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无定向学习风格与学业风险:压力、应变及应对方式的影响分析

Undirected learning styles and academic risk: Analysis of the impact of stress, strain and coping.

作者信息

Kimatian Stephen, Lloyd Sara, Berger Jeffrey, Steiner Lorraine, McKay Robert, Schwengal Deborah

机构信息

is Vice Chair for Education and Chair of Pediatric Anesthesiology at the Anesthesiology Institute, Cleveland Clinic, Cleveland, OH.

is President of Human Resources Advantage, Professional Coach for residents at the University of Kansas School of Medicine, Wichita, KS.

出版信息

J Educ Perioper Med. 2017 Apr 1;19(2):E603. eCollection 2017 Apr-Jun.

Abstract

BACKGROUND

Learning style inventories used in conjunction with a measure of academic achievement consistently show an association of meaning directed learning patterns with academic success, but have failed to show a clear association of undirected learning styles with academic failure. Using survey methods with anesthesia residents, this study questioned whether additional assessment of factors related to stress, strain, and coping help to better define the association between undirected learning styles and academic risk.

METHODS

Pearson chi squared tests. 296 subjects were enrolled from eight institutions with 142 (48%) completing the study. American Board of Anesthesiologists In Training Examinations (ITE) percentiles (ITE%) were used as a measure of academic achievement. The Vermunt Inventory of Learning Styles (ILS) was used to identify four learning patterns and 20 strategies, and the Osipow Stress Inventory-Revised (OSI-R) was used as a measure of six scales of occupational stress, four of personal strain, and four coping resources.

RESULTS

Two learning patterns had significant relationship with ITE scores. As seen in previous studies, Meaning Directed Learning was beneficial for academic achievement while Undirected Learning was the least beneficial. Higher scores on Meaning Directed Learning correlated positively with higher ITE scores while higher Undirected and lower Meaning Directed patterns related negatively to ITE%. OSI-R measures of stress, strain and coping indicated that residents with Undirected learning patterns had higher scores on three scales related to stress, and 4 related to strain, while displaying lower scores on two scales related to coping. Residents with higher Meaning Directed patterns scored lower on two scales of stress and two scales of strain, with higher scores on two scales for coping resources.

CONCLUSIONS

Low Meaning Directed and high Undirected learning patterns correlated with lower ITE percentiles, higher scores for stress and strain, and lower coping resources. This association suggests that successful remediation of at-risk residents must address stress, strain and coping if long term academic improvement is expected. Further research to identify the value of stress, strain, and coping screening and education is warranted.

摘要

背景

与学业成绩衡量指标相结合使用的学习风格量表一直显示,意义导向型学习模式与学业成功之间存在关联,但未显示出无导向型学习风格与学业失败之间有明确关联。本研究采用调查方法对麻醉住院医师进行研究,探讨对与压力、紧张和应对相关因素的额外评估是否有助于更好地界定无导向型学习风格与学业风险之间的关联。

方法

采用Pearson卡方检验。从8个机构招募了296名受试者,其中142名(48%)完成了研究。美国麻醉医师协会住院医师培训考试(ITE)百分位数(ITE%)用作学业成绩的衡量指标。使用弗蒙特学习风格量表(ILS)来识别四种学习模式和20种策略,使用奥西波压力量表修订版(OSI-R)来衡量职业压力的六个维度、个人紧张的四个维度和四种应对资源。

结果

两种学习模式与ITE分数有显著关系。如先前研究所示,意义导向型学习对学业成绩有益,而无导向型学习最无益处。意义导向型学习得分越高与ITE分数越高呈正相关,而无导向型学习得分越高和意义导向型学习得分越低与ITE%呈负相关。OSI-R对压力、紧张和应对的测量表明,具有无导向型学习模式的住院医师在与压力相关的三个维度以及与紧张相关的四个维度上得分较高,而在与应对相关的两个维度上得分较低。具有较高意义导向型模式的住院医师在两个压力维度和两个紧张维度上得分较低,在两种应对资源维度上得分较高。

结论

低意义导向型和高无导向型学习模式与较低的ITE百分位数、较高的压力和紧张得分以及较低的应对资源相关。这种关联表明,如果期望实现长期学业进步,对有风险的住院医师进行成功补救必须解决压力、紧张和应对问题。有必要进一步研究以确定压力、紧张和应对筛查及教育的价值。

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