ABSTRACT
Objective:To explore the effect of teaching based on cognitive load theory (CLT) in the teaching of intensive care medicine.Methods:A total of 70 practical nursing students studying intensive care medicine in the Affiliated Hospital of Jining Medical College from January 2019 to September 2020 were taken as the research objects. The nursing students who practiced from January 2019 to November 2019 were included in the control group ( n=35), and the students from December 2019 to September 2020 were included in the observation group ( n=35). The control group was given routine teaching, and the observation group was given CLT-based teaching. The differences of training load (clinical nursing student training load survey scale), empathy ability (Jefferson empathy scale for nursing students in Chinese version), self-learning ability (self-learning ability evaluation scale for nursing students) and critical medical nursing professional ability (comprehensive evaluation scale for core competence of intensive care nursing students) were compared between the two groups at the end of teaching. Chi-square test and t-test were performed by SPSS 19.0. Results:At the end of teaching, the scores of all dimensions of the observation group's clinical nursing student training load survey scale were lower than those of the control group (all P<0.05); the scores of all dimensions of observation group's nurses Jefferson empathy scale for nursing students in Chinese version, self-learning ability evaluation scale for college nursing students, and comprehensive evaluation scale for core competence of intensive care nursing students were higher than those of the control group (all P<0.05). Conclusion:When CLT-based teaching is applied in the teaching of intensive care medical nursing, it helps to reduce the training load of learners, and promote empathy, independent learning ability, and professional ability of intensive care medical nursing skills.
ABSTRACT
In cognitive load theory (CLT), learning is the development of cognitive schemas in a long-term memory with no known limits and can happen only if our limited working memory can process new information presented and the amount of information that does not contribute to learning is low. According to this theory, learning is optimal when instructional support is decreased going from worked examples via completion problem to autonomous problem solving and learners do not benefit from practicing retrieval with complex content. However, studies on productive failure and retrieval practice have provided clear evidence against these two guidelines. In this article, issues with CLT and research inspired by this theory, which remain largely ignored among cognitive load theorists but have likely contributed to these contradictory findings, are discussed. This article concludes that these issues should make us question the usefulness of CLT in health science education, medical education and other complex domains, and presents recommendations for both educational practice and future research on the matter.
Na teoria da carga cognitiva (CLT), a aprendizagem é o desenvolvimento de esquemas cognitivos em uma memória de longo prazo sem limites conhecidos e pode acontecer apenas se nossa limitada memória de trabalho puder processar novas informações apresentadas e a quantidade de informações que não contribui para a aprendizagem é baixo. De acordo com essa teoria, o aprendizado é ideal quando diminui o suporte instrucional, passando de exemplos trabalhados, via problemas de conclusão, para uma solução autônoma de problemas, e os alunos não se beneficiam praticando a recuperação com conteúdo complexo. No entanto, estudos sobre falhas produtivas e práticas de recuperação forneceram evidências claras contra essas duas diretrizes. Neste artigo, são discutidos problemas com a CLT e com pesquisas inspiradas nessa teoria, que permanecem amplamente ignorados entre os teóricos da carga cognitiva, mas provavelmente contribuíram para essas descobertas contraditórias. Este artigo conclui que essas questões devem nos fazer questionar a utilidade da CLT na educação em ciências da saúde, educação médica e outros domínios complexos e apresenta recomendações para a prática educacional e para pesquisas futuras sobre o assunto.
Subject(s)
Health Education , MedicineABSTRACT
We developed a virtual career thinking game and provided third-year medical students with workshop-type career instruction to identify "transition" in a career and their own values. The game is a group work activity based on the assumption that the virtual character will respond to a turning point during undergraduate school and after graduation, and experience the story of a doctor's life. After playing the game and sharing the story of each group, participants were asked to think about what they would do at a possible turning point. Although favorable response were observed in the first year, problems were found, and improvements were made in the second year, and further effects were observed. The results show that career education using games increases students' ability to respond to turning points and is an effective technique in career education.
ABSTRACT
Qual metodologia de ensino produz umaaprendizagem mais eficiente: a metodologia ondea aprendizagem é completamente dirigida ou a metodologia onde a aprendizagem é minimamentedirigida, tal como ocorre com o ensino construtivista? Iniciamos este artigo apresentando três argumentoscontrários à aprendizagem minimamente dirigida. Demonstra-se, em seguida, que apesar desses trêsargumentos contrários a todo tipo de ensino no qual a aprendizagem seja minimamente dirigida, este tipo de ensino passa a ser, à medida que oestudante vai aumentando o seu nível de expertise, uma metodologia mais eficiente do que o ensino completamente dirigido. Este efeito é conhecido como Efeito Reverso da Expertise. Como este efeitoexplica o comprovado sucesso do uso da transição da metodologia dos exemplos resolvidos paraa metodologia da resolução de problemas, propomos, também em razão deste efeito, que será igualmente benéfico, para a aprendizagem, autilização de uma transição entre duas metodologias mais amplas: a transição gradual da aprendizagem completamente orientada para a aprendizagem minimamente orientada. A utilização desta transição gradual de metodologias, aqui proposta,possibilitará ao construtivismo realizar plenamente o seu potencial metodológico
Which teaching methodology produces a more efficient learning: the teaching methodology in which learning is completely guided or the methodology in which learning is minimally guided, as occurs in constructivism? We begin this article by presenting three arguments against minimally guided learning. It is shown then that in spite of these three arguments against all kinds of teaching in which learning is minimally guided, this type of teaching becomes, as the student increases his level of expertise, a more efficient methodology than the completely guided teaching. This effect is known as the Expertise Reversal Effect. As this effect explains the proven successful use of the transition from the worked out examples methodology to the problem solving methodology, we propose, also due to this effect, that it will be equally beneficial for learning, to use a transition between two broader methodologies: the gradual transition from completely guided learning to minimally guided learning. The use of this gradual transition of methodologies proposed here will enable constructivism to fully realize its methodological potential.