scholarly journals Exploring learners’ emotions and emotional profiles in simulation-based medical education

Author(s):  
Tuulikki Keskitalo ◽  
Heli Ruokamo

Medical education can be emotionally charged for many reasons, while simulation-based activities in particular are designed to generate emotional reactions. However, few studies have concentrated on the relationship between learning and emotions in this field, despite widespread interest in the topic in other areas. The aim of this research was to study the emotional experiences of participants before and after simulation-based teaching and learning activities. Data were collected from 238 participants using pre- and post-questionnaires and analysed using descriptive statistics, a paired samples t test, factor analysis, Cronbach’s alpha, a linear regression analysis and k-means cluster analysis. Participants were clustered into engaged, neutral and anxious learners based on their emotional profiles. The results showed that simulation-based learning invoked mainly positive emotions, whereas negative emotions decreased to a slight degree during an educational course. This study also revealed variables that may explain emotional variations. The article provides practical implications of the findings for simulation-based medical education and higher education in general. Implications for practice or policy: Positive emotions in simulation-based education can be promoted by challenging participants and providing activities at the appropriate level of difficulty. Learners may benefit from individual guidance and support, reducing their anxiety and building their sense of medical competence. Being cognisant of emotional subgroups among participants can help tailor instruction for individual learners. Simulation-based education can be targeted to educate learners to cope with difficult emotions and how to seek help.

2017 ◽  
Vol 9 (1-4) ◽  
Author(s):  
Mohamad Nizam Arshad ◽  
Noor Azean Atan ◽  
Abdul Halim Abdullah ◽  
Mahani Mokhtar ◽  
Mohd Salleh Abu

Reasoning skills are very important in encouraging students to think more critically and logically, as depicted in the Malaysian Education Development Plan (2013-2025). Therefore, this study looked into improving the Differentiation Reasoning Level (DRL) of reasoning skills among students for a topic in the Additional Mathematics subject,  known as Differentiation, through reasoning learning strategy. The study participants consisted of a total of 31 students from a secondary boarding school in Johor, selected through a purposive sampling method. A pre-test was carried out for the participants, from the advanced level, followed by a number of repetition tests, before the post-test assessment was conducted. The data collection for this study employed a set of Reasoning Test on Differentiation (RTD) and 10 sets of learning activities on Differentiation based on modified Marzano Rubric for Specific Task of Situations (1992). This dimension involved four types of reasoning skills, namely,  comparison, classification, inductive, and deductive. The survey data, through paired samples t-test, revealed a significant difference between the mean scores in pre-test and post-test (p <0.05). In addition, the paired sample t-test showed a significant difference on the level of reasoning among students from each construct in the reasoning skills before and after using this module. In conclusion, the Marzano Model of Dimensional Learning (1992) is a thinking skill model that can help improve students' reasoning skills. The model covers analysis aspects of what has been learned by implementing the process of identifying reasons, which will help students to add and expand their knowledge. The findings also implied that, the processes of teaching and learning play an important role in ensuring students’ capability to emphasize on the implementation process of reasoning skills


2020 ◽  
Vol 7 (1) ◽  
pp. 103-108
Author(s):  
Waqaas Akmal Butt ◽  
Qurratulain Shahood ◽  
Walid Hussain Farooqi ◽  
Kulsoom Ghias ◽  
Saniya Sabzwari ◽  
...  

BackgroundHackathons aim to develop solutions to preidentified problem domains and catalyse startup cultures. Recently, the teaching and learning potential of hackathons has also been documented. In this study, we make the case for utilisation of hackathons as an alternative teaching and learning tool geared towards entrepreneurship and as an opportunity for interprofessional integration.MethodsThis research study followed up with participants from the third hackathon at the Aga Khan University in Karachi, Pakistan. Hack MedEd was about solutions to problems of undergraduate and postgraduate medical education with an emphasis on low-income to middle-income countries. Participant evaluation data were filled at the end of the hackathon and gathered from three focused group discussions (FGDs): immediately before and after the event, a delayed follow-up after 11 months was recorded.ResultsOf 116 participants, the majority (71%) were under 30 years old, and over half were female. The evaluations provided by hackers were positive overall with a mean score of 4.37 out of 5 on a Likert Scale. During the FGDs, participants spoke positively of the process and felt that, by the end of the hackathon, they had learnt something new. In the delayed follow-up FGD, teams that had undergone incubation expressed that they had gained a critical and simple skillset that they might not have acquired otherwise.ConclusionHackathons business incubation programmes may be considered an alternative teaching and learning tool—especially for individuals studying or working within the healthcare discipline within low-resource settings.


Author(s):  
Nandkishor B. Gaikwad ◽  
Pradnya Bhalerao ◽  
Tabssum Maner ◽  
Vidya D. Mule

Background: Transfer of knowledge from teachers to students traditionally occurs in one direction using blackboards, overhead projectors, power-point presentations and lectures. It has many disadvantages. The main challenge in medical education is to teach surgical skills. For the learning of critical interventions, simulation-based training is structured so that the acquisition of new skills does not harm patients. Thus, the objective of this study was to enhance and improve procedural skills of resident doctors of Obstetrics and Gynaecology department of Government Medical College, Miraj using cadaver simulation in doing abdominal hysterectomy.Methods: Second year resident doctors from Obstetrics and Gynaecology department of GMC, Miraj who had completed their first year successfully in terms of basic orientation regarding surgical procedures were taken for study purpose. They were divided in two groups randomly. The first group underwent conventional method of teaching to learn the abdominal hysterectomy procedure and underwent feedback from them regarding the conventional teaching learning method. Then they were allowed to perform the procedure on a live patient and their performance of procedural skill was assessed by DOPS. (Direct observation of procedural skills). The second group underwent innovative method of use of cadaver simulation for the abdominal hysterectomy procedure and feedback on the same. They were allowed to perform the procedure on a live patient and their performance of procedural skill was assessed by DOPS. (Direct observation of procedural skills). All data was collected, analysed and processed to study the outcome of research project.Results: In group B, all resident were fully satisfied with newer method of teaching and learning for abdominal hysterectomy as surgical procedure. As far as, the advantages and disadvantages of teaching and learning are concerned, all residents pointed out large number of disadvantages in the conventional method. Evaluation of the surgical procedural skill was done by DOPS by senior faculty members of the department as per the questionnaire which showed good performance from group B.Conclusions: The benefit of simulation based medical education (SBME) is that it offers both learners and patients a safe environment for practice and error. In addition, SBME can provide a learning cycle of debriefing and feedback for learners as well as assessment and certification for procedures and competency.


2020 ◽  
Vol 27 (2) ◽  
pp. 183-201 ◽  
Author(s):  
Federica Pallavicini ◽  
Alessandro Pepe ◽  
Ambra Ferrari ◽  
Giacomo Garcea ◽  
Andrea Zanacchi ◽  
...  

Scientific knowledge is still limited about the effect of commercial virtual reality content, such as experiences developed for advertising purposes, on individual emotional experience. In addition, even though correlations between emotional responses and perceived sense of presence in virtual reality have often been reported, the relationship remains unclear. Some studies have suggested an important effect of ease of interaction on both emotions and the sense of presence, but only a few studies have scientifically explored this topic. Within this context, this study aimed to: (a) test the effect of inducing positive emotions of a commercial virtual experience developed for the promotion of an urban renewal project, (b) investigate the relationship between positive emotions and the perceived sense of presence, and (c) explore the association between the ease of interaction of the virtual experience with positive emotions and the sense of presence reported by the users. Sixty-one participants were recruited from visitors to the 2017 Milan Design Week “Fuorisalone” event. A survey was administered before and after the experience to collect information about users' demographics, positive emotions, sense of presence, and the ease of interaction with the virtual content. Results give evidence that: (a) the commercial virtual reality experience was able to induce positive emotions; (b) the positive emotions reported by users were associated with the sense of presence experienced in the virtual environment, with a directional effect from emotion to sense of presence; and (c) the easier the interaction, the more the sense of presence and positive emotions were reported by users.


2021 ◽  
Vol 35 (2) ◽  
pp. 115-123
Author(s):  
Joo-Wan Seo ◽  
Hee-Dong Kim

The purpose of this study is to examine the mediated effect of the blended-learning strategy in the relationship between the interaction and learning effectiveness of new firefighters. The Baron and Kenny method of mediated effect analysis was applied to 259 collected samples, and SPSS 18.0 was used to perform linear regression analysis. It was found that the blended-learning group was more effective in learning than the non-blended-learning group. The interaction and learning effectiveness between the targets showed significant results, and the learning strategy of blended-learning exhibited partial mediated effects in the relationship between interaction and learning effectiveness. In particular, the learning attitude of the learning strategy was the combination of learners, learning content, and learning effectiveness during an interaction and partial mediated effects on learning persistence were identified. Based on these results, practical implications on envisioning teaching and learning design from the learner's perspective as a learning strategy to enhance learning effectiveness in a blended-learning situation are presented.


Author(s):  
Elsa Rohmatul Jannah

Happiness is the condition and ability of a person to feel positive emotions from the past, in the present, and for the future. Factors that influence happiness are money, marriage, social life, negative emotions, age, health, education, climate, race, gender, and religiosity. The purpose of this study was to find out whether there was a relationship between religiosity and perceptions of health and happiness in men who married in early adulthood. The data analysis used in this study is a multiple linear regression analysis showing an F value of 4.58> 3.18 (Table F). The results of this study indicate the relationship between religiosity and perceptions of health and happiness in men who married in early adulthood. The finding of 0.15 in the Summary R Square Model table means that religiosity and perceptions of health have an effect of 15% on happiness, while 85% are influenced by other factors.[Kebahagiaan adalah kondisi dan kemampuan seseorang untuk merasakan emosi positif di masa lalu, masa depan dan masa sekarang. Faktor-fsaktor yang mempengaruhi kebahagiaan adalah uang, perkawinan, kehidupan soisal, emosi negatif, usia, kesehatan, pendidikan, iklim, ras, dan jenis kelamin, religiusitas. Tujuan penelitian ini adalah untuk mengetahui apakah terdapat hubungan antara religiusitas dan persepsi terhadap kesehatan dengan kebahagiaan pada pria yang menikah di usia dewasa awal. Analisis data yang digunakan dalam penelitian ini adalah analisis regresi linier ganda menunjukkan nilai F sebesar 4,58>3,18 (F Tabel), hasil penelitian ini menunjukkan terhadap hubungan antara religiusitas dan persepsi terhadap kesehatan dengan kebahagiaan pada pria yang menikah di usia dewasa awal. Dalam tabel Model Summary R Square sebesar 0,15, artinya religiusitas dan persepsi terhadap kesehatan memberikan pengaruh sebesar 15% terhadap kebahagiaan, sedangkan 85% dipengaruhi dari faktor lain.]


Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Tapan V Mehta ◽  
Sara Strauss ◽  
Dawn Beland ◽  
Ilene Staff ◽  
Gilbert Fortunato ◽  
...  

Introduction: Literature on the effectiveness of simulation based medical education programs used in acute ischemic stroke (AIS) care is scant. In an effort to improve coordination and door to needle time (DNT) for AIS care, a stroke simulation education training program for neurology nursing staff and neurology residents was implemented in a comprehensive stroke center. Methods: Hospital stroke registry was used for retrospective analysis. The study population was defined as all patients treated with IV-tPA for AIS in the emergency room from October 2008 to September 2014. Simulation training was implemented yearly, for a three month period starting from July 2011. All neurology residents and a group of nurses trained to respond to all AIS cases participated. Simulations were standardized, using deliberate practice with a trained live actor portraying stroke vignettes in the presence of a board certified vascular neurologist. During the period of study, there were no changes in Emergency Department stroke triage protocol, or changes in first provider response to AIS. The data was analyzed using IBM SPSS24 software. Results: We identified 448 patients admitted with AIS who were treated with IV-tPA. The average DNT on univariate analysis before and after intervention was 67.9 and 58.3 minutes [p <0.001]. A multivariate linear regression analysis was performed controlling for age, night/day shift, weekday/weekend, and blood pressure at presentation (>185/110). After controlling for confounders we found that simulation training independently reduced the DNT by 9.64 minutes [95% confidence interval (CI) 4.01 - 15.28, p=0.001]. Amongst other co-variates, only the systolic blood pressure >185 was associated with 14.27 minutes of delay in DNT [95% CI 3.36 - 25.191, p=0.011]. Conclusion: Time to thrombolysis from symptom onset is a critical factor in AIS management and evidence shows improving the DNT could improve patient outcomes. In our six year study, integration of simulation based medical education for AIS reduced the average DNT by 9.64 minutes in multivariate analysis. Simulation based medical education therefore should be considered as a standard process for providers involved in the care of AIS patients receiving thrombolytic treatment.


2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Fatemeh Shakeri ◽  
Kourosh Zarea ◽  
Dariush Rokhafroz ◽  
Elham Maraghei

Background: Considering the high risk and vital nature of electroconvulsive therapy (ECT) process, as well as the subsequent intensive, essential, and life-saving cares, it is necessary to promote the skills of nurses providing this kind of care. Objectives: This study aimed to determine the effect of simulation on developing the quality of care in nurses working in the ECT department. Methods: This experimental study compared two groups before and after the intervention. Fifty nurses who met the inclusion criteria were randomly allocated into two groups of intervention and control. Low-tech (static) task trainer was used for simulation-based medical education (SBME) in the intervention group. Data were collected using a checklist to investigate the quality of nursing care before and after the intervention. Results: The mean scores obtained from initial preparation subscales, preparation of tools and equipment, measures during ECT, post-ECT measures, and checking patient’s status in pre-test and post-test in the intervention group were significantly different. This suggests that simulation intervention in small groups is effective in improving the quality of nursing care in ECT (P < 0.05). Conclusions: Our results showed that promoting ECT nursing care knowledge among the nurses in small groups by simulation method is an effective intervention.


2020 ◽  
Vol 5 (1) ◽  
pp. 1-13
Author(s):  
Christopher Molingit Balintag ◽  
Jeffrey Dawala Wilang

Background:Numerous positive gains have been reported on the use of technology in language learning. The current survey of published journal articles reveals a lack of research on its integration to language teaching and learning in graduate language classrooms in EFL settings. In this study, the use of QR codes in the graduate EFL classroom has been investigated concerning its relatedness to affective language learning attributes (herein referred to as ALLAs) including anxiety, engagement, motivation, self-esteem, among others during the lesson on the process of writing. Three objectives were sought (1) to know students’ perceptions on ALLAs before and after the use of QR codes, (2) to establish the relationship between students’ perceived ALLAs and language performance, and (3) to understand specific situations that trigger positive or negative reactions.Methodology:The students were asked to indicate their perceptions concerning ALLAs by using a survey questionnaire before and after the activity. They were also asked to do the QR codes activity to create an essay outline. Further, an open-ended questionnaire was provided to indicate their negative or positive reactions to specific situations during the QR-coded activity.Findings:Results suggest the following (1) there are significant differences in the students’ perceived ALLAs before and after the activity, (2), there is a significant positive correlation between ALLAs and language performance, and (3) twelve specific situations were found to provoke dynamic ALLAs reactions.Conclusion:It is suggested that the use of available technological innovations must be introduced to graduate language teachers as its impacts on ALLAs are overwhelmingly beneficial.


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