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PubMed · 14992031

Transition to a Web-supported curriculum.

Teresa J Sakraida·Peter J Draus
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Abstract

Stimulating faculty to adopt an innovation of online learning in a registered nurse (RN) completion program was the focus of a faculty retreat seminar to launch a transition to a Web-supported curriculum. This article follows the planning and implementation that initiated curriculum transition to a Web-supported format using Roger's innovation-diffusion framework. Web-supported courses include an online component in combination with face-to-face instruction. The factors that influence innovation adoption, specifically relative advantage, compatibility, complexity, trialability, and observability, framed the discussion of principles. Approaches used to garner faculty involvement in the curriculum transition are discussed, and highlighted are considerations for teaching the utilization of course management software, along with faculty preparation for initiating online learning for the first time.

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Attitude to ComputersDiffusion of InnovationEducation, DistanceEducation, Nursing, BaccalaureateFaculty, NursingHumansInternetOrganizational InnovationUnited StatesJournal Article

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Teresa J Sakraida, Peter J Draus. Transition to a Web-supported curriculum.. https://doi.org/10.1097/00024665-200311000-00009

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Evaluation of an intelligent tutoring system in pathology: effects of external representation on performance gains, metacognition, and acceptance.

OBJECTIVE: Determine effects of computer-based tutoring on diagnostic performance gains, meta-cognition, and acceptance using two different problem representations. Describe impact of tutoring on spectrum of diagnostic skills required for task performance. Identify key features of student-tutor interaction contributing to learning gains. DESIGN: Prospective, between-subjects study, controlled for participant level of training. Resident physicians in two academic pathology programs spent four hours using one of two interfaces which differed mainly in external problem representation. The case-focused representation provided an open-learning environment in which students were free to explore evidence-hypothesis relationships within a case, but could not visualize the entire diagnostic space. The knowledge-focused representation provided an interactive representation of the entire diagnostic space, which more tightly constrained student actions. MEASUREMENTS: Metrics included results of pretest, post-test and retention-test for multiple choice and case diagnosis tests, ratios of performance to student reported certainty, results of participant survey, learning curves, and interaction behaviors during tutoring. RESULTS: Students had highly significant learning gains after one tutoring session. Learning was retained at one week. There were no differences between the two interfaces in learning gains on post-test or retention test. Only students in the knowledge-focused interface exhibited significant metacognitive gains from pretest to post-test and pretest to retention test. Students rated the knowledge-focused interface significantly higher than the case-focused interface. CONCLUSIONS: Cognitive tutoring is associated with improved diagnostic performance in a complex medical domain. The effect is retained at one-week post-training. Knowledge-focused external problem representation shows an advantage over case-focused representation for metacognitive effects and user acceptance.

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