Use of Visual Narrative Illustrations to Teach Pathophysiology Concepts to Nursing Students
Abstract
Background:
The care of patients with acute and chronic illnesses requires nurses to fully understand the underlying pathophysiology associated with disease processes. Although mastering a pathophysiology course is a strong predictor of student success in nursing programs, it is a course with which students and new nurses most often struggle.
Method:
The authors describe a teaching innovation—visual narrative illustration (VNI)—and demonstrate how VNIs are used to teach complex pathophysiology concepts to nursing students.
Results:
The consistent positive feedback regarding the VNIs that have already been implemented in the pathophysiology course prompted the authors to systematically and formally study the impact of this innovative approach on student learning and knowledge retention.
Conclusion:
Use of VNI is an innovative teaching strategy that has the potential to augment other course materials and bridge some of the knowledge gaps that challenge nursing students from fully understanding pathophysiologic concepts. [J Nurs Educ. 2016;55(2):109–112.]
- Abele C., Penprase B., Ternes R. (2013). A closer look at academic probation and attrition: What courses are predictive of nursing student success?Nurse Education Today, 33, 258–261.
10.1016/j.nedt.2011.11.017 Crossref Medline, Google Scholar - Abrahamson C.E. (1998). Storytelling as a pedagogical tool in higher education. Education, 118, 440–451. Google Scholar
- Akdemir O., Koszalka T.A. (2008). Investigating the relationships among instructional strategies and learning styles in online environments. Computers & Education, 50, 1451–1461.
10.1016/j.compedu.2007.01.004 Crossref, Google Scholar - Amir R., Jelas Z.M., Rahman S. (2011). Learning styles of university students: Implications for teaching and learning. World Applied Sciences Journal, 14, 22–26. Google Scholar
- Bain K. (2004). What the best college teachers do. Cambridge, MA: Harvard University Press. Google Scholar
- Beeman P.B., Waterhouse J.K. (2001). NCLEX-RN performance: Predicting success on the computerized examination. Journal of Professional Nursing, 17, 158–165.
10.1053/jpnu.2001.24860 Crossref Medline, Google Scholar - Beeson S.A., Kissling G. (2001). Predicting success for baccalaureate graduates on the NCLEX-RN. Journal of Professional Nursing, 17, 121–127.
10.1053/jpnu.2001.23382 Crossref Medline, Google Scholar - Cano-Garcia F., Hughes E.H. (2000). Learning and thinking styles: An analysis of their interrelationship and influence on academic achievement. Educational Psychology, 20, 413–430. http://dx.doi.org/10.1080/713663755
10.1080/713663755 Crossref, Google Scholar - Copstead L.-E., Banasik J. (2013). Pathophysiology (5th ed.). St. Louis, MO: Elsevier Saunders. Google Scholar
- Dunn K., Osborne C., Rakes G. (2013). It's not my fault: Understanding nursing students' causal attributions in pathophysiology. Nurse Education Today, 33, 828–833.
10.1016/j.nedt.2012.02.012 Crossref Medline, Google Scholar - Felder R., Brent R. (2005). Understanding student differences. Journal of Engineering Education, 94, 57–72.
10.1002/j.2168-9830.2005.tb00829.x Crossref, Google Scholar - Green M.J., Myers K.R. (2010). Graphic medicine: Use of comics in medical education and patient care. British Medical Journal, 340, c863.
10.1136/bmj.c863 Crossref Medline, Google Scholar - Hall E., Moseley D. (2005). Is there a role for learning styles in personalised education and training?International Journal of Lifelong Education, 24, 243–255. http://dx.doi.org/10.1080/02601370500134933
10.1080/02601370500134933 Crossref, Google Scholar - Herman J.W. (2011). Keeping their attention: Innovative strategies for nursing education. The Journal of Continuing Education in Nursing, 42, 449–456.
10.3928/00220124-20110516-05 Link, Google Scholar - Honigsfeld A., Schiering M. (2004). Diverse approaches to the diversity of learning styles in teacher education. Educational Psychology, 24, 487–507. http://dx.doi.org/10.1080/0144341042000228861
10.1080/0144341042000228861 Crossref, Google Scholar - Isseks M. (2011). How PowerPoint is killing education. Educational Leadership, 68(5), 74–76. Google Scholar
- Knight J.K., Wood W.B. (2005). Teaching more by lecturing less. Cell Biology Education, 4, 298–310.
10.1187/05-06-0082 Crossref Medline, Google Scholar - Koch K. (2007). A conversation with Dr. Rita Dunn. Institute for Learning Styles Journal, 1, 1–11. Google Scholar
- Kumar S., Dee F., Kumar R., Velen G. (2011). Benefits of testable concept maps for learning about pathogenesis of disease. Teaching and Learning in Medicine, 23, 137–143.
10.1080/10401334.2011.561700 Crossref Medline, Google Scholar - Lowe R. (2004). Interrogation of a dynamic visualisation during learning. Learning and Instruction, 14, 257–274.
10.1016/j.learninstruc.2004.06.003 Crossref, Google Scholar - Mayner L., Gillham D., Sansoni J. (2013). Anatomy and physiology for nursing students: Is problem-based learning effective?Professioni Infermieristiche, 66, 182–186. Medline, Google Scholar
- McCloud S. (1993). Understanding comics: The invisible art. New York, NY: Harper Perennial. Google Scholar
- McKinney A., Page K. (2009). Podcasts and video streaming: Useful tools to facilitate learning of pathophysiology in undergraduate nurse education?Nurse Education in Practice, 9, 372–376.
10.1016/j.nepr.2008.11.003 Crossref Medline, Google Scholar - Minotti J.L. (2005). Effects of learning-style-based homework prescriptions on the achievement and attitudes of middle school students. NASSP Bulletin, 89(642), 67–89.
10.1177/019263650508964206 Crossref, Google Scholar - Moore K.D., Hansen J. (2012). Effective strategies for teaching in K-8 classrooms. Thousand Oaks, CA: Sage.
10.4135/9781452230511 Crossref, Google Scholar - Newton S.E., Smith L.H., Moore G., Magnan M. (2007). Predicting early academic achievement in a baccalaureate nursing program. Journal of Professional Nursing, 23, 144–149.
10.1016/j.profnurs.2006.07.001 Crossref Medline, Google Scholar - Özbas S. (2013). The investigation of the learning styles of university students. The Online Journal of New Horizons in Education, 3(1), 53–64. Google Scholar
- Park J.S., Kim D.H., Chung M.S. (2011). Anatomy comic strips. Anatomical Sciences Education, 4, 275–279.
10.1002/ase.224 Crossref Medline, Google Scholar - Penprase B.B., Harris M., Qu X. (2013). Academic success: Which factors contribute significantly to NCLEX-RN success for ASDN students?Journal of Nursing Education and Practice, 3(7), 1–8.
10.5430/jnep.v3n7p1 Crossref, Google Scholar - Potolsky A., Cohen J., Saylor C. (2003). Academic performance of nursing students: Do prerequisite grades and tutoring make a difference?Nursing Education Perspectives, 24, 246–250. Medline, Google Scholar
- Rogge M.M. (2001). Transforming pathophysiology instruction through narrative pedagogy and Socratic questioning. Nurse Educator, 26, 66–69.
10.1097/00006223-200103000-00010 Crossref Medline, Google Scholar - Rosenfeld M., Rosenfeld S. (2008). Developing effective teacher beliefs about learners: The role of sensitizing teachers to individual learning differences. Educational Psychology, 28, 245–272.
10.1080/01443410701528436 Crossref, Google Scholar - Salamonson Y., Andrew S., Everett B. (2009). Academic engagement and disengagement as predictors of performance in pathophysiology among nursing students. Contemporary Nurse, 32, 123–132.
10.5172/conu.32.1-2.123 Crossref Medline, Google Scholar - Seldomridge L.A., DiBartolo M.C. (2004). Can success and failure be predicted for baccalaureate graduates on the computerized NCLEX-RN?Journal of Professional Nursing, 20, 361–368.
10.1016/j.profnurs.2004.08.005 Crossref Medline, Google Scholar - Shin D.S., Kim D.H., Park J.S., Jang H.G., Chung M.S. (2013). Evaluation of anatomy comic strips for further production and applications. Anatomy & Cell Biology, 46, 210–216.
10.5115/acb.2013.46.3.210 Crossref Medline, Google Scholar - Sternberg R.J., Grigorenko E.L., Zhang L.F. (2008). Styles of learning and thinking matter in instruction and assessment. Perspectives on Psychological Science, 3, 486–506.
10.1111/j.1745-6924.2008.00095.x Crossref Medline, Google Scholar - Taylor L.A., Littleton-Kearney M. (2011). Concept mapping: A distinctive educational approach to foster critical thinking. Nurse Educator, 36, 84–88.
10.1097/NNE.0b013e31820b5308 Crossref Medline, Google Scholar - Uyehara J., Magnussen L., Itano J., Zhang S. (2007). Facilitating program and NCLEX-RN success in a generic BSN program. Nursing Forum, 42, 31–38.
10.1111/j.1744-6198.2007.00063.x Crossref Medline, Google Scholar - Van Dijken P., Thevoz S., Jucker-Kupper P., Feihl F., Bonvin R., Waeber B. (2008). Evaluation of an online, case-based interactive approach to teaching pathophysiology. Medical Teacher, 30, 131–136.
10.1080/01421590801932210 Crossref, Google Scholar - Van Horn E.R., Hyde Y.M., Tesh A.S., Kautz D.D. (2014). Teaching pathophysiology: Strategies to enliven the traditional lecture. Nurse Educator, 39, 34–37.
10.1097/01.NNE.0000437364.19090.be Crossref Medline, Google Scholar - Vietz K., Grinnell S. (2004). Does pathophysiology have to be boring?Nurse Educator, 29, 93–94.
10.1097/00006223-200405000-00003 Crossref Medline, Google Scholar - Williamson M.F., Watson R.L. (2007). Learning styles research: Understanding how teaching should be impacted by the way learners learn: Part III: Understanding how learners' personality styles impact learning. Christian Education Journal, 4, 62–77. Crossref, Google Scholar
- Wolkowitz A.A., Kelley J.A. (2010). Academic predictors of success in a nursing program. Journal of Nursing Education, 49, 498–503.
10.3928/01484834-20100524-09 Link, Google Scholar

