Collaborative learning

协作学习
  • 文章类型: Journal Article
    本文报告了一个系统的文献综述,审查了过去的研究,探索协作增强现实(AR)启用指令的有效性,在高等教育环境中。要包括在内,一篇文章应该包括一项实验研究,调查在高等教育环境中使用协作AR进行学习。对5个数据库进行初步检索,共检索2537篇,其中20项已为本次审查定稿。主要研究结果表明,基于AR的协作学习有利于学生的整体学习成果,并在高等教育环境中提供积极的协作体验。需要进一步的研究来确定相互作用元素,合作机制,和通过AR的信息表示,这可能会提高学生的学习成果。本文最后讨论了这些发现的含义,确定开发有效的协作AR支持学习内容的挑战和策略。
    This article reports a systematic literature review that examined past research exploring the effectiveness of collaborative Augmented Reality (AR) enabled instruction, in higher education contexts. To be included, an article should consist of an experimental study investigating the use of collaborative AR for learning in higher education settings. An initial search was conducted on five databases that resulted in a total of 2537 articles, of which 20 were finalized for this review. The main findings suggest that AR-enabled collaborative learning benefits students\' overall learning outcomes and provides a positive collaboration experience in higher education settings. Further research is needed to determine the interaction elements, collaboration mechanisms, and information representation through AR that would potentially enhance student learning outcomes. This article concludes by discussing the implications of these findings, identifying challenges and strategies for developing effective collaborative AR-enabled learning content.
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  • 文章类型: Journal Article
    协作学习方法,如基于团队的学习,基于案例的学习,基于问题的学习已成为卫生专业教育领域主动学习的主要方法。批判性思维和团队中不同观点的暴露被强调为基于团队的学习的重要好处。然而,不考虑潜在的社会情感,行为,以及与这种学习形式相关的团队动态挑战,支持欢迎学习社区的原则可能会开始恶化。在这篇文章中,作者强调了成长心态的核心概念,心理安全,以及在1)学习者应该知道什么和2)教育者可以做什么的框架内的文化响应教学法,共同创造包容性的协作学习体验。
    Collaborative methods for learning such as team-based learning, case-based learning, and problem-based learning have become leading methods for active learning within the field of health professions education. Critical thinking and exposure to diverse perspectives within a group are highlighted as important benefits of team-based learning. However, without consideration of the potential socioemotional, behavioral, and team dynamic challenges associated with this format of learning, the tenets which support a welcoming learning community can begin to deteriorate. In this essay, authors highlight the core concepts of growth mindset, psychological safety, and culturally responsive pedagogy within a framework of 1) what learners should know and 2) what educators can do, to co-create an inclusive collaborative learning experience.
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  • 文章类型: Journal Article
    培养能够在跨专业团队中合作的独立医疗保健专业人员,卫生专业教育旨在支持学生从个人角度过渡到跨专业合作。产生有效跨专业合作条件的五个要素是:(1)积极的相互依存,(2)个人责任,(3)促进互动,(4)人际交往能力,(5)对团队流程的反思。本研究的目的是深入了解如何设计任务,以评估学生团队作为一个整体的跨专业合作。这是一项使用定性设计来评估跨专业评估任务的试点研究。四个跨专业学生团队,包括物理治疗,职业治疗,艺术治疗和护理学生(N=13),完成了这项任务,五名评估员使用了一个规则来评估团队任务完成情况的视频记录,然后参加了集体面试。使用内容分析对完成的规则和访谈记录进行了分析。研究结果表明,单独制备的组合,达成护理协议和团队反思的跨专业团队会议是评估任务的力量,使任务能够引起学生之间充分的促进互动。然而,需要改进评估任务的地方是,由于缺乏相互依赖,现在被证明是学生专业内想法的总和,而不是协议的跨专业整合。此外,评估人员建议,需要一系列不同的评估任务来得出关于学生的跨专业能力的结论。
    To develop independent healthcare professionals able to collaborate in interprofessional teams, health professions education aims to support students in transitioning from an individual perspective to interprofessional collaboration. The five elements that yield the conditions for effective interprofessional collaboration are: (1) positive interdependence, (2) individual accountability, (3) promotive interaction, (4) interpersonal skills, and (5) reflection on team processes. The aim of the current study is to gain insights into how to design tasks to assess a student team as a whole on their interprofessional collaboration. This was a pilot study using a qualitative design to evaluate an interprofessional assessment task. Four interprofessional student teams, comprising physiotherapy, occupational therapy, arts therapy and nursing students (N = 13), completed this task and five assessors used a rubric to assess video recordings of the teams\' task completion, and then participated in a group interview. The completed rubrics and the interview transcript were analyzed using content analysis. Findings showed that the combination of individual preparation, an interprofessional team meeting resulting in care agreements and team reflection was a strength of the assessment task, enabling the task to elicit sufficient promotive interaction between students. Areas for improvement of the assessment task were however, due to a lack of interdependence, the care agreements which now proved to be the sum of students\' intraprofessional ideas rather than an interprofessional integration of agreements. Additionally, assessors suggested that a series of varying assessment tasks is required to draw conclusions about students\' interprofessional competence.
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  • 文章类型: Journal Article
    本文基于药学学生在协作学习中使用技术,并为导师进行临床案例研究讨论提供了见解。反思揭示了协作学习,促进积极的互动和不对称的角色,积极影响学生的参与度。当目标是提高学习者对相互负责的共享任务的参与度时,这证明是有益的。还鼓励导师将教学视为培养学生学习能力的一种手段,而不是信息传递。本文强调了技术的重要性,尤其是Padlet,在这个过程中,被学生认定为学习的推动者。对未来发展的建议包括探索影响协作学习的变量和理解技术在支持这种方法中的作用。总的来说,这项反思工作为寻求在案例研究讨论中优化协作学习经验的导师提供了宝贵的指导。
    This article is based on pharmacy students using technology in collaborative learning and offers insights for tutors conducting clinical case study discussions. Reflection revealed that collaborative learning, fostering active interaction and asymmetrical roles, positively impacted student engagement. It proved beneficial when the goal was to enhance learners\' engagement in a shared task with mutual accountability. Tutors are also encouraged to view teaching as a means of developing students\' learning abilities rather than information transmission. This article emphasised the significance of technology, particularly Padlet, in this process, identified by students as an enabler of learning. Suggestions for future development include exploring variables affecting collaborative learning and understanding technology\'s role in supporting this method. Overall, this reflective work provided valuable guidance for tutors seeking to optimise collaborative learning experiences in case study discussions.
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  • 文章类型: Journal Article
    人工智能(AI)在医疗保健领域的快速发展暴露了对多学科劳动力的需求,这些劳动力可以在学习卫生系统中进行有效协作。最大化多个团队之间的协同作用对于医疗保健中的协作AI至关重要。
    我们开发了一系列数据,工具,和教育资源,用于培养下一代多学科劳动力,用于医疗保健领域的协作AI。我们构建了大量自然语言处理管道,以从临床笔记中提取结构化信息,并将其存储在通用数据模型中。我们开发了多模式AI/机器学习(ML)工具和教程,以丰富多学科劳动力的工具箱,以分析多模式医疗保健数据。我们创造了一个沃土,为临床医生和人工智能科学家交叉授粉,并培训下一代人工智能健康劳动力进行有效合作。
    我们的工作使获取非结构化健康信息的途径民主化,面向医疗保健的AI/ML工具和资源,合作教育资源。从2017年到2022年,这使得在多个临床专业的研究产生了68同行评审的出版物。2022年,我们的跨学科工作融合并制度化到医疗保健协作AI中心。
    我们的医疗保健协作AI计划创造了宝贵的教育和实践资源。他们让更多的临床医生,科学家,和医院管理人员在日常研究和实践中成功应用人工智能方法,发展更紧密的合作,推进了机构级学习卫生系统。
    UNASSIGNED: The rapid development of artificial intelligence (AI) in healthcare has exposed the unmet need for growing a multidisciplinary workforce that can collaborate effectively in the learning health systems. Maximizing the synergy among multiple teams is critical for Collaborative AI in Healthcare.
    UNASSIGNED: We have developed a series of data, tools, and educational resources for cultivating the next generation of multidisciplinary workforce for Collaborative AI in Healthcare. We built bulk-natural language processing pipelines to extract structured information from clinical notes and stored them in common data models. We developed multimodal AI/machine learning (ML) tools and tutorials to enrich the toolbox of the multidisciplinary workforce to analyze multimodal healthcare data. We have created a fertile ground to cross-pollinate clinicians and AI scientists and train the next generation of AI health workforce to collaborate effectively.
    UNASSIGNED: Our work has democratized access to unstructured health information, AI/ML tools and resources for healthcare, and collaborative education resources. From 2017 to 2022, this has enabled studies in multiple clinical specialties resulting in 68 peer-reviewed publications. In 2022, our cross-discipline efforts converged and institutionalized into the Center for Collaborative AI in Healthcare.
    UNASSIGNED: Our Collaborative AI in Healthcare initiatives has created valuable educational and practical resources. They have enabled more clinicians, scientists, and hospital administrators to successfully apply AI methods in their daily research and practice, develop closer collaborations, and advanced the institution-level learning health system.
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  • 文章类型: Journal Article
    背景:跨专业教育(IPE)对于促进医疗保健专业人员之间的整体患者护理合作至关重要。然而,马来西亚牙科教育仍然以学科为中心,阻碍多学科学习方法。因此,本研究旨在探讨马来西亚本科牙科学生对IPE的看法。
    方法:本横断面研究采用便利抽样法,使用包含20个封闭式和2个开放式问题的改良问卷,对来自四个马来西亚机构的本科牙科学生进行调查。问卷涵盖三个领域(有效性,preference,重要性)使用五点李克特量表评估学生的看法。进行心理测量验证以确保修改后的问卷的有效性和可靠性。定量分析(描述性和推断性统计),随后进行了定性分析(内容分析)。
    结果:397名学生回答,并且通常注意到积极的看法,所有领域的平均得分在4.13至4.35之间。问题2和3,评估在理解角色和责任方面的改进,以及医疗保健专业人员之间的沟通,平均得分最高。同时,关于将IPE纳入教育目标的问题15的平均得分最低。回归分析确定性别和临床阶段是重要因素,女性和临床前学生表现出更有利的看法。IPE的动机包括对不同观点的浓厚兴趣,并认识到团队合作的重要性,虽然障碍包括紧凑的时间表,对IPE缺乏了解,关于牙科教育的误解,以及学生对参与的紧张和恐惧。
    结论:这项研究提供了一种有效和可靠的工具来衡量本科牙科学生对IPE的看法。战略规划,例如克服后勤挑战,提高认识,创造一个支持性的学习环境对于成功地将IPE整合到现有课程中至关重要,特别是在像马来西亚这样资源有限的发展中国家。
    BACKGROUND: Interprofessional education (IPE) is essential to foster collaboration among healthcare professionals for holistic patient care. However, Malaysian dental education remains discipline-centric, hindering multidisciplinary learning approaches. Hence, this study aimed to explore Malaysian undergraduate dental students\' perceptions of IPE.
    METHODS: The present cross-sectional study employed convenience sampling to survey undergraduate dental students from four Malaysian institutions using a modified questionnaire with 20 close-ended and 2 open-ended questions. The questionnaire covered three domains (effectiveness, preference, importance) to assess students\' perceptions using a five-point Likert scale. Psychometric validation was performed to assure validity and reliability of the modified questionnaire. Quantitative analysis (descriptive and inferential statistics), and qualitative analysis (content analysis) were subsequently performed.
    RESULTS: 397 students responded, and positive perceptions were generally noted with mean scores ranging from 4.13 to 4.35 across all domains. Questions 2 and 3, assessing the improvement in understanding the roles and responsibilities, and communication among healthcare professionals, received the highest mean scores. Meanwhile, Question 15 concerning the incorporation of IPE into educational goals received the lowest mean score. Regression analysis identified gender and clinical phase as significant factors, with females and preclinical students exhibiting more favourable perceptions. Motivators for IPE included a keen interest in diverse perspectives and recognising the importance of teamwork, while barriers encompassed tightly packed schedules, lack of understanding about IPE, misconceptions regarding dental education, and students\' nervousness and fear of participation.
    CONCLUSIONS: This study produced a valid and reliable instrument to measure undergraduate dental students\' perceptions towards IPE. Strategic planning, such as overcoming logistical challenges, improving awareness, and creating a supportive learning environment are crucial for successful IPE integration into existing curricula, especially in resource-constrained developing countries like Malaysia.
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  • 文章类型: Journal Article
    背景:考虑一种设置,即持有敏感数据的多方旨在协作学习人口水平统计数据,但是由于隐私问题,不可能汇集敏感数据集,各方无法进行集中协调的联合计算。我们研究了结合隐私保护合成数据集代替原始数据以对来自英国生物库的现实世界健康数据进行协作学习的可行性。
    方法:我们根据文献中现有的前瞻性队列研究进行了实证评估。通过沿评估中心拆分UKBiobank队列来模拟多方,为此,我们使用差分私有生成建模技术生成合成数据。然后,我们将原始研究的泊松回归分析应用于组合合成数据集,并评估1)局部数据集大小的影响,2)参加方的数量,和3)分布的局部变化,在获得的可能性得分上。
    结果:我们发现,与仅使用本地数据相比,通过共享合成数据参与协作学习的各方可以获得更准确的回归参数估计。这一发现延伸到小型异构数据集的困难情况。此外,参与的政党越多,更大和更一致的改进变得达到一定的极限。最后,我们发现,数据共享尤其可以帮助数据中包含代表性不足群体的政党对这些群体进行更好的调整分析。
    结论:根据我们的结果,我们得出结论,即使单个数据集很小或不能很好地代表总体,共享合成数据也是一种可行的方法,可以在不违反隐私限制的情况下从敏感数据中学习。缺乏对分布式敏感数据的访问通常是生物医学研究的瓶颈,我们的研究表明,这可以通过保护隐私的协作学习方法来缓解。
    BACKGROUND: Consider a setting where multiple parties holding sensitive data aim to collaboratively learn population level statistics, but pooling the sensitive data sets is not possible due to privacy concerns and parties are unable to engage in centrally coordinated joint computation. We study the feasibility of combining privacy preserving synthetic data sets in place of the original data for collaborative learning on real-world health data from the UK Biobank.
    METHODS: We perform an empirical evaluation based on an existing prospective cohort study from the literature. Multiple parties were simulated by splitting the UK Biobank cohort along assessment centers, for which we generate synthetic data using differentially private generative modelling techniques. We then apply the original study\'s Poisson regression analysis on the combined synthetic data sets and evaluate the effects of 1) the size of local data set, 2) the number of participating parties, and 3) local shifts in distributions, on the obtained likelihood scores.
    RESULTS: We discover that parties engaging in the collaborative learning via shared synthetic data obtain more accurate estimates of the regression parameters compared to using only their local data. This finding extends to the difficult case of small heterogeneous data sets. Furthermore, the more parties participate, the larger and more consistent the improvements become up to a certain limit. Finally, we find that data sharing can especially help parties whose data contain underrepresented groups to perform better-adjusted analysis for said groups.
    CONCLUSIONS: Based on our results we conclude that sharing of synthetic data is a viable method for enabling learning from sensitive data without violating privacy constraints even if individual data sets are small or do not represent the overall population well. Lack of access to distributed sensitive data is often a bottleneck in biomedical research, which our study shows can be alleviated with privacy-preserving collaborative learning methods.
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  • 文章类型: Journal Article
    背景:人员短缺限制了获得医疗服务的机会。在学生学习领域,了解联合健康临床实习的双向益处,卫生服务提供,以及未来的劳动力发展。尽管如此,对当前劳动力结果的好处仍然未知。这篇综述提供了有关急性和初级保健环境中专职健康学生实习的影响的见解,特别是医护人员的知识和程序技能。
    方法:此搜索基于Whittemore和Knafl于2005年建立的综合审查过程。2023年10月,第一作者(MH)搜索了五个主要的电子数据库:Medline-EBSCO,PubMed,CINAHL,Embase,还有Scopus.CLUSTER模型用于跟踪其他引用。前三位作者(MH,SM,和SC)参与筛查,质量评估,和研究的综合。对数据进行主题合成和分析。
    结果:在关键搜索领域使用了MeSH标题和关键词:健康教育,健康专业培训,临床位置,和专职医疗专业。系统的搜索产生了12篇论文,内容涉及农村和大都市地区各种医疗机构中的专职健康学生,没有高质量的方法来衡量学生安置对员工知识和技能的影响。从分析中确定了四个主要主题:有意义的学生融入服务提供,对医护人员有针对性的教育支持,员工程序技能和信心的发展,以及学生实习在这方面起作用的机制。
    结论:本综述表明,提供专职医疗学生安置可能是一种有希望的方法,以支持农村医护人员熟练和协作地进行患者评估和治疗。然而,这需要进一步调查才能确认。
    BACKGROUND: Staff shortages limit access to health services. The bidirectional benefits of allied health clinical placements are understood in the domains of student learning, health service delivery, and future workforce development. Still, the benefits to current workforce outcomes remain unknown. This review provides insights into the effects of allied health student placements in acute and primary care settings, particularly on healthcare staff\'s knowledge and procedural skills.
    METHODS: This search was based on the integrative review process established by Whittemore and Knafl in 2005. In October 2023, the first author (MH) searched five major electronic databases: Medline-EBSCO, PubMed, CINAHL, Embase, and Scopus. The CLUSTER model was used to track additional references. The first three authors (MH, SM, and SC) were involved in screening, quality appraisal, and synthesis of the studies. Data were thematically synthesised and analysed.
    RESULTS: MeSH headings and keywords were used in key search areas: health education, health professional training, clinical placements, and allied health professions. The systematic search yielded 12 papers on allied health student placements across various healthcare settings in rural and metropolitan areas, with no high-quality methodologies measuring student placements\' impact on staff knowledge and skills. Four main themes were identified from the analysis: meaningful student integration in service delivery, targeted educational support to healthcare staff, development of staff procedural skills and confidence, and the mechanisms of why student placements work in this aspect.
    CONCLUSIONS: This review suggests that offering allied health student placement could be a promising approach to supporting rural healthcare staff in performing patient assessments and treatments proficiently and collaboratively. However, this requires further investigation to confirm.
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  • 文章类型: Journal Article
    在这项研究中,我们评估了一个高度结构化的,一年,为本科预科学生设计的基于案例的课程。我们纳入了内容学习评估,并开发了一种称为多次小型考试的新颖方法,用于评估课程对专业学校经常在健康前学生中寻求的技能发展的影响。专注于学生与他人合作的能力,展示床头礼仪,综合患者病例细节,适当使用科学和医学语言,并有效地获得患者的病史。这种新颖的方法利用基于所需医学生技能的标题来对录像行为和学生在假设的患者案例研究场景中扮演医生角色的互动进行评分。总的来说,我们的研究结果表明,一个高度结构化的课程,结合每周的学生表现和患者病例的陈述,包括历史记录,诊断,和治疗,可以导致内容学习,以及提高在医疗领域的成功所需的技能。
    In this study, we assessed a highly structured, yearlong, case-based course designed for undergraduate pre-health students. We incorporated both content learning assessments and developed a novel method called Multiple Mini Exams for assessing course impact on the development of skills that professional schools often seek in pre-health students, focusing on students\' abilities to collaborate with others, display bedside manners, synthesize patient case details, appropriately use scientific and medical language, and effectively attain patients\' medical histories. This novel method utilized a rubric based on desired medical student skills to score videotaped behaviors and interactions of students role playing as doctors in a hypothetical patient case study scenario. Overall, our findings demonstrate that a highly structured course, incorporating weekly student performance and presentation of patient cases encompassing history taking, diagnosis, and treatment, can result in content learning, as well as improve desired skills specific for success in medical fields.
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  • 文章类型: Journal Article
    背景:协作和创新的教育方法对于培养护士应对医疗保健挑战的能力和提高高质量的护理实践至关重要。护士越来越多地在各种情况下学习,因此,协作学习的理解和组织需要进一步探索。
    目的:从护士的角度描述护理实践和教育中的协作学习,作为学生和教师参与护理硕士教育。
    方法:定性研究使用半结构化焦点小组,包括来自爱沙尼亚和挪威的33名护士作为硕士学生和教师。使用归纳内容分析对数据进行分析。
    结果:在护理实践和教育的背景下,协作学习的本质被认为是不同学习者的技能和反思的聚集,同时努力实现共同的目标。这促进了工作场所能力的发展,专业态度,和个人成长。组织协作学习需要临床和教育组织之间的仔细计划和同步。
    结论:协作学习是一种包容性方法,帮助护士在职业生涯的不同阶段获得知识并提高他们的软技能,并可能减少专业等级制度。需要进一步的研究来开发评估协作学习成果的方法。
    Collaborative and innovative educational approaches are essential to building nurses\' competencies in responding to healthcare challenges and to enhance high-quality nursing practice. Nurses are increasingly learning in various contexts, and thus, the understanding and organising of collaborative learning needs further exploration.
    To describe collaborative learning in nursing practice and education from the point of view of nurses, involved as students and teachers in master\'s education in nursing.
    Qualitative study using semi-structured focus groups involving 33 nurses as master\'s students and teachers from Estonia and Norway. The data were analysed using inductive content analysis.
    The essence of collaborative learning in the context of nursing practice and education was identified as the aggregation of diverse learners\' skills and reflections while working towards shared aims. This fostered the development of workplace competencies, professional attitudes, and personal growth. Organising collaborative learning requires careful planning and synchronisation between clinical and educational organisations.
    Collaborative learning is an inclusive method, aiding nurses at different phases of their career to gain knowledge and enhance their soft skills, and potentially reducing professional hierarchies. Further research is needed to develop methods for evaluating the outcomes of collaborative learning.
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