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Acquisition of dominance status affects maze learning in mice.

Learning is likely to be costly and thus subject to trade-off with other components of life history. An obvious prediction, therefore, is that investment in learning, and thus learning performance, will vary with individual life history strategy and the reproductive value of the learning outcome. We tested this idea in the context of social dominance in male laboratory mice, using a simple radial maze paradigm to compare the ability of high- and low-ranking male mice to track changing food location. We tested animals in randomly selected pairs before and after establishing aggressive rank relationships to distinguish intrinsic differences in learning ability from those attributable to acquiring high or low rank. There was no difference in learning between later dominants and subordinates prior to establishing rank relationships. After pairing, however, dominants showed a significantly greater percentage of correct responses, with the difference being greatest earlier in a sequence of trials. The percentage of correct responses also increased with the amount of aggression initiated during pairing. The results thus appeared to reflect a state-dependent change in learning associated with the aggressive social relationships formed during pairing.

Journal Article↗

An experimental study of students' self-learning of the San-Yin-Jiao pressure procedure using CD-ROM or printed materials.

A CD-ROM and printed material on San-Yin-Jiao pressure to lessen labor pain for women were developed as formal didactic instruction using the same content. A prospective, randomized, double-blind study was conducted to compare self-learning outcomes using the software and the printed materials. Eighty third-year student nurses were randomly allocated to either the CD-ROM group or printed material group. A test was administered after 1 week of study time. A p value of < .05 was considered statistically significant. Results showed no significant differences between the two groups in self-learning measures. Text-based learning seems to be a convenient educational method because it can be used at any time in any place. However, with more time and facilities available, CD-ROMs may be as effective as traditional learning methods and can be an alternative tool.

Acupressure↗

Effectiveness of mailing "Bathing Without a Battle" to all US nursing homes.

An educational CD-ROM/video program was developed to educate nursing home staff about two research-based techniques for reducing agitation and aggression during bathing of persons with Alzheimer's disease, including person-centered showering and the towel bath. This educational program was distributed free of charge to all 15,453 US nursing homes in the Centers for Medicare and Medicaid Services database. The dissemination, use, and short-term outcomes were evaluated by extrapolating data collected by long-term care surveyors in three states; usage was further assessed by tracking the number of nursing home staff who registered for the continuing education credits associated with the program. The program's quality and content was evaluated by actual program users, who rated the program after completion. Short-term learning outcomes were assessed by examinations built into the CD-ROM. Evaluating a national innovation presented a set of unique challenges; yet, to date, our findings have revealed mostly favorable short-term outcomes in terms of its dissemination, usage, and educational value. The long-term outcomes of this educational program continue to be monitored.

Adult↗

Educational issues in teaching dysphagia to speech pathologists.

This paper examines current practices in teaching speech pathology students dysphagia theory and practice in Australia, with comment and contrast from speech pathology courses in the UK. There is wide diversity in terms of the time allocated to this subject on undergraduate courses, in ways of teaching and achieving clinical practicum in these areas and in evaluating the learning outcomes and competence of students. Against the background of changing work experience in the health sector, where dysphagia increasingly forms a significant proportion of a speech pathologist's caseload, the challenge for educators is to provide a dynamic, integrated, modern curriculum where dysphagia forms a significant component of the course. This paper examines some of the current educational issues and discusses teaching and learning paradigms in this area.

Australia↗

Cognition and aphasia: a discussion and a study.

UNLABELLED: The relation between other aspects of cognition and language status of individuals with aphasia is not well-established, although there is some evidence that integrity of non-linguistic skills of attention, memory, executive function and visuospatial skills can not be predicted on the basis of aphasia severity. At the same time, there is a growing realization among rehabilitation specialists, based on clinical experience and preliminary studies, that all domains of cognition are important to aphasia therapy outcomes. This paper describes a new study of the relation between linguistic and nonlinguistic skill in a group of individuals with aphasia. No significant relationship was found between linguistic and nonlinguistic skills, and between nonlinguistic skills and age, education or time post onset. Instead, individual profiles of strengths and weaknesses were found. The implications of these findings for management of aphasia patients is discussed. LEARNING OUTCOMES: Readers of this papers will be able to: list five primary domains of cognition and relate each to an aspect of aphasia therapy; describe at least three studies that examined the relation between cognition and aphasia; describe four nonlinguistic tasks of cognition that can be used with a wide range of aphasia patients.

Aged↗

Developing deep learning approaches and personal teaching efficacy within a preservice teacher education context.

BACKGROUND: University students' approaches to learning have been demonstrated to affect learning outcomes across a wide range of courses, favouring the use of a deep approach. Interventions to promote the use of deep approaches have had mixed success, with the most successful interventions involving large-scale course redesign. AIMS: This paper describes a study in which contextual modifications were implemented in an existing preservice teacher education programme to increase students' use of deep approaches to learning and reduce their reliance on the use of surface approaches, without the need for major redesign. Students' perceptions of their competence in performing the tasks of teaching (personal teaching efficacy) were also expected to improve in response to improvements in quality learning. SAMPLE: Three cohorts of students (N = 134), enrolled in a preservice teacher education degree programme at a rural university in New South Wales, Australia participated in the study. METHOD: A longitudinal quasi-experimental design was used, with Cohort 1 acting as a control while Cohorts 2 and 3 represented treatment groups. Repeated measures were taken on Biggs' (1987b) Study Process Questionnaire, a modified version of Gibson and Dembo's (1984) Teacher Efficacy Scale and the Academic subscale within Lefcourt's (1981) Multidimensional-Multiattributional Causality Scale. An action research paradigm was embedded to enable the development and refinement of the altered teaching approaches. RESULTS: Results indicated that the modifications to teaching methods, task requirements and assessment processes applied to the treatment group encouraged changes in students' approaches to learning by firstly reducing their use of surface approaches and later increasing the use of deep approaches. While both treatment and contrast groups exhibited equivalent growth in teaching efficacy, differences between cohorts were noted in the sources that informed personal teaching efficacy at the conclusion of the course. CONCLUSIONS: These findings suggest that the study succeeded in its major goal of improving the quality of teaching and learning in this teacher education programme. The results conform to the findings of previous research and are consistent with learning approach theory. While the specific contextual modifications used in the current study may not necessarily be transferable to other settings, the processes employed in the generation of those modifications could find wider applicability.

Achievement↗

An expert patient-led approach to learning and teaching: the case of physiotherapy.

With patient expertise being afforded greater legitimacy in healthcare provision, there is a strengthening case for involving patients more creatively in the education of healthcare professionals. This paper reports on the results of a small-scale educational research project designed to explore how third-year physiotherapy students experienced a teaching session on the subject of strokes, led by two expert patients, and what they learnt from it. Applying a qualitative methodology, six students were interviewed in depth about the experience. Four key pedagogic themes emerged from the analysis of the interview transcripts. The first related to the differences between the expert patients in terms of their backgrounds and their reactions to experiencing a stroke and of their respective contributions to the session. A second concerned the anxieties students felt in participating in a session of this kind, since there were various departures from the norm, and what they should take from it in terms of their learning. A third theme was uncertainty regarding the relationship between the presenters and students. The fourth theme was the impact on student learning given that it had not been a conventional session. Notwithstanding any misgivings the session helped to validate the contribution that those who have direct experience of a clinical condition can make to the education of healthcare professionals, particularly in the affective domain. In planning sessions of this kind it is recommended that presenters are chosen with a view to challenging stereotypes and that they are encouraged to tell their stories in an open and flexible manner, albeit within a framework of intended learning outcomes. Students need to approach the session with an open mind and, above all, tutors need to be prepared to take risks.

Adult↗

Undergraduate veterinary education at University College Dublin: a time of change.

The final-year Bachelor of Veterinary Medicine (MVB) class of 2005 were the first cohort of students to complete the new curriculum at the Faculty of Veterinary Medicine, University College Dublin (UCD). The new curriculum is a fundamental departure from the traditional curriculum that had served the veterinary profession in Ireland over many years. The change was not a precipitate action but the outcome of a prolonged and thorough examination of the realities of veterinary medicine, its science and its art, in the first decade of a new millennium. Over recent decades, rapid and fundamental changes have been witnessed in the economic, cultural, and ethical environment in which the veterinary profession operates, and these changes, coupled with the "information explosion," dictated an examination of the educational paradigm. The new curriculum exposes the first-year class to veterinary information technology and problem-based learning (PBL). In the second year, students are instructed in clinical examination, history taking, and client communication skills, in addition to further exposure to PBL. The third and fourth years are now systems-based, with coordinated input from microbiologists, parasitologists, pathologists, and clinicians in teaching each body system. The first lecture-free final year in the 104-year history of veterinary education in Ireland consists of clinical rotations and a four-week elective pursued within the faculty or at other recognized institutions. Students must also complete a minimum of 24 weeks' extramural studies (EMS). Critically, the development and assessment of all courses in the new undergraduate degree program has been driven by carefully thought out learning outcomes. The new curriculum will provide graduates with the essential knowledge and skills required for entry into the veterinary profession. Society expects these qualities from veterinarians in the interests of the communities they serve during their professional careers. In addition, the curriculum should foster the ability to adapt to changing circumstances, instill the desire and ability to work in teams, and develop life skills. It is hoped that the academic innovations will arouse the intellectual curiosity and commitment to lifelong learning that future graduates will require if they are to retain the confidence of the society in which they work in the future.

Accreditation↗

Outcomes of a comprehensive faculty development program for local, full-time faculty.

BACKGROUND AND OBJECTIVES: Family medicine has a long history of using faculty development programs (FDPs). Recent evaluation reports of those programs highlight participant achievements in FDPs but underscore the need for stronger evaluations of those programs. This study examined the outcomes of a comprehensive, 2-year, within-institution FDP focused on participants' productivity and retention in academics. METHODS: Subjects were 30 full-time FDP completers (1993 through 1999). The curriculum included monthly seminars and mentor involvement to promote competence in education, research, writing, administration, professional academic skills, and technology. Projects were required in education, research, and administration. Four evaluation levels were examined: reactions, learning, behavior change, and results. Instruments included satisfaction surveys, validated competence measures, CV review, and attendance and retention records. Ten years of data from six training cohorts were analyzed. RESULTS: Reaction data showed 80% attendance and high program satisfaction. Learning outcomes revealed positive pre- to post-program changes in each curriculum area. Behavior changes included a pre- to postprogram tripling of institutional leadership positions. Yearly group averages of peer-reviewed publications increased from seven before the program to 26 after the FDP Results showed that 80% of participants were retained in academic careers through the 2-year post-program time frame. CONCLUSIONS: Significant, positive outcomes were found at all evaluation levels. This multi-level, longitudinal design may contribute to future FDP evaluations.

Adult↗

Characteristics [correction of charactersistics] of intercultural mentoring--a mentor perspective.

This article reports a study of Finnish preceptors' and British undergraduate nursing students' mentor-student relationship during international placement in Finland from the mentors' perspective. The study aimed to explore the characteristics of intercultural mentorship and the strategies used by the mentors to improve the students' intercultural competence. Altogether 23 mentors and five students participated in this study. The data consisted of mentoring session observations, group interviews and research diary notes. Intercultural mentorship was characterised by concern about the students' adjustment, pervasiveness of the relationship, sense of mutual learning, inadequate school-placement co-operation and concern about learning outcomes. The mentors used a variety of strategies to improve the students' intercultural competence. Mentorship was both a rewarding and a frustrating experience.

Acculturation↗

Critical thinking and patient outcomes: a review.

There has been a multidisciplinary plethora of critical thinking definitions stemming from educators in 1912 1 through and inclusive of today. As nurses' roles change in response to the dynamics of managed care and an increase in use of biotechnology in health care, more is expected of them both in terms of psychomotor and cognitive skills. The American Association for Colleges of Nursing requires that critical thinking be reflected within academic nursing programs as a core competency for program accreditation. 2 Although critical thinking has been associated with and evaluated in regard to learning outcomes, little information exists which links critical thinking to patient outcomes. The purpose of this article is to provide a literature review of critical thinking and to explore a possible link between nurses' critical thinking and patient outcomes.

Accreditation↗

Nursing students' mathematic calculation skills.

This mixed method study used a pre-test/post-test design to evaluate the efficacy of a teaching strategy in improving beginning nursing student learning outcomes. During a 4-week student teaching period, a convenience sample of 54 sophomore level nursing students were required to complete calculation assignments, taught one calculation method, and mandated to attend medication calculation classes. These students completed pre- and post-math tests and a major medication mathematic exam. Scores from the intervention student group were compared to those achieved by the previous sophomore class. Results demonstrated a statistically significant improvement from pre- to post-test and the students who received the intervention had statistically significantly higher scores on the major medication calculation exam than did the students in the control group. The evaluation completed by the intervention group showed that the students were satisfied with the method and outcome.

Adult↗

Avoiding type III errors in health education program evaluations: a case study.

Monitoring the implementation of a program being evaluated can improve the interpretability of data collected and help evaluators to avoid committing a Type III error: evaluating a program that has not been adequately implemented. This article describes an evaluation that analyzed the implementation of a school health education curriculum, assessed cognitive learning outcomes attributable to the curriculum, and examined the relationship between classroom implementation and changes in students' knowledge. Five fifth-grade classes (n = 101) participated in the curriculum, and five classes (n = 84) served as a comparison group. Data collection procedures involved a pretest and posttest of all students' health-related knowledge, daily monitoring of classroom implementation by the five teachers participating, and questionnaires completed by principals and teachers. Analysis methods included descriptive statistics, parametric and nonparametric tests of significance, and qualitative assessment procedures. Results indicated that the curriculum had a positive effect on learning in students; curriculum implementation varied considerably among the five classes participating; teaching/learning activities that were most and least likely to be implemented could be identified and described; both teachers and principals perceived the program favorably; some health instruction was occurring in the comparison classes, so it was not appropriate to consider them as pure controls; and no statistically significant relationship between curriculum implementation and cognitive outcomes was observed. This study provides evidence of the need for and value of measuring implementation of programs being evaluated. Implications for developing implementation measures and the role of formative evaluation in health education practice are considered.

Curriculum↗

Effects of cueing and collaboration on the acquisition of complex legal skills.

BACKGROUND: To overcome the teacher bandwidth problem in supporting large groups of students, both automated process support (cueing) and face-to-face feedback by peers during small group work (collaboration) can be provided to students. AIM: The purpose of this experimental study was to examine whether a multimedia practical containing cueing could be effectively combined with peer feedback to support the acquisition of the complex skill of preparing a plea in court. SAMPLE: In the context of a regular court practical, 50 junior law students at a Dutch university individually studied a multimedia practical and participated in small group discussions about intermediate learning outcomes of the practical. METHOD: The study examined the effects of cueing and collaboration on training outcomes and transfer pleas, and on cognitive activity during collaboration, by combining the multimedia practical and small group collaboration to support the complex task of preparing a plea in court. RESULTS: Both cueing and collaboration positively influence training outcomes, with participants without cueing benefiting most from additional collaboration. Transfer plea scores reveal a positive effect of collaboration but a negative effect of cueing. Analysis of discussions during small group collaboration reveals a negative effect of cueing on the level of cognitive activity. CONCLUSION: Peer feedback during small group work indeed appears to be a feasible option to be combined with or (partially) substitute individualized cueing when training complex learning tasks.

Achievement↗

A shortened common foundation programme for graduates--the students' experience of student-centred learning.

This paper examines the students' experience of student-centred teaching and learning strategies within a shortened Common Foundation Programme (CFP) for Graduates. The perceptions of 'student-centreness' and its use as experienced by the students is addressed using material generated from on-going research using new-paradigm methodology within an action research framework. Graduates enter nurse training from the background of a subject area and possessing the academic skills required to access and assimilate knowledge effectively. These qualities underpin the design of this course, which concentrates on enabling the students to achieve the learning outcomes of the CFP within a flexible structure concentrating on skill acquisition and reflective practice according to the needs of the individual. The differing expectations of the course, the need for clear, externally set objectives, and the question of the ability of the students to self-motivate arise as the pertinent issues from the evaluation. These are discussed with reference to the students perceived needs, levels of achievement and differing learning styles. The author concludes that student-centred methods are appropriate for nurse education, but that these have significant implications for course design, course content and staff development, if the course is to satisfy both students and teachers.

Curriculum↗

Small group learning in the final year of a medical degree: a quantitative and qualitative evaluation.

The new undergraduate medical curriculum in Manchester uses problem-based learning (PBL) throughout the course. However, the major difference from other PBL schools is that in years 3 & 4 (phase 2) the students can use clinical experience when discussing the paper cases. The process is then developed further in year 5 (phase 3), in which there are no set PBL 'triggers' and students bring their own cases to the groups for discussion. In this study, we have explored what happens in the phase 3 (year 5) group sessions and how the students view them. A questionnaire and focus groups were used to generate data, from which a model was developed of what happens in a 'good' group session. The data suggest that most groups run on a case-presentation and discussion format, most commonly about clinical management and diagnosis. Students want tutors to act as an expert resource and to be flexible in allowing students to direct the discussions. University guidance about the group sessions was not generally used.

Journal Article↗

Meaning matters: a clinician's/student's guide to general sign theory and its applicability in clinical settings.

UNLABELLED: The pragmatic mapping process and its variants have proven effective in second language learning and teaching. The goal of this paper is to show that the same process applies in teaching and intervention with disordered populations. A secondary goal, ultimately more important, is to give clinicians, teachers, and other educators a tool-kit, or a framework, from which they can evaluate and implement interventions. What is offered is an introduction to a general theory of signs and some examples of how it can be applied in treating communication disorders. LEARNING OUTCOMES: (1) Readers will be able to relate the three theoretical consistency requirements to language teaching and intervention. (2) Readers will be introduced to a general theory of signs that provides a basis for evaluating and implementing interventions.

Humans↗

Self-efficacy measurements: an approach for predicting practice outcomes in continuing education?

This study assessed the usefulness of measurements of self-efficacy in evaluating practice outcomes following a continuing education course in advanced practice pharmacology. Self-efficacy, a central construct in social-cognitive theory, refers to an individual's confidence in being able to perform a specific task to successful completion. The study demonstrated that a valid and reliable measure of self-efficacy could be developed from program objectives and used in conjunction with pre- and post-knowledge measures to gain a broader perspective of learning outcomes. Measurements of self-efficacy was a useful adjunct in post-instruction evaluation and may be a cost-effective alternative to longitudinal impact evaluation.

Clinical Competence↗