OJN  Vol.2 No.2 , June 2012
A visual art museum in Sweden as pedagogical scenery: Gibbs’ reflective cycle guiding student nurses in the reflective process
Abstract: The pedagogy employed in health care education must continually be questioned and expanded. Student nurses must be prepared for nursing practice that continually changes, consequently alternative concepts in nurse education must be considered. The aims were to provide student nurses with reflection skills and to evaluate the potential of studying the reflective process using visual art at a museum as an enriched activity in education. A pedagogical program with Gibbs’ reflection model was used as a complement. The study was conducted at a University College of Health Sciences in Sweden in collaboration with a visual art museum. Data were collected during a period of three years. A random sample (n = 35 of n = 98 students’ reports) was selected for qualitative analysis. The painting by George-Pierre Seurat, Seated woman was used as a source of inspiration. Analysis was conducted of the excerpts generated from the steps in Gibbs’ reflection model and from students’ evaluations of the teaching-learning structure. The results show that students were able to build hypothetical situations around the character depicted in the painting. They observed and described a great many aspects of the reflective process. The chosen painting was regarded as suitable for its purpose, and a source of inspiration. It could be interpreted as a patient you might meet in clinical practice. The students′ evaluations show that they became aware of knowledge they had not thought of before, and a way of taking a step closer to clinical practice. It could be concluded that art museum could be regarded as a stimulating environment that nurtured the reflective process. Consequently, visual art museums have to be considered as possible teaching learning milieus to be used in nurse education. It is to be hoped that this study will contribute to further development of visual art museums as teaching learning settings.
Cite this paper: Wikström, B. (2012) A visual art museum in Sweden as pedagogical scenery: Gibbs’ reflective cycle guiding student nurses in the reflective process. Open Journal of Nursing, 2, 130-137. doi: 10.4236/ojn.2012.22020.

[1]   Gibbs, G. (1981) Teaching students to learn: A student-centered approach. Open University Press, Buckingham.

[2]   Gibbs, G. (1988) Learning by doing: A guide to teaching and learning methods. Further Educational Unit, Oxford Polytechnic, Oxford.

[3]   Hirn, Y. (1902) Konstens ursprung: En studie ?fver den estetiska v?rksamhetens psykologiska och sociologiska orsaker. [A study of aesthetical experiences; psychological and sociological causes]. Helsingfors, S?derstr?m.

[4]   Dewey, J. (1933) How we think: A restatement of the relation of reflective thinking to the educative process. D.C. Health, Boston.

[5]   Dickie, G. (1994) Arts and aesthetic; an institutional analysis. Cornell University Press, London.

[6]   Weitz, M. (1976) Art: Who needs it? The Journal of Aesthetic Education, 10, 19-28. doi:10.2307/3332006

[7]   Goleman, D. (1996) Emotional intelligence, why it can matter more than IQ. Bloomsbury Publishing, London.

[8]   Morgan, R.C. (1998) A sign of beauty. In: Beckley, B., Shapiro, D. Eds., Uncontrollable Beauty, toward a New Aesthetics, Allworth Press, New York, 75-82.

[9]   Martin, A. (1998) Beauty is the mystery of life. In: Beckley, B. and Shapiro, D. Eds., Uncontrollable Beauty, toward a New Aesthetics, Allworth Press, New York, 399-402.

[10]   Hillman, J. (1998) The practice of beauty. In: Beckley, B. and Shapiro, D. Eds, Uncontrollable Beauty, toward a New Aesthetics. Allworth Press, New York, 261-274.

[11]   Khatchadourian, H. (1980) Humanistic functioning of the arts today. Journal of Aesthetic Education, 14, 11-21. doi:10.2307/3332474

[12]   Woodhams, L. (1995) The arts in health: Implication for artistic and health practice, policy development, education and training. Australian Journal of Primary Health-Interchange, 1, 39-41.

[13]   Wikstr?m, B.M. (2002) Intuition and visual art: Student nurses’ projection into experiences of elderly women. The Australian Journal of Holistic Nursing, 9, 24-31.

[14]   Wikstr?m, B.M. (2000) Visual art dialogues with elderly persons: Effect on perceived life situation. Journal of Nursing Management, 8, 31-37. doi:10.1046/j.1365-2834.2000.00154.x

[15]   Wikstr?m, B.M. (2002) Aging perceived through visual art observations. Geriatric Nursing, 21, 300-303.

[16]   Wikstr?m, B.M., Theorell, T. and Sandstr?m, S. (1993) Medical health and emotional effects of art stimulation in old age. Psychotherapy and Psychosomatics, 60, 195-206. doi:10.1159/000288693

[17]   Wikstr?m, B.M., Ekvall, G. and Sandstr?m, S. (1994) Stimulating the creativity of elderly institutionalized women through works of art. Creativity Research Journal, 7, 171-182. doi:10.1080/10400419409534522

[18]   Bygren, L.O., Konlaan, B.B. and Johansson, S.E. (1996) Attendance at cultural events, reading books or periodicals, and making music or singing in choir as determinants for survival: Swedish interview survey of living conditions. British Medical Journal, 313, 1577-1580. doi:10.1136/bmj.313.7072.1577

[19]   Konlaan, B.B. (2000) Attendance at cultural events physical exercise and health: A randomized controlled study. Public Health, 114, 316-319.

[20]   Lidsay, S. (1997) Music in hospitals: The best medicine in the world. In: Kaye, C. and Blee, T., Eds., The Arts in Health Care, a Palette of Possibilities, MacMillan Press, Hampshire, 28-33.

[21]   Ryan, E.A. (1994) The use of music distraction on pain in hospitalized school-aged children. In: Funk, S.G., Tornqvist, E.M., Champagne, M.T., Copp, L.A. and Wiese, R.A., Eds., Management of Pain, Fatigue and Nausea, MacMillan, New York, 101-105.

[22]   Angus, J.E. and Faux, S. (1994) The effect of music on adult postoperative patients’ pain during nursing procedure. In: Funk, S.G., Tornqvist, E.M. and Champagne, M.T., Eds., Management of Pain, Fatigue and Nausea, MacMillan, New York, 136-142.

[23]   Bratt-Rawden, K. and Tellnes, G. (2011) How music may promote healthy behaviour. Scandinavian Journal of Public Health, 39, 113-120. doi:10.1177/1403494810393555

[24]   Grape, C., Theorell, T., Wikstr?m, B.M. and Ekman, R. (2009) Choir singing and fibrinogen, VEGF, cholecystokinin and motilin in IBS patients. Medical Hypotheses, 72, 223-224. doi:10.1016/j.mehy.2008.09.019

[25]   G?tell, E., Brown, S. and Ekman, S.L. (2009) The influence of a caregiver singing and background music on vocally expressed emotions and moods in dementia care, a qualitative analysis. International Journal of Nursing Studies, 46, 422-430. doi:10.1016/j.ijnurstu.2007.11.001

[26]   G?tell, E., Brown, S. and Ekmam S.L. (2009) Caregiverassisted music events in psychogeriatric care. Journal of Psychiatric and Mental Health Nursing, 7, 119-125.

[27]   Johnsson, J.E. (2003) The use of music to promote sleep in old woman. Journal of Community Health Nursing, 20, 27-35.

[28]   Lai, H. and Good, M. (2005) Music improves sleep quality in older adults. Journal Medical, 49, 34-244.

[29]   Suter, E. and Baylin, D. (2007) Chosing art as a complement to healing. Applied Nursing Research, 20, 32-38. doi:10.1016/j.apnr.2005.11.004

[30]   Geimer-Flanders, J. (2009) Creating a healing environment: Rational and research overview. Cleveland Clinic Journal of Medicine, 76, 566-569. doi:10.3949/ccjm.76.s2.13

[31]   Bruderle, E.R. and Valiga, TM. (1994) Integrating the arts and humanities into nursing education. In: Chinn, P.L. and Watson, M.J., Eds., Art & Aesthetics in Nursing, National League for Nursing, New York, 117-144.

[32]   Breslin, E.T. (1996) Aesthetic methods as a means of knowing for nursing. Issues in Mental Health Nursing, 17, 503-505. doi:10.3109/01612849609006528

[33]   Mohr, W.K. (1995) Integrating aesthetics into nursing, literature as a suggested modality. Archives of Psychiatric Nursing, 6, 365-372. doi:10.1016/S0883-9417(95)80060-3

[34]   Darbyshire, P. (1994) Understanding caring through arts and humanities: A medical/nursing humanities approach to promote alternative experiences of thinking and learning. Journal of Advanced Nursing, 19, 856-863. doi:10.1111/j.1365-2648.1994.tb01161.x

[35]   Wikstr?m, B.M. and Svidén, G. (2005) Facial expressions in paintings as perceived by the student nurse. Australian Journal of Holistic Nursing, 12, 5-12.

[36]   Wikstr?m, B.M. (2000) The development of observational competence through identification of nursing care patterns in “The Sickbed”, a work of art by Lena Cronqvist. Journal of Inter Professional Care, 14, 181-194.

[37]   Wikstr?m, B.M. (2000) Nursing education at an art gallery. Journal of Nursing Scholarship, 32, 197-199.

[38]   Wikstr?m, B.M. (2001) Visual art and non-verbal sensitivity: A teaching-learning program in nurse education. Australian Journal of Primary Health, 7, 26-30. doi:10.1071/PY01042

[39]   Wikstr?m, B.M. (2001) Works of art dialogues: An educational technique by which students discover personal knowledge of empathy. International Journal of Nursing Practice, 7, 24-29. doi:10.1046/j.1440-172x.2001.00248.x

[40]   Wikstr?m, B.M. (2003) A picture of works of art as an empathy teaching strategy in nurse education complementary to theoretical knowledge. Journal of Professional Nursing, 19, 49-54. doi:10.1053/jpnu.2003.5

[41]   Koitan, M. (1996) Aesthetics in nursing practice and education. Issue in Mental Health Nursing, 17, 529-539. doi:10.3109/01612849609006531

[42]   Bardes, L.B., Gillers, D. and Herman, A.E. (2001) Learning to look: Developing clinical observational skills at an art museum. Medical Education, 35, 1157-1161. doi:10.1046/j.1365-2923.2001.01088.x

[43]   Weir, H. (2010) You don’t have to like them: Art, Tate Modern and learning. Journal of Applied Arts and Health, 1, 93-100. doi:10.1386/jaah.1.1.93/1

[44]   Wikstr?m, B.M. (2011) Works of art as a pedagogical tool: An alternative approach to education. Creative Nursing, 17, 183-194.

[45]   Hedly, V., Wikstr?m, B.M., Gunnarsson, E. and Sj?qvist, K. (1994) Individualized activities as a motivating factor in long-term care. Geriatric Nursing, 15, 246-249. doi:10.1016/S0197-4572(09)90077-5

[46]   Peszek, M.E. (2009) Sacred art as a pedagogical tool. An experiment from Rome: Caravaggio’s “The Calling of Saint Matthew.” Adoremus, 15, 3.

[47]   Blomqvist, L., Pitk?l?, K. and Routasalo, P. (2007) Images of loneliness: Using art as an educational method in professional training. Journal of Continuing Education in Nursing, 38, 89-93.

[48]   Berlyne, D.E. (1971) Aesthetics and psychobiology. Appleton-Century-Crofts, New York.

[49]   Sandstr?m, S. (1977) A common taste in art, an experimental attempt. Aris, Lund.

[50]   Wikstr?m, B.M. (2002) Social interaction associated with visual art dialogs: A controlled intervention study. Aging & Mental Health Issue, 6, 80-85.

[51]   Sandstr?m, S. (1997) Intuition och ?sk?dlighet [Intuition and precision]. Carlssons F?rlag, Stockholm.

[52]   Wikstr?m, B.M., Theorell, T. and Sandstr?m, S. (1992) Psycho physiological effects of stimulation with pictures of works of art in old age. International Journal of Psychosomatics, 39, 68-75.

[53]   Morse, J.M. and Field, P. (1996) Nursing research: The application of qualitative approaches. Chapman & Hill, London.

[54]   Van Manen, M. (1990) Researching lived experience: Human science for an action sensitive pedagogy. The University of Western Ontario, Ontario.

[55]   Kvale, S. (1989) Issues of validity in qualitative research. Studentlitteratur, Lund.

[56]   Hermerén, G. (1986) Kunskapens pris. Forskningsetiska problem och principer i humaniora och samh?llsvetenskap [The cost of knowledge. Research ethical problems in humanities and social science]. Stockholm.

[57]   Williams, R.J. (2008) The declaration of Helsinki and Public Health. Bulletin of the World Health Organisation, 86, 650-651. doi:10.2471/BLT.08.050955

[58]   Bevis, E. and Murray, J. (1990) The essence of the curriculum revolution. Emancipatory teaching. Journal of Nursing Education, 29, 326-331.

[59]   Diekelmann, N. (1995) Reawakening thinking: Is traditional pedagogy nearing completion? Journal of Nursing Education, 34, 195-196.

[60]   Aujoulat, I., D’hoore, W. and Deccache. A. (2007) Patient empowerment in theory and practice: Polysemy or cacophony? Patient Education and Counselling, 66, 13-20. doi:10.1016/j.pec.2006.09.008

[61]   White, T.A. (1989) Empowering yourself, empowering the patients. In course syllabus: New approaches to patient care in diabetes. University of Michigan, Ann Arbor, Michigan, 1989.

[62]   Dewey. J. (1934) Art as experience. Capricorn Books, G.P. Putnam’s Sons, New York.