Experiential learning theory

  • 文章类型: Journal Article
    背景:患有与年龄相关的复杂健康问题的老年人将越来越多地依靠自己家中的护士提供护理。然而,优质护理的障碍是年龄歧视和护理专业学生对老年病学的不感兴趣。此外,护士教育往往不足以帮助学生为复杂的老年护理做好准备。在家庭护理中逐步实施福利技术(WT),以帮助老年人尽管有健康问题但仍生活在家中。然而,这一过程错综复杂,需要护理人员和老年人接受和数字素养。尽管面临这些挑战,护士教育可以通过创新的教学方法,如模拟年龄服解决和改变消极态度。因此,该研究旨在描述护生在类似WT和技术辅助的家庭环境中模拟年龄套装的经历,并将揭示他们对老龄化和为老年人提供护理的看法。
    方法:在护生中使用半结构化小组访谈的定性探索设计(n=39)。通过反身性专题分析对数据进行了分析。
    结果:分析产生了三个主要主题:\“就像在泡沫中行走”,“大开眼界”和“对老龄化和当前老年护理结构的担忧”。主要主题包括八个次主题。适应年龄套装的感官和身体限制是一种身临其境的体验,并引起挫败感,孤独和脱节。一个突出的结果是认知丧失意识的提高,尤其是视力受损,学生们觉得模拟让他们意识到了老年人面临的日常挑战。学生们强调了耐心的重要性,并通过在场和对WT的批判性视角在护理情况下给予足够的时间。学生大多对自己的衰老持否定态度,可以更好地与老年人的脆弱性联系起来。
    结论:年龄套装模拟被描述为一种体现和大开眼界的体验,提高护理专业学生对老年人功能局限性以及尊严和独立后果的认识。应对认知丧失尤其困难。学生有动力将他们的新知识应用于临床实践。年龄套装模拟可以补充老年教育,让学生为老年人的复杂护理需求做好准备。
    BACKGROUND: Older persons with age-related and complex health problems will increasingly depend on care provision from nurses in their own homes. However, a barrier to quality care is ageism and nursing students´ disinterest in geriatrics. In addition, nurse education often falls short in preparing students for the complexity of geriatric care. Welfare technology (WT) is progressively implemented in home care to help older persons live at home despite their health problems. However, this process is intricate and requires acceptance and digital literacy among caregivers and older persons. Despite these challenges, nurse education can address and change negative attitudes through innovative teaching methods such as age suit simulation. Therefore, the study aims to describe nursing students´ experiences of age suit simulation in a home-like environment with WT and technical aids, and will reveal their perspective on ageing and providing care to older adults.
    METHODS: A qualitative explorative design using semi-structured group interviews (n=39) among nursing students. Data was analysed through reflexive thematic analysis.
    RESULTS: The analysis generated three main themes; \"It\'s like walking in a bubble\", \"An eye opener\" and \"Concerns about ageing and the current structure of geriatric care\". The main themes included eight subthemes. Adapting to the sensory and physical limitations of the age suit was an immersive experience and caused feelings of frustration, loneliness and disconnection. A prominent result was a raised awareness of cognitive loss, especially impaired vision, and students felt the simulations had made them aware of the everyday challenges older persons faced. Students highlighted the importance of patience and giving enough time in care situations by being present and having a critical perspective of WT. The students were mostly negative towards their own ageing and could better relate to older persons´ vulnerability.
    CONCLUSIONS: Age suit simulation was described as an embodied and eye-opening experience, raising nursing students´ awareness of older persons´ functional limitations and the consequences for dignity and independence. Coping with cognitive loss was especially difficult. Students were motivated to apply their new knowledge to clinical practice. Age suit simulation can complement geriatric education, preparing students for the complex care needs of older persons.
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  • 文章类型: Journal Article
    许多生物医学设计方面的本科教育经验缺乏对学生进行基于临床沉浸式需求的培训。深信这种对本科生的培训的优点,但由于教师和行政限制,无法提供四分之一的课程,我们开发了一个加速的区块计划课程,在此期间,学生们专门为我们班奉献了3周。该课程侧重于卫生技术创新过程的最初阶段-进行有效的临床观察并进行全面的需求研究和筛查。我们将课程以体验式学习理论为基础(动手实践,协作,和身临其境的体验)和建构主义学习理论(学生将先前的知识与新材料融合在需要驱动的创新上)。本文介绍了这种密集的块计划课程的设计以及旨在支持实现五个学习目标的教学方法。我们使用课程前和课程后的调查来收集有关课程对学生学习影响的自我报告数据。尽管格式加速,在学习目标中,我们看到除一项子测量外,所有子测量都取得了统计学上的显著进步。我们的经验支持区块计划模型的关键优势,结果表明,具体的课程设计选择在实现积极的学习成果方面是有效的。这些设计决策包括(1)学生在进入临床环境之前练习观察的机会;(2)课程框架,在整个课程中迭代地加强重要概念;(3)平衡的准备覆盖率,临床浸泡,并且需要研究;(4)广泛的教师和同伴指导;(5)提供动手原型设计机会,同时专注于需求表征而不是解决方案开发。根据我们的经验,我们预计该模型可在带宽有限的机构中复制,以支持临床沉浸机会。
    Many undergraduate educational experiences in biomedical design lack clinical immersion-based needs finding training for students. Convinced of the merits of this type of training for undergraduates, but unable to offer a quarter-long course due to faculty and administrative constraints, we developed an accelerated block-plan course, during which students were dedicated solely to our class for 3 weeks. The course focused on the earliest stages of the health technology innovation process-conducting effective clinical observations and performing comprehensive need research and screening. We grounded the course in experiential learning theory (with hands-on, collaborative, and immersive experiences) and constructivist learning theory (where students integrated prior knowledge with new material on need-driven innovation). This paper describes the design of this intensive block-plan course and the teaching methods intended to support the achievement of five learning objectives. We used pre- and post-course surveys to gather self-reported data about the effect of the course on student learning. Despite the accelerated format, we saw statistically significant gains for all but one sub-measure across the learning objectives. Our experience supports key benefits of the block-plan model, and the results indicate that specific course design choices were effective in achieving positive learning outcomes. These design decisions include (1) opportunities for students to practice observations before entering the clinical setting; (2) a framework for the curriculum that reinforced important concepts iteratively throughout the program; (3) balanced coverage of preparation, clinical immersion, and need research; (4) extensive faculty and peer coaching; and (5) providing hands-on prototyping opportunities while staying focused on need characterization rather than solution development. Based on our experience, we expect that this model is replicable across institutions with limited bandwidth to support clinical immersion opportunities.
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  • 文章类型: Journal Article
    描述学习理论是必要的,以帮助告知教学策略和促进成功的教育成果。对学习理论及其对教学和教育医疗保健专业人员的适用性有深入的了解将有助于支持和促进医学教育的卓越。在课堂上展示对有效学习理论的理解将使教育工作者和受训者受益,同时支持合作的导师-导师关系。
    Description Learning theories are necessary to help inform teaching strategies and promote successful educational outcomes. Having an in-depth knowledge about learning theories and their applicability to teaching and educating healthcare professionals will help support and promote excellence in medical education. Demonstrating an understanding of effective learning theories in the classroom will benefit both educators and trainees, while supporting a collaborative mentor-mentee relationship.
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  • 文章类型: Journal Article
    这项研究调查了在技术丰富的环境中,一个人的解决问题的风格如何影响他/她的解决问题的表现。借鉴体验式学习理论,我们提取了两个行为指标(即,规划解决问题的持续时间和人机交互频率),以在技术丰富的环境中对问题解决方式进行建模。我们使用了现有的数据集,其中7516名参与者响应了2012年国际成人能力评估计划(PIAAC)的14项基于技术的任务。聚类分析揭示了三种解决问题的方式:表演表示偏爱积极探索;反思代表观察的趋势;而Shirking则倾向于稀缺的选拔和很少的观察。解释性项目响应建模分析显示,具有代理风格的个人优于具有反射或Shirking风格的个人,这种优势在不同困难的任务中仍然存在。
    This study investigated how one\'s problem-solving style impacts his/her problem-solving performance in technology-rich environments. Drawing upon experiential learning theory, we extracted two behavioral indicators (i.e., planning duration for problem solving and human-computer interaction frequency) to model problem-solving styles in technology-rich environments. We employed an existing data set in which 7516 participants responded to 14 technology-based tasks of the Programme for the International Assessment of Adult Competencies (PIAAC) 2012. Clustering analyses revealed three problem-solving styles: Acting indicates a preference for active explorations; Reflecting represents a tendency to observe; and Shirking shows an inclination toward scarce tryouts and few observations. Explanatory item response modeling analyses disclosed that individuals with the Acting style outperformed those with the Reflecting or the Shirking style, and this superiority persisted across tasks with different difficulties.
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  • 文章类型: Journal Article
    Debriefing, a facilitator-guided reflection of an educational experience or critical incident, is an important tool in improving the safety and quality of practice in the NICU. Unlike feedback, which is often a one-way discussion, debriefing is a purposeful, 2-way reflective discussion which is based on experiential learning theory. The purpose of this article is to review the theoretical basis of debriefing and describe styles and tools for debriefing that can be applied in the NICU.
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  • 文章类型: Journal Article
    The aims of this study were to explore the effects of simulation-based learning (SBL) on nursing student competences and performance in the clinical setting. A comparison group design was used with data obtained from self-administered questionnaires at the onset and end of the semester. Students\' practicum grades were also collected to examine their clinical performance. Four simulated scenarios were added to the course and a Chinese version of the Simulation-Based Learning Evaluation Scale (SBLES) was distributed to the participants. The student practicum evaluation form was used to collect the participants\' practicum grades. Data analyses included descriptive statistics, paired t-test, and analysis of covariance (ANCOVA). Positive, significant differences were found in five competences in the test group. In the comparison group, results in the professional knowledge and nursing process subscale showed significant differences, and no significant difference was found in the patient safety, communication, and attitude of reflection subscales. The students in the test group perceived greater competences than those in the comparison group. Finally, no significant findings were found in clinical performance between two groups. The findings showed that SBL is seen as an attractive teaching strategy for students\' learning as part of their curriculum and that the effects of SBL on clinical practice need further examination.
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  • 文章类型: Journal Article
    OBJECTIVE: Providing a demonstration of a 10-minute bout of moderate-to-vigorous intensity physical activity (MVPA) immediately prior to subjective reporting of MVPA could influence self-reported activity by calibrating both duration and intensity. We assessed the effect of a demonstration of MVPA on subsequent MVPA recall, and explored whether this improved agreement with objective measures of MVPA.
    METHODS: A total of 846 individuals participated in four different physical activity interventions; two of which included a 10-minute moderate-intensity demonstration walk on a treadmill at baseline and 6-month visits immediately prior to reporting MVPA. Participants from three studies also wore accelerometers during the week overlapping with self-reported MVPA.
    RESULTS: Overall, those completing the demonstration walk reported significantly fewer minutes of MVPA per week at baseline (b = -11.69, standard error = 2.53, p < 0.01). The effect of the demonstration walk at 6 months was not significant (p = 0.06). Correlations with accelerometers at baseline were higher in the two studies with the demonstration walk (ρ = 0.28, 0.26) than the study without (ρ = 0.04). Correlations with accelerometers increased overall from baseline to follow-up.
    CONCLUSIONS: A 10-minute demonstration of MVPA was associated with reporting fewer minutes of MVPA and improved agreement with objective PA measures at baseline. These findings support combining self-report PA assessments with hands-on MVPA demonstrations.
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  • 文章类型: Journal Article
    Bronchoscopy programs implementing the experiential learning model address different learning styles. Problem-based learning improves knowledge retention, critical decision making, and communication. These modalities are preferred by learners and contribute to their engagement, in turn leading to durable learning. Follow-up after live events is warranted through spaced education strategies. The objectives of this article are to (1) summarize and illustrate the implementation of experiential learning theory for bronchoscopy courses, (2) discuss the flipped classroom model and problem-based learning, (3) illustrate bronchoscopy checklists implementation in simulation, and (4) discuss the importance of feedback and spaced learning for bronchoscopy education programs.
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