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Updated: Sep 12, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education
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Transformative learning through the "Honor Walk" in nursing education: a qualitative study.

Ming-Yan Shen1,2, Zhi-Xian Feng3,4,5, Jia-Wen Jin1

  • 1Zhejiang Shuren University, Hangzhou, P. R. China.

BMC Nursing
|August 5, 2025
PubMed
Summary

The organ donor "Honor Walk" significantly enhanced nursing students' ethical awareness and professional identity by providing emotional and cognitive growth. This experiential learning fosters a more compassionate approach to end-of-life care and organ donation education.

Keywords:
Experiential learningNursing educationOrgan donationProfessional identityTransformative learning“Honor Walk”

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Area of Science:

  • Medical Education
  • Nursing Ethics
  • End-of-Life Care

Background:

  • Traditional nursing education often lacks real-life, emotional experiences in organ donation.
  • The organ donor "Honor Walk" ceremony presents a unique educational opportunity.

Purpose of the Study:

  • To explore nursing students' emotional and cognitive responses to the "Honor Walk."
  • To examine the impact of the "Honor Walk" on ethical awareness, humanistic care, and professional identity.
  • To identify potential curriculum integration strategies for organ donation education.

Main Methods:

  • Qualitative descriptive study utilizing semi-structured interviews.
  • Seventeen participants (10 nursing students, 7 educators) from eastern China.
  • Thematic analysis of interview data from participants involved in an "Honor Walk" within three months.

Main Results:

  • Students experienced cognitive reframing of life continuity through emotional reflection on death and donation.
  • A shift in professional identity was observed, moving towards deeper ethical and humanistic understanding.
  • Participants suggested integrating interdisciplinary and experiential approaches into organ donation curricula.

Conclusions:

  • The "Honor Walk" serves as a powerful tool for ethical reflection and humanistic development in nursing students.
  • Structured educational frameworks supporting such experiences enhance professional identity.
  • This approach promotes informed and compassionate organ donation practices.