关键词: Competence Critical thinking Discourse Health professional Master’s in health science Scientific thinking

Mesh : Humans Adult Middle Aged Education, Nursing, Graduate Thinking Health Personnel Attitude of Health Personnel

来  源:   DOI:10.1007/s10459-023-10253-8   PDF(Pubmed)

Abstract:
It has been claimed that various discourses related to competence influence higher education, but there is limited understanding of the discourses underlying competence development. The specific aim of this study was to explore epistemic discourses concerning the development of competence of health professionals with a master\'s degree in health science. Accordingly, the study was qualitative and adopted discourse analysis. Twelve participants, all of whom were Norwegian health professionals aged between 29 and 49 years, participated in this study. Four participants were in the final stage of study for their master\'s degree with three months left before completion, four had completed their degree two weeks before their participation, and four had been working for one year after the completion of their degree. Data were collected in three group interviews. Three epistemic discourses were revealed: (1) a critical thinking competencies discourse, (2) a scientific thinking competencies discourse, and (3) a competence-in-use discourse. The former two discourses were considered the dominant discourses and indicated that a knowing \"that\" discourse connected the specialized competence of different health professionals with a wider field of competence. This wider field transcended the boundaries of various health disciplines and represented a novel competence developed through a synergizing process between critical and scientific thinking competencies, which seems to drive continued competence development. A competence-in-use discourse was formed in the process. This discourse can be viewed as a unique outcome that contributes to health professionals\' specialized competence and suggests that a knowing \"how\" discourse was also an underlying background discourse.
摘要:
有人声称,与能力有关的各种话语会影响高等教育,但是对能力发展背后的话语的理解有限。这项研究的具体目的是探索有关具有健康科学硕士学位的卫生专业人员能力发展的认知话语。因此,本研究采用定性和语篇分析。12名参与者,他们都是年龄在29至49岁之间的挪威卫生专业人员,参与了这项研究。四名参与者处于硕士学位研究的最后阶段,在完成前还剩三个月,四个人在参与前两周完成了学位,四个人在完成学位后已经工作了一年。在三组访谈中收集数据。揭示了三种认知话语:(1)批判性思维能力话语,(2)科学的思维能力话语,和(3)使用能力话语。前两种话语被认为是主要话语,并表明“知道”话语将不同卫生专业人员的专业能力与更广泛的能力领域联系起来。这个更广泛的领域超越了各种健康学科的界限,代表了一种通过批判性和科学思维能力之间的协同过程而发展起来的新能力。这似乎推动了能力的持续发展。在此过程中形成了使用能力话语。这种话语可以被视为一种独特的结果,有助于卫生专业人员的专业能力,并表明知道“如何”话语也是一种潜在的背景话语。
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