Song Yayun, Yang Huan, Zhou Mengjiao, Zhang Dongyi, Qu Jia
School of Medicine| Public Culture Research Center| Hubei Provincial Key Laboratory of Occurrence and Intervention of Kidney Diseases, Hubei Polytechnic University, Huangshi, Hubei Province, China.
College of Nursing and Allied Health Sciences, St. Paul University Manila, Manila, Philippines.
BMC Nurs. 2025 Jun 4;24(1):641. doi: 10.1186/s12912-025-03258-8.
This study aimed to examine the effectiveness of using Photovoice as an adjunct teaching modality to enhance critical thinking dispositions among Chinese nursing students in a community health nursing course. It also aimed to explore students' perceptions and experiences of the Photovoice learning activity.
An explanatory sequential mixed-methods design was employed, consisting of a two-group quasi-experimental quantitative phase followed by a qualitative phase using phenomenological method. The study was conducted at Hubei Polytechnic University from February to July 2023. A convenience sample of 100 undergraduate nursing students was divided into the intervention group(n = 51) and the control group(n = 49) based on their class assignments. The intervention group engaged with a teaching modality that integrated Photovoice into the windshield survey activity, while the control group received standard teaching methods. Critical thinking disposition was assessed using the Critical Thinking Disposition Inventory for Chinese medical college students (CTDI-M) before and after the course. Qualitative data were collected through semi-structured group interviews(n = 12) and analyzed using Colaizzi's phenomenological 7-step method to identify emerging themes and the essential structure of the participants' experiences.
The intervention group showed significant improvements in open-mindedness (Z=-2.406, r=-0.241, p = 0.016)and systematicity/analyticity (Z=-2.209, r=-0.221, p = 0.027), and a trend to significant improvement in critical thinking disposition (Z=-1.808, r=-0.181, p = 0.071), compared to the control group. Qualitative findings revealed four themes: holistic and effective learning, high engagement and a dynamic learning environment, in-depth community engagement and empathy, and enhancing critical thinking in community settings. Students appreciated the Photovoice activity for its ability to clarify learning purposes, connect theory with practice, and stimulate critical thinking.
Photovoice as an adjunct teaching modality is effective in enhancing nursing students' open-mindedness and systematicity/analyticity in critical thinking disposition. Students found Photovoice to be a valuable tool for holistic learning, fostering engagement, and promoting critical thinking. The study provides evidence supporting the integration of Photovoice into nursing education to improve learning outcomes and improving critical thinking disposition.
Not applicable.
本研究旨在探讨使用照片之声（Photovoice）作为辅助教学方式，以增强中国护理专业学生在社区健康护理课程中的批判性思维倾向。本研究还旨在探索学生对照片之声学习活动的认知和体验。
采用解释性序列混合方法设计，包括一个两组准实验定量阶段，随后是一个使用现象学方法的定性阶段。该研究于2023年2月至7月在湖北工业大学进行。根据班级作业，将100名本科护理专业学生的便利样本分为干预组（n = 51）和对照组（n = 49）。干预组采用将照片之声融入挡风玻璃调查活动的教学方式，而对照组接受标准教学方法。在课程前后使用中国医科大学生批判性思维倾向量表（CTDI-M）评估批判性思维倾向。通过半结构化小组访谈（n = 12）收集定性数据，并使用科莱齐（Colaizzi）的现象学七步法进行分析，以确定新出现的主题和参与者体验的基本结构。
与对照组相比，干预组在开放性思维（Z = -2.406，r = -0.241，p = 0.016）和系统性/分析性（Z = -2.209，r = -0.221，p = 0.027）方面有显著改善，并且在批判性思维倾向方面有显著改善的趋势（Z = -1.808，r = -0.181，p = 0.071）。定性研究结果揭示了四个主题：整体有效的学习、高度参与和动态的学习环境、深入的社区参与和同理心、以及在社区环境中增强批判性思维。学生们赞赏照片之声活动能够明确学习目的、将理论与实践联系起来并激发批判性思维。
照片之声作为一种辅助教学方式，在增强护理专业学生批判性思维倾向的开放性和系统性/分析性方面是有效的。学生们发现照片之声是进行整体学习、促进参与和培养批判性思维的宝贵工具。该研究为支持将照片之声融入护理教育以提高学习成果和改善批判性思维倾向提供了证据。
不适用。
