J Korean Acad Psychiatr Ment Health Nurs.  2018 Jun;27(2):189-197. 10.12934/jkpmhn.2018.27.2.189.

Effect of a Patient Illness Narrative on Knowledge about Schizophrenia, Attitudes toward Mental Illness, and Learning Satisfaction

  • 1Department of Nursing, Baekseok University, Cheonan, Korea. youngmiryu@bu.ac.kr


The aim of this study was to identify effects of a psychiatric and mental health nursing class to improve knowledge about schizophrenia, attitudes toward mental illness, and learning satisfaction after using an illness narrative of a patient with schizophrenia.
This study was in nonequivalent control group and a pretest-posttest design. Of the 88 nursing students, the 34 in the experimental group received 5 hours of lectures on schizophrenia plus 2 hours of learning using a patient's illness narrative. The control group (n=54) received only the 5 hours of lectures on schizophrenia. During September, 2017, an online survey was used to collect data before and after the intervention. Data were analyzed using t-tests and Mann-Whitney U tests with SPSS Statistics version 22.0.
There were no differences for knowledge on schizophrenia or for attitudes toward mental illness between the experimental group and the control group after the intervention. However, learning satisfaction was significantly higher in the experimental group compared to the control group (Z=−2.18, p=.029).
Findings indicate that patient illness narratives could be a useful tool to improve learning satisfaction in nursing students. Therefore, using patient illness narratives in nursing classes is recommended.


Schizophrenia; Knowledge; Attitude; Personal narratives; Education, nursing

MeSH Terms

Education, Nursing
Psychiatric Nursing
Students, Nursing


1. Hwang IK. Teaching medical humanities through an illness narrative. Korean J Med Educ. 2013; 25(2):81–88. DOI: 10.3946/kjme.2013.25.2.81.
2. Charon R. At the membranes of care: stories in narrative medicine. Acad Med. 2012; 87:342–347.
3. Kim H. The development and the effects of an illness narrative-based teaching-learning method of nursing [dissertation]. [Seoul]: Seoul National University;2016. 84.
4. Cruz EB, Caeiro C, Pereira C. A narrative reasoning course to promote patient-centered practice in a physiotherapy undergraduate programme: a qualitative study of final year students. Physiother Theory Pract. 2014; 30(4):254–260. DOI: 10.3109/09593985.2013.863415.
5. Carlick A, Biley FC. Thoughts on the therapeutic use of narrative in the promotion of coping in cancer care. Eur J Cancer Care (Engl). 2004; 13(4):308–317. DOI: 10.1111/j.1365-2354.2004.00466.x.
6. Park EW. Patient-centered interviewing: narrative approach. Korean J Fam Med. 2010; 31(1):3–8. DOI: 10.4082/kjfm.2010.31.1.3.
7. Kumagai AK. A conceptual framework for the use of illness narratives in medical education. Acad Med. 2008; 83(7):653–658. DOI: 10.1097/ACM.0b013e3181782e17.
8. Park M. Theoretical investigation on the concept of narrative: storytelling, meaning-making, and communication. Asian J Educ. 2006; 7(4):27–47.
9. Kumagai AK, Murphy EA, Ross PT. Diabetes stories: use of patient narratives of diabetes to teach patient-centered care. Adv Health Sci Educ Theory Pract. 2009; 14(3):315–326. DOI: 10.1007/s10459-008-9123-5.
10. Wall BM, Rossen EK. Media as a teaching tool in psychiatric nursing education. Nurse Educ. 2004; 29(1):36–40.
11. Min ST. Experience of reading book 〈memorandum of overcoming in person with mental illness〉 by university student of nursing. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18(4):483–491.
12. Brown ST, Kirkpatrick MK, Mangum D, Avery J. A review of narrative pedagogy strategies to transform traditional nursing education. J Nurs Educ. 2008; 47(6):283–286. DOI: 10.3928/01484834-20080601-01.
13. Ironside PM. Narrative pedagogy: transforming nursing education through 15 years of research in nursing education. Nurs Educ Perspect. 2015; 36(2):83–88. DOI: 10.5480/13-1102.
14. Lim YM, Ahn YH. Knowledge and coping of family caregivers with schizophrenic patients. J Korean Acad Psychiatr Ment Health Nurs. 2000; 9(2):195–208.
15. Kim IJ, Kim S. Relationships between knowledge, attitude and preventive health behavior about cancer in university students. Asian Oncol Nurs. 2012; 12(1):44–51.
16. Tully A. Stress, sources of stress and ways of coping among psychiatric nursing students. J Psychiatr Ment Health Nurs. 2004; 11(1):43–47. DOI: 10.1111/j.1365-2850.2004.00682.x.
17. Cho M, Kim MY. Effects of learner motivation and teacher-student interaction on learner satisfaction in nursing students. J Korea Contents Assoc. 2017; 17(4):468–477.
18. Lee HY. Psychiatric hospital isolation, obsession status. 2015 human rights situation survey research service report. Seoul: National Human Rights commission;2015. 11. Report No. HETA 11-1620000-000587-01.
19. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175–191. DOI: 10.3758/BF03193146.
20. Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophr Bull. 1981; 7(2):225–240. DOI: 10.1093/schbul/7.2.225.
21. Lee JH, Rhee CS, Hwang TY, Han KS, Lee YM. Community attitude toward the mentally ill in Suseo-Ilweon community. Bull Yong-In Psychiatr Inst. 1996; 3(2):188–202.
22. Ji Y, Chung HM. Effects of case-based learning on task achievement and learning satisfaction in the university class. J Learn Cent Curric Instr. 2014; 14(9):243–265.
23. IBM Corp. IBM SPSS statistics for Windows, version 22.0. Armonk, NY: IBM Corp;2013.
24. Edwards D, Anstey S, Kelly D, Ballie J, Hopkinson J. What is important for student nurses to know about cancer treatment and care: a qualitative study of student nurses' and stakeholder perspectives. J Clin Nurs. 2017; 26(13-14):2045–2054. DOI: 10.1111/jocn.13616.
25. Garner SL. Patient storytelling in the classroom: a memorable way to teach spiritual care. J Christ Nurs. 2016; 33(1):30–34. DOI: 10.1097/CNJ.0000000000000177.
26. Billings DM. Storytelling: a strategy for providing context for learning. J Contin Educ Nurs. 2016; 47(3):109–110. DOI: 10.3928/00220124-20160218-05.
27. Kim GH, Kim KH. The teachers' attitudes, discrimination and causes of prejudice towards people with mental illness. J Korean Acad Psychiatr Ment Health Nurs. 2013; 22(2):97–106. DOI: 10.12934/jkpmhn.2013.22.2.97.
28. Jung KH, Sim DS, Lee CS. The effect of mental illness education on the attitudes toward mental illness of high school students. J Korean Acad Psychiatr Ment Health Nurs. 1999; 8(2):355–368.
29. Lefroy J. Should I ask my patient with cancer to teach students? Clin Teach. 2008; 5(3):138–142. DOI: 10.1111/j.1743-498X.2008.00223.x.
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