Transformative learning experience among nursing students with patients acting as teachers: Mixed methods, non-randomized, single-arm study

Abstract

Expert patient; Nursing education; People living with HIV

Paciente experto; Educación en enfermería; Personas que viven con el VIH

Pacient expert; Educació en infermeria; Persones que viuen amb el VIH

Aim To examine the effects of expert HIV patients acting as teachers to Spanish nursing students both on their HIV-related knowledge, attitudes and practices and on their approach to the care model as well as to explore their learning experience. Design Non-randomized, single-arm study with quantitative before and after measurements and qualitative data. Methods The intervention consisted of five 90-min workshops led by two women living with HIV. Thirty-four nursing students participated, and quantitative and qualitative data were gathered from February to June 2018. We used the Patient-Practitioner Orientation Scale (PPOS) and the KAP questionnaire on HIV/AIDS to collect quantitative data. Results Statistically significant differences were found in the global score for care orientation and its two dimensions, caring and sharing. About the changes resulting from the workshops, the quantitative results—more patient-centred care perception and better attitudes towards people living with HIV—match the qualitative findings in all the aspects studied, except in sharing. Conclusion Incorporating expert patients as teachers in the nursing bachelor's degree resulted in more patient-centred care and improved knowledge, attitudes and practices. The workshops conducted by qualified expert patients showed transformative learning power, as the participants improved professional and personal aspects.

This study was supported by a Community Grant ‘Cuidados de, por y para las personas que viven con VIH. personas que viven con VIH como docentes en la formación de estudiantes de enfermería’ from Gilead Sciences, S.L., Spain, in 2017 Community Grants & Donations Program.