planning actions for work integrated learning. This requires well-developed self-regulation and the ability to meta-cognition and systematic meta-reflection to evaluate the effects of various actions. The portfolio method can also improve the reflection-process to develop the student's ability to emphasize strengths and increase the ability to achieve the learning outcomes in higher education.
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| 23. |
- Pennbrant, Sandra, 1967-, et al.
(författare)
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The work-integrated learning combined with the portfolio method : A pedagogical strategy and tool in nursing education for developing professional competence
- 2017
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Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 8:2, s. 8-15
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Tidskriftsartikel (refereegranskat)abstract
- During nursing education students obtain knowledge and skills to develop their professional competence. Teachers may elect to provide pedagogical tools preparing students for current and future healthcare needs. The purpose of this theoretical article was to highlight Work-Integrated Learning combined with the Portfolio Method as a pedagogical strategy and tool for nursing students to develop professional competence for lifelong learning. This strategy contains six phases: pre-reflection, reflection-in-action, reflection-on-action, self-evaluation, meta-reflection and knowledge-in-action, which can help nursing students, during their clinical education, develop deeper understanding of their future profession, while also providing a teaching planning tool.
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