Hsu Li-Ling, Pan Hui-Ching, Hsieh Suh-Ing
Graduate Institute of Health Allied Education, National Taipei University of Nursing and Health Sciences, No. 365, Ming-Te Rd., Peitou, Taipei City 11219, Taiwan, ROC.
Department of Nursing, Taipei Veterans General Hospital, Taiwan, ROC.
Nurse Educ Today. 2016 Feb;37:83-90. doi: 10.1016/j.nedt.2015.11.032. Epub 2015 Dec 15.
Pre-registration programs have been found to insufficiently prepare nurses for working in the neurosciences specialism. Effective approaches to neurology education are important, not only to enhance motivation to learn, but also for learners to develop basic competence in handling patients with neurological problems.
To demonstrate that outcome-based course design using concept mapping would bring about significant differences in the nursing students' competency, cognitive load, and learning satisfaction with the neurological care course.
A two-group pretest and post-test experimental study was administered. Two of the four clusters of participants were randomly assigned to the experimental group for experiencing an outcome-based course design using concept mapping, and the rest were designated the control group to be given objective-based lectures only. The Competency Inventory of Nursing Students, Cognitive Load Scale of Neurological Nursing, and Learning Satisfaction Scale of Neurological Nursing were used in this study for the students to rate their own performance. In addition, The Concept Map Scoring Scale was used in the experimental group for examining students' concept mapping ability.
Significant increases of mean nursing competency scores in both groups from pre-test to post-test were found. There was no statistically significant difference in mean nursing competency score between the experimental group and the control groups at post-test. The mean cognitive load score of the experimental group was lower than the control group at post-test. The mean learning satisfaction scores of the experimental group were higher than the control group.
This article provides that outcome-based concept mapping as educational method could encourage a group of nursing students to take a bio-psycho-social approach to medicine, which might ultimately result in better nursing care quality.
研究发现,预注册项目在让护士为神经科学专业工作做好准备方面做得不够。有效的神经病学教育方法很重要,这不仅有助于提高学习动力,还能让学习者培养处理神经系统问题患者的基本能力。
证明使用概念图的基于结果的课程设计会在护理专业学生的能力、认知负荷以及对神经护理课程的学习满意度方面带来显著差异。
进行了一项两组前后测实验研究。将四组参与者中的两组随机分配到实验组,体验使用概念图的基于结果的课程设计,其余组指定为对照组,仅接受基于目标的讲座。本研究使用护理专业学生能力量表、神经护理认知负荷量表和神经护理学习满意度量表让学生对自己的表现进行评分。此外,实验组使用概念图评分量表来检验学生的概念图能力。
发现两组从测试前到测试后的平均护理能力得分均显著提高。测试后,实验组和对照组的平均护理能力得分在统计学上没有显著差异。测试后,实验组的平均认知负荷得分低于对照组。实验组的平均学习满意度得分高于对照组。
本文表明,基于结果的概念图作为一种教育方法,可以鼓励一群护理专业学生采用生物 - 心理 - 社会医学方法,这最终可能会带来更好的护理质量。