Skip to main content

Advertisement

Log in

‘I now have a visual image in my mind and it is something I will never forget’: an analysis of an arts-informed approach to health professions ethics education

  • Published:
Advances in Health Sciences Education Aims and scope Submit manuscript

Abstract

This paper reports on a study of an arts informed approach to ethics education in a health professions education context. The purpose of this study was to investigate students’ reported learning experiences as a result of engagement with an arts-informed project in a health professions’ ethics course. A hermeneutic phenomenological methodological approach was adopted for the study. The data were collected over 5 years, and involved analysis of 234 occupational therapy students’ written reflections on learning. Phenomenological methods were used. Five key themes were identified with respect to students’ reported learning including: becoming aware of values, (re) discovering creativity, coming to value reflection in professional life, deepening self-awareness, and developing capacities to imagine future practices. There appear to be a number of unique ways in which arts-informed approaches can contribute to health professions education including: activating imaginative engagement, fostering interpretive capacity, inspiring transformative understandings, offering new ways of knowing, deepening reflection, and heightening consciousness, while also enriching the inner life of practitioners. Innovative approaches are being used to introduce arts-informed practices in health professions curricula programs. The findings point to the promise of arts-informed approaches for advancing health sciences education.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Allen, P. B. (1995). Art is a way of knowing. Boston, MA: Shambhala.

    Google Scholar 

  • Benner, P. (1994). The tradition and skill of interpretive phenomenology in studying health, illness, and caring practices. In P. Benner (Ed.), Interpretive phenomenology: Embodiment, caring, and ethics in health and illness (pp. 99–128). Thousand Oaks, CA: Sage.

    Chapter  Google Scholar 

  • Bleakley, A., Marshall, R., & Brömer, R. (2006). Toward an aesthetic medicine: Developing a core medical humanities undergraduate curriculum. Journal of Medical Humanities, 27, 197–213. doi:10.1007/s10912-006-9018-5.

    Article  Google Scholar 

  • Blomqvist, L., Pitkala, K., & Routasalo, P. (2007). Images of loneliness: Using art as an educational method in professional training. The Journal of Continuing Education in Nursing, 38(2), 89–93. http://search.proquest.com.proxy1.lib.uwo.ca/docview/223312282?accountid=15115

  • Brett-MacLean, P. (2007). Use of the Arts in Medical and Health Professional Education. University of Alberta Health Sciences Journal, 4(1), 26–29.

    Google Scholar 

  • Buzan, T. (2003). The mind map book. London: BBC Books.

    Google Scholar 

  • Caeiro, C., Cruz, E. B., & Pereira, C. M. (2014). Arts, literature and reflective writing as educational strategies to promote narrative reasoning capabilities among physiotherapy students. Physiotherapy Theory and Practice,. doi:10.3109/09593985.2014.928919.

    Google Scholar 

  • Casey, B. (2009). Arts-based inquiry in nursing education. Contemporary Nurse, 32(1–2), 69–82. doi:10.5172/conu.32.1-2.69.

    Article  Google Scholar 

  • Chinn, P. L., & Watson, J. (Eds.). (1994). Art and aesthetics in nursing (No. 14). Burlington, MA: Jones and Bartlett Learning.

    Google Scholar 

  • Collett, T. J., & McLachlan, J. C. (2006). Evaluating a poetry workshop in medical education. Medical Humanities, 32(1), 59–64. doi:10.1136/jmh.2005.000222.

    Article  Google Scholar 

  • Connor-Greene, P. A., Young, A., Paul, C., & Murdoch, J. W. (2005). Poetry: It’s not just for English class anymore. Teaching of Psychology, 32(4), 215–221. doi:10.1207/s15328023top3204_2.

    Article  Google Scholar 

  • Crotty, M. (2003). The foundations of social research: Meaning and perspective in the research process. London: Sage.

    Google Scholar 

  • Davey, N. (1999). The hermeneutics of seeing. In I. Heywood & B. Sandywell (Eds.), Interpreting visual culture: Explorations in the hermeneutics of the visual (pp. 3–29). London: Routledge.

    Google Scholar 

  • de la Croix, A., Rose, A., Wildig, E., & Willson, S. (2011). Arts-based learning in medical education: The student’s perspective. Medical Education, 45(11), 1090–1100. doi:10.1111/j.1365-2923.2011.04060.x.

    Article  Google Scholar 

  • Desyllas, M. C., & Sinclair, A. (2014). Zine-making as a pedagogical tool for transformative learning in social work education. Social Work Education, 33(3), 296–316. doi:10.1080/02615479.2013.805194.

    Article  Google Scholar 

  • Dewey, J. (1934). Art as experience. NewYork, NY: Minton, Balch.

    Google Scholar 

  • Eisner, E. (1998). What do the arts teach? Improving Schools, 1(3), 33–36.

    Article  Google Scholar 

  • Eisner, E. (2002). The arts and the creation of mind. New Haven, CT: Yale University Press.

    Google Scholar 

  • Eisner, E. (2009). What education can learn from the Arts. Art Education, 62(2), 6–9.

    Google Scholar 

  • Ferraris, M. (1996). History of hermeneutics (Luca Somigli, Trans.). Atlantic Highlands, NY: Humanities Press.

  • Gabbay, J., & Le May, A. (2011). Practice-based evidence for healthcare. London: Routledge.

    Google Scholar 

  • Gadamer, H. G. (1975). Truth and method. New York, NY: Continuum.

    Google Scholar 

  • Gadamer, H. G. (1996). Truth and method (2nd rev. ed., Joel Weinsheimer and Donald Marshall, Trans.). New York: Continuum.

  • Greene, M. (1995). Releasing the imagination: Essays on education, the arts, and social change. London: Routledge.

    Google Scholar 

  • Greene, M. (2001). Variations on a blue guitar: The Lincoln Center Institute lectures on aesthetic education. New York, NY: Teachers College Press.

    Google Scholar 

  • Greene, M. (2008). Education and the arts: The windows of imagination. Learning Landscapes, 2(1), 17–21.

    Google Scholar 

  • Heidegger, M. (2008). Being and time. New York, NY: Harper and Row Publishers Inc. (original work published 1927).

    Google Scholar 

  • Hughes, S. (2011). The leadership mask: A personally focused art based learning inquiry into facets of leadership. Reflective Practice, 12(3), 305–331. doi:10.1080/14623943.2011.571863.

    Article  Google Scholar 

  • Husserl, E. (1990). The idea of phenomenology (W. P. Alston, & G. Nakhnikian, Trans.). Norwell, MA: Kluwer Academic Publications (original lectures presented 1907).

  • Kearsley, J. H., & Lobb, E. A. (2014). ‘Workshops in healing’ for senior medical students: A 5-year overview and appraisal. Journal of Medical Humanities, 40(2), 73–79. doi:10.1136/medhum-2013-010438.

  • Kinsella, E. A. (2006). Hermeneutics and critical hermeneutics: Exploring possibilities within the art of interpretation. Forum Qualitative Sozialforschung/Forum: Qualitative Social Research 7(3). URN: urn:nbn:de:0114-fqs0603190.

  • Kinsella, E. A. (2007). Educating socially responsive practitioners: What can the literary arts offer health professional education? In D. Clover & J. Stalker (Eds.), The arts and social justice: Re-crafting adult education and community cultural leadership (pp. 39–58). Leicester: NIACE.

    Google Scholar 

  • Kinsella, E. A. (2012). Practitioner reflection and judgement as phronesis: A continuum of reflection and considerations for phronetic judgement. In E. A. Kinsella & A. Pitman (Eds.), Phronesis as professional knowledge: Practical wisdom in the professions (pp. 35–52). Rotterdam: Sense Publishing.

    Chapter  Google Scholar 

  • Kinsella, E. A., & Vanstone, M. (2010). An international conference on engaging reflection in health professional education and practice: Emerging conversations on the arts in health and social care. Reflective Practice: International and Multidisciplinary Perspectives, 11(4), 409–415.

    Article  Google Scholar 

  • Kinsella, E. A., Phelan, S., & Bidinosti, S. (in press). An arts-based approach to ethics education in the health professions. In A. Peterkin, & P. Brett-MacLean (Eds.), Keeping reflection fresh: Top educators share their knowledge in health professional education. Kent: Kent State University Press.

  • Kinsella, E. A., Caty, M. E., Ng, S., & Jenkins, K. (2012). Reflective practice for allied health: Theory and practice. In L. English (Ed.), Adult education and health (pp. 297–321). Toronto, ON: University of Toronto Press.

    Google Scholar 

  • Kinsella, E. A., Phelan, S., DiMuzio, T., & Kwong, J. (2008). Moral imagination: Three portraits. In J. Nisker (Ed.), From the other side of the fence: Stories from health care professionals (pp. 83–96). Halifax, NS: Pottersfield Press.

    Google Scholar 

  • Kinsella, E. A., Phelan, S., Park Lala, A., & Mom, V. (2015). An investigation of students’ perceptions of ethical practice: Engaging a reflective dialogue about ethics education in the health professions. Advances in Health Sciences Education, 20(3), 781–801. doi:10.1007/s10459-014-9566-9.

    Article  Google Scholar 

  • Kumagai, A. K. (2012). Acts of interpretation: A philosophical approach to using creative arts in medical education. Academic Medicine, 87(8), 1–7. doi:10.1097/ACM.0b013e31825d0fd7.

    Article  Google Scholar 

  • Kumagai, A. K., & Wear, D. (2014). “Making strange”: A role for the humanities in medical education. Academic Medicine, 89(7), 973–977. doi:10.1097/ACM.0000000000000269.

    Article  Google Scholar 

  • Lakoff, G., & Johnson, M. (1980). Metaphors we live by. Chicago, IL: University of Chicago Press.

    Google Scholar 

  • Laverty, S. (2003). Hermeneutic phenomenology and phenomenology: A comparison of historical and methodological considerations. International Journal of Qualitative Methods, 2(3), 1–29. https://ejournals.library.ualberta.ca/index.php/IJQM/article/view/4510/3647

  • Lordly, D. (2014). Crafting meaning: Arts-informed dietetics education. Canadian Journal of Dietetic Practice and Research, 75(2), 89–94. doi:10.3148/75.2.2014.89.

    Article  Google Scholar 

  • Lyon, P., Letschka, P., Ainsworth, T., & Haq, I. (2013). An exploratory study of the potential learning benefits for medical students in collaborative drawing: Creativity, reflection and ‘critical looking’. BMC Medical Education, 13(1), 86. doi:10.1186/1472-6920-13-86.

    Article  Google Scholar 

  • Mahar, D. J., Iwasiw, C. L., & Evans, M. K. (2012). The mandala: First-year undergraduate nursing students’ learning experiences. International Journal of Nursing Education Scholarship, 5(9), Art.26. doi:10.1515/1548-923X.2313.

    Google Scholar 

  • Mann, K., Gordon, J., & MacLeod, A. (2009). Reflection and reflective practice in health professions education: A systematic review. Advances in Health Sciences Education, 14(4), 595–621. doi:10.1007/s10459-007-9090-2.

    Article  Google Scholar 

  • McGarry, J., & Aubeeluck, A. (2013). A different drum: An arts-based educational program. Nursing Science Quarterly, 26(3), 267–273. doi:10.1177/089431841348200.

    Article  Google Scholar 

  • Miller, E., Balmer, D., Hermann, N., Graham, G., & Charon, R. (2014). Sounding narrative medicine: Studying students’ professional identity development at Columbia University College of Physicians and Surgeons. Academic Medicine, 89(2), 335–342. doi:10.1097/ACM.0000000000000098.

    Article  Google Scholar 

  • Milligan, E., & Woodley, E. (2009). Creative expressive encounters in health ethics education: Teaching ethics as relational engagement. Teaching and Learning in Medicine, 21(2), 131–139. doi:10.1080/10401330902791248.

    Article  Google Scholar 

  • Mitchell, M., & Hall, J. (2007). Teaching spirituality to student midwives: A creative approach. Nurse Education in Practice, 7, 416–424. doi:10.1016/j.nepr.2007.02.007.

    Article  Google Scholar 

  • Montgomery, K. (2006). How Doctor’s think: Clinical judgement and the practice of medicine. Oxford: Oxford University Press.

    Google Scholar 

  • Ousager, J., & Johannessen, H. (2010). Humanities in undergraduate medical education: A literature review. Academic Medicine, 85(6), 988–998.

    Article  Google Scholar 

  • Park Lala, A., & Kinsella, E. A. (2011). Phenomenology and the study of human occupation. Journal of Occupational Science, 18(3), 195–209.

    Article  Google Scholar 

  • Perry, M., Maffulli, N., Willson, S., & Morrissey, D. (2011). The effectiveness of arts-based interventions in medical education: A literature review. Medical Education, 45, 141–148. doi:10.1111/j.1365-2923.2010.03848.x.

    Article  Google Scholar 

  • Rabow, M. W., Evans, C. N., & Remen, R. N. (2013). Professional formation and deformation: Repression of personal values and qualities in medical education. Family Medicine, 45(1), 14–18. doi:10.1097/ACM.0b013e3181c887f7.

    Google Scholar 

  • Robinson, S. (2007). Using art in pre-registration nurse education. Health Education, 107(4), 324–342. doi:10.1108/09654280710759241.

    Article  Google Scholar 

  • Rodenhauser, P., Strickland, M., & Gambala, C. (2010). Arts-related activities across US Medical Schools: A follow-up study. Teaching and Learning in Medicine: An International Journal, 16(3), 233–239. doi:10.1207/s15328015tlm1603_2.

    Article  Google Scholar 

  • Schreiner, L., & Wolf Boronaro, G. P. (2012). Inner-outer boxes: An arts-based self-reflection experience about death and dying. Journal of Hospice and Palliative Nursing, 14(8), 559–562. doi:10.1097/NJH.0b013e31825ec187.

    Article  Google Scholar 

  • Schwind, J. K., Beanlands, H., Lapum, J., Romaniuk, D., & Fredericks, S. (2014a). Fostering person-centered care among nursing students: Creative pedagogical approaches to developing personal knowing. Journal of Nursing Education, 56(6), 343–347. doi:10.3928/01484834-20140520-01.

    Article  Google Scholar 

  • Schwind, J. K., Lindsay, G. M., Coffey, S., Morrison, D., & Mildon, B. (2014b). Opening the black-box of person centred care: An arts-informed narrative inquiry into mental health education and practice. Nursing Education Today, 34(8), 1167–1171. doi:10.1016/j.nedt.2014.04.010.

    Article  Google Scholar 

  • Schwind, J., Zanchetta, M., Aksenchuk, K., & Gorospe, F. (2013). Nursing students’ international placement experience: An arts-informed narrative inquiry. Reflective Practice, 14(6), 705–716. doi:10.1080/14623943.2013.810619.

    Article  Google Scholar 

  • Seedhouse, D. (1998). Ethics: The heart of health care. Chichester: Wiley.

    Google Scholar 

  • Skye, E. P., Wagenschutz, H., Steiger, J. A., & Kumagai, A. K. (2014). Use of interactive theater and role play to develop medical students’ skills in breaking bad news. Journal of Cancer Education, 29(4), 704–708. doi:10.1007/s13187-014-0641-y.

  • Smith, R. L., Bailey, M., Hydo, S. K., Lepp, M., Mews, S., Timm, S., & Zorn, C. (2004). All the voices in the room: Integrating humanities in nursing education. Nursing education Perspectives, 25(6), 278–283. doi:10.1043/1094-2831(2004)025<0278:ATVITR>2.0.CO;2.

    Google Scholar 

  • Smythe, E. A., Ironside, P. M., Sims, S. L., Swenson, M. M., & Spence, D. G. (2008). Doing Heideggerian hermeneutic research: A discussion paper. International Journal of Nursing Studies, 45, 1389–1397.

    Article  Google Scholar 

  • Staricoff, R. (2004). Arts in health: A review of the medical literature. London: Arts Council of England.

    Google Scholar 

  • Svenaeus, F. (2000). The hermeneutics of medicine and the phenomenology of health: Steps towards a philosophy of medical practice. Boston, MA: Kluwer.

    Book  Google Scholar 

  • Tattersall, C., Powell, J., Stroud, J., & Pringle, J. (2011). Mind mapping in qualitative research. Nursing Times, 107(18), 20–22.

    Google Scholar 

  • Thomas, S., & Pollio, H. (2002). Listening to patients: A phenomenological approach to nursing research and practice. New York, NY: Springer.

    Google Scholar 

  • Thompson, T., Loamont-Robinson, C., & Younie, L. (2010). ‘Complusory creativity’: Rationales, recipes, and results in the placement of mandatory creative endeavor in a medical undergraduate curriculum. Medical Education Online, 15. doi:10.3402/meo.v15i0.5394.

  • Van Manen, M. (1997). Researching lived experience: Human science for an action sensitive pedagogy. London, ON: The Althouse Press.

    Google Scholar 

  • Walton, P. (2012). Beyond talk and text: An expressive visual arts method for social work education. Social Work Education, 31(6), 724–741. doi:10.1080/02615479.2012.695934.

    Article  Google Scholar 

  • Wehbi, S. (2014). Arts-informed teaching practice: Examples from a graduate anti-oppression classroom. Social Work Education, 34(1), 46–59. doi:10.1080/02615479.2014.937417.

    Article  Google Scholar 

  • White, C. B., Perlman, R. L., Fantone, J. C., & Kumagai, A. K. (2010). The interpretive project: A creative educational approach to fostering medical students’ reflections and advancing humanistic medicine. Reflective Practice, 11(4), 517–527. doi:10.1080/14623943.2010.505718.

    Article  Google Scholar 

Download references

Acknowledgments

Appreciation is extended to the Social Sciences and Humanities Research Council of Canada for funding of this research. The authors would like to thank University of Western Ontario for support of this research, and offer special thanks to the student participants for generously granting permission for their written reflections to serve as data for this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elizabeth Anne Kinsella.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kinsella, E.A., Bidinosti, S. ‘I now have a visual image in my mind and it is something I will never forget’: an analysis of an arts-informed approach to health professions ethics education. Adv in Health Sci Educ 21, 303–322 (2016). https://doi.org/10.1007/s10459-015-9628-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10459-015-9628-7

Keywords

Navigation