Integrated Mission Model through Transformative Learning to Develop the Competency of Graduates and the Potential of Community for Supporting the Aging Society
Keywords:
Ageing Society, Elderly Care, Transformative Learning, Competencies of Graduates, Community Elderly Care Integrated ModelAbstract
This research and development aimed to: 1) evaluate the competency of nursing graduates as well as the community potential in caring the elderly, 2) develop a model, with integrated missions, inspired by the concept of transformative learning, in order to develop graduate's competencies of and potential of community in supporting the ageing society, and 3) evaluate the implementation of model so to improve it. Study consisted of three steps: 1) measuring the competencies of nursing graduates, as well as the potential of community regarding the elderly care, and analyzing documents related to the an integrated model, 2) developing such a model for content validity prior to implementing it, and 3) evaluating the utilization of the model so to improve the developed model. Samples consisted of 52 Second-Year nursing students, 156 senior nursing students, 23 adults, elderly nursing instructors and community health nursing instructors, as well as 144 elderly in Mae Kong village. Research instrument was a graduate competency questionnaire, including: elderly care, humanistic care, community health management, self-management of elderly and quality of life in elderly. Reliability of questionnaire was tested using Cronbach’s alpha coefficient, yielding values of .92, .91, .88, .79 and .86 respectively. Guideline for focus-groups related to the participation in the elderly care were checked for validity by 5 experts. Data were analyzed using descriptive statistics, t-test statistics and content analysis. Findings showed as follows.
1. Nursing graduates’ competency in the academic year 2017 in elderly care was at a moderate level, while humanistic care, and community health management were at a good level. The target community did not have any elderly management system and found health problems caused by ageing and non-communicable diseases.
2. The developed model integrates several missions including learning process, academic service to the community, and participatory action research, using the concept of transformative learning to develop graduate's competencies in elderly self-management. Model development was divided into 4 steps, namely the concepts, the goal, the process, and evaluation of model.
3. The results from using the model showed that in the academic year 2018, nursing graduate's competencies in the elderly care, humanistic care and community health management were at a good level (M=3.96, SD=0.46, M=4.20, SD=0.39 and M=4.17, SD=0.41 respectively). Moreover, the elderly in the community had their self-managements skills at a good level (M=2.65, SD=0.13) and quality of life also at a good level (42.36%). The elderly in the community had their quality of life at a good level. The community has now an elderly management system.
Applying the transformative learning concept into the mission integration process made us able to develop competencies of nursing graduates as well as the potential of community in caring for their elderly. Therefore, it could be expanded.
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