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PubMed1979

Methods of training deaf children to comprehend the passive voice.

Four variations of programmed filmstrips were shown to deaf children to improve comprehension of the passive voice. The design included two training strategies that treated the passive voice either as a unitary structure or as a contrast to the active voice. Within strategies two orders of training were compared for the various types of passive sentences: (nonreversible, reversible, agent-deleted) and (agent-deleted, nonreversible, reversible). Six filmstrips were constructed for the two strategies and three types of passive. Evaluation tests were administered before, immediately after, and three months following training. Forty deaf children were selected from two age ranges, 9 to 12 and 13 to 16 years. Within age groups 10 subjects served under each of the four strategy-order conditions. Evaluation tests consisted of a multiple choice picture-sentence matching test and a performance test in which subjects acted out six passive sentences using toys. Performance test scores increased significantly after training and surpassed pretraining after three months. Highest scores were achieved on nonreversible passives followed by reversible and agent-deleted passives. Reversal of agent and object was the most frequent error. Strategy and order differences were not significant.

Adolescent↗
PubMed2002

Learning preferences of paediatric intensive care nurses.

AIM: This paper reports the views of students on the teaching and learning strategies used in paediatric intensive care nursing courses. STUDY METHODS: Qualitative methods of data collection and analysis were used. A case study of one paediatric intensive care nursing course was carried out, followed by group interviews with students from a further seven courses. Local ethics committee protocols were followed. Data were analysed using constant comparative analysis. STUDY FINDINGS: Qualified nurses undertaking paediatric intensive care nursing courses seek a specific knowledge base, relevant to their clinical practice. Their preferred way of learning in this situation is teaching by knowledgeable experts who are also prepared to discuss issues that arise. Although in some instances student centred or self-directed approaches were considered acceptable, Students still require clear guidance and structure in their learning. Students did not summarily oppose student centred approaches to teaching and learning, however, time considerations and whether this would reduce the amount of study time provided by their employers were important factors. There was evidence that students do not necessarily have one specific learning preference. LIMITATIONS: This study explored only paediatric intensive care nurse education, and was not intended to be generalizable beyond this field. CONCLUSION: The findings from this study indicate that no single educational approach is universally seen as the most attractive for PICU nurses. The major considerations in designing and implementing PICU nursing courses should be that content is clearly rated to the clinical speciality, theory is clearly linked to practice, and that the time constraints for students who are additionally in full time employment are taken into account.

Attitude of Health Personnel↗
PubMed2003

Self-directed learning in nurse education: a review of the literature.

RATIONALE: Self-directed learning is essential in assisting nurses to meet the challenges presented in today's health care environment. Nurse educators have an important role to play in assisting nurses to acquire the skills for self-directed learning, and to do this they need to understand the concept of self-directed learning. AIM: The aim of this review is to explore the concept of self-directed learning and its use in nurse education. METHODS: A review of the literature was conducted using CINAHL, Medline and other databases and the keywords 'self-directed learning', 'student nurses', 'classroom', 'nursing education' and 'adult education'. FINDINGS: The concept of self-directed learning is based on the principles of adult education and can take many different formats. Self-directed learning has many benefits. However, acquiring the necessary skills is dependent on a students' preference and readiness for self-directed learning and nurse educators' implementation of the concept. In implementing self-directed learning, nurse educators become facilitators of learning and require ongoing staff development. Not all students are self-directed and a variety of teaching methods should be used in curricula. CONCLUSIONS: A consensus definition of the concept of lifelong learning does not exist, and students and teachers may have different perspectives on it. Mature students may be more self-directing than school-leavers, and learning styles and readiness to learn need to be assessed when judging the appropriateness of using self-directed learning approaches. However, there are many potential benefits, including increased confidence, autonomy, motivation and preparation for lifelong learning.

Curriculum↗
PubMed1999

The effect of problem-based learning on the academic performance of students studying podiatric medicine in Ontario.

OBJECTIVES: To investigate the effect of problem-based learning (PBL) on student achievement. DESIGN: Two cohorts of students studying podiatric medicine in Ontario were compared - one having undertaken the traditional lecture-based curriculum, and the other the problem-based learning programme. SETTING: The Michener Institute for Applied Health Sciences and The Toronto Hospital. SUBJECTS: Chiropody students. RESULTS: The performance of the students on the written Provincial Registration Examinations of Ontario was analysed utilizing independent t-tests and demonstrated that the PBL cohort of students achieved significantly higher overall examination scores (P < 0.005) than the traditional cohort. Further analysis revealed that no significant difference existed between student cohorts with respect to factual biomedical knowledge (P > 0.5), but that the PBL students performed significantly better in tests of deeper understanding and the cognitive skills related to patient management (P < 0.0005). Additionally, intragroup analysis using Spearman's rank order correlation indicated that there was no rank ordered association between performance on the multiple-choice and essay sections of the examination. CONCLUSIONS: The above results suggest that the PBL cohort of students was more knowledgeable than, and possessed superior cognitively related patient management skills, to their traditional counterparts.

Education, Medical, Undergraduate↗