Learning through partnership with communities: A transformational journey
Ann Marie Carroll
a,
⁎, Tracey Clancy
a
, Chandandeep Kaur Bal
b
, Shams Lalani
a
, Leanne Woo
a
a
Faculty of Nursing, University of Calgary, Calgary, AB, Canada
b
Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
abstract article info
Article history:
Received 26 November 2016
Revised 18 August 2017
Accepted 5 September 2017
Available online xxxx
The purpose of this article, co-authored by instructors and students, is to highlight student learning and a stu-
dent-developed model of Community Development that occurred through a service-based clinical placement.
As part of their clinical community practicum, a group of second year nursing students were partnered with a
group of seniors living in an inner city community. By deconstructing and categorizing ongoing student involve-
ment with this community, students were able to make linkages to the many concepts that together form a com-
munity development approach to care, leading to the creation of a model of community development (the
Community Health Advancement Model) to guide their evaluation. The process of evaluating nursing student
progress from a community development perspective, and the subsequent creation of the model, highlighted
several noted challenges of working within a service-learning model of care: the high level of self-direction
and critical thinking required by students, and the lack of known outcomes. This article captures the students'
struggles with and subsequent mastery through growth in understanding of these concepts. The model of com-
munity development, an outcome of their learning, showcases their depth of understanding of the importance of
nurturing partnerships as foundational to providing care at a community level. This model may be useful within
education of undergraduate nursing education by providing a visual road map of the process of community de-
velopment. This article is an exemplar of the capacity and depth of understanding that is possible when students
learn through community partnership.
© 2017 Elsevier Inc. All rights reserved.
Keywords:
Community development
Partnership
Undergraduate nursing education
Value of service-learning through community partnership
Community health integrates community and societal needs with
student learning, and is an intentional focus within the education of
nurses and other health professions (Kemp, 2003). As such, nurse edu-
cators have been challenged to balance acute care and community
health with the needs of the populations and students who will practice
in an evolving healthcare system (Holt, 2011; Ross-Staats, 2003). This
balance requires us to utilize a holistic approach that encompasses all
levels of prevention with individuals and populations, across the life
span, and in all contexts of nursing practice (Holt, 2011; Kemp, 2003;
Ross-Staats, 2003; Swider & Kulbok, 2015).
To address the complexity of current day healthcare, our nursing ed-
ucation program embraced a context-relevant integrated curriculum
(Rosenau, Watson, Vye-Rogers, & Dobbs, 2015). Integrated learning
speaks to the demonstrated ability to synthesize knowledge from a va-
riety of perspectives and to apply this understanding to multiple con-
texts (Barber, 2014). Pedagogical approaches that engage
communities, often called service learning, combine community service
and learning goals in ways that embrace integration and enhance both
student growth and serve the common good (Bandy, 2017). Intention-
ally embedding community health at the beginning of the program
serves as a context in which students learn foundational ways of think-
ing about nursing practice that recognize the complexity of real world
health care. The benefits to students of community engaged service
learning include the positive impact on students' academic learning
and outcomes such as enriched understanding and cognitive develop-
ment with a greater capacity to engage in critical thinking, analysis,
and problem solving (Bandy, 2017). Service learning through communi-
ty engagement also enhances students' ability to understand complexi-
ty and ambiguity, in addition to the ability to apply their learning in the
real world.
The purpose of this paper is to articulate that novice undergraduate
nursing students have the capacity, through a service-learning ap-
proach, to integrate complex theoretical constructs like community de-
velopment into real-world contexts of practice. The following exemplar
of one student groups' journey within a larger ongoing service-based
clinical initiative narrates this learning journey. By evaluating the ongo-
ing partnership through the lens of community development, this group
of novice students articulates their growth in understanding of the im-
portance of nurturing partnerships in providing care at a community
level and the impact this process had on their understanding of
Journal of Professional Nursing xxx (2017) xxx–xxx
⁎ Corresponding author at: Faculty of Nursing, University of Calgary, 2500 University Dr.
NW, Calgary, AB, Canada.
E-mail address: amcarrol@ucalgary.ca (A.M. Carroll).
YJPNU-01084; No of Pages 5
http://dx.doi.org/10.1016/j.profnurs.2017.09.001
8755-7223/© 2017 Elsevier Inc. All rights reserved.
Contents lists available at ScienceDirect
Journal of Professional Nursing
Please cite this article as: Carroll, A.M., et al., Learning through partnership with communities: A transformational journey, Journal of Professional
Nursing (2017), http://dx.doi.org/10.1016/j.profnurs.2017.09.001