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主动学习与被动学习继续教育活动对呼吸教育者自我管理支持的教育效果比较:一项非随机对照混合方法研究。

Comparative educational outcomes of an active versus passive learning continuing professional development activity on self-management support for respiratory educators: A non-randomized controlled mixed-methods study.

机构信息

St. Michael's Hospital, affiliated with the University of Toronto, Toronto, ON, Canada; Knowledge Translation, Education and Prevention Chair in Respiratory and Cardiovascular Health, Université Laval, Québec City, QC, Canada; Québec Heart and Lung Institute-Université Laval, Québec City, QC, Canada.

Centre de recherche et intervention sur la réussite scolaire, Québec City, QC, Canada; Faculty of Education, Université Laval, Québec City, QC, Canada.

出版信息

Nurse Educ Pract. 2021 Nov;57:103256. doi: 10.1016/j.nepr.2021.103256. Epub 2021 Nov 13.

Abstract

AIM

We compared educational outcomes associated with an active vs. passive continuing professional development activity on self-management support for respiratory educators.

BACKGROUND

There is a need to identify learning activities associated with the most successful continuing professional development programs for respiratory educators.

DESIGN

This was a non-randomized controlled mixed-methods study recruiting respiratory educators attending a continuing professional development activity on self-management support.

METHODS

In the experimental group, active learning methods (role-play simulations) were employed, whereas passive learning methods (lecture) were used in the comparison group. Educators were allocated to the comparison group (first 15 months of the study), then to the experimental group (last 17 months). Educators filled questionnaires measuring pre-/post-activity knowledge about self-management support (score 0-25) and self-reported competence (score 1-10). Scores were compared using mixed-effect models. Interviews with educators were conducted and content analysis was performed.

RESULTS

We recruited 94/94 educators (active: n = 51; passive: n = 43). Knowledge scores increased to a greater extent in the active vs. passive learning group (adjusted difference-in-difference [aDID]=2.01; 95% confidence interval [95%CI]: 0.14-3.88), although competence scores increased to a greater extent in the passive learning group (aDID=-0.38; 95%CI: -1.56 to -0.04). Reflecting on their competence, educators of the active learning group identified the need to further improve their self-management support skills, whereas educators of the passive learning group did not.

CONCLUSIONS

Our results show that an active learning continuing professional development activity on self-management support could help educators to better apply knowledge and appears to engage them in a process of reflection on action.

摘要

目的

我们比较了主动式和被动式继续教育活动在呼吸教育者自我管理支持方面的教育效果。

背景

需要确定与呼吸教育者继续教育项目最成功相关的学习活动。

设计

这是一项非随机对照混合方法研究,招募参加自我管理支持继续教育活动的呼吸教育者。

方法

在实验组中,采用主动学习方法(角色扮演模拟),而在对照组中采用被动学习方法(讲座)。教育者被分配到对照组(研究的前 15 个月),然后再到实验组(最后 17 个月)。教育者填写了自我管理支持知识(0-25 分)和自我报告能力(1-10 分)的预/后活动问卷。使用混合效应模型比较分数。对教育者进行访谈并进行内容分析。

结果

我们招募了 94/94 名教育者(主动组:n=51;被动组:n=43)。在主动学习组中,知识得分增加幅度大于被动学习组(调整差异[DID]=2.01;95%置信区间[95%CI]:0.14-3.88),而在被动学习组中,能力得分增加幅度大于主动学习组(DID=-0.38;95%CI:-1.56 至-0.04)。在反思自己的能力时,主动学习组的教育者认为需要进一步提高自我管理支持技能,而被动学习组的教育者则没有。

结论

我们的结果表明,主动学习继续教育活动在自我管理支持方面可以帮助教育者更好地应用知识,并使他们参与行动反思过程。

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