Transformative learning in nursing education: A concept analysis

Tebogo A Tsimane, Charlene Downing, Tebogo A Tsimane, Charlene Downing

Abstract

Objective: There is vast literature on transformative learning, which is an important aspect of nursing education, but its meaning remains unclear. It is therefore important to clarify the meaning of transformative learning, identify its attributes, antecedents and consequences to increase its use in nursing education, practice and research.

Methods: Walker and Avant's method was used, and the process provided a structured way to analyse the concept of 'transformative learning'. Nursing education dictionaries, encyclopaedias, conference papers, research articles, dissertations, theses, journal articles, thesauri and relevant books through the database library and internet searches were reviewed. One hundred and two literature sources were reviewed, and data saturation was reached.

Results: The results of the concept analysis of transformative learning within the context of nursing education identified three categories, namely, 1)Antecedents as cognitive and affective perspective, democratic education principles and inspiration; 2)Process through three phases, namely i) awareness through self-reflection, ii) the meaningful interactive, integrative and democratic construction process, and iii) metacognitive reasoning abilities; and 3)Outcomes. A theoretical definition of transformative learning was formulated. Theoretical validity was ensured.

Conclusion: The results of the concept analysis of transformative learning were used to describe a model to facilitate transformative learning within the context of nursing education.

Keywords: Concept analysis; Nursing education; Transformative learning.

Conflict of interest statement

The authors declare no potential conflicts of interest in respect to the research, authorship and/or publication of this article.

© 2020 Chinese Nursing Association. Production and hosting by Elsevier B.V.

References

    1. Kleinheksel A.J. Transformative learning through virtual patient simulations: predicting critical student reflections. Clin. Simul Nurs. 2014;10(6):e301–e308.
    1. Mezirow J. Jossey-Bass Publishers; 350 Sansome Way, San Francisco: 2000. Learning as transformation: critical perspectives on a theory in progress. The jossey-bass higher and adult education series; p. 150.
    1. Hoggan C. Adult education research conference. 2015. Bringing clarity to transformative learning research; pp. 1–17.
    1. Kitchenham A.D. Transformative learning in the academy: good aspects and missing elements. J. Trans. Learn. 2015;3(1):13–17.
    1. Renigere R. Transformative learning in the discipline of nursing. Am J Educ Res. 2014;2(12):1207–1210.
    1. Bruce J.C., Klopper H.C., Mellish J.M. fifth ed. Heinemann; Cape Town: 2011. Teaching and learning the practice of nursing; p. 14.
    1. Essa I., Hoffman J.C. Exploring development of leadership capacities in undergraduate nursing students through transformative learning: a narrative review. Afr J Phys Health Educ Recreat Dance (AJPHERD) 2014;1(1):217–224.
    1. South African Qualification Authority SAQA Update. 2010;12(2):1–15.
    1. Van Graan A.C., Williams M.J., Koen M.P. Professional nurses’ understanding of clinical judgement: a contextual inquiry. Health SA Gesondheid. 2016;21(1):280–293.
    1. Mezirow J. Jossey-Bass; San Francisco: 2009. Transformation learning theory: critical perspectives on a theory in progress; p. 218.
    1. Nerstrom N. Adult education research conference. Harper College; Illinois, USA: 2014. An emerging model for transformative learning; pp. 328–330.
    1. Cranton P., Taylor E.W. Jossey-Bass; San Francisco: 2012. Transformative Learning Theory. Seeking a more unified theory. The handbook of transformative learning: theory, Research and Practice; pp. 102–289.
    1. Morris A.H., Faulk D.R. 2012. Transformative learning as an innovative pedagogy for nursing education. Transformative learning in nursing: a guide for nurse educators; pp. 1–12.
    1. Walker L.O., Avant K.G. fifth ed. Appleton-Century-Crafts; Connecticut: 2011. Strategies for theory construction in nursing; p. 155.
    1. Grove S.K., Gray J., Burns N. sixth ed. Elsevier Saunders; St. Louis: 2015. Understanding nursing research: building an evidence-based practice; p. 19.
    1. Chinn P.L., Kramer M.K. eighth ed. Mosby Elsevier; St Louis: 2011. Integrated theory and knowledge development in nursing; pp. 163–225.
    1. Zapata M. Five years later: how California community members acted on transformative learning achieved in a participatory planning process. Plan Theory Pract. 2013;14(3):373–387.
    1. Jarvis P. Learning from everyday life. University of Surrey, Guildford, Surrey. HSSRP. 2012;I(1):1–20.
    1. Cunningham P.F. “Transforming hearts and minds to serve the world” - what does it mean? InSight. Rivier Acad. J. 2014;10(1):4–5.
    1. Gordon L.R. LR Gordon; Incorporated: 2014. Critical incident technique. Training Workbook. Copyright; pp. 1–12.
    1. Llewellyn S. Crossing the invisible line. De-differentiation of wake, sleep and dreaming may engender both creative insight and psychopathology. Conscious Cognit. 2016;46:127–147.
    1. Hoicka E., Bijvoet-Van Den Berg, Kerr T., Carberry M. Association for the advancement of artificial intelligence; 2013. Non-Representational divergent thinking test. Creativity and (early) cognitive development: AAAI spring symposium; pp. 32–37.
    1. Chell E., Athayde R. NESTA; London: 2009. The identification and measurement of innovative characteristics of young people; p. 17.
    1. Boyd D., Goldenberg J. The five techniques of S.I.T. 2013. Inside the box: a proven system of creativity for breakthrough results; p. 20.
    1. Hoggan C. Transformative Learning through conceptual metaphors: simile, metaphor, and analogy as levers for learning. Adult Learn. 2014;25(4):134–141.
    1. Hughes S.J., Quinn F.M. sixth ed. Cengage Learning; Hampshire: 2013. Principles and practice of nurse education; p. 51.
    1. Hannun W. vol. 1. 2015. (David Ausubel’s theory. The acquisition and retention of knowledge).
    1. Adams N.E. Bloom’s taxonomy of cognitive learning objectives. J Med Libr Assoc. 2015;103(3):152.
    1. Bjørke C., Dypedahl M., Haukås Å. Routledge; 2018. A metacognitive approach to intercultural learning in language teacher education magne dypedahl. In metacognition in language learning and teaching; pp. 62–80.
    1. Nuangchalerm P., Prachagool V. Promoting transformative learning of preservice teacher through contemplative practices. Asian Soc Sci. 2010;6(1):95–99.
    1. Simm D., Marvel A. Gaining a “sense of place”: students’ affective experiences of place leading to transformative learning on international fieldwork. J Geogr High Educ. 2015;39(4):595–616.
    1. Koehler A.R., Davies S., Smith L.R., Hooks T., Schanke H., Loeffler A., Ratzlaff N. Impact of a stand-alone course in gerontological nursing on undergraduate nursing students’ perceptions of working with older adults: a Quasi-experimental study. Nurse Educ Today. 2016;46:17–23.
    1. Smit M. Compatibility of democracy and learner discipline in South African schools. De Jure. 2013;46(1):345–365.
    1. Waghid Y. vol. 33. Untamed variations of democratic Education; 2014. (Pedagogy out of bounds).
    1. Kackar-Cam H., Schmidt J.A. The University of North Carolina Press; 2014. Community-based service-learning as a context for youth autonomy, competence, and relatedness, the high school journal fall northern Illinois university; p. 58.
    1. Stevens-Long J., Schapiro S.A., McClintock C. Passionate scholars: transformative learning in doctoral education. Adult Educ Q. 2012;62(2):180–198.
    1. Illeris K. Transformative learning re-defined: as changes in elements of the identity. Int J Lifelong Educ. 2014;33(5):573–586.
    1. Chabeli M., Malesela* M.J., Nolte A.G.W. Best practice during intrapartum care: a concept analysis. Health SA Gesondheid. 2017;22:9–19.
    1. Ip W.Y., Lui M.H., Chien W.T., Lee I.F., Lam L.W., Lee D. Promoting self-reflection in clinical practice among Chinese nursing undergraduates in Hong Kong. Contemp Nurse. 2012;41(2):253–262.
    1. Stacey G., Oxley R., Aubeeluck A. Combining lived experience with the facilitation of enquiry-based learning: a ‘trigger’ for transformative learning. J Psychiatr Ment Health Nurs. 2015;22:522–528.
    1. Dreifuerst K.T. Getting started with debriefing for meaningful learning. Clin Simul Nurs. 2015;11(5):268–275.
    1. Sharan Y. Meaningful learning in the cooperative classroom. Int J Primary, Elementary Early Years Educ. 2015;43(1):83–94.
    1. Van Dat Tran. Theoretical perspectives underlying the application of cooperative learning in classrooms. Int J High Educ. 2013;2(4):101–115.
    1. Mahoney S., Schamber J. Integrative and deep learning through a learning community: a process view of self. J Gen Educ. 2011;60(4):233–247.
    1. Winberg C., Engel-Hills P., Garraway J., Jacobs C. Council on Higher Education; Pretoria: 2011. Work-integrated learning: good practice guide; pp. 1–92.
    1. Atkinson D. Contemporary art and 5 art in education: the new, emancipation and truth. iJADE. 2012;31(1):11. NSEAD/Blackwell Publishing Ltd.
    1. Sun D., Looi C.K., Xie W. Collaborative inquiry with a web-based science learning environment: when teachers enact it differently. Educ Technol Soc. 2014;17(4):390–403.
    1. Sota C., Peltzer K. vol. 237. 2017. The effectiveness of research based learning among master degree student for health promotion and preventable disease, faculty of public health, khon Kaen University, Thailand. Procedia-social and behavioral sciences; pp. 1359–1365.
    1. Keevy M. Using collaborative learning exercises to transfer pervasive skills: some South African evidence. J Econ Financ Stud. 2015;8(2):456–473. 81.
    1. Milliken A. Prioritizing cross-disciplinary teaching and learning and patient safety in hospital-based environments. AMA J Ethics, 18 (9), 891-897.university laval interprofessional initiative. Social Work In Health Care 2016; 56 (3):202-214,894.
    1. Billings D.M., Halstead J.A. fourth ed. Elsevier Saunders; St Louis: 2012. Teaching in nursing: a guide for faculty; pp. 67–74. 277.
    1. Kelly J., Cherkowski S. Collaboration, collegiality, and collective reflection: a case study of professional development for teachers. Can J Educ Adm Policy. 2015;169:5.
    1. Fahrutdinova R.A., Yarmakeev I.E., Fahrutdinova R.R. The formation of students’ foreign language communicative competence during the learning process of the English language through interactive learning technologies (The study based on Kazan Federal University) Engl Lang Teach. 2014;7(12):30–36.
    1. Christie M., Carey M., Robertson A., Grainger P. Putting transformative learning theory into practice. Aust J Adult Learn. 2015;55(1):9–30.
    1. Asterhan C.S., Babichenko M. The social dimension of learning through argumentation: effects of human presence and discourse style. J Educ Psychol. 2015;107(3):740.
    1. Giacumo L.A., Savenye W., Smith N. Facilitation prompts and rubrics on higher-order thinking skill performance found in undergraduate asynchronous discussion boards. Br J Educ Technol. 2013;44(5):774–794.
    1. South African Gazette. National qualifications framework. Act 67 0f 2008 (act 67 of 2008). Pretoria: Government Printers.
    1. Madhuri G.V., Kantamreddi V.S.S., Goteti L.N.S. Promoting higher order thinking skills using inquiry-based learning. Eur J Eng Educ. 2012;37(2):117–123.
    1. Liu K. Critical reflection as a framework for transformative learning in teacher education. Educ Rev. 2015;67(2):135–157.
    1. Barzilai S., Zohar A. Reconsidering personal epistemology as metacognition: a multifaceted approach to the analysis of epistemic thinking. Educ Psychol. 2014;49(1):13–35.
    1. Khaled A., Gulikers J., Biemans H., Mulder M. How authenticity and self-directedness and student perceptions thereof predict competence development in hands-on simulations. Br Educ Res J. 2015;41(2):265–286.
    1. South African Nursing Council . Government Printers; Pretoria: 2005. Nursing education and training standards; p. 2.
    1. Swart A.J., Meda L. Graduate attributes in an electrical engineering curriculum: a case study. Int J Eng Educ. 2017;33(2):653–665. A.
    1. Iversen A.M., Pedersen A.S., Krogh L., Jensen A.A. Learning, leading, and letting go of control: learner-led approaches in education. Sage Open. 2015;5(4):1–11.
    1. Matteucci X., Aubke F. Experience care: efficacy of service-learning in fostering perspective transformation in tourism education. J Teach Travel Tour. 2018;18(1):6–24.
    1. Smith V., Davane D., Murphy-Lawless Risk in maternity care: a concept analysis. Int J Childbirth. 2012;2(2):128. Springer Publishing Company.

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