Care of the dying, dead, and bereaved: developing the curriculum framework in undergraduate nursing education

Agustina, Hana Rizmadewi (2021) Care of the dying, dead, and bereaved: developing the curriculum framework in undergraduate nursing education. PhD thesis, University of Nottingham.

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Abstract

There is a lack of research in undergraduate nursing in end of life support and death in the Indonesian context. End of life care is less emphasised both in the pre-clinical and clinical training stages within the Indonesian curriculum compared to western countries. This study aims to develop an empirical and theory-driven curriculum framework for undergraduate nursing students in Indonesia focused on the care of the dying, dead, and bereaved.

This descriptive qualitatively-driven multimethods study is underpinned by a pragmatist paradigm that comprised of four sequential research stages. Stage one involved a scoping review of regional nursing curricula. Stage two involved in-depth semi-structured interviews with 13 nursing students and 17 nurse educators. Stage three included faculty curriculum mapping and a focus group discussion with eight key practitioners in the field of healthcare services and nursing education. All datasets were inductively analysed to identify similarities and differences, reflected in common themes and patterns. Finally, stage four developed the curriculum framework using findings from the previous stages, triangulated with recent publications.

The findings revealed international studies on end of life care education (EoLCE) predominantly focus on the exploration of perceptions, experiences, and effectiveness of such education. However, there is lack of clarity on how such curriculums and educational training are developed for undergraduate nursing students. Constraints emerged related to the curriculum and pedagogical practice to deliver care of the dying, dead, and bereaved, with a lack of curriculum alignment, limited pedagogy and teaching practice, unsupportive learning environment, and unprepared teaching staff. Exploring an evidence-based platform to design the curriculum based on situations and contexts is necessary. Further conceptualisation process revealed four core elements: enabling competency and meaningful learning outcomes, negotiated pedagogy and teaching practice, professional relationships, and supportive and facilitative environment. Findings thus elaborate the social cultural and transformative learning approach to baseline the curriculum development, focused on the care of the dying, dead, and bereaved for undergraduate nursing education, tailored to the Indonesian context.

Within the infancy of empirical studies about end of life care education in developing countries, this study offers a new opportunity to explore such issues in Indonesia. The research has identified barriers and drivers affecting the design and delivery of end of life care education in the Indonesia context. This study constructs a conceptual curriculum framework for undergraduate nursing students in Indonesia, based on the results of this study and relevant educational theory. The study reinforces the importance of using research to develop an integral, culturally appropriate, evidence-based, and theory-driven curriculum for nursing students. Future research should focus on the development and evaluation of a curriculum and instructional design.

Item Type: Thesis (University of Nottingham only) (PhD)
Supervisors: Goldberg, Sarah
Hall, Carol
Johnston, Bridget
Moffatt, Christine
Keywords: care of the dying, dead, bereaved, curriculum development, end of life care, palliative care, nursing education, student nurses
Subjects: W Medicine and related subjects (NLM Classification) > WY Nursing
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Health Sciences
UK Campuses > Faculty of Medicine and Health Sciences > School of Nursing
Related URLs:
URLURL Type
https://eprints.nottingham.ac.uk/etheses/UNSPECIFIED
Item ID: 65851
Depositing User: Agustina, Hana
Date Deposited: 04 Aug 2021 04:43
Last Modified: 04 Aug 2021 04:43
URI: http://eprints.nottingham.ac.uk/id/eprint/65851

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