The use of community problem solving in undergraduate nurse education: A literature review. 2022

Pamela H Donaghy, and Christine Greenhalgh, and Jane Griffiths, and Arpana Verma
Liverpool John Moores University, United Kingdom of Great Britain and Northern Ireland. Electronic address: p.h.donaghybinks@ljmu.ac.uk.

BACKGROUND To effectively realise their role in health promotion nurses need a clear understanding of the social determinants of health. In 1987 the WHO recommended that students participate in meaningful community based problem-solving to prepare them for health promotion practice, including actual or simulated community health projects. OBJECTIVE To explore the use of community problem-solving in undergraduate nurse education and its impact on students' understanding of population health. METHODS This literature review used a five-stage iterative method, to explore the following research question; how is community problem-solving being used in undergraduate nurse education and to what effect? Following a systematic database search (CINAHL, MEDLINE, ERIC and ProQuest BNI), forward citation and snowballing, 82 studies were screened against the inclusion and exclusion criteria. A critical appraisal of the studies was conducted using COREQ and data was extracted using a summary table. Thematic analysis was used to identify major themes from the literature. RESULTS Ten studies were identified which explore the use of community problem-solving these provide some useful insight into the design, application and the apparent benefits of the approach in undergraduate nurse education. Three key themes emerge: students develop a broader vison of their future role in health promotion, a deeper understanding of community and social determinants, as well as identifying the role of community assets for health. Only one of the studies included in the review evaluated the impact of community problem-solving on health promotion practice after graduation. CONCLUSIONS The concept of CPS in undergraduate nurse education has been around for many years, but there has never been a comprehensive review of its implementation or effectiveness. Research into its impact is needed to examine whether it increases students' understanding of their future role in health promotion. If nurses are expected to play a key role in public health, nurse educators need research evidence to support the design and delivery of CPS to implement a population health approach to undergraduate nurse education.

UI MeSH Term Description Entries
D011340 Problem Solving A learning situation involving more than one alternative from which a selection is made in order to attain a specific goal.
D003695 Delivery of Health Care The concept concerned with all aspects of providing and distributing health services to a patient population. Delivery of Dental Care,Health Care,Health Care Delivery,Health Care Systems,Community-Based Distribution,Contraceptive Distribution,Delivery of Healthcare,Dental Care Delivery,Distribution, Non-Clinical,Distribution, Nonclinical,Distributional Activities,Healthcare,Healthcare Delivery,Healthcare Systems,Non-Clinical Distribution,Nonclinical Distribution,Activities, Distributional,Activity, Distributional,Care, Health,Community Based Distribution,Community-Based Distributions,Contraceptive Distributions,Deliveries, Healthcare,Delivery, Dental Care,Delivery, Health Care,Delivery, Healthcare,Distribution, Community-Based,Distribution, Contraceptive,Distribution, Non Clinical,Distributional Activity,Distributions, Community-Based,Distributions, Contraceptive,Distributions, Non-Clinical,Distributions, Nonclinical,Health Care System,Healthcare Deliveries,Healthcare System,Non Clinical Distribution,Non-Clinical Distributions,Nonclinical Distributions,System, Health Care,System, Healthcare,Systems, Health Care,Systems, Healthcare
D004506 Education, Nursing Use for general articles concerning nursing education. Nursing Education,Educations, Nursing,Nursing Educations
D004508 Education, Nursing, Baccalaureate A four-year program in nursing education in a college or university leading to a B.S.N. (Bachelor of Science in Nursing). Graduates are eligible for state examination for licensure as RN (Registered Nurse). External Degree Programs, Nursing,Nursing Education, Baccalaureate,Baccalaureate Nursing Education,Baccalaureate Nursing Educations,Education, Baccalaureate Nursing,Educations, Baccalaureate Nursing,Nursing Educations, Baccalaureate
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013338 Students, Nursing Individuals enrolled in a school of nursing or a formal educational program leading to a degree in nursing. Nurses, Pupil,Pupil Nurses,Nursing Student,Nursing Students,Student, Nursing,Nurse, Pupil,Pupil Nurse

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