Exploring the potential of contemplative pedagogy in health professional education
Introduction: Although interest in and use of contemplative pedagogy is growing, particularly in the US, its potential to contribute to current dialogues about higher education and, in particular, the development of education for health professionals has not received much attention. The aim of this paper is to introduce contemplative pedagogy to educators working within health professional education so that the merits of such an approach can be more extensively debated.
What is contemplative pedagogy? The aim of contemplative pedagogy is the development of students’ first-person experience of knowing as a counterbalance and compliment to the objective, third-person, didactic approach, which dominates higher education. Through contemplative practice, students’ learning becomes connected to their own sense of meaning and personal values. I start by exploring the concept of contemplative pedagogy. Examples of contemplative practices are briefly introduced so that the reader can better envisage how contemplation can be introduced into the classroom.
Discussion and conclusions: I argue that contemplative pedagogy could help overcome the gap between theory and practice and assist educators in equipping students to care compassionately and effectively in dynamic and demanding healthcare contexts. I finish by emphasising the need for more research to investigate the efficacy of incorporating contemplative pedagogy in the education of health professionals.
Adam, D., & Taylor, R. (2014). Compassionate care: Empowering students through nurse education. Nurse Education Today, 34 (9), 1242–1245. doi:10.1016/j. nedt.2013.07.011
Barbezat, D. P., & Bush, M. (2014). Contemplative practices in higher education: Powerful methods to transform teaching and learning. San Francisco, CA: John Wiley & Sons.
Blinne, K. (2014). Awakening to lifelong learning: Contemplative pedagogy as compassionate engagement. Radical Pedagogy, 11(2), 1524–6345.
Boyce, B. (2010). Please help me learn who I am. Retrieved from http://www.mindful. org/the-mindful-society/education/please-help-me-learn-who-i-am
Britton, W. B., Brown, A.-C., Kaplan, C. T., Goldman, R. E., DeLuca, M., Rojiani, R., . . . Frank, T. (2013). Contemplative science: An insider prospectus. New Directions for Teaching and Learning, 2013(134), 13–29. doi:10.1002/tl.20051
Brown University. (n.d). Concentration in contemplative studies. Retrieved 16 October, 2014, from https://brown.edu/academics/medical/education/concentrations/ contemplative-studies
Burack, C. (2014). Responding to the challenges of a contemplative curriculum. Journal of Contemplative Enquiry, 1(1), 35–54.
Bush, M. (2011). Mindfulness in higher education. Contemporary Buddhism, 12(1), 183–197. doi:10.1080/14639947.2011.564838
Carel, H. (2009). A reply to “Towards an understanding of nursing as a response to human vulnerability” by Derek Sellman: Vulnerability and illness. Nursing Philosophy, 10(3), 214–219. doi:10.1111/j.1466-769X.2009.00401.x
Cook, P. R., & Cullen, J. A. (2003). Caring as an imperative for nursing education. Nursing Education Perspectives, 24(4), 192–197.
Coulehan, J., & Williams, P. C. (2001). Vanquishing virtue: The impact of medical education. Academic Medicine: Journal of the Association of American Medical Colleges, 76(6), 598–605.
Dobkin, P. L., & Hutchinson, T. A. (2013). Teaching mindfulness in medical school: Where are we now and where are we going? Medical Education, 47(8), 768–779. doi:10.1111/medu.12200
Dyche, L., & Epstein, R. M. (2011). Curiosity and medical education. Medical Education, 45(7), 663–668. doi:10.1111/j.1365-2923.2011.03944.x
Eppert, C. (2013). Awakening education: Toward a rich tapestry of mindful and contemplative engagement for social/environmental transformation. In J. Ling, E. Brantmeier, & R. Oxford (Eds.), Embodied pathways to wisdom and transformation. Charlotte, NC: Information Age.
Gockel, A., Cain, T., Malove, S., & James, S. (2013). Mindfulness as clinical training: Student perspectives on the utility of mindfulness training in fostering clinical intervention skills. Journal of Religion & Spirituality in Social Work: Social Thought, 32(1), 36–59. doi:10.1080/15426432.2013.749146
Hassed, C., & Chambers, R. (2014). Mindful learning: Reduce stress and improve brain performance for effective learning. Wollombi, Australia: Exisle.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York, NY: Dell.
Kelley, K. J., & Kelley, M. F. (2013). Teaching empathy and other compassion- based communication skills: Journal for Nurses in Professional Development, 29(6), 321–324. doi:10.1097/01.NND.0000436794.24434.90
Lee, A., & Dunston, R. (2011). Practice, learning and change: Towards a re- theorisation of professional education. Teaching in Higher Education, 16(5), 483–494. doi:10.1080/13562517.2011.580840
Lin, J., Oxford, R. L., & Brantmeier, E. J. (2013). Re-envisioning higher education: Embodied pathways to wisdom and social transformation. Charlotte, NC: Information Age.
Mann, K. V. (2011). Theoretical perspectives in medical education: Past experience and future possibilities. Medical Education, 45(1), 60–68. doi:10.1111/j.1365- 2923.2010.03757.x
Meiklejohn, J., Phillips, C., Freedman, M. L., Griffin, M. L., Biegel, G., Roach, A., . . . Saltzman, A. (2012). Integrating mindfulness training into K–12 education: Fostering the resilience of teachers and students. Mindfulness, 3(4), 291–307. doi:10.1007/s12671-012-0094-5
Meixner, C. (2013). Locating self by serving others: A journey to inner wisdom. In J. Lin, R. L. Oxford, & E. J. Brantmeier (Eds.), Re-envisioning higher education: Embodied pathways to wisdom and social transformation (pp. 317–333). Charlotte, NC: Information Age.
Mid Staffordshire NHS Foundation Inquiry. (2013). Report of the Mid Staffordshire NHS Foundation Trust public inquiry: Executive summary. London, England: Stationery Office.
Morrall, P., & Goodman, B. (2013). Critical thinking, nurse education and universities: Some thoughts on current issues and implications for nursing practice. Nurse Education Today, 33(9), 935–937. doi:10.1016/j.nedt.2012.11.011
National Health Service. (2012). Liberating the NHS: Developing the healthcare workforce [Online]. Retrieved from https://www.gov.uk/government/uploads/ system/uploads/attachment_data/file/216421/dh_132087.pdf
Newsome, S., Waldo, M., & Gruszka, C. (2012). Mindfulness group work: Preventing stress and increasing self-compassion among helping professionals in training. Journal for Specialists in Group Work, 37(4), 297–311. doi:10.1080/0193 3922.2012.690832
Palmer, P. J. (1997). The courage to teach: Exploring the inner landscape of a teacher’s life. San Francisco, CA: John Wiley & Sons.
Palmieri, G., & Kiteley, C. (2012). The gift of true presence: A nursing story where theory and practice meet. Canadian Oncology Nursing Journal, 22(4), 282–286.
Rodgers, C. (2002). Defining reflection: Another look at John Dewey and reflective thinking. Teachers College Record, 104(4), 842–866.
Rushton, C. H., Sellers, D. E., Heller, K. S., Spring, B., Dossey, B. M., & Halifax, J. (2009). Impact of a contemplative end-of-life training program: Being with dying. Palliative & Supportive Care, 7(4), 405–414. doi:10.1017/S1478951509990411
Sales, C. S., & Schlaff, A. L. (2010). Reforming medical education: A review and synthesis of five critiques of medical practice. Social Science & Medicine, 70(11), 1665–1668. doi:10.1016/j.socscimed.2010.02.018
Schon, D. (1983). The reflective practitioner. New York, NY: Basic Books.
Shapiro, J. (2011). Perspective: Does medical education promote professional alexithymia? A call for attending to the emotions of patients and self
in medical training. Academic Medicine, 86(3), 326–332. doi:10.1097/ ACM.0b013e3182088833
Shapiro, S., Brown, K., & Astin, J. (2008). Toward the integration of meditation
into higher education: A review of research. Retrieved from http://www. contemplativemind.org/admin/wp-content/uploads/2012/09/MedandHigherEd.pdf
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12(2), 164–176. doi:10.1037/1072- 5245.12.2.164
Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness- based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.
Shields, L. R. (2011). Teaching mindfulness techniques to nursing students for stress reduction and self-care. Retrieved from http://sophia.stkate.edu/dnp_projects/18/
Siegel, D. J. (2007). The mindful brain: Reflection and attunement in the cultivation of well-being. New York, NY: W. W. Norton & Company.
Sitzman, K., & Watson, J. (2014). Caring science, mindful practice: Implementing Watson’s human caring theory. New York, NY: Springer.
Tsang, A. K. L. (2011). Students as evolving professionals: Turning the hidden curriculum around through the threshold concept pedagogy. Transformative Dialogues: Teaching and Learning Journal, 4(3), 1–11.
Warnecke, E., Quinn, S., Ogden, K., Towle, N., & Nelson, M. R. (2011). A randomised controlled trial of the effects of mindfulness practice on medical student stress levels. Medical Education, 45(4), 381–388. doi:10.1111/j.1365- 2923.2010.03877.x
Wear, D., Zarconi, J., Garden, R., & Jones, T. (2012). Reflection in/and writing: Pedagogy and practice in medical education. Academic Medicine, 87(5), 603–609. doi:10.1097/ACM.0b013e31824d22e9
Willis, P. (2015). Raising the bar. Shape of caring: A review of the future education and training of registered nurses and care assistants. Retrieved from https://www.hee.nhs. uk/sites/default/files/documents/2348-Shape-of-caring-review-FINAL.pdf
Wong, Y.-L. (2013). Returning to silence, connecting to wholeness: Contemplative pedagogy for critical social work education. Journal of Religion & Spirituality in Social Work, 32(3), 269–285. doi:10.1080/15426432.2013.801748
Youngson, D. R. (2012). Time to care: How to love your patients and your job. Raglan, NZ: CreateSpace Independent Publishing Platform.
Zajonc, A. (2006). Love and knowledge: Recovering the heart of learning through contemplation. Teachers College Record, 108(9), 1742–1759.
Zajonc, A. (2009). Meditation as contemplative inquiry: When knowing becomes love. Herndon, VA : Lindisfarne Books.
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