Transforming Problem-Based Learning through Abductive Reasoning

Background: Hypothetico-deductive reasoning is the current approach for reasoning through care situations within problem-based learning (PBL). While this approach is widely used in both PBL and non-PBL curricula, abductive reasoning is recommended (as an alternative approach) due to its broader method for analyzing and explaining care situations within problem-based learning. Method: A step-by-step process rooted in abductive reasoning is proposed and demonstrated as a new way of examining and explaining care situations within problem-based learning. Results: The proposed strategy emphasizes the creation of hypotheses through phenomena detection, development of a causal model, identification of learning needs, recognition of salience, synthesis and reflection. Conclusion: Since the proposed approach has not been implemented previously, its practical implications require research attention which will contribute to the emerging field of abductive reasoning within nursing education. Résumé : Contexte : Dans l’apprentissage par problèmes (APP), le raisonnement hypothético-déductif est l’approche actuellement utilisée pour raisonner à partir de situations de soins. Or, bien que cette approche soit largement utilisée dans les programmes fondés sur l’APP et ceux qui ne le sont pas, le raisonnement abductif est recommandé (comme autre approche) puisque sa méthode d’analyse et d’explication des situations de soins au sein de l’APP est plus vaste. Méthode : Proposer et démontrer un processus étape par étape ancré dans le raisonnement abductif, comme une nouvelle manière d’analyser et d’expliquer des situations de soins dans le cadre de l’APP. Résultats : La stratégie proposée favorise la formulation d’hypothèses par la détection de phénomènes, la mise en place d’un modèle causal, l’identification des besoins d’apprentissage, la reconnaissance de la prépondérance, la synthèse et la réflexion.. Conclusion : Puisque l’approche proposée n’a pas été mise en place auparavant, ses implications pratiques nécessitent des recherches, qui contribueront au domaine émergent du raisonnement abductif dans le cadre de la formation en sciences infirmières

Nursing, Indigenous Health, Water, and Climate Change

Nurses have a duty to uphold the right to health. Clean water is vital for health as an inclusive right for all people, yet access is threatened by climate change. Complex impacts of colonization on climate change has resulted in two key problems: lack of clean water access by Indigenous Peoples and marginalization of Indigenous traditional teachings that support water protection. Indigenous teachings of living in harmony with Mother Earth are important contributions to global water policy and health solutions.  Indigenous traditional laws on water protection may be understood through Indigenous water declarations. Nurses have an important opportunity to respect traditional teachings noting interconnections of health, water, and climate change to advance health. Water is life

Nursing students' understanding of the Fundamental of Care: A cross sectional study in five countries

Aim and objective. To explore the accuracy with which nursing students can identify the fundamentals of care. Background. A challenge facing nursing is ensuring the fundamentals of care are provided with compassion and in a timely manner. How students perceive the importance of the fundamentals of care may be influenced by the content and delivery of their nursing curriculum. As the fundamentals of care play a vital role in ensuring patient safety and quality care, it is important to examine how nursing students identify these care needs. Design. Cross‐sectional descriptive design. Methods. A total of 398 nursing students (pre‐ and postregistration) from universities in Sweden, England, Japan, Canada and Australia participated. The Fundamentals of Care Framework guided this study. A questionnaire containing three care scenarios was developed and validated. Study participants identified the fundamentals of care for each of the scenarios. All responses were rated and analysed using ANOVA. Results. The data illustrate certain fundamentals of care were identified more frequently, including communication and education; comfort and elimination, whilst respecting choice, privacy and dignity were less frequently identified. The ability to identify all the correct care needs was low overall across the pre‐ and postregistration nursing programmes in the five universities. Significant differences in the number of correctly identified care needs between some of the groups were identified. Conclusions. Nursing students are not correctly identifying all a patient's fundamental care needs when presented with different care scenarios. Students more frequently identifying physical care needs and less frequently psychosocial and relational needs. The findings suggest educators may need to emphasise and integrate all three dimensions. Relevance to clinical practice. To promote students' ability to identify the integrated nature of the fundamentals of care, practising clinicians and nurse educators need to role model and incorporate all the fundamental care needs for their patients