Research Output

Beyond sickness: A student perspective of Hub and Spoke learning Introduction

  The integration of Hub and Spoke models of practice learning has been utilised within one Scottish university's undergraduate nursing programmes since 2011. Early findings suggest that generally, students exhibit a greater depth of understanding when the Hub and Spoke model is incorporated into practice learning (Roxburgh, Conlon and Banks, 2012). Hub and Spoke models of practice learning can present in a variety of forms but overall the approach has become generally accepted in nurse education as a 'value added' model to learning as they provide the opportunity for deeper student learning experiences that also enhance a person centred approach to nursing care. However, the quality of the Hub and Spoke models can become easily distilled. Reasons can include organisational and capacity issues of the institution and the placement provider. In addition, restrictions of placement areas, regulatory requirements and curriculum demands can all result in a very much reduced version of the Hub and Spoke model. If this occurs, the practice learning experience can then become easily compressed into short, disjointed and disconnected learning experiences that prioritise the administrative and curricular demands of the programme over the quality of the student learning. Thus, the Hub and Spoke approach requires further exploration to supply robust evidence which ensures only quality interpretations of the model are available. This mixed method case study approach aims to explore the student experience of Hub and Spoke learning by deconstructing the model to identify which characteristics best benefit the student's learning. This means specifically studying the component parts of the Hub and Spoke model that impacted on three distinct areas: 1. The students ability to connect with the person rather than the patient 2. Connection with the family of that person and in turn the wider community 3. Security in the students' own learning process The aim of this research is to identify and uncover the core characteristics of the Hub and Spoke model that best enhances, supports and develops student learning in practice. Background and Literature

  • Type:


  • Date:

    07 December 2016

  • Publication Status:


  • ISSN:


  • Library of Congress:

    RT Nursing

  • Dewey Decimal Classification:

    610.7 Medical education, research & nursing

  • Funders:

    Edinburgh Napier Funded


Millar, L., Conlon, M. & McGirr, D. (in press). Beyond sickness: A student perspective of Hub and Spoke learning Introduction. Nursing Standard. ISSN 0029-6570


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