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Transformative Learning: A Precursor to Preparing Health Science Students to Work in Indigenous Health Settings?

Published online by Cambridge University Press:  26 March 2018

Jonathan Bullen  and
Lynne Roberts
Jonathan Bullen*
Affiliation:
Curtin Learning and Teaching, Curtin University, Perth, WA 6845, Australia
Lynne Roberts
Affiliation:
School of Psychology and Speech Pathology, Curtin University, Perth, WA 6845, Australia
*
address for correspondence: Jonathan Bullen, Curtin Learning and Teaching, Curtin University, Perth, WA 6845, Australia. Email: jonathan.bullen@curtin.edu.au
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Abstract

Australian undergraduate programmes are implementing curriculum aimed at better preparing graduates to work in Indigenous health settings, but the efficacy of these programmes is largely unknown. To begin to address this, we obtained baseline data upon entry to tertiary education (Time 1) and follow-up data upon completion of an Indigenous studies health unit (Time 2) on student attitudes, preparedness to work in Indigenous health contexts and transformative experiences within the unit. The research involved 336 health science first-year students (273 females, 63 males) who completed anonymous in-class paper questionnaires at both time points. Paired sample t-tests indicated significant change in student attitudes towards Indigenous Australians, perceptions of Indigenous health as a social priority, perceptions of the adequacy of health services for Indigenous Australians and preparedness to work in Indigenous health settings. Hierarchical multiple regression analyses indicated that after controlling for Time 1 measures, the number of precursor steps to transformative learning experienced by students accounted for significant variance in measures of attitudes and preparedness to work in Indigenous health contexts at Time 2. The knowledge gained further informs our understanding of both the transformative impact of such curriculum, and the nature of this transformation in the Indigenous studies health context.

Keywords

Indigenous studiesattitudespreparednesstransformative learningIndigenous health settings
Type
Research Article
Information
The Australian Journal of Indigenous Education , Volume 48 , Issue 2 , December 2019 , pp. 129 - 140
Copyright
Copyright © The Author(s) 2018 

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References

Bezrukova, K., Spell, C.S., Perry, J.L., & Jehn, K.A. (2016). A meta-analytical integration of over 40 years of research on diversity training evaluation. Psychological Bulletin, 142(11), 1227.Google Scholar
Biermann, S., & Townsend-Cross, M. (2008). Indigenous pedagogy as a force for change. The Australian Journal of Indigenous Education, 37(S1), 146–154.Google Scholar
Brock, S.E. (2010). Measuring the importance of precursor steps to transformative learning. Adult Education Quarterly, 60(2), 122–142.Google Scholar
Bullen, J., Roberts, L., & Hoffman, J. (2017). What predicts health students’ self-reported preparedness to work in Indigenous health settings? The Australian Educational Researcher, 44(1), 71–87.Google Scholar
Clifford, A., McCalman, J., Bainbridge, R., & Tsey, K. (2015). Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: A systematic review. International Journal for Quality in Health Care, 27(2), 89–98.Google Scholar
Cole, E.R., Case, K.A., Rios, D., & Curtin, N. (2011). Understanding what students bring to the classroom: Moderators of the effects of diversity courses on student attitudes. Cultural Diversity and Ethnic Minority Psychology, 17(4), 397.Google Scholar
Costarelli, S., & Gerłowska, J. (2015). I am not prejudiced towards ‘them’. . . I am ambivalent! The moderating roles of attitudinal basis and motivation to respond without prejudice. Group Dynamics: Theory, Research, and Practice, 19(1), 1.Google Scholar
Denson, N. (2009). Do curricular and cocurricular diversity activities influence racial bias? A meta-analysis. Review of Educational Research, 79(2), 805–838.Google Scholar
Flavell, H., Thackrah, R., & Hoffman, J. (2013). Developing Indigenous Australian cultural competence: A model for implementing Indigenous content into curricula. Journal of Teaching and Learning for Graduate Employability, 4(1), 39–57.Google Scholar
Glisczinski, D.J. (2007). Transformative higher education: A meaningful degree of understanding. Journal of Transformative Education, 5(4), 317–328.Google Scholar
Grote, E. (2008). Principles and practices of cultural competency: A review of the literature. Indigenous Higher Education Advisory Council. Retrieved January 27, 2017 from http://www.voced.edu.au/content/ngv%3A49604Google Scholar
Happell, B., & Gough, K. (2007). Undergraduate nursing students' attitudes towards mental health nursing: Determining the influencing factors. Contemporary Nurse, 25(1–2), 72–81.Google Scholar
Hollinsworth, D. (2016). Unsettling Australian settler supremacy: combating resistance in university Aboriginal studies. Race ethnicity and education 9(2), 412–432.Google Scholar
IHEAC. (2006). Improving Indigenous outcomes and enhancing Indigenous culture and knowledge in Australian higher education. Department of Education, Science and Training. Indigenous Higher Education Advisory Council (IHEAC). Retrieved February 2, 2017 from http://www.voced.edu.au/content/ngv%3A30547Google Scholar
Jackson, D., Power, T., Sherwood, J., & Geia, L. (2013). Amazingly resilient Indigenous people! Using transformative learning to facilitate positive student engagement with sensitive material. Contemporary Nurse, 46(1), 105– 112.Google Scholar
Kickett, M., Hoffman, J., & Flavell, H. (2014). A model for large-scale, interprofessional, compulsory cross-cultural education with an indigenous focus. Journal of Allied Health, 43(1), 38–44.Google Scholar
King, K.P. (1997). Examining activities that promote perspective transformation among adult learners in higher education. International Journal of University Adult Education, 36(3), 23–37.Google Scholar
King, K.P. (Ed.). (2009). The handbook of the evolving research of transformative learning: Based on the Learning Activities Survey. Information Age Publishing. Charlotte, North Carolina.Google Scholar
Marmot, M., Friel, S., Bell, R., Houweling, T.A., & Taylor, S. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. The Lancet, 372(9650), 1661–1669.Google Scholar
Massingham, P., & Herrington, T. (2006). Does attendance matter? An examination of student attitudes, participation, performance and attendance. Journal of University Teaching and Learning Practice, 3(2), 82–103.Google Scholar
McDermott, D., & Sjoberg, D. (2012). Managing a diverse student discomfort with an Indigenous health curriculum. In Leaders in Indigenous Medical Education Network, Editor (LIME Good Practice Case Studies) (vol. 1, pp. 26–28). Melbourne: Onemda VicHealth Koori Health Unit, The University of Melbourne.Google Scholar
Merriam, S.B. (2004). The role of cognitive development in Mezirow's transformational learning theory. Adult Education Quarterly, 55(1), 60–68.Google Scholar
Mezirow, J. (1978). Perspective transformation. Adult Education, 28(2), 100–110.Google Scholar
Mezirow, J. (1990). How critical reflection triggers transformative learning. Fostering Critical Reflection in Adulthood, 1, 20.Google Scholar
Mezirow, J. (1994). Understanding transformation theory. Adult Education Quarterly, 44(4), 222–232.Google Scholar
Mezirow, J. (2000). Learning as transformation: Critical perspectives on a theory in progress. The Jossey–Bass Higher and Adult Education Series. Jossey–Bass Publishers, 350 Sansome Way, San Francisco, CA 94104.Google Scholar
Mezirow, J. (2003). Transformative learning as discourse. Journal of Transformative Education, 1(1), 58–63.Google Scholar
Nakata, M. (2007). The cultural interface. The Australian Journal of Indigenous Education, 36(S1), 7–14.Google Scholar
Newman, M. (2014). Transformative learning mutinous thoughts revisited. Adult Education Quarterly, 64(4), 345–355.Google Scholar
Page, S. (2014). Exploring new conceptualisations of old problems: Researching and reorienting teaching in Indigenous studies to transform student learning. The Australian Journal of Indigenous Education, 43(1), 21–30.Google Scholar
Paul, D., Carr, S., & Milroy, H. (2006). Making a difference: The early impact of an Aboriginal health undergraduate medical curriculum. Medical Journal of Australia, 184(10), 522.Google Scholar
Pedersen, A., & Barlow, F.K. (2008). Theory to social action: A university-based strategy targeting prejudice against Aboriginal Australians. Australian Psychologist, 43(3), 148–159.Google Scholar
Pedersen, A., Bevan, J., Walker, I., & Griffiths, B. (2004). Attitudes toward Indigenous-Australians: The role of empathy and guilt. Journal of Community and Applied Social Psychology, 14, 233–249.Google Scholar
Ranzijn, R., McConnochie, K., Day, A., Nolan, W., & Wharton, M. (2008). Towards cultural competence: Australian Indigenous content in undergraduate psychology. Australian Psychologist, 43(2), 132–139.Google Scholar
Sedgwick, M.G., & Yonge, O. (2008). Undergraduate nursing students’ preparedness to “go rural”. Nurse Education Today, 28(5), 620–626.Google Scholar
Snyder, C. (2008). Grabbing hold of a moving target: Identifying and measuring the transformative learning process. Journal of Transformative Education, 6(3), 159– 181.Google Scholar
Sonn, C.C. (2008). Educating for anti-racism: Producing and reproducing race and power in a university classroom. Race Ethnicity and Education, 11(2), 155–166.Google Scholar
Taylor, E.W. (2007). An update of transformative learning theory: A critical review of the empirical research (1999–2005). International Journal of Lifelong Education, 26(2), 173–191.Google Scholar
Taylor, K., Durey, A., Bullen, J., Mulcock, J., Kickett, M., & Jones, S. (2014). Case studies: Innovations in Aboriginal and Torres Strait Islander curriculum implementation. HWA, Adelaide. Retrieved February 3, 2017 from http://www.health.gov.au/internet/main/publishing.nsf/Content/aboriginal-torres-strait-islander-health-curriculum-framework.Google Scholar
Thackrah, R.D., & Thompson, S.C. (2013). Confronting uncomfortable truths: Receptivity and resistance to Aboriginal content in midwifery education. Contemporary Nurse, 46(1), 113–122.Google Scholar
Universities Australia (2011). National best practice framework for Indigenous cultural competency in Australian Universities. Retrieved January 28, 2017 from https://www.universitiesaustralia.edu.au/uni-participation-quality/Indigenous-Higher-Education/Indigenous-Cultural-Compet.Google Scholar