Evidence map›Paper›PMID 40468329›Full record

ArticleBMC nursing2025

Integrating photovoice as an adjunct teaching modality in improving critical thinking disposition among Chinese nursing students in community health nursing: a mixed-methods study.

Yayun Song, Huan Yang, Mengjiao Zhou, Dongyi Zhang, Jia Qu

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

5 authors.

Yayun SongSchool of Medicine| Public Culture Research Center| Hubei Provincial Key Laboratory of Occurrence and Intervention of Kidney Diseases, Hubei Polytechnic University, Huangshi, Hubei Province, China.
Huan YangSchool of Medicine| Public Culture Research Center| Hubei Provincial Key Laboratory of Occurrence and Intervention of Kidney Diseases, Hubei Polytechnic University, Huangshi, Hubei Province, China.
Mengjiao ZhouSchool of Medicine| Public Culture Research Center| Hubei Provincial Key Laboratory of Occurrence and Intervention of Kidney Diseases, Hubei Polytechnic University, Huangshi, Hubei Province, China.
Dongyi ZhangSchool of Medicine| Public Culture Research Center| Hubei Provincial Key Laboratory of Occurrence and Intervention of Kidney Diseases, Hubei Polytechnic University, Huangshi, Hubei Province, China.
Jia QuNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. qujia15@126.com.

Funding

Education and Teaching Research Program of Hubei Polytechnic University 2024C08Public Culture Research Center of the Key Research Base of Humanities and Social Sciences of Universities in Hubei Procvice 2023GKY04YTongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology 2022D15
6 · The paper itself

Abstract

aimsThis study aimed to examine the effectiveness of using Photovoice as an adjunct teaching modality to enhance critical thinking dispositions among Chinese nursing students in a community health nursing course. It also aimed to explore students' perceptions and experiences of the Photovoice learning activity.

methodsAn explanatory sequential mixed-methods design was employed, consisting of a two-group quasi-experimental quantitative phase followed by a qualitative phase using phenomenological method. The study was conducted at Hubei Polytechnic University from February to July 2023. A convenience sample of 100 undergraduate nursing students was divided into the intervention group(n = 51) and the control group(n = 49) based on their class assignments. The intervention group engaged with a teaching modality that integrated Photovoice into the windshield survey activity, while the control group received standard teaching methods. Critical thinking disposition was assessed using the Critical Thinking Disposition Inventory for Chinese medical college students (CTDI-M) before and after the course. Qualitative data were collected through semi-structured group interviews(n = 12) and analyzed using Colaizzi's phenomenological 7-step method to identify emerging themes and the essential structure of the participants' experiences.

resultsThe intervention group showed significant improvements in open-mindedness (Z=-2.406, r=-0.241, p = 0.016)and systematicity/analyticity (Z=-2.209, r=-0.221, p = 0.027), and a trend to significant improvement in critical thinking disposition (Z=-1.808, r=-0.181, p = 0.071), compared to the control group. Qualitative findings revealed four themes: holistic and effective learning, high engagement and a dynamic learning environment, in-depth community engagement and empathy, and enhancing critical thinking in community settings. Students appreciated the Photovoice activity for its ability to clarify learning purposes, connect theory with practice, and stimulate critical thinking.

conclusionPhotovoice as an adjunct teaching modality is effective in enhancing nursing students' open-mindedness and systematicity/analyticity in critical thinking disposition. Students found Photovoice to be a valuable tool for holistic learning, fostering engagement, and promoting critical thinking. The study provides evidence supporting the integration of Photovoice into nursing education to improve learning outcomes and improving critical thinking disposition. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Community health nursingCritical thinking dispositionNursing studentsPhotovoiceTeaching modality

Identifiers

PMID40468329
PMCPMC12139278

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.