The use of a cognitive behavioural model of reflection to facilitate transformative learning in undergraduate nursing education. The quantitative results of a mixed methods study

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Publicat a:Nurse Education in Practice vol. 87 (Aug 2025), p. 104444-104451
Autor principal: Batterbee, Robert
Altres autors: Bradshaw, Julie, Frost, Andrew, Hunt, Susan
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Elsevier Limited
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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104444  |2 doi 
035 |a 3244814736 
045 2 |b d20250801  |b d20250831 
084 |a 170342  |2 nlm 
100 1 |a Batterbee, Robert  |u Central Queensland University & Murdoch University Australia, Australia 
245 1 |a The use of a cognitive behavioural model of reflection to facilitate transformative learning in undergraduate nursing education. The quantitative results of a mixed methods study 
260 |b Elsevier Limited  |c Aug 2025 
513 |a Journal Article 
520 3 |a Aim This study examined whether a cognitive behavioural approach to critical reflection could facilitate transformative learning in nursing students compared with a traditional reflective model. Background Critical reflection is essential in nursing practice and education. While transformative learning theory (TLT) has the potential to facilitate deeper learning, its application in nursing education remains underexplored. Cognitive behavioural approaches have successfully promoted critical reflection in other clinical professions but have yet to be used in nursing education. Design A quasi-experimental mixed methods design was employed. This paper reports the quantitative findings. Methods Two groups od second year undergraduate nursing students were compared: the experimental group received a cognitive behavioural approach, while the control group received a traditional reflective model. The Self-Reflection and Insight Scale (SRIS) measured outcomes at baseline, post-intervention and follow up. Response rates were 88.5 % (n = 139) for the experimental group and 93 % (n = 169) for the control group. Data were analysed using Linear mixed-effects models. Results Significant differences were observed in insight, engagement in reflection and perceived need to reflect. The cognitive behavioural approach led to a highly significant increase in reflective insight, with scores improving by 5.54 units from baseline to follow-up (p < 0.001). Conclusions These findings indicated that the cognitive behavioural approach facilitated critical reflection, particularly in developing insight and metacognitive skills. A separate qualitative analysis examining the utility of the approach will offer further insight into how this approach supported transformative learning. 
651 4 |a Australia 
651 4 |a Western Australia Australia 
653 |a Behavior 
653 |a Students 
653 |a Cognitive behavioral therapy 
653 |a Reflective practice 
653 |a Influence 
653 |a Medical education 
653 |a Professional practice 
653 |a Learning 
653 |a Critical thinking 
653 |a Metacognition 
653 |a Nursing education 
653 |a Clinical medicine 
653 |a Selfreflection 
653 |a Quasi-experimental methods 
653 |a Self awareness 
653 |a Emotions 
653 |a Mixed methods research 
653 |a Skills 
653 |a Qualitative research 
653 |a Cognitive-behavioral factors 
653 |a Data collection 
653 |a Clinical nursing 
653 |a Reflection 
653 |a Professions 
653 |a College students 
653 |a Education 
653 |a Cognition 
653 |a Nurses 
653 |a Learning theories 
653 |a Research methodology 
653 |a Nursing 
653 |a Groups 
653 |a Prior Learning 
653 |a Cognitive Processes 
653 |a Researchers 
653 |a Reliability 
653 |a Pattern Recognition 
653 |a Reflective Teaching 
653 |a Psychological Patterns 
653 |a Evaluative Thinking 
653 |a Learning Objectives 
653 |a Control Groups 
653 |a Nursing Students 
653 |a Ethics 
653 |a Feedback (Response) 
653 |a Beliefs 
653 |a Professional Development 
653 |a Data Analysis 
653 |a Grounded Theory 
653 |a Longitudinal Studies 
653 |a Emotional Response 
700 1 |a Bradshaw, Julie  |u Central Queensland University, Australia 
700 1 |a Frost, Andrew  |u Ara Institute of Canterbury, New Zealand 
700 1 |a Hunt, Susan  |u Swinburne University, Australia 
773 0 |t Nurse Education in Practice  |g vol. 87 (Aug 2025), p. 104444-104451 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3244814736/abstract/embedded/Q8Z64E4HU3OH5N8U?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3244814736/fulltext/embedded/Q8Z64E4HU3OH5N8U?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3244814736/fulltextPDF/embedded/Q8Z64E4HU3OH5N8U?source=fedsrch