Human Physiology Education through Pedagogy, Andragogy, and Heutagogy to Improve Nursing Practice towards Ensuring Patient Safety
DOI:
https://doi.org/10.14738/bjhr.1302.20278Keywords:
Human Physiology Education, Pedagogy, Andragogy, Heutagogy, Nursing Practice, Patient SafetyAbstract
A strong grasp of human physiology is crucial for safe and effective nursing practice because it facilitates clinical reasoning, decision-making, and timely patient interventions. Traditional teaching methods, however, might not be sufficient to meet the various learning requirements of practicing nurses and nursing students at various phases of their careers. In order to improve patient safety, this study investigates the integration of pedagogy, andragogy, and heutagogy as complementary educational frameworks for teaching physiology in nursing education. Pedagogical approaches use instructor-led instruction and structured guidance to help new learners acquire foundational knowledge. Adult learners can apply physiological concepts to real-world clinical contexts thanks to andragogical strategies that emphasize self-directed, experience-based learning. By encouraging nurses to recognize their own learning needs, reflect on their practice, and participate in ongoing professional development, heutagogical approaches further foster learner autonomy, critical thinking, and adaptability. Nursing educators can promote greater comprehension, clinical competency, and lifelong learning abilities by integrating physiology instruction with these progressive learning paradigms. By strengthening nurses' physiological knowledge and enhancing their clinical judgment, the integration of these frameworks may help to improve patient safety and care quality by lowering errors.
References
Amiri, M., Khademian, Z., & Nikandish, R. (2018). The effect of nurse empowerment educational program on patient safety culture: A randomized controlled trial. BMC Nursing, 17, Article 44. https://doi.org/10.1186/s12912-018-0313-0
Assiri, G. A., Shehata, S. F., & El-Sayed, H. S. (2024). Self-determined learning and clinical decision-making among nurses in complex healthcare environments. Nurse Education Today, 125, 105701. https://doi.org/10.1016/j.nedt.2023.105701
Atashzadeh-Shoorideh, F., Pazargadi, M., & Abdi, F. (2022). Patient safety and nursing education: A systematic review. Journal of Nursing Management, 30(4), 876–888. https://doi.org/10.1111/jonm.13584
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Addison-Wesley.
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Jossey-Bass.
Bhoyrub, J., Hurley, J., Neilson, G. R., Ramsay, M., & Smith, M. (2010). Heutagogy: An alternative practice-based learning approach. Nurse Education in Practice, 10(6), 322–326. https://doi.org/10.1016/j.nepr.2010.05.001
Scholar Publishing Blaschke, L. M. (2012). Heutagogy and lifelong learning: A review of heutagogical practice and selfdetermined learning. The International Review of Research in Open and Distributed Learning, 13(1), 56–71. https://doi.org/10.19173/irrodl.v13i1.1076
Blaschke, L. M., & Marín, V. I. (2020). Applications of heutagogy in the educational use of eportfolios. Journal of Educational Technology & Society, 23(2), 1–13.
Bliss, J., & Aitken, L. M. (2017). Does simulation enhance nurses’ ability to assess deteriorating patients? Nurse Education Today, 54, 54–59. https://doi.org/10.1016/j.nedt.2017.04.015
Bransford, J. D., Brown, A. L., & Cocking, R. R. (2000). How people learn: Brain, mind, experience, and school. National Academy Press.
Chen, F., Lui, A. M., & Martinelli, S. M. (2020). A systematic review of the effectiveness of flipped classrooms in medical education. Medical Education, 51(6), 585–597. https://doi.org/10.1111/medu.13272
Cochrane, T., Narayan, V., & Oldfield, J. (2020). Exploring mobile learning success factors in heutagogical design. Australasian Journal of Educational Technology, 36(2), 100–116.
Colsch, B., McNally, S., & Dempsey, L. (2020). Curriculum design in nursing education: Aligning pedagogy with clinical competence. Nurse Education in Practice, 44, 102760. https://doi.org/10.1016/j.nepr.2020.102760
Colsch, B., McNally, S., & Dempsey, L. (2023). Teaching for patient safety: Educational strategies in undergraduate nursing programs. Journal of Nursing Education, 62(1), 12–18.
Cuban, L. (2007). Hugging the middle: How teachers teach in an era of testing and accountability. Teachers College Press.
Dale, E., & Dale, J. (2017). Experiential learning and nursing education: Bridging theory and practice. Nursing Education Perspectives, 38(3), 128–130.
Dresser, R., Frader, J., & Wilfond, B. (2023). Preventable harm and patient safety: Ethical perspectives. Journal of Patient Safety, 19(2), 85–91.
Durmuş, S. (2019). Problem-based learning in nursing education: A review. International Journal of Nursing Education Scholarship, 16(1), Article 20190001.
El-Demerdash, S., & Obied, H. (2017). Effect of self-directed learning on critical thinking skills among nursing students. Journal of Nursing Education and Practice, 7(12), 44–51.
Finbråten, H. S., Jensen, K. T., & Pettersen, K. S. (2022). Teaching strategies in nursing education: A scoping review. Nurse Education Today, 109, 105237.
Galante, J. (2020). Clinical reasoning and patient safety in nursing practice. Nursing Standard, 35(2), 45–50.
Gillaspy, E., & Vasilica, C. (2021). Developing the digital self-determined learner through heutagogy. Educational Technology Research and Development, 69(1), 1–24.
Hack, C. (2016). Scaffolding complex learning in higher education. Teaching in Higher Education, 21(7), 761–774.
Hase, S., & Kenyon, C. (2000). From andragogy to heutagogy. ULTBase Articles.
Hase, S., & Kenyon, C. (2007). Heutagogy: A child of complexity theory. Complicity: An International Journal of Complexity and Education, 4(1), 111–118.
Horsfall, J., Cleary, M., & Hunt, G. E. (2011). Developing nursing knowledge through theory and practice integration. Journal of Clinical Nursing, 20(1–2), 146–155.
Knowles, M. S. (1984). The adult learner: A neglected species (3rd ed.). Gulf Publishing. Scholar Publishing
Lewis, S., & Bryan, K. (2021). Adult learning principles in nursing education. Nurse Education in Practice, 52, 103010.
Nibbelink, C. W., & Brewer, B. B. (2017). Decision-making in nursing practice: An integrative review. Journal of Nursing Education, 56(3), 134–139.
O’Connor, M., Peters, L., & Brown, R. (2023). Improving clinical judgment to enhance patient safety. Journal of Advanced Nursing, 79(2), 610–621.
Rogan, M., Latham, J., & O’Connor, M. (2020). Heutagogy and professional capability development. Nurse Education Today, 88, 104374.
Rogan, M., Latham, J., & O’Connor, M. (2021). Integrating pedagogy, andragogy, and heutagogy in health education. Journal of Nursing Education, 60(6), 321–327.
Saleh, U. S. (2019). Theory-guided nursing education and adult learning principles. International Journal of Nursing Education Scholarship, 16(1).
Sun, F., Long, A., & Tsai, Y. (2023). Clinical reasoning development in nursing students. Nurse Education Today, 121, 105647.
Treacy, M. P., & Stayt, L. C. (2019). Simulation-based learning and patient safety. Nurse Education Today, 79, 58–64.
Uppor, R., Clark, E., & Thompson, J. (2023). Early recognition of patient deterioration and nursing education. Journal of Clinical Nursing, 32(9–10), 1876–1885.
World Health Organization. (2019). Patient safety: Global action on patient safety. WHO.
Blaschke, L. M. (2012). Heutagogy and lifelong learning: A review of heutagogical practice and selfdetermined learning. The International Review of Research in Open and Distributed Learning, 13(1), 56–71. https://doi.org/10.19173/irrodl.v13i1.1076
Gillaspy, J., & Vasilica, C. (2021). Developing the digital learner: The use of heutagogy in higher education. Journal of Applied Research in Higher Education, 13(5), 1412–1427. https://doi.org/10.1108/JARHE-06-2020-0156
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