The potential for learning within hospital learning communities: the interplay between nursing practice and education to support research ability
Abstract
Objectives
Nurses must contribute to the development of professional practice and thereby improve quality of care by using their research abilities. Therefore, learning communities comprised of nurses, students and teachers were created in a hospital.
Methods
A qualitative descriptive methodology was used. Three learning communities were purposefully selected, and members were asked open-ended questions about their learning and activities in multiple data collection sessions. Data were analyzed by means of an inductive process.
Results
Both individually and collectively, members learned about research in general, research terminology and methods. They learned about asking questions and critical thinking, and, specifically through collective learning, they learned about the differences between education practices. Activities were carried out primarily to continue personal learning.
Conclusions
Learning within the learning communities was mainly research-oriented and therefore potentially suitable for enhancing research ability. Implications are offered to support the formulation of community activities.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Conflict of interest: There are no known conflicts of interest and there has been no financial support that could have influenced the outcomes of this study.
Informed consent: Informed consent was obtained from all individuals included in this study.
References
Abrami, P. C., Bernard, R. M., Borokhovski, E., Waddington, D. I., Wade, C. A., & Persson, T. (2015). Strategies for teaching students to think critically. Review of Educational Research, 85(2), 275–314. https://doi.org/10.3102/0034654314551063.Search in Google Scholar
Akkerman, S. F., & Bakker, A. (2011). Boundary crossing and boundary objects. Review of Educational Research, 81(2), 132–169. https://doi.org/10.3102/0034654311404435.Search in Google Scholar
Andriessen, D., & Greve, D. (2014). Incorporating research in professional bachelor programmes. Retrieved from https://www2.mmu.ac.uk/media/mmuacuk/content/documents/carpe/2013-conference/papers/quality-assurance-in-higher-education/Daan-Andriessen.pdf.Search in Google Scholar
Bakker, A., & Akkerman, S. F. (2013). A boundary-crossing approach to support students’ integration of statistical and work-related knowledge. Educational Studies in Mathematics, 86(2), 223–237. https://doi.org/10.1007/s10649-013-9517-z.Search in Google Scholar
Bassi, S., & Polifroni, E. C. (2005). Learning communities: The link to recruitment and retention. Journal for Nurses in Staff Development, 21(3), 1098–7886. ISSN: 1098-7886.10.1097/00124645-200505000-00005Search in Google Scholar PubMed
Berthelsen, C. B., & Holge-Hazelton, B. (2015). Orthopaedic nurses’ attitudes towards clinical nursing research – A cross-sectional survey. International Journal of Orthopaedic and Trauma Nursing, 19(2), 74–84. https://doi.org/10.1016/j.ijotn.2014.10.004.Search in Google Scholar PubMed
Bouchaud, M., Brown, D., & Swan, B. A. (2017). Creating a new education paradigm to prepare nurses for the 21st Century. Journal of Nursing Education and Practice, 7(10), 27–35. https://doi.org/10.5430/jnep.v7n10p27.Search in Google Scholar
Carpenter, D., Hassell, S., Mardon, R., Fair, S., Johnson, M., Siegel, S., & Nix, M. (2018). Using learning communities to support adoption of health care innovations. Joint Commission Journal on Quality and Patient Safety, 44(10), 566–573. https://doi.org/10.1016/j.jcjq.2018.03.010.Search in Google Scholar PubMed
Champaloux, E. P., & Keeley, M. G. (2016). The impact of learning communities on interpersonal relationships among medical students. Medical Education Online, 21. https://doi.org/10.3402/meo.v21.32958.Search in Google Scholar PubMed PubMed Central
Dogan, S., Pringle, R., & Mesa, J. (2015). The impacts of professional learning communities on science teachers’ knowledge, practice and student learning: A review. Professional Development in Education, 42(4), 569–588. https://doi.org/10.1080/19415257.2015.1065899.Search in Google Scholar
Frosch, E., & Goldstein, M. (2019). Relationship-centered advising in a medical school learning community. Journal of Medical Education and Curricular Development, 6. https://doi.org/10.1177/2382120519827895.Search in Google Scholar PubMed PubMed Central
Goodsell Love, A. (2012). The growth and current state of learning communities in higher education. New Directions for Teaching and Leaning, 132, 5–18. https://doi.org/10.1002/tl20032.Search in Google Scholar
Handwerker, S. M. (2012). Transforming nursing education: A review of current curricular practices in relation to Benner’s latest work. International Journal of Nursing Education Scholarship, 9(1). https://doi.org/10.1515/1548-923X.2510.Search in Google Scholar
Hanze University of Applied Science. (2018). Bachelor of nursing a future-proof programme: Profile 4.0. Retrieved from https://www.hanze.nl/assets/academie-voor-verpleegkunde/Documents/Public/2018%20BSc%202020%20LOOV%20Engels%20for%20mail%20and%20ISSUU.pdf.Search in Google Scholar
Huffman, J. B., Olivier, D. F., Wang, T., Chen, P., Hairon, S., & Pang, N. (2015). Global conceptualization of the professional learning community process: Transitioning from country perspectives to international commonalities. International Journal of Leadership in Education, 19(3), 327–351. https://doi.org/10.1080/13603124.2015.1020343.Search in Google Scholar
Institute of Medicine. (2011). The future of nursing: Leading change, advancing health (Report No. 97803091582379780309158244). Retrieved from Washington (DC): https://www.ncbi.nlm.nih.gov/pubmed/24983041.Search in Google Scholar
Kaljouw, M., & Van Vliet, K. (2015). Naar nieuwe zorg en zorgberoepen: De contouren (Towards new care and care professions: The contours). Retrieved from https://www.rijksoverheid.nl/documenten/rapporten/2015/04/10/naar-nieuwe-zorg-en-zorgberoepen-de-contouren.Search in Google Scholar
Koster, S., Bonnema, N., Brusse-Keizer, M., & Borghuis, M. (2018). Verpleegkundig onderzoek: Drempels voor zelf uitvoeren en meedoen (Nursing research: Thresholds for self-application and participation). Onderzoek & Praktijk, 128(1), 36–39.10.1007/s41184-018-0014-9Search in Google Scholar
Landelijk Overleg Opleidingen Verpleegkunde. (2016). Bachelor of Nursing 2020: Een Toekomstbestendig Opleidingsprofiel 4.0 (Bachelor of Nursing 2020: A Future-proof Education Profile 4.0), Houten: Bohn Stafleu van Loghum.Search in Google Scholar
Lenning, O. T., & Ebbers, L. H. (1999). The powerful potential of learning communities: Improving education for the future. ASHE-ERIC higher education report. Vol. 26, No. 6. Washington, DC: Graduate School of Education and Human Development, George Washington University.Search in Google Scholar
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park, CA: SAGE.10.1016/0147-1767(85)90062-8Search in Google Scholar
Lomos, C., Hofman, R. H., & Bosker, R. J. (2011). The relationship between departments as professional communities and student achievement in secondary schools. Teaching and Teacher Education, 27(4), 722–731. https://doi.org/10.1016/j.tate.2010.12.003.Search in Google Scholar
Makhene, A. (2017). Argumentation: A methodology to facilitate critical thinking. International Journal of Nursing Education Scholarship, 14(1).10.1515/ijnes-2016-0030Search in Google Scholar
McHugh, M. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica, 22(3), 276–282.10.11613/BM.2012.031Search in Google Scholar
Miles, M., & Huberman, A. M. (1994). Qualitative data analysis. Thousand Oaks: CA: Sage Publications.Search in Google Scholar
Pitt, V., Powis, D., Levett-Jones, T., & Hunter, S. (2015). The influence of critical thinking skills on performance and progression in a pre-registration nursing program. Nurse Education Today, 35(1), 125–131. https://doi.org/10.1016/j.nedt.2014.08.006.Search in Google Scholar
Renaud, R. D., & Murray, H. G. (2006). The validity of higher-order questions as a process indicator of educational quality. Research in Higher Education, 48(3), 319–351. https://doi.org/10.1007/s11162-006-9028-1.Search in Google Scholar
Sai, X., & Siraj, S. (2015). Professional learning community in education: Literature review. The Online Journal of Quality in Higher Education, 2(2), 65–78.Search in Google Scholar
Sandelowski, M. (2000). Whatever happened to qualitative description?. Research in Nursing and Health, 23(4), 334–340. https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G.10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-GSearch in Google Scholar
Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing and Health, 33(1), 77–84. https://doi.org/10.1002/nur.20362.Search in Google Scholar PubMed
Saunders, M., Lewis, P., & Thornhill, A. (2016). Research methods for business students (7th ed.). Harlow: Pearson Education Limited.Search in Google Scholar
Senge, P. M. (1990). The fifth discipline: The art and practice of the learning organization. New York, NY: Doubleday.Search in Google Scholar
Shochet, R., Fleming, A., Wagner, J., Colbert-Getz, J., Bhutiani, M., Moynahan, K., & Keeley, M. (2019). Defining learning communities in undergraduate medical education: A national study. Journal of Medical Education and Curricular Development, 6. https://doi.org/10.1177/2382120 519827911.10.1177/2382120519827911Search in Google Scholar PubMed PubMed Central
Smith, S., Dunham, L., Dekhtyar, M., Dinh, A., Lanken, P. N., Moynahan, K. F., & Skochelak, S. E. (2016). Medical student perceptions of the learning environment: Learning communities are associated with a more positive learning environment in a multi-institutional medical school study. Academic Medicine, 91(9), 1263–1269. https://doi.org/10.1097/ACM.0000000000001214.Search in Google Scholar PubMed
Smith, S., Shochet, R., Keeley, M., Fleming, A., & Moynahan, K. (2014). The growth of learning communities in undergraduate medical education. Academic Medicine, 89(6), 928–933. https://doi.org/10.1097/ACM.0000000000000239.Search in Google Scholar PubMed
Snoeren, M. (2015). Working = Learning: A complexity approach to workplace learning within residential care for older people. (Doctor Dissertation), Amsterdam: VU University Amsterdam. Retrieved from https://www.proefschriftenverpleegkunde.nl/wp-content/uploads/gravity_forms/6–e9dc63308c2d8e347e8c9e1a28bb67ce/2015/10/Snoeren-2015-WorkingLearning.-A-complexity-approach-to-workplace-learning-within-residential-care-for-older-people.pdf?TB_iframe=true.Search in Google Scholar
Snoeren, M., & Frost, D. (2011). Realising participation within an action research project on two care innovation units providing care for older people. International Practice Development Journal, 1(2), 2046–9292. ISSN: 2046-9292.Search in Google Scholar
Snoeren, M., Volbeda, P., Niessen, T. J., & Abma, T. A. (2016). Dutch care innovation units in elderly care: A qualitative study into students’ perspectives and workplace conditions for learning. Nurse Education in Practice, 17, 174–181. https://doi.org/10.1016/j.nepr. 2015.11.005.10.1016/j.nepr.2015.11.005Search in Google Scholar PubMed
Stoll, L., Bolam, R., McMahon, A., Wallace, M., & Thomas, S. (2006). Professional learning communities: A review of the literature. Journal of Educational Change, 7(4), 221–258. https://doi.org/10.1007/s10833-006-0001-8.Search in Google Scholar
Tuomi-Gröhn, T., Engeström, Y., & Young, M. (2003). From transfer to boundary-crossing between school and work as a tool for developing vocational education: An introduction. In T. Tuomi-Gröhn & Y. Engeström (Eds.), Between school and work. New perspectives on transfer and boundary-crossing (pp. 1–15). London: Pergamon Press.Search in Google Scholar
Van den Berg, N. (2016). Boundary practices: Educators and researchers in development. Wageningen: Stoas Wageningen | Vilentum University of Applied Sciences and Teacher Education.Search in Google Scholar
Van den Herik, M., & Schuitema, A. (2016). Een onderzoekende houding: Werken aan professionele ontwikkeling (An inquiry attitude: Working on professional development). Bussum: Coutinho.Search in Google Scholar
Van der Rijst, R. M. (2009). The research-teaching nexus in the sciences: Scientific research dispositions and teaching practice. (Doctor Dissertation), ICLON, Leiden University Leiden. Retrieved from https://openaccess.leidenuniv.nl/bitstream/handle/1887/14011/Dissertation_VanderRijst_2009.pdf?sequence=2.Search in Google Scholar
Vangrieken, K., Meredith, C., Packer, T., & Kyndt, E. (2017). Teacher communities as a context for professional development: A systematic review. Teaching and Teacher Education, 61, 47–59. https://doi.org/10.1016/j.tate.2016.10.001.Search in Google Scholar
Vescio, V., Ross, D., & Adams, A. (2008). A review of research on the impact of professional learning communities on teaching practice and student learning. Teaching and Teacher Education, 24(1), 80–91. https://doi.org/10.1016/j.tate.2007.01.004.Search in Google Scholar
Wagner, J. M., Fleming, A. E., Moynahan, K. F., Keeley, M. G., Bernstein, I. H., & Shochet, R. B. (2015). Benefits to faculty involved in medical school learning communities. Medical Teacher, 37(5), 476–481. https://doi.org/10.3109/0142159X.2014.947940.Search in Google Scholar PubMed
Wallner, C., & Heemskerk, W. (2017). Methode bij het starten van een learning community: De LC Ster (Method to start a learning community: The LC Star). OnderwijsInnovatie, 2, 34–36.Search in Google Scholar
Wenger, E. (2000). Communities of practice and social learning systems. Organization & Environment, 7(2), 225–246. https://doi.org/10.1007/978-1-84996-133-2_11.Search in Google Scholar
Wenger, E., Trayner, B., & De Laat, M. (2011). Promoting and assessing value creation in communities and networks: A conceptual framework (Report No. 18). Retrieved from https://www.leerarchitectuur.nl/wp-content/uploads/2013/03/Value-creation-Wenger-De-Laat-Trayner.pdf.Search in Google Scholar
© 2020 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Editorial
- A note of gratitude
- Research Articles
- Assessing baccalaureate nursing students’ knowledge and attitudes of social determinants of health after a health equity simulation
- Use of phenomenography in nursing education research
- A comparison of RN licensure test plans: the United States and China with implications for the Chinese nursing licensure exam
- From practical nurse to bachelor of nursing student: bridging the transition
- A caring model for nursing education
- Nurse and midwife educators’ experiences of translating teaching methodology knowledge into practice in Rwanda
- Nursing student-patient relationship – a 10-year comparison study in Finland
- An educational intervention to promote civility in nursing: a pilot study
- Self-compassion in undergraduate nursing: an integrative review
- Seeking transformation: how students in nursing view their academic writing context – a qualitative systematic review
- Assessing knowledge of genomic concepts among Canadian nursing students and faculty
- Nurse students’ attitudes toward the nursing profession after witnessing workplace violence
- The effectiveness of scenario-based learning to develop patient safety behavior in first year nursing students
- Impact of an extracurricular, student-led journal club on evidence-based practice among baccalaureate nursing students
- Nursing students’ engagement and experiences with virtual reality in an undergraduate bioscience course
- Concept-based curriculum: design and implementation strategies
- Assessing the impact of mentorship on nurses’ and midwives’ knowledge and self-efficacy in managing postpartum hemorrhage
- Teaching evidence-based nursing practice to student nurses in developing countries: strategies for novice nurse educators
- Nursing students’ perceptions of and experiences coping with stress in clinical practice
- Unpacking the hidden curriculum in nursing education: clinical placements abroad
- Facilitating and hindering experiences to the development of humanistic caring in the academic and clinical settings: an interpretive phenomenological study with nursing students and nurses
- Resilience in first and second semester baccalaureate nursing students
- Clinical stress among undergraduate nursing students: perceptions of clinical nursing faculty
- The potential for learning within hospital learning communities: the interplay between nursing practice and education to support research ability
- Embracing evidence-based nursing and informational literacy through an innovative undergraduate collaborative project
- The effect of linguistic modification on English as a second language (ESL) nursing student retention
- Perceived stress, physiological stress reactivity, and exit exam performance in a prelicensure Bachelor of Science nursing program
- A Comparative Analysis of Teaching and Evaluation Methods in Nurse Practitioner Education Programs in Australia, Canada, Finland, Norway, the Netherlands and USA
- Gett’n on the bus: evaluation of Sentinel City®3.0 virtual simulation in community/population health clinical placement
- Intentional learning: a student-centered pedagogy
- Journey to simulation program accreditation
- Effect of a rapid e-learning module and brief interprofessional simulation event on medical and nursing student collaborative attitudes and behaviors
- Using Participatory Action Research to Explore the Nursing Academic Work Environment
- Theoretical Approaches to Studying Incivility in Nursing Education
- Students’ Self-assessed Competence Levels during Nursing Education Continuum – A Cross-sectional Survey
- Re-imaging Clinical Education: The Interdependence of the Self-Regulated Clinical Teacher and Nursing Student
- Effect of an Educational Intervention Delivered to Senior Nursing Students to Strengthen Spiritual Care for People with Chronic Illness
- A Description of the Characteristics and Behaviors of Master Teachers in Nursing
Articles in the same Issue
- Editorial
- A note of gratitude
- Research Articles
- Assessing baccalaureate nursing students’ knowledge and attitudes of social determinants of health after a health equity simulation
- Use of phenomenography in nursing education research
- A comparison of RN licensure test plans: the United States and China with implications for the Chinese nursing licensure exam
- From practical nurse to bachelor of nursing student: bridging the transition
- A caring model for nursing education
- Nurse and midwife educators’ experiences of translating teaching methodology knowledge into practice in Rwanda
- Nursing student-patient relationship – a 10-year comparison study in Finland
- An educational intervention to promote civility in nursing: a pilot study
- Self-compassion in undergraduate nursing: an integrative review
- Seeking transformation: how students in nursing view their academic writing context – a qualitative systematic review
- Assessing knowledge of genomic concepts among Canadian nursing students and faculty
- Nurse students’ attitudes toward the nursing profession after witnessing workplace violence
- The effectiveness of scenario-based learning to develop patient safety behavior in first year nursing students
- Impact of an extracurricular, student-led journal club on evidence-based practice among baccalaureate nursing students
- Nursing students’ engagement and experiences with virtual reality in an undergraduate bioscience course
- Concept-based curriculum: design and implementation strategies
- Assessing the impact of mentorship on nurses’ and midwives’ knowledge and self-efficacy in managing postpartum hemorrhage
- Teaching evidence-based nursing practice to student nurses in developing countries: strategies for novice nurse educators
- Nursing students’ perceptions of and experiences coping with stress in clinical practice
- Unpacking the hidden curriculum in nursing education: clinical placements abroad
- Facilitating and hindering experiences to the development of humanistic caring in the academic and clinical settings: an interpretive phenomenological study with nursing students and nurses
- Resilience in first and second semester baccalaureate nursing students
- Clinical stress among undergraduate nursing students: perceptions of clinical nursing faculty
- The potential for learning within hospital learning communities: the interplay between nursing practice and education to support research ability
- Embracing evidence-based nursing and informational literacy through an innovative undergraduate collaborative project
- The effect of linguistic modification on English as a second language (ESL) nursing student retention
- Perceived stress, physiological stress reactivity, and exit exam performance in a prelicensure Bachelor of Science nursing program
- A Comparative Analysis of Teaching and Evaluation Methods in Nurse Practitioner Education Programs in Australia, Canada, Finland, Norway, the Netherlands and USA
- Gett’n on the bus: evaluation of Sentinel City®3.0 virtual simulation in community/population health clinical placement
- Intentional learning: a student-centered pedagogy
- Journey to simulation program accreditation
- Effect of a rapid e-learning module and brief interprofessional simulation event on medical and nursing student collaborative attitudes and behaviors
- Using Participatory Action Research to Explore the Nursing Academic Work Environment
- Theoretical Approaches to Studying Incivility in Nursing Education
- Students’ Self-assessed Competence Levels during Nursing Education Continuum – A Cross-sectional Survey
- Re-imaging Clinical Education: The Interdependence of the Self-Regulated Clinical Teacher and Nursing Student
- Effect of an Educational Intervention Delivered to Senior Nursing Students to Strengthen Spiritual Care for People with Chronic Illness
- A Description of the Characteristics and Behaviors of Master Teachers in Nursing