Concept Mapping: An Innovative Tool to Teach Critical Community Health Nursing Using the Example of Population Health Promotion
DOI:
https://doi.org/10.25071/2291-5796.29Keywords:
Critical thinking, social justice, concept maps, community health nursingAbstract
Introduction: Concept mapping is a tool that is used to visualize complex factors and the links between them. While concept mapping is represented in community health practice and research literature, we found little information about using concept mapping in community health nursing education. Background: We developed an innovative concept map assignment to assist students to visualize complex inter-related factors and begin thinking about appropriate and relevant nursing interventions, using the Population Health Promotion Model (PHPM). Discussion: Concept maps enhanced the quality of meaningful teaching and learning at the university level, acting as both a learning and assessment strategy. Students exhibited critical thinking and drew conclusions that involved larger systemic issues such as social justice and health equity. Conclusion: Concept mapping is a powerful tool that facilitates and assesses authentic student learning. The concept map assignment was also an effective tool to help students grasp and apply the PHPM.
Downloads
References
All, A. C. & Havens, R. L. (1997). Cognitive/concept mapping: A teaching strategy for nursing. Journal of Advanced Nursing, 25, 1210-1219. https://doi.org/10.1046/j.1365-2648.1997.19970251210.x DOI: https://doi.org/10.1046/j.1365-2648.1997.19970251210.x
All, A. C. & Huycke, L. I. (2007). Serial concept maps: Tools for concept analysis. Journal of Nursing Education, 46(5), 217-224. https://doi.org/10.3928/01484834-20070501-05 DOI: https://doi.org/10.3928/01484834-20070501-05
All, A. C., Huycke, L. I. & Fisher, M.J. (2003). Instructional tools for nursing education: concept maps. Nursing Education Perspectives, 24(6), 311- 317.
Aarons, G. A., Wells, R. S., Zagursky, K., Fettes, D. L., & Palinkas, L. A. (2009). Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. American Journal of Public Health, 99(11), 2087-2095. https://doi.org/10.2105/AJPH.2009.161711 DOI: https://doi.org/10.2105/AJPH.2009.161711
Ausubel, D. (1968). Educational psychology: A cognitive view. New York, NY: Holt, Rinehart, and Winston.
Benach, J., Vives, A., Amable, M., Vanroelen, C., Tarafa, G., & Muntaner, C. (2014). Precarious employment: Understanding an emerging social determinant of health. Annual Review of Public Health, 35. https://doi.org/10.1146/annurev-publhealth-032013-182500 DOI: https://doi.org/10.1146/annurev-publhealth-032013-182500
Bowleg, L. (2012). The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health. American Journal of Public Health, 102(7), 1267-1273. https://doi.org/10.2105/AJPH.2012.300750 DOI: https://doi.org/10.2105/AJPH.2012.300750
Burke, J. G., O'Campo, P., Peak, G. L., Gielen, A. C., McDonnell, K. A., & Trochim, W. M. (2005). An introduction to concept mapping as a participatory public health research method. Qualitative Health Research, 15(10), 1392-1410. https://doi.org/10.1177/1049732305278876 DOI: https://doi.org/10.1177/1049732305278876
Canadian Nurses Association. (2007). The environment and health: An introduction for nurses. Retrieved from http://www.cna-aiic.ca/CNA/documents/pdf/publications/Environmental_Health_2008_e.pdf
Canadian Public Health Association. (2015). Global change and public health: Addressing the ecological determinants of health. Retrieved from https://www.cpha.ca/sites/default/files/assets/policy/edh-discussion_e.pdf
Castañeda, H., Holmes, S. M., Madrigal, D. S., Young, M. E. D., Beyeler, N., & Quesada, J. (2015). Immigration as a social determinant of health. Annual Review of Public Health, 36, 375-392. https://doi.org/10.1146/annurev-publhealth-032013-182419 DOI: https://doi.org/10.1146/annurev-publhealth-032013-182419
Chircop, A. 2020.Ecological determinants of health and environmental health inequities. In. LL. Stamler, L, Yiu, A, Dosani, J. Etowa, & C. van Daalen-Smith, Community health nursing: A Canadian perspective (pp. 489-502). Toronto, ON: Pearson Canada, Inc.
Daley, B. (1996). Concept maps: Linking nursing theory to clinical practice. Journal of Continuing Education in Nursing, 27, 17-27. https://doi.org/10.7748/ns.11.6.27.s56 DOI: https://doi.org/10.7748/ns.11.6.27.s56
Daley, B. J. & Torre, D. M. (2010). Concept maps in medical education: An analytical literature review. Medical Education, 44, 440-448. https://doi.org/10.1111/j.1365-2923.2010.03628.x DOI: https://doi.org/10.1111/j.1365-2923.2010.03628.x
Daley, B. J., Morgan, S., & Black Beman, S. (2016). Concept maps in nursing education: A historical literature review and research directions. Journal of Nursing Education, 55(11), 631-639. https://doi.org/10.3928/01484834-20161011-05 DOI: https://doi.org/10.3928/01484834-20161011-05
Dosani, A., Etowa, J. & van Daalen-Smith. (2020). Critical community health nursing: An imperative. In L. L. Stamler, L. Yiu, A. Dosani, J. Etowa, & C. van Daalen-Smith. Community health nursing: A Canadian perspective (pp. 604-609). Toronto, ON: Pearson Canada Inc.
Flynn, L. (1999). Population health promotion model. Revised from original model developed by N. Hamilton and T. Bhatti, Health Promotion Development Division, Health Canada, 1996. Winnipeg, MB: Health Canada, Manitoba/Saskatchewan Region.
Garg, A., Sandel, M., Dworkin, P. H., Kahn, R. S., & Zuckerman, B. (2012). From medical home to health neighborhood: Transforming the medical into a community-based health neighborhood. The Journal of Pediatrics, 160(4), 535-536. https://doi.org/10.1016/j.jpeds.2012.01.001 DOI: https://doi.org/10.1016/j.jpeds.2012.01.001
Greenwood, M., de Leeuw, S., Lindsay, N. M. & Reading, C. (Eds.). (2015). Determinants of Indigenous peoples' health in Canada: Beyond the social (2nd ed.). Toronto, ON: Canadian Scholars' Press.
Harrison, S., & Gibbons, C. (2013). Nursing student perceptions of concept maps: From theory to practice. Nursing Education Perspectives, 34(6), 395-399. https://doi.org/10.5480/10-465 DOI: https://doi.org/10.5480/10-465
Hay, D., Kinchin, I., Lygo-Baker, S. (2008). Making learning visible: the role of concept mapping in higher education. Studies in Higher Education, 33(3), 295-311. https://doi.org/10.1080/03075070802049251 DOI: https://doi.org/10.1080/03075070802049251
Health Canada (2013). Underlying premises and evidence table. What makes Canadians healthy or unhealthy? Ottawa, ON: Author. Retrieved from https://www.canada.ca/en/public-health/services/health-promotion/population-health/what-determines-health/what-makes-canadians-healthy-unhealthy.html#evidence
Higgins, B., & Reid, H. (2017). Enhancing "conceptual teaching/learning" in a concept-based curriculum. Teaching and Learning in Nursing, 12(2), 95- 102. https://doi.org/10.1016/j.teln.2016.10.005 DOI: https://doi.org/10.1016/j.teln.2016.10.005
Hinck, S. M., Webb, P, Sims-Giddens, S., Helton, C., Hope, K. L., Utley, R.,…Yarbrough, S., (2006). Student learning with concept mapping of care plans in community-based education. Journal of Professional Nursing, 22(1), 23-29.https://doi.org/10.1016/j.profnurs.2005.12.004 DOI: https://doi.org/10.1016/j.profnurs.2005.12.004
Hunter Revell, S. M. (2012). Concept maps and nursing theory: A pedagogical approach. Nurse Educator, 37(3), 131-135.https://doi.org/10.1097/NNE.0b013e31825041ba DOI: https://doi.org/10.1097/NNE.0b013e31825041ba
Kaddoura, M., VanDyke, O., Cheng, B., & Shea-Foisy, K. (2016). Impact of concept mapping on the development of clinical judgment skills in nursing students. Teaching and Learning in Nursing, 11(3), 101-107. https://doi.org/10.1016/j.teln.2016.02.001 DOI: https://doi.org/10.1016/j.teln.2016.02.001
Lee, W., Chiang, C., Liao, I., Lee, M., Chen, S., & Liang, T. (2012). The longitudinal effect of concept map teaching on critical thinking of nursing students. Nursing Education Today, 33(10), 1319-1223. https://doi.org/10.1016/j.nedt.2012.06.010 DOI: https://doi.org/10.1016/j.nedt.2012.06.010
Lombardi, M. (2007). Authentic learning for the 21st century: An overview. Educause Learning Initiative, ELI Paper 1/2007. Retrieved from http://www.lmi.ub.edu/cursos/s21/REPOSITORIO/documents/Lombardi_2007_Authentic_learning.pdf
Marmot, M. G., & Bell, R. G. (2011). Improving health: Social determinants and personal choice. American Journal of Preventive Medicine, 40(1), S73- S77. https://doi.org/10.1016/j.amepre.2010.10.010 DOI: https://doi.org/10.1016/j.amepre.2010.10.010
Martin, L. S. & Evans, D. P. (2015). Conflict as a Social Determinant of Health. SM Journal of Public Health and Epidemiology, 1(2), 1008.
Martyn, C. (2004). Politics as a determinant of health. British Medical Journal, 329(7480), 1423-1424. https://doi.org/10.1136/bmj.329.7480.1423 DOI: https://doi.org/10.1136/bmj.329.7480.1423
McGibbon, E. & Lukeman, S. (2019). Critical social justice: The moral imperative for critical perspectives in nursing discourse. Witness: The Canadian Journal of Critical Nursing Discourse, 1(1), 1-10. https://doi.org/10.25071/2291-5796.21 DOI: https://doi.org/10.25071/2291-5796.21
McGibbon, E., Mulaudzi, F. M., Didham, P., Barton, S., & Sochan, A. (2014). Toward decolonizing nursing: The colonization of nursing and strategies for increasing the counter‐narrative. Nursing Inquiry, 21(3), 179-191. https://doi.org/10.1111/nin.12042 DOI: https://doi.org/10.1111/nin.12042
Mikkonen, J. & Raphael, D. (2010). Social determinants of health: The Canadian facts. Toronto: York University School of Health Policy and Management. Retrieved from http://thecanadianfacts.org/
Nesbit, J. D. & Adesope, O. O. (2006). Learning with concept and knowledge maps: A meta-analysis. Review of Educational Research, 76(3), 413-448. https://doi.org/10.3102/00346543076003413 DOI: https://doi.org/10.3102/00346543076003413
Novack, J. D. & Gowin, D. B. (1984). Learning how to learn. Cambridge, MA: Cambridge University Press. https://doi.org/10.1017/CBO9781139173469 DOI: https://doi.org/10.1017/CBO9781139173469
Paradies, Y., Ben, J., Denson, N., Elias, A., Priest, N., Pieterse, A., ... & Gee, G. (2015). Racism as a determinant of health: A systematic review and meta- analysis. PloS one, 10(9), e0138511. https://doi.org/10.1371/journal.pone.0138511 DOI: https://doi.org/10.1371/journal.pone.0138511
Pearce, N., & Davey Smith, G. (2003). Is social capital the key to inequalities in health? American Journal of Public Health, 93(1), 122-129. https://doi.org/10.2105/AJPH.93.1.122 DOI: https://doi.org/10.2105/AJPH.93.1.122
Phillips, J. C. & Schofield, R. (2020). Nursing roles, functions, and practice settings. In L. L. Stamler, L. Yiu, A. Dosani, J. Etowa, & C. van Daalen-Smith. Community health nursing: A Canadian perspective (pp. 35-57). Toronto, ON: Pearson Canada Inc.
Public Health Agency of Canada. (2018). Social determinants of health and health inequalities. Retrieved from https://www.canada.ca/en/public-health/services/health-promotion/population-health/what-determines-health.html.
Public Health Agency of Canada (PHAC) (2018). Key health inequities in Canada. Retrieved from https://www.canada.ca/content/dam/phac-aspc/documents/services/publications/science-research/key-health-inequalities-canada-national-portrait-executive-summary/hir-full-report-eng.pdf
Reading, C., & Wein, F. (2013). Health equity and social determinants of Aboriginal peoples' health. Retrieved from https://www.ccnsa-nccah.ca/docs/determinants/RPT-HealthInequalities-Reading-Wien-EN.pdf
Ruiz-Primo, M. A. & Shavelson, R. J. (1996). Problems and issues in the use of concept maps in science assessment. Journal of Research in Science Teaching, 33(6), 569-600. https://doi.org/10.1002/(SICI)1098-2736(199608)33:6<569::AID-TEA1>3.0.CO;2-M DOI: https://doi.org/10.1002/(SICI)1098-2736(199608)33:6<569::AID-TEA1>3.0.CO;2-M
Schell, S. F., Luke, D. A., Schooley, M. W., Elliott, M. B., Herbers, S. H., Mueller, N. B., & Bunger, A. C. (2013). Public health program capacity for sustainability: A new framework. Implementation Science, 8(1), 15. https://doi.org/10.1186/1748-5908-8-15 DOI: https://doi.org/10.1186/1748-5908-8-15
Vaughn, L. M., Jones, J. R., Booth, E., & Burke, J. G. (2017). Concept mapping methodology and community-engaged research: A perfect pairing. Evaluation and Program Planning, 60, 229-237. https://doi.org/10.1016/j.evalprogplan.2016.08.013 DOI: https://doi.org/10.1016/j.evalprogplan.2016.08.013
World Health Organization (2008). Commission on the social determinants of health. Closing the gap in a generation: Health equity through action on the social determinants of health. Final report of the commission on social determinants of health. Geneva, CH: Author.
World Health Organization. (2011). Environmental health. Retrieved from http://www.who.int/topics/environmental_health/en/
Yue, M., Zhang, M., Zhang, C., & Jin, C. (2017). The effectiveness of concept mapping on development of critical thinking in nursing education: A systematic review and meta-analysis. Nurse Education Today, 52, 87-94 https://doi.org/10.1016/j.nedt.2017.02.018 DOI: https://doi.org/10.1016/j.nedt.2017.02.018
Downloads
Published
How to Cite
Issue
Section
License
Witness publishes under a Creative Commons Attribution-NonCommercial 4.0 International license (CC BY-NC 4.0). Read the license terms at https://creativecommons.org/licenses/by-nc/4.0/. The author(s) retain copyright to their works.