Nurse education in practice · 2026
The effects of concept mapping and reflective journaling-based professionalism training on professional image and attitudes toward nursing: A mixed-methods study.
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Aydogan Sinan, Dursun Ergezen Fatma
Аннотация
AIM: To evaluate the effects of concept mapping and reflective journaling-based professionalism training on professional image and attitudes toward nursing.
BACKGROUND: The internalization of a professional image and attitude in nursing education forms the foundation for quality patient care. Concept maps and reflective journals emerge as strategic tools for helping students overcome the complexities arising from their diverse backgrounds.
DESIGN: An explanatory sequential mixed-methods design.
METHODS: This study was conducted between October and December 2025 with 96 first-year undergraduate nursing students. The students were allocated to intervention (n = 48) and control (n = 48) groups. The experimental group received professionalism training using concept mapping and reflective journaling, while the control group followed the standard curriculum. Quantitative data were analyzed using ANCOVA, while qualitative data underwent inductive content analysis.
RESULTS: The intervention group demonstrated significantly higher adjusted post-test mean scores for professional image (p = .041) and attitudes toward nursing (p = .045) than the control group. Qualitative analysis of 54 reflective journal entries identified two themes: "Reconstructing professional identity" and "Internalizing the moral and emotional meaning of nursing."
CONCLUSION: The integration of concept mapping and reflective journaling serves as an effective pedagogical strategy to enhance nursing students' professional image and attitudes toward nursing. These results underscore the necessity of using combined cognitive and affective tools in nursing curricula to foster a robust professional foundation and ensure the internalization of nursing values from the earliest stages of education.
BACKGROUND: The internalization of a professional image and attitude in nursing education forms the foundation for quality patient care. Concept maps and reflective journals emerge as strategic tools for helping students overcome the complexities arising from their diverse backgrounds.
DESIGN: An explanatory sequential mixed-methods design.
METHODS: This study was conducted between October and December 2025 with 96 first-year undergraduate nursing students. The students were allocated to intervention (n = 48) and control (n = 48) groups. The experimental group received professionalism training using concept mapping and reflective journaling, while the control group followed the standard curriculum. Quantitative data were analyzed using ANCOVA, while qualitative data underwent inductive content analysis.
RESULTS: The intervention group demonstrated significantly higher adjusted post-test mean scores for professional image (p = .041) and attitudes toward nursing (p = .045) than the control group. Qualitative analysis of 54 reflective journal entries identified two themes: "Reconstructing professional identity" and "Internalizing the moral and emotional meaning of nursing."
CONCLUSION: The integration of concept mapping and reflective journaling serves as an effective pedagogical strategy to enhance nursing students' professional image and attitudes toward nursing. These results underscore the necessity of using combined cognitive and affective tools in nursing curricula to foster a robust professional foundation and ensure the internalization of nursing values from the earliest stages of education.