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Creating a Positive Learning Environment
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Objectives Integrate active learning best practices to:
Facilitate students’ critical thinking Stimulate learning Create a positive learning environment
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Active Learning Strategies to Consider
Stories and Cases Using Questions Building on Reflection Writing to Learn Using Technology Tools Affirming and Challenging (Feedback)
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Model as Initial Coaching Guide
Social Significance, naming your product Ultimacy, using best practices Collegiality, using your resources (Who are you going to call when you don’t know what to do?)
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Measures to Facilitate Critical Thinking & Clinical Reasoning
What do we already know? What do we need to know about critical thinking and clinical reasoning?
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Critical Thinking Concepts:
Purposeful, outcomes-directed Driven by patient, family, community needs Based on principles of the nursing process and scientific method Requires knowledge, skills, experience, and commitment to developing CT Is guided by professional standards and ethics Makes the most of human potential Re-evaluates and strives to improve - Alfaro-LeFevre, R. (2017)
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Clinical Reasoning and Clinical Judgment
Critical thinking is a broad concept that includes clinical reasoning and judgment Clinical reasoning refers to the ways we think about patient care issues Clinical judgment refers to the conclusions we reach and decisions we make about patient care
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Active Learning What do we already know?
What do we need to know about active learning?
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Active Learning “Just do it” approach
Focus on making a good “fit” between student learning expectations and chosen assignments
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Stories and Cases: Benefits
Engage and Convey Information Promote Connectedness Promote Problem Solving (what next?) Share varying points of view (patient, family, healthcare provider perspectives)
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Stories and Cases: Examples
Once upon a time…. Stories, learning, change intertwined Student stories Cases Using stories for difficult scenarios What’s wrong with this picture?
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Using Questions Good teaching = good communication
Questions facilitate and assess learning Questions bring life to critical thinking Modeling inquiry promotes student inquiry What if?
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General Question Guidelines
Learning demonstrated as: Cognitive learning Psychomotor learning Affective learning
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Assessing Cognitive Knowledge: Bloom’s Taxonomy
Knowledge – Recalling Remembering facts and learned information Comprehension – Understanding Explaining and describing Application – Problem Solving Using information in new settings
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Assessing Cognitive Knowledge: Bloom’s Taxonomy
Analysis – Exploring patterns and meanings Examining component parts Synthesis – Creating Combining ideas into a new statement Evaluation – Judging Making an evaluation based on criteria
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Example: Using a Handout
Questions as a teaching tool Sample strategies
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Further Tools for Active Learning
Reflection Writing to Learn Technology Tools Feedback
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Reflection: Benefits Students consider their experiences
Build on previous experiences Gain self-evaluation skills
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Reflection: Examples Mental rehearsals Cognitive framing
Hindsight 20/20 Reflecting on what you have learned Self-assessments Goal setting
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Writing to Learn: Benefits
Writing as thinking Reflective component to discover and shape meaning Build on what already know Remember and process information
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Writing to Learn: Examples
Selected tools and strategies Benner’s model to create clinical narratives
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Technology Tools: Benefits
Manage rapid information turnover Rote memorization no longer adequate Enhance clinical learning
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Selected Tools and Strategies
Clinical learning labs PDAs (getting started, expert of the day) Web-based conferencing
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Feedback: Affirming and Challenging
Communication of information that assists the student to reflect/interact with the information, construct self-knowledge relevant to course learning and to set further learning goals - Bonnel, W.
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Feedback: Sample Strategies
Coaching students to seek and use feedback Challenging students Using qualitative tools to synthesize data for feedback (interview, observation, record review)
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Summary: Facilitating Learning in the Clinical Environment
Integrate active learning best practices to: Facilitate critical thinking in clinical settings Stimulate learning Create a positive learning environment
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Active Learning Strategies to Consider
Stories and Cases Using Questions Building on Reflection Writing to Learn Using Technology Tools Affirming and Challenging (Feedback)
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