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使用人类患者模拟器(HPS)与 CD-ROM 对认知和批判性思维的影响。

Effects of Using Human Patient Simulator (HPS) versus a CD-ROM on Cognition and Critical Thinking.

机构信息

US Army Graduate Program in Anesthesia Nursing, Fort Sam Houston, San Antonio, Texas USA.

出版信息

Med Educ Online. 2008 Jan 30;13:1. doi: 10.3885/meo.2008.T0000118.

Abstract

BACKGROUND

Very little prospective randomized experimental research exists on the use of simulation as a teaching method, and no studies have compared the two strategies of using the HPS and a CD-ROM. In addition, no researchers have investigated the effects of simulation on various levels of cognition, specifically lower-level and higher-level cognition or critical thinking.

OBJECTIVES

A prospective pretest-posttest experimental mixed design (within and between) was used to determine if there were statistically significant differences in HPS and CD-ROM educational strategies in lower-level, higher-level cognition and critical thinking.

RESULTS

A repeated measures multivariate analysis of variance (RMANOVA) with LSD post-hoc tests were used to analyze the data. There were no significant differences between the HPS and CD-ROM groups on lower-level cognition scores. The HPS group did significantly better than the CD-ROM group on higher-level cognition and critical thinking scores.

CONCLUSION

This study demonstrated that the choice of teaching strategies for lower-level cognition does not make a statistically significant difference in outcome. However, the HPS is superior to using CD-ROM and should be considered as the choice in teaching.

摘要

背景

几乎没有关于模拟作为教学方法的前瞻性随机实验研究,也没有研究比较使用 HPS 和 CD-ROM 的两种策略。此外,没有研究人员研究过模拟对各种认知水平的影响,特别是对低层次和高层次认知或批判性思维的影响。

目的

采用前瞻性前后测实验混合设计(组内和组间),确定 HPS 和 CD-ROM 教育策略在低层次、高层次认知和批判性思维方面是否存在统计学上的显著差异。

结果

采用重复测量多元方差分析(RMANOVA)和 LSD 事后检验对数据进行分析。HPS 组和 CD-ROM 组在低层次认知得分上没有显著差异。HPS 组在高层次认知和批判性思维得分上明显优于 CD-ROM 组。

结论

本研究表明,在低层次认知方面,教学策略的选择在结果上没有统计学上的显著差异。然而,HPS 优于使用 CD-ROM,应被视为教学的首选。

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