Development of Community-Based Transformative Learning Model to Enhance Humanized Care Identity of Nursing Students

Abstract

This research and development study was designed to develop a community-based transformative learning model to enhance humanized care identity of nursing students and to assess the effectiveness of the model. A mixed method research design was conducted. The research was divided into 3 phases including phase 1: situational study which included studying and analyzing pertinent literature in concepts, models, and learning processes enhancing humanized care identity and studying real situation for these learning processes, phase 2: design and development model, and phase 3: model use. Participants were students, faculty and community delegates of Boromarajonani College of Nursing, Udon Thani. Data were collected using document review, focus group, questionnaire, and reflection writing report. Means, standard deviations, and paired t-tests were used to analyze quantitative data. Content analysis was used to analyze qualitative data. The findings revealed that a community-based transformative learning model to enhance humanized care identity of nursing students is comprised of 4 components including: (a) concepts and principles, (b) purpose, (c) processes, and (d) evaluation. The efficiency of model evaluation showed a significant increase scores in humanized care identity. The students were satisfied with the highest level when using this model. Students reflected that they changed their opinions and their perspectives towards self-reflection in process of learning. Faculty and community delegates reflected that the learning model helped change themselves and the community. It was recommended that this model should be further extended to develop students’ identity continuously throughout the curriculum, and be further broadened in other nursing colleges.