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对导师制课程中技能演练的启发性评估。

An illuminative evaluation of skills rehearsal in a mentorship course.

作者信息

Clemow Ruth

机构信息

Faculty of Health and Social Work, Drake Circus, University of Plymouth, Devon. PL4 8AA, United Kingdom.

出版信息

Nurse Educ Today. 2007 Jan;27(1):80-7. doi: 10.1016/j.nedt.2006.03.002. Epub 2006 May 26.

Abstract

In response to national and local initiatives for health care education and the need to assure excellence in clinical placement learning and subsequent fitness for practice, one UK Higher Education Institution (HEI) developed an interprofessional mentorship course for health professionals. The aim of the course was to enable students to develop advanced knowledge and critical awareness of mentorship. The course integrated theory and practice through mentorship skills rehearsal as one of the teaching methods and is the key focus of this paper. Qualitative methodology was employed to evaluate the process of learning through the skills rehearsal component. The curriculum documentation was analysed and, one month after completing the course and in three focus groups participants described their experience of learning through simulation. A semi structured interview schedule was used. The findings revealed that all participants used unhelpful as well as constructive behaviours that potentially influenced the reliability of their support, supervision and assessment of learners. The participants' shift in belief that the role of the mentor was a fixed concept to a perspectival and value laden concept was evident. This new understanding illuminated the participants' problem solving strategies for understanding valid and reliable assessment.

摘要

为响应国家和地方的医疗保健教育倡议,以及确保临床实习学习卓越性和后续实践适用性的需求,英国一所高等教育机构(HEI)为卫生专业人员开发了一门跨专业指导课程。该课程的目的是使学生能够发展关于指导的先进知识和批判性意识。该课程通过将指导技能演练作为教学方法之一,将理论与实践相结合,这也是本文的关键重点。采用定性方法来评估通过技能演练部分的学习过程。分析了课程文档,并在课程结束一个月后,在三个焦点小组中,参与者描述了他们通过模拟学习的经历。使用了半结构化访谈提纲。研究结果表明,所有参与者都使用了无益的以及建设性的行为,这些行为可能会影响他们对学习者支持、监督和评估的可靠性。参与者从认为导师角色是一个固定概念转变为一个有视角且充满价值的概念,这一点很明显。这种新的理解阐明了参与者理解有效和可靠评估的问题解决策略。

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