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Making the most of practical placements: what the nurse teacher can do to maximise the benefits for students.

Any course of preparation for nurses has practical placements to support the theoretical material, and this paper attempts to address the question of how the nurse teacher can ensure that students derive maximum benefit from such placements. Principles of the transfer of learning, and experiential learning are applied to the process of curriculum development where it includes the incorporation of practical placements. Then the teacher's role in the implementation of the curriculum with reference to practical placements is considered in three stages of preparation, monitoring/support, evaluation. These issues are considered in the context of Project 2000 and the current changes taking place in nurse education.

Curriculum↗

Forgetting curves in long-term memory: evidence for a multistage model of retention.

An experimental study with 20 normal healthy young adult subjects was performed to evaluate the interaction of type of memory tasks, type of learning modalities, and length of acquisition/recall interval. Four different tasks were employed (serial learning, paired learning, rote learning, and visuolinguistic transfer), some requiring a single trial learning modality others a multitrial learning modality. Acquisition/recall intervals were immediate, intermediate (3 min), and delayed. The experimental design allowed for the comparison of effects from five different delayed recall intervals (2, 8, 12, 24, and 48 hr). Results demonstrated a specific interaction on learning rates due to different ceiling effects for the different types of memory tasks. Forgetting rates, on the other hand, demonstrated a specific effect due to type of memory tasks and learning modalities only for differences between immediate and intermediate recall. These differences remained stable during the longer intervals and were not affected by length of interval. A multistage composition of long-term retention was suggested to explain these results, and a practical indication to build experimental procedures to study memory in the clinical field was evidenced.

Adult↗

Steering through the murky waters of a scientific conflict: situated and symbolic models of clinical cognition.

The situated action perspective, which embraces a diversity of views, challenges several of the fundamental assumptions of the symbolic information-processing framework underlying cognitive science and artificial intelligence. In this paper, we consider the following issues; symbolic representations, plans and actions, distributed cognition, and the transfer of learning. We evaluate each of these issues in terms of research and theories in clinical cognition and examine the implications for education and training, and for the integration of intelligent systems in medical practice. We argue for a reconceptualization of the symbolic framework in terms of the way the role of internal representations and cognitive activities are perceived. However, symbolic representations are integral to medical cognition and should continue to be central in any theoretical framework. A re-examination of cognitive science in medicine in terms of the relationship among physicians, technology, and the workplace could prove to be constructive in bridging the gap between theory and practice.

Artificial Intelligence↗

Of bedpans and ivory towers? Nurse academics' identities and the sacred and profane: a Bernsteinian analysis and discussion paper.

AIM: In light of debates arising from recent developments in Irish nursing education, this paper analyses tensions in the positioning of nursing in academia in terms of notions of the sacred and profane, and the symbolic boundaries between them, and discusses the implications of this analysis for nurse academics' identities. BACKGROUND: The entry of nursing education to the higher education sector has occurred against a discursive backcloth of opposition which constructs nursing work as either sacred, and under threat from the academy, or profane, and unworthy of a place in it. METHOD: Conceptual resources derived from the work of Basil Bernstein are deployed to analyse the forces driving the loom weaving this discursive backcloth. These forces are conceptualised as deriving from deep-seated fears and anxieties sparked by changes in the strength of symbolically important boundaries between constructions of the sacred and profane in the fields of nursing and higher education. These constructions are explicated. FINDINGS: Bernstein regards secure academic identities as inhering in strong boundaries between disciplines and between the fields of education and work. The transfer of nursing education from health to the higher education sector and nurse academics' attempts to articulate a nursing-discipline specific knowledge base can be understood in these terms. This analysis challenges nurse academics who promote disciplinary eclecticism and those who legitimate academic nursing principally in terms of the acquisition of generic and transferable lifelong learning skills. CONCLUSIONS: To counter a discourse that constructs them as a profane presence in higher education, some nurse academics have articulated a discourse of legitimation that constructs (academic) nursing as a sacred endeavour. Whether this can provide the grounds of their legitimacy and the basis of their careers as distinctively nursing academics is unclear at this stage of nursing's development as an academic discipline.

Attitude↗

Effective heart disease prevention: lessons from a qualitative study of user perspectives in Bangladeshi, Indian and Pakistani communities.

OBJECTIVES: Coronary heart disease (CHD) has a high mortality, incidence and prevalence among Indian, Pakistani and Bangladeshi communities in the UK, indicating the need for effective heart disease prevention initiatives for these communities. This paper considers how service user perspectives can be used to develop effective, culturally focused CHD prevention interventions for these target groups by addressing identified barriers, including deeply held cultural beliefs. STUDY DESIGN: A qualitative research study, using a longitudinal action research approach. METHODS: This was a community-based study in Edinburgh. Six focus group discussions--two for each community--were organized with participants from these communities at the beginning of the project. A further six focus group discussions for the same communities were organized six months later. RESULTS: Over the period examined, participants reported varying changes in levels of knowledge relating to the nature, causes and symptoms of CHD. Some participants reported taking slight to significant steps to reduce or prevent heart disease, while others did not. The project was viewed as helpful in increasing knowledge about CHD and preventive measures and encouraging healthier lifestyles. However, persistent barriers to change were also identified, requiring changes to the project that involved not only matching intervention materials and messages to observable, superficial characteristics of the target population, but more fundamental changes that address the cultural, social, historical, environmental and psychological forces that influence health behaviour. CONCLUSION: CHD prevention initiatives need to identify and respond to deep-rooted influences on health-behaviour in 'at-risk' groups, in addition to superficial characteristics of the target populations. It is important for specific prevention initiatives to be linked into wider CHD frameworks to ensure transferability of learning and integration within wider service provision.

Asia, Western↗

Phonological reading skills acquisition by children with mental retardation.

Twenty children with mental retardation (MR), age 7-12, completed a phonological reading skills program over approximately 10 weeks. As a result of the instruction, they were better able to sound out learned and transfer words compared to a control group matched on age, IQ, nonword reading, language comprehension, and phonemic awareness. Final sounding out was predicted by beginning reading skill in both groups, by phonemic awareness and articulation speed in the control group only, and by general language ability in the instruction group only. Neither IQ nor verbal working memory correlated significantly with final sounding out ability in either group. It is suggested that the instruction succeeded in compensating for weaknesses in phonemic awareness and speech articulation, but favored those who had better language skills.

Awareness↗

The structure and function of explanations.

Generating and evaluating explanations is spontaneous, ubiquitous and fundamental to our sense of understanding. Recent evidence suggests that in the course of an individual's reasoning, engaging in explanation can have profound effects on the probability assigned to causal claims, on how properties are generalized and on learning. These effects follow from two properties of the structure of explanations: explanations accommodate novel information in the context of prior beliefs, and do so in a way that fosters generalization. The study of explanation thus promises to shed light on core cognitive issues, such as learning, induction and conceptual representation. Moreover, the influence of explanation on learning and inference presents a challenge to theories that neglect the roles of prior knowledge and explanation-based reasoning.

Adult↗

Conditional discrimination learning and negative patterning in rats with neonatal hippocampal lesion induced by ionizing radiation.

This study was undertaken to investigate the associative process underlying serial feature positive conditional discrimination learning (X-->A+/A-) and the role of the hippocampus in the solution of tasks demanding a configural association strategy such as the negative patterning discrimination (XA-/X+/A+). It has been suggested that the hippocampus is essential for the learning of complex tasks, so, it is expected that hippocampal lesions would prove equally detrimental to performance in both tasks, but would not interfere with simple discrimination learning. Hippocampal lesions were made with X-radiation exposure to neonate rats after completion of a parametric study 'J. Neurosci. Methods 75 (1997) 41' that established the best radiation parameters to selectively lesion the hippocampal dentate gyrus. When adults, rats were submitted to a serial feature positive conditional discrimination task with the trials 'House light/Tone: water (H-->T+)', 'Tone: no water (T-)', and two simple discrimination with the trials 'Clicker: water (C+)' and 'Noise: no water (N-)' in Experiment I. In Experiment II, adult rats, irradiated and control, were submitted to the negative patterning task with the trials 'House light/Tone: no water (HT-)', 'House light: water (H+)', 'Tone: water (T+)', and to the non-conditional discrimination with the trial Noise: no water (N-)'. In contrast to the expectation of impaired performance in these tasks by lesioned rats, animals with damage to the hippocampal dentate gyrus learned the complex and the simple tasks as well as control subjects. These results suggest that the dentate gyrus does not participate directly in the modulation of acquisition of tasks demanding a complex strategy of occasion setting in procedures of serial conditional discrimination or a configural strategy, important for the negative patterning discrimination solution.

Age Factors↗

Chunking during serial learning by a pigeon: III. What are the necessary conditions for establishing a chunk?

What are the minimal conditions for the formation of chunks by a pigeon learning an arbitrary list? Experiment 1 compared the acquisition of two types of chunkable list (each composed of colors and achromatic geometric forms): A----B----C----D'----E' (or A'----B'----C'----D----E) and A----B----C'----D'----E' (or A'----B'----C----D----E). The first type of list was acquired more rapidly than the second. On both lists, however, evidence of chunking did not emerge until the four-item phase of training (e.g., pauses at the end of one category of list item). In Experiment 2, chunking was shown to occur on four-item lists in which colors and forms were segregated (A----B----C'----D' and A'----B'----C----D), but not on lists in which the two types of items were interspersed (A----B'----C'----D and A'----B----C----D'). As in Experiment 1, evidence of chunking (pauses at chunk boundaries) did not appear until the fourth item was added.

Animals↗

Chunking during serial learning by a pigeon: I. Basic evidence.

Chunking by pigeons was demonstrated by comparing performance on different types of lists. Experiment 1 showed that Groups II and IV (who learned lists in which colors and achromatic geometric forms were segregated: A----B----C----D'----E' and A----B----C----D----E', respectively) executed lists more rapidly than did Group I (who learned a homogeneous list of colors: A----B----C----D----E) or Groups II and III (who learned lists consisting of unsegregated colors and forms: A----B'----C----D'----E and A----B----C'----D----E, respectively). Experiment 2 showed that Groups II and IV tolerated interruptions of the list better than did Groups I, III, and V. The accuracy of responding of Groups I, III, and V decreased as a function of the duration of the interruption and the point in the sequence at which it occurred. The performance of Group II was unaffected by interruptions; Group IV was minimally affected. These results indicate that Groups II and IV organized their lists as ordered chunks.

Animals↗

The eye blink as a time-locked response: implications for serial and second-order conditioning.

A series of experiments were conducted to determine what factors control responding to the first element of a two-element serial compound in rabbit eyelid conditioning. An examination of response topography indicated that the eye-blink CR is rigidly timed to occur when the US is expected. This response-system characteristic prevents the occurrence of a CR during the first element of a serial compound or during the second-order CS in second-order conditioning. The comparison of a serial gap procedure with conventional serial and trace conditioning procedures suggested that the associative strength of the first element of a serial CS is not strongly influenced by either a second-order conditioning process or by the variable-reinforcement principle.

Animals↗

Composition during serial learning: a serial position effect.

Composition is a computational learning mechanism that merges serially performed elementary processes into hierarchically organized knowledge structures. The main goals of this research were to explore (a) the role of serial position in composition and (b) the relation between degree of composition and explicit serial recall in serial learning. In 3 experiments, Ss performed a rule-based serial reaction time task in which they had to categorize a sequence of 12 stimuli shown simultaneously on a video monitor. A procedure based on the comparison of reaction times to random sequences and a repeating sequence identified a serial position effect of composition that was, however, moderated by Ss' explicit, postexperimental recall of the repeating sequence. A production-system-based computational model of composition is described that qualitatively reproduces the empirical findings. Implications for the mechanisms governing serial learning are discussed.

Adolescent↗

Bothered by abstraction: the effect of expertise on knowledge transfer and subsequent novice performance.

Although experts should be well positioned to convey their superior knowledge and skill to novices, the organization of that knowledge, and particularly its level of abstraction, may make it difficult for them to do so. Using an electronic circuit-wiring task, the authors found that experts as compared with beginners used more abstract and advanced statements and fewer concrete statements when providing task instructions to novices. In a 2nd study, the authors found that beginner-instructed novices performed better than expert-instructed novices and reported fewer problems with the instructions when performing the same task. In Study 2, the authors found that although novices performed better on the target task when instructed by beginners, they did better on a different task within the same domain when instructed by experts. The evidence suggests that the abstract, advanced concepts conveyed by experts facilitated the transfer of learning between the different tasks.

Adolescent↗

Effector-dependent learning by observation of a finger movement sequence.

Can observational learning be effector dependent? In 3 experiments, observers watched a model respond to a 6-item unique sequence in a serial reaction time task. Their sequence knowledge was then compared with that of controls who had performed an unrelated task or observed a model responding to random targets. Observational learning was indicated when the introduction of a new sequence was associated with more reaction time elevation in observers than in controls. The authors found evidence of observational learning only when observers used the finger movement sequence that they observed during training, not when they responded at the same sequence of locations using different digits. Free generation and recognition tests also detected observational learning. These results imply that observational learning can be both explicit and effector dependent.

Adult↗