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[Communicative action for building nursing knowledge].

It is a theoretical essay aiming at proposing the usage of the communicative action theory, by philosopher Jürger Habermas, as a mediator of educational technologies in building nursing knowledge. Based on the contributions by the philosopher and authors such as Demo, Morin, Assman, Perrenoud, Waldow, and Ramos, we reflect on technological advances and the necessary innovations in the field of nursing education. We believe that this proposal can contribute to implementing the national curriculum guidelines in undergraduate courses.

Communication↗

Current and future impact of technology on physiology education.

There are at least three areas in which technology can impact education: teaching, learning, and assessment. Teaching, when viewed as communication of information, has been transformed by the technology revolution. Word processing, multimedia, distance learning, and access to the World Wide Web are some prominent examples. The impact of technology on learning, defined as knowledge or skill acquired by instruction or study, has been less dramatic, in part because of our limited understanding of cognitive processes. Some forms of assessment, the collection of evidence of learning, have benefited from technology, such as item analysis of multiple-choice questions. To be effective, the focus on instruction must start with the learner and, from there, consider what should be done to enhance learning. An emphasis on what is technologically appropriate, rather than what is technologically possible, will improve the quality of both teaching and learning.

Curriculum↗

[Nursing education with no distance: a space and time rupture].

This article presents pedagogical assumptions and some distance educational policies. It also presents considerations about educational technologies, and describes the experience of using the Internet in the nursing education undergraduate courses. It was offered a course via Internet, in the WebCT environment. The subject theme was Intravenous Therapy. Initially 49 students enrolled in the course, among these, 25 completed 50% of the course activities. Internet can stimulate and facilitate the nursing student digital inclusion. Thus, Internet can be seen as a useful auxiliary tool that allows a space and time flexibility, where these factors are determined according to learner's interests and availability.

Education, Nursing↗

Maintaining standards of excellence in radiologic technology admissions: directions for future research on selection predictors.

The continuing decline in the number of applicants to radiologic technology educational programs is beginning to stress the traditional standards of excellence in admissions. To maintain standards, it is imperative that reliable predictors are developed to assess the full potential for success of all individuals in the restricted applicant pool. This article reviews the research done with noncognitive measures, identifies those that increase predictive efficiency, and proposes directions for future research in this area.

Educational Measurement↗

Technology for patient care assessment, documentation, and education.

Computer technology plays a big role in health care systems and information management. As technology continues to evolve, its role will become even more prevalent and important. Among the trends seen in technology products are better integration and compatibility of systems and accessories, enhanced performance and speed, smaller size and portability, improved user-friendliness, and affordability. All of these trends favor increased use in the health care environment. Selection of a product requires consideration of the desired goals and needs. An assessment should be made of existing technologies, particularly if interfacing will be required. Furthermore, most products have a life of only 10-18 months due to the rapid development of newer and better technologies.

Humans↗

Introducing information technologies into medical education: activities of the AAMC.

Previous articles in this column have discussed how new information technologies are revolutionizing medical education. In this article, two staff members from the Association of American Medical College's Division of Medical Education discuss how the Association (the AAMC) is working both to support the introduction of new technologies into medical education and to facilitate dialogue on information technology and curriculum issues among AAMC constituents and staff. The authors describe six AAMC initiatives related to computing in medical education: the Medical School Objectives Project, the National Curriculum Database Project, the Information Technology and Medical Education Project, a professional development program for chief information officers, the AAMC ACCESS Data Collection and Dissemination System, and the internal Staff Interest Group on Medical Informatics and Medical Education.

Curriculum↗

Assessment of continuing education needs: results of New Jersey survey.

This article is the result of a study that the authors conducted for the Council of Radiologic Technology Educators of New Jersey. The purpose of the study was (1) to determine if radiologic technologists thought continuing education was necessary; (2) to determine what technologists have done to date about continuing education in their own lives; (3) to identify the type of continuing education programs radiologic technologists want; and (4) to find out how radiologic technologists want continuing education programs to be designed.

Attitude of Health Personnel↗

Commonalities of the EMS Education Workforce (2004) in the United States.

OBJECTIVES: The purpose of the State of EMS Education Research Project was to quantify the characteristics of those recognized as EMS instructors, what infrastructure supports exist to facilitate the learning process, and what are the attributes and common practices embraced by the profession. The collection of EMS education system data will assist in the continued development and implementation of the EMS Education Agenda for the Future: A Systems Approach. The first phase of the study identified characteristics of the individual educators and their workplace. Based on data collected from a national survey of individuals identified as EMS educators. Phase II of the project utilized a panel of experts to identify common practices in EMS education derived from the data analysis in Phase I. Based on the consensus and description of the common practices, a set of recommendations were developed which would facilitate the transition to future curricula designs and educational delivery methods. METHODS: The methods used in this study replicated those used by Witkin and Trochim (1997 as a formalized group-oriented concept mapping process. The concept statements were derived from data generated by Ruple et al., which attempted to identify and describe the various aspects of the EMS educational process. After a comprehensive listing of the aspects, a reduction and grouping exercise resulted in the identification of 43 concepts. The unstructured sorting task replicated procedures described by Rosenburg and Kim, Trochim, and Weller and Romney. The 13 participants of the technical team (a subset of the task force) were then tasked with individually rating each of the 43 concepts. Cronbach's alpha, as well as, principal component analysis was used to analyze the data and then concept mapping theory was employed to convert the data into concept statements. After the ratings were generated, the concepts were consolidated and reduced to 21 concept statements. A Spearman Rank Order Correlation Coefficient was computed comparing the rank of the top 10 most important concepts with the frequency of citation by the subgroup members and was found to be +0.92 [t(18) = 10.08, p < 0.0005]. The technical team's concept ratings were then validated by the full SEERP Task Force consisting of a national panel of experts in EMS education, administration, state regulation and certification. CONCLUSIONS: There is a need to increase the theory and knowledge base of EMS educators, to prepare the infrastructure for change, and to improve evaluation procedures for student performance and outcomes and the integration of educational technologies. Integration of resources, development of support systems, coordination of initial and continuing education requirements, alliances with professional accreditation services, and partnership building with other allied health and medical academic education systems are priorities for improving the working conditions for EMS educators nationally. Recommendations by the panel are the appropriate response to the current condition of the EMS education setting and a basis on which to begin a seamless transition to the vision of the EMS Education Agenda for the Future: A Systems Approach.

Adult↗

The role of lectures in veterinary education.

OBJECTIVE: To study the role of lectures from the perspective of staff and students involved in the veterinary course at The University of Queensland. METHODS: The Nominal Group Technique of Delbecq et al, which provides the maximum opportunity for group members to put forward points, was used to help develop a questionnaire which was completed by 351 students (a response rate of 84%) and 35 staff (76%) from the five years of the veterinary course, and was analysed using the SAS System for Windows. RESULTS: Almost all the staff and students agreed that lectures should fulfil many roles including stimulating and motivating students and encouraging them to think, as well as presenting ideas and concepts and an indication of the structure and relevance of the material. They should provide a guide for effective deep learning, but not encourage rote (or superficial) learning. A smaller percentage of staff and even fewer students agreed that lectures did fulfil these roles, especially those directed at encouraging students to look beyond simple memorisation of facts. The perceived disparity between reality and the ideal was greater amongst the older, clinical students than amongst their more junior colleagues. CONCLUSIONS: The focus of attention in lectures needs to change from the superficial, rote learning of information to deep, active learning directed at using information to solve problems that are perceived by the students to be relevant. If done in a stimulating and interesting way, this should develop skills in reasoning and critical analysis as well as providing a framework for storage and recall. It should also increase the motivation towards learning both during the veterinary course, and over the professional lifetime. Furthermore, the place of the lecture in veterinary education needs to be reassessed regularly in the face of newly-emerging educational technology.

Adolescent↗

Environmental interventions to promote healthy eating: a review of models, programs, and evidence.

Environmental interventions are an important part of efforts to improve health in populations. With respect to strategies to encourage positive nutrition behavior, environmental approaches help create opportunities for action by removing barriers to following a healthy diet. This article reviews the rationale, conceptual models, program examples, and recent empirical evidence regarding the extent and effects of environmental interventions to promote healthy eating. The state of the art is described for five types of interventions: (1) changes in the food supply; (2) point of choice nutrition information; (3) collaboration with private sector food vendors; (4) worksite nutrition policies and incentives; and (5) changes in the structure of health and medical care related to nutrition. Environmental approaches to dietary behavior change can reach large segments of the population through increased availability of nutritious foods, provision of quality nutrition services in workplace and health care settings, and accessible information about healthful food choices. Nutrition intervention can also serve as a model for other types of health promotion initiatives using multidimensional environmental and educational technologies.

Food Supply↗

Impact of state licensure on selected aspects of radiologic technology: a 1975 survey.

A 1975 survey to determine the impact of state licensure on radiologic technology compared three licensure states with three states that had no laws regulating operators of radiographic equipment. The survey showed no significant differences in radiation protection practices, recruitment, availability, or economic status of technologists. However, school regulations in the licensure states did show a positive effect upon the quality of radiologic technology education.

California↗

The adoption of technology in higher/nursing education.

This is a review article on the adoption of technology in higher education. Higher education in general is looked at. Nursing Education is also higher education and therefore it will not be addressed separately, but mentioned in some instances. The article presents a look into how students and lecturers experience change, as well as barriers they perceive in the integration and adoption of technology. Some suggestions are made to the adoption process as well as the necessity for personnel development in information technology. The role that Information Technology personnel play in the adoption and integration process of technology is also discussed.

Computer-Assisted Instruction↗

Development and evaluation of an e-learning package for teaching skin examination. Action research.

BACKGROUND: Dermatology is one of many specialities competing for space in the undergraduate curriculum, and recent review reveals that in some medical schools only a minority of students receives direct teaching from dermatologists. Enlargement of medical schools and dispersion of students over multiple sites further increase the strain on teaching resources. OBJECTIVES: To develop and obtain 'proof of concept' for a technology to teach skin examination, using an approach grounded in modern theories of learning. METHODS: The requirements for an e-learning technology were identified through literature review and qualitative analysis of stakeholders' requirements with respondent and expert validation. A method of teaching skin examination was developed by applying Anderson's theory of skills acquisition. It was prototyped first on paper, then electronically, and its usability as an instructional tool was evaluated. RESULTS: The project delivered, firstly, a specification for skin examination derived from published evidence, textbook content, and staff and student consensus; and secondly, a very useable technology to help students learn skin examination (http://www.skillsbase.man.ac.uk). A validation task was completed in 20 min without significant usability problems, and evaluators found it simple, intuitive, interactive and enjoyable to use. Students saw it as an adjunct that would help them build confidence and revise for examinations. Nonstakeholder teachers expressed concern about the apparent simplicity of its contents and felt that it should only be used in association with traditional teaching methods. CONCLUSIONS: Students, educationalists and teachers were able to codesign a useable skin examination package, which merits evaluation of efficacy. In view of the logistic difficulties of teaching dermatology to the growing student population, the technology may be a useful adjunct to traditional teaching methods. Our approach may inform further developments in educational technology in dermatology.

Computer-Assisted Instruction↗

[Current challenges facing the technological and vocational nursing education in Taiwan].

The technological and vocational education nursing system (TVE) has been the major source of nursing labor in Taiwan. As educational reform progresses, entry into nursing practice will soon mean that all nurses hold at least an associate nursing degree, which will be a milestone in the nursing history of Taiwan. However, the ecology of nursing is fast-altering, so in order to produce competent nurses, endeavors are required to renovate the current TVE system of nursing. In this article, the author brings years of personal experience as a nursing educator to bear in raising several key issues relating to the TVE system of nursing education.

Education, Nursing↗

A nurse educator teaching with technologies course: more than teaching on the web.

This article describes a Web-based "teaching with technology" course that is part of the online Nurse Educator Certificate at University of Kansas (Journal of Professional Nursing . 2003;19:347-353). Challenges and strategies in developing and implementing the course, first in a Web-enhanced format and then in a Web-based format, are presented. Selected online activities and assignments are shared. Evaluative comments from students are included in this article and indicate that the course helps new educators focus on thoughtful and appropriate selection of how and where technology should be integrated to meet educational goals.

Curriculum↗

Catching information technology by the tail for problem-based learning.

While computer-based resources are appealing, there is currently little evidence that they are superior to less expensive, traditional educational technologies and thus their introduction will be slow until we learn how to benefit from them. The lesson learned from the orientation of problem-based learning is that communications aspects of the new technologies may be much more important and should be, at least currently, the focus of attention. Thus, rather than concerning ourselves with the tiger, since communications do not require particularly sophisticated equipment, the important approaches now appear to be to give students experience with the means to access and exchange information; with those skills they should be reasonably prepared to survive in the Information Age and take advantage of what technology has to offer in the future.

Canada↗