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At least 235 records · Page 13Linked to original sources

Subject-based problem-based learning in the veterinary science course at the University of Queensland.

OBJECTIVE: To assess students' perceptions of subject-based problem-based learning in the fourth year of the veterinary science course at the University of Queensland. DESIGN: A questionnaire-based study. PROCEDURE: Subject-based problem-based learning was introduced into parts of two fourth year subjects in a 5-year veterinary science course. The problem-based learning exercise used modified clinical cases and was computer-assisted. Students worked in groups of two to four, and small group discussion sessions were tutorless. Lectures were replaced by large group discussion and feedback sessions, led by the teacher, with approximately 85 students. RESULTS: There was a significant increase in the percentage of students who strongly agreed that they had better understanding of the subject, and had learned to apply principles from this class in new situations. The only consistent criticism by students was directed at the extra time required compared to traditional lecture-based subjects. CONCLUSION: Students' perceptions of the learning outcome were very favourable for problem-based learning when compared to the lecture-based subject.

Education, Veterinary↗

Teaching phonological awareness to young children with learning disabilities.

This study examined the feasibility of teaching phonological manipulation skills to preschool children with disabilities. Forty-seven children, 4-6 years old, enrolled in a special education preschool, were randomly assigned to receive training in one of three categories of phonological tasks (rhyming, blending, and segmenting) or a control group. Results indicated that children were able to make significant progress in each experimental category, but that they demonstrated little or no generalization either within a category (e.g., from one type of blending task to another type of blending task) or between categories (e.g., from blending to segmenting). Although the children's level of cognitive development significantly predicted some learning outcomes, it did not appear to limit the learning of phonological tasks.

Awareness↗

Adult outcomes of verbal learning disability.

Although it is currently generally accepted that, in most cases, verbal learning disability (VLD) can persist into adulthood, adult outcomes of learning disability are still under much discussion. The adult outcomes of two types of VLD (dyslexia and dysgraphia) will be the focus of this article. The defining characteristics of VLD and what constitutes these types of VLD are provided in detail elsewhere in this issue (see Jones and Eberling). This article will focus on the current epidemiology, possible causative factors, neurocognitive profiles, and neurological correlates of such disability. In addition, adult outcomes will be discussed for both those who succeed despite the disability and those who continue to struggle with the issues of VLD into adulthood. Specifically, factors that seem to contribute to success or struggle, and suggested treatments for VLD, will be discussed.

Adult↗

The approaches to learning of support workers employed in the care home sector: an evaluation study.

This study examined the approaches to learning of a cohort (n=76) of National Vocational Qualification (NVQ) Care Award candidates using the Approaches and Study Skills Inventory for Students. The NVQ candidates were support workers (SWs) (sometimes called care assistants) employed in United Kingdom (UK) care homes for older people. The aim was to identify SWs' approaches to learning and to determine whether or not a preparatory six-week College-based course had any impact on these approaches. The findings were encouraging. The course had a positive impact with a statistically significant increase in orientation towards a deep learning approach, which is associated with desirable learning outcomes as well as self-directed and lifelong learning skills. The UK government recognises that lifelong learning enables people to continually develop their talents, thereby enhancing local communities and contributing to a civilised, cohesive society. In a health care environment, adopting a deep approach is likely to be beneficial. Those who use evidence to inform practice, who are able to relate elements of what they are taught to their working experiences and who are able to adapt to meet new challenges, are more likely to enhance their practice and become more effective carers.

Adolescent↗

Using the OSCE to measure clinical skills performance in nursing.

The measurement of clinical skills performance continues to pose a challenge for nurse educators. This paper will report on the use of the objective structured clinical examination (OSCE) to measure the psychomotor learning outcomes of a programme designed to assist students to learn to conduct a nursing neurological examination. The OSCE has a tradition in medicine, having been developed by Ronald Harden in Scotland and first reported in the British Medical Journal in 1975. The University of Ottawa has the longest North American experience with this type of evaluation procedure and there is an increasingly rich medical literature referring to the OSCE. Although the OSCE appears to be a promising method for evaluating competence in the performance of clinical skills, there are no studies in the nursing literature examining the use of the OSCE as a method for evaluating the performance of clinical skills by nurses. Our experience suggests that the OSCE may be a powerful tool in the evaluation of clinical competence in nursing and that it may also be an effective facilitator for learning to perform clinical skills in nursing.

Clinical Competence↗

Nursing students' perceptions of hospital learning environments--an Australian perspective.

Clinical education is a vital component in the curricula of pre-registration nursing courses and provides student nurses with the opportunity to combine cognitive, psychomotor, and affective skills. Various studies have suggested that not all practice settings are able to provide nursing students with a positive learning environment. In order to maximize nursing students' clinical learning outcomes, there is a need to examine the clinical learning environment. The purpose of this study was to assess pre-registration nursing students' perceptions of hospital learning environments during clinical field placement. Quantitative and qualitative methodology was used. One hundred and eight students provided quantitative data through completion of the survey instrument, the Clinical Learning Environment Inventory (Actual and Preferred forms). Each form is a 5-point Likert-type questionnaire, made up of 35 items consisted of 5 scales with 7 items per scale. Qualitative data, obtained through semi-structured interview of 21 students from the same cohort, were used to explain and support the quantitative findings. There were significant differences between students' actual and preferred perceptions of the clinical learning environments. Generally students preferred a more positive and favourable clinical environment than they perceived as being actually present. Since participants consisted of nursing students from just one university nursing school in South Australia, the findings may not be representative of all nursing students in general with respect to their clinical placement. However, the value of this study lies in the resulting implication for nursing education and future research. A better understanding of what constitutes quality clinical education from the students' perspective would be valuable in providing better educational experiences.

Clinical Competence↗

Using collaborative learning in dental education.

Collaborative learning organizes students into small groups in which they assist each other to solve problems and integrate skills and knowledge. Students increase self-esteem and develop a more positive attitude toward learning. Collaborative learning can be used in classrooms, laboratories, and clinical settings. Learning is accomplished through small-group discussion, with students being responsible for helping each other achieve the desired learning outcomes. Instructors manage content through the design of the learning activities rather than by presenting the material in lectures.

Cooperative Behavior↗

Peer mentorship in clinical education: outcomes of a pilot programme for first year students.

Identifying effective strategies for promoting learning in the clinical setting continues to pose challenges for nurse educators. The aim of the present paper is to examine the potential that peer mentorship may have in helping nursing students to improve clinical learning outcomes. An example of a peer mentorship programme for nursing students undertaking their first clinical practicum is described, and preliminary findings from an evaluation of this pilot programme are presented. The results suggest that peer mentorship may be of some benefit to students, particularly in relation to reducing anxiety and improving confidence with clinical practice experiences, and is therefore a strategy which is worthy of further investigation.

Clinical Competence↗

A meta-analytic review of behavior modeling training.

A meta-analysis of 117 studies evaluated the effects of behavior modeling training (BMT) on 6 training outcomes, across characteristics of training design. BMT effects were largest for learning outcomes, smaller for job behavior, and smaller still for results outcomes. Although BMT effects on declarative knowledge decayed over time, training effects on skills and job behavior remained stable or even increased. Skill development was greatest when learning points were used and presented as rule codes and when training time was longest. Transfer was greatest when mixed (negative and positive) models were presented, when practice included trainee-generated scenarios, when trainees were instructed to set goals, when trainees' superiors were also trained, and when rewards and sanctions were instituted in trainees' work environments.

Behavior↗

Warming up improves speech production in patients with adult onset myotonic dystrophy.

UNLABELLED: This investigation was conducted to study whether warming up decreases myotonia (muscle stiffness) during speech production or causes adverse effects due to fatigue or exhaustion caused by intensive speech activity in patients with adult onset myotonic dystrophy. Thirty patients with adult onset myotonic dystrophy (MD) and ten healthy controls were examined, using a protocol that requires subjects, to speak continuously for at least 10 min. In MD patients, warming up led to an increase in speech rate and a decrease in speech variability without causing signs of fatigue or exhaustion as a result of prolonged and intensive use of the speech musculature. No significant changes were found in the controls. After warming up, MD patients achieved a habitual speech rate in reading and reciting similar to that of healthy controls. LEARNING OUTCOMES: As a result of this activity the reader will learn that 1. In contrast to most neuromuscular disorders, speech production in patients with adult onset myotonic dystrophy improves by activity. 2. Myotonia in speech musculature in patients with adult onset myotonic dystrophy can be reduced by instructing them to warm up their muscles by repetitive movements. 3. Warming up is a valuable intervention because it improves the velocity and fluency of speech production without aggravating the signs of flaccid dysarthria.

Adolescent↗

Jaw-phonatory coordination in chronic developmental stuttering.

UNLABELLED: A deficiency in sensorimotor integration in a person who stutters may be a factor in the pathophysiology of developmental stuttering. To test oral sensorimotor function in adults who stutter, we used a task that requires the coordination of a jaw-opening movement with phonation onset. The task was adapted from previous limb coordination studies, which show that movement coordination depends on intact proprioception. We hypothesized that adult stutterers would show deficient jaw-phonatory coordination relative to control participants. The task required initiation of phonation as a jaw-opening movement passed through a narrow spatial target. Target amplitude and jaw movement speed were varied. The stuttering group showed significantly higher movement error and spatial variability in jaw-phonatory coordination compared to the control group, but group differences in movement velocity or duration were not found. The aberrant jaw-phonatory coordination of the stuttering participants suggests that stuttering is associated with an oral proprioceptive limitation, although, the findings are also consistent with a motor control deficit. LEARNING OUTCOMES: As a result of this activity, reader will (1) learn about a hypothesis and evidence supporting the view that a sensorimotor deficit contributes to chronic developmental stuttering and (2) will obtain information about the role of proprioception in multi-articulatory coordination and how it can be tested using an oral-phonatory coordination task.

Adult↗

The effect of temporal manipulation on the perception of disfluencies as normal or stuttering.

UNLABELLED: The purpose of this investigation was to study the effect of temporal features within repetition of speech segments on the perception of stuttering. Past research has provided evidence that certain temporal aspects of repetitions produced by people who stutter tend to be shorter than those produced by normally fluent speakers. The effect of these temporal factors on the perception of the disfluency as "stuttering" or "normal" has not yet been studied. Conversational speech of five children who stutter was recorded. Two short utterances. one containing part-word repetition (PWR) and one containing whole-word repetition (WWR), were identified in the speech of each child and then manipulated by the CSL and CSpeech computer softwares. Two selected elements within repetitions, namely the vowel of the repeated unit and the interval between the repeated units (e.g., but-but), were lengthened to simulate normal disfluency. Results indicated that both factors (interval duration and vowel duration) moderately affected listeners' perception. In general, repetitions with short vowel and interval durations were judged as more representative of stuttering, whereas repetitions with longer vowel and interval duration were judged as more representative of normal speech. LEARNING OUTCOMES: As a result of this activity, the reader will learn about (1) various factors that influence the perception of disfluent segments as stuttering, (2) the special effect of duration of specific elements within repetitions on the perception of disfluency as stuttering, and (3) the possible implications of the new information for therapeutic considerations.

Child, Preschool↗

Psychomotor objectives in occupational therapy education.

This article describes the role of educational objective taxonomies in facilitating the specification of intended learning outcomes and the apparent neglect of objectives directed toward psychomotor learning. A review of the literature indicates extensive material is available on motor learning and on the classification of psychomotor levels of behavior according to a systematic framework. Although many of the categories are functional for special areas, no one system has universal applicability. It is suggested that each discipline may need to draw on the literature to formulate its own taxonomic system, and a model taxonomy is offered for occupational therapy education in which levels of psychomotor performance are differentiated by the degree of individuation, the unique quality of performance introduced by the learner. Examples are given at each level and illustrative objectives combine expected behaviors with selected curriculum areas.

Affect↗

Usefulness of an Internet-based thematic learning network: comparison of effectiveness with traditional teaching.

UniNet is an Internet-based thematic network for a virtual community of users (VCU). It supports one multidisciplinary community of doctoral students, who receive most of the courses on the network. The evident advantages of distance learning by Internet, in terms of costs, comfort, etc., require a previous evaluation of the system, focusing on the learning outcomes of the student. The aim was to evaluate the real learning of the students of doctorate courses, by comparing the effectiveness of distance learning in UniNet with traditional classroom-based teaching. Five doctorate courses were taught simultaneously to two independent groups of students in two ways: one, through the UniNet Network, and the other in a traditional classroom. The academic knowledge of students was evaluated at the beginning and end of each course. The difference in score was considered as a knowledge increase. The comparison was made using Student's t-test for independent groups. There were no significant statistical differences in the outcomes of the two groups of students. This suggests that both teaching systems were equivalent in increasing the knowledge of the students. Both educational methods, the traditional system and the online system in a thematic network, are effective and similar for increasing knowledge.

Education, Distance↗

Cortical interactions underlying the production of speech sounds.

UNLABELLED: Speech production involves the integration of auditory, somatosensory, and motor information in the brain. This article describes a model of speech motor control in which a feedforward control system, involving premotor and primary motor cortex and the cerebellum, works in concert with auditory and somatosensory feedback control systems that involve both sensory and motor cortical areas. New speech sounds are learned by first storing an auditory target for the sound, then using the auditory feedback control system to control production of the sound in early repetitions. Repeated production of the sound leads to tuning of feedforward commands which eventually supplant the feedback-based control signals. Although parts of the model remain speculative, it accounts for a wide range of kinematic, acoustic, and neuroimaging data collected during speech production and provides a framework for investigating communication disorders that involve malfunction of the cerebral cortex and interconnected subcortical structures. LEARNING OUTCOMES: Readers will be able to: (1) describe several types of learning that occur in the sensory-motor system during babbling and early speech, (2) identify three neural control subsystems involved in speech production, (3) identify regions of the brain involved in monitoring auditory and somatosensory feedback during speech production, and (4) identify regions of the brain involved in feedforward control of speech.

Brain Mapping↗

Neurobiological studies of reading and reading disability.

UNLABELLED: Evidence from neuroimaging studies, including our own, suggest that skilled word identification in reading is related to the functional integrity of two consolidated left hemisphere (LH) posterior systems: a dorsal (temporo-parietal) circuit and a ventral (occipito-temporal) circuit. This posterior system appears to be functionally disrupted in developmental dyslexia. Relative to nonimpaired readers, reading-disabled individuals demonstrate heightened reliance on both inferior frontal and right hemisphere posterior regions, presumably in compensation for the LH posterior difficulties. We propose a neurobiological account suggesting that for normally developing readers, the dorsal circuit predominates at first, and in conjunction with premotor systems, is associated with analytic processing necessary for learning to integrate orthographic with phonological and lexical semantic features of printed words. The ventral circuit constitutes a fast, late-developing, word form system, which underlies fluency in word recognition. LEARNING OUTCOMES: As a result of this activity, (1) the participant will learn about a model of lexical processing involving specific cortical regions. (2) The participant will learn about evidence which supports the theory that two dorsal LH systems may be disrupted in developmental dyslexia. (3) The participant will learn that individuals with reading impairment may rely on other regions of the brain to compensate for the disruption of posterior function.

Brain↗

Adoption and integration of simulation-based learning technologies into the curriculum of a UK Undergraduate Education Programme.

CONTEXT: At a time of significant changes in medical education world-wide, the international dimensions and global issues relating to the application of new learning technologies have been recognised. OBJECTIVE: The aim of this paper is to describe the adoption and integration within the curriculum in one United Kingdom (UK) medical school of 'Harvey', the Cardiology Patient Simulator, and the UMedic multimedia computer-based cardiology curriculum - resources developed in a medical school in the USA. PARTICIPANTS: The integration of the resources into the curriculum is described by 3 teachers actively involved in the cardiology curriculum of the UK medical school and 3 teachers associated with the development of resources in the USA. ASPECTS CONSIDERED: The review considers the adoption of Harvey and UMedic in the UK in programmes in relation to: curricular issues, training needs, learning outcomes, curriculum content and sequences of content, educational strategies, teaching and learning methods, assessment, communication about the curriculum and management of the curriculum. CONCLUSIONS: Learning resources, in the form of simulators and computer-based learning modules, developed in one country can be successfully adopted and implemented in another. Facets that facilitated the adoption included close liaison between the developers of the resources in the USA and the implementers in the UK, and careful and systematic planning including in-depth integration of the simulation-based resources into the required curriculum rather than their relegation to a peripheral ad hoc position. The successful use of simulators such as Harvey requires the presence of a 'champion', a clinician educator and a supporting administrative staff who ensure the simulator's appropriate use.

Cardiology↗

Evaluation of a distance-learning immunology and pathology module in a postgraduate biomedical science course.

An electronic presentation of materials for a distance-learning immunology and pathology module from a postgraduate biomedical science course is evaluated. Two different electronic presentation formats for the delivery of the educational material to distance learners are assessed. Responses from users of this material highlighted a preference for a format that has a design tailored to distance learning. There was no significant difference in learning outcome between those taking the module on campus and by distance learning. This suggests that the prerequisites for entry, learning materials and direction given to the students studying by distance learning are adequate for these students to achieve the learning objectives outlined in the course. The evaluation also gave direction for areas within the (CAL) application that can be improved for future students.

Allergy and Immunology↗