Zhu Yuanyuan, Abidi Latifa, Savelberg Hans, Köhler S Eleonore, Kusurkar Rashmi A, Dolmans Diana
Department of Educational Development and Research, School of Health Professions Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, PObox 616, 6200MD, The Netherlands.
Department of Health Promotion, Faculty of Health, Medicine and Life Sciences, Maastricht University, Peter Debyeplein 1, Maastricht, 6229 HA, The Netherlands.
BMC Med Educ. 2024 Dec 20;24(1):1503. doi: 10.1186/s12909-024-06494-9.
Fostering students' autonomous motivation is linked to numerous positive outcomes. However, stimulating autonomous motivation of students in health professions remains a challenge. According to the Self-Determination Theory, supporting students' basic psychological needs for autonomy, relatedness, and competence fosters their autonomous motivation. However, there is a lack of studies that explore how and why education might enhance students' autonomous motivation. We designed, implemented, and investigated an extracurricular project called the 'Societal Impact Project' (SIP) to support students' basic psychological needs and autonomous motivation through three principles, offering authentic and collaborative learning experiences as well as scaffolding. This study aimed to understand how and why the SIP with characteristics of authentic and collaborative learning, and scaffolding supports students' autonomy, relatedness, competence, and autonomous motivation from the students' and teachers' perspectives.
First-year students following the bachelor programmes of Biomedical Sciences and Health Sciences participated in the project. Students and teachers took part in focus groups conducted after the project. We adopted thematic analysis.
Students reported that, firstly, having freedom was motivating, but students needed different adaptive degrees of guidance throughout the project. Secondly, working in small groups could be motivating or demotivating, but having peer connections and openly discussing difficulties made the groups strong. Thirdly, societal relevant problems stimulated motivation and learning as students recognized the real-life value of the problems, but the relevance of these problems to students' curriculum was not always clear to them.
SIP reflected characteristics of the three educational principles, and students reported that these elements contributed to student's basic psychological needs and autonomous motivation. A careful balance is needed in terms of offering autonomy versus support. Furthermore, students faced difficulties in seeing the link between the societal relevant problems and their curricula.
培养学生的自主动机与众多积极成果相关。然而,激发健康专业学生的自主动机仍然是一项挑战。根据自我决定理论,支持学生在自主性、关联性和能力方面的基本心理需求可促进他们的自主动机。然而,缺乏研究探讨教育如何以及为何能增强学生的自主动机。我们设计、实施并研究了一个名为“社会影响项目”(SIP)的课外项目,通过三个原则来支持学生的基本心理需求和自主动机,即提供真实且协作的学习体验以及搭建支架。本研究旨在从学生和教师的角度了解具有真实协作学习和搭建支架特点的SIP如何以及为何能支持学生的自主性、关联性、能力和自主动机。
生物医学科学和健康科学本科课程的一年级学生参与了该项目。项目结束后,学生和教师参加了焦点小组。我们采用了主题分析法。
学生报告称,首先,拥有自由度具有激励作用,但在整个项目中,学生需要不同程度的适应性指导。其次,小组合作可能具有激励作用,也可能产生消极影响,但有同伴联系并公开讨论困难会使小组更强大。第三,社会相关问题激发了动机和学习,因为学生认识到这些问题的现实生活价值,但这些问题与学生课程的相关性对他们来说并不总是清晰的。
SIP体现了这三个教育原则的特点,学生报告称这些要素有助于满足学生的基本心理需求和自主动机。在提供自主性与支持之间需要谨慎平衡。此外,学生在理解社会相关问题与他们的课程之间的联系时面临困难。