Verdien av et blended learning veiledningskurs på et masternivå: Praksisveiledernes erfaringer
DOI:
https://doi.org/10.15845/ntvp.v9i1.3968Emneord (Nøkkelord):
Veiledningskurs, blended learning, høyere utdanning, digital kursdel, fysisk kursdel, simuleringSammendrag
Hensikt: Å undersøke hvilke erfaringer spesialsykepleiere og jordmødre har med et todelt veiledningskurs; digital kursdel 1 og fysisk kursdel 2 (blended learning) for utviklingen av deres veiledningskompetanse.
Metode: En kvalitativ studie med to fokusgruppeintervjuer (n=9) og skriftlige refleksjoner fra kursdeltakere (n=70) fra fem kurs ble gjennomført i 2021 og 2022.
Resultater: Tematisk analyse avdekket to temaer: 1) Verdien av blandet læring i et klinisk veiledningskurs og 2) Områder for forbedring. Deltakerne erfarte høyt læringsutbytte gjennom å tilegne seg teoretisk forkunnskap digitalt i kursdel 1, for så å gjennomføre simuleringsbaserte læringsaktiviteter ansikt til ansikt i kursdel to. Deltakerne erfarte økt bevissthet om sin veilederrolle og følte at egen veiledningskompetanse ble styrket gjennom simulering av kommunikasjonsverktøy. Utfordringer i den kliniske settingen under kursets første del understreket behovet for noen tekniske justeringer, inkludert behov for økt fleksibilitet og en applikasjon (app) for mer tilgjengelige læringsressurser.
Konklusjon: Studien indikerer en merverdi av den pedagogiske utformingen av veiledningskurset hvor deltakerne uttrykte en opplevelse av styrket veiledningskompetanse. Forslag til forbedringer inkluderte forenkling av innholdet og mer fleksibel tilgjengelighet til kursdel 1.
Referanser
Bayram, L. (2012). Use of Online Video Cases in Teacher Training. Procedia - Social and Behavioral Sciences, 47, 1007-1011. https://doi.org/10.1016/j.sbspro.2012.06.770
Braun, V. & Clarke, V. (2021). Thematic Analysis. A Practical Guide. SAGE Publications
Coyne, E., Frommolt, V., Rands, H., Kain, V., Mitchell, M. (2018). Simulation videos presented in a blended learning platform to improve Australian nursing students’ knowledge of family assessment. Nurse Education Today, 66, 96-102. https://doi.org/10.1016/j.nedt.2018.04.012
DeGrande, H., Liu, F., Greene, P. & Stankus, JA. (2018). Developing professional competence among critical care nurses: An integrative review of literature. Intensive & Critical Care Nursing, 49, 65-71. https://doi.org/10.1016/j.iccn.2018.07.008
Diaz-Navarro, C., Leon-Castelao, E., Hadfield, A., Pierce, S., & Szyld, D. (2021). Clinical debriefing: TALK© to learn and improve together in healthcare environments. Trends in anaesthesia & critical care, 40, 4-8. https://doi.org/10.1016/j.tacc.2021.07.004
Edward, C. N., Asirvatham, D., & Johar, M. G. M. (2018). Effect of blended learning and learners’ characteristics on students’ competence: Empirical evidence in learning oriental music. Education and Information Technologies, 23, 2587–2606.
Fitzgerald, D. A., Scott, K. M., & Ryan, M. S. (2022). Blended and e-learning in pediatric education: harnessing lessons learned from the COVID-19 pandemic. European Journal of Pediatrics, 181(2), 447-452. https://doi.org/10.1007/s00431-021-04149-
Folkvord, SE & Risa, CF (2023). Factors that enhance midwifery students’ learning and development of self-efficacy in clinical placement: A systematic qualitative review. Nurse Education in Practice, 66, January 2023, 103510. https://doi.org/10.1016/j.nepr.2022.103510
Fowler, J. (2011). Supporting self and others: from staff nurse to nurse consultant. Part 5: Clinical supervision. British Journal of Nursing, 20(13), 830-830. https://doi.org/10.12968/bjon.2011.20.13.830
Frankel, R. M., & Stein, T. (2001). Getting the most out of the clinical encounter: the four habits model. Journal of Medical Practice Management, 16(4), 184-191.
Garrison, D. R., & Vaughan, N. D. (2008). Blended Learning in Higher Education: Framework, Principles, and Guidelines. Jossey-Bass.
Germano, E., Schorn, M. N., Phillippi, J. C., & Schuiling, K. (2014). Factors that Influence Midwives to Serve as Preceptors: An American College of Nurse-Midwives Survey. Journal of Midwifery & Women's Health, 59(2), 167-175. https://doi.org/10.1111/jmwh.12175
Ghazal, S., Al-Samarraie, H., & Aldowah, H. (2018). "I am Still Learning": Modeling LMS Critical Success Factors for Promoting Students' Experience and Satisfaction in a Blended Learning Environment. IEEE access, 6, 77179-77201. https://doi.org/10.1109/ACCESS.2018.2879677
Graham, M. M., & O'Brien, B. (2020). Guided group reflection: A question of organisation and support for baccalaureate nursing students: Part1. Nurse Education in Practice, 44. https://doi.org/10.1016/j.nepr.2020.102754
Hansen, BS., Gundersen, EM. & Bjørnå, GB. (2011). Improving student supervision in a Norwegian intensive care unit: A qualitative study. Nursing & Health Sciences, 13, 255-261. https://doi.org/:10.1111/j.1442-2018.2011.00609.x
Hatlevik, RIK. (2011). The theory-practice relationship: reflective skills and theoretical knowledge as key factors in bridging the gap between theory and practice in initial nursing education. Journal of Advanced Nursing, 68(4), 868-877. https://doi.org/10.1111/j.1365-2648.2011.05789.x
Husebø, S. E., O'Regan, S., & Nestel, D. (2015). Reflective Practice and Its Role in Simulation. Clinical simulation in nursing, 11(8), 368-375. https://doi.org/10.1016/j.ecns.2015.04.005
Janes, G., Ekpenyong, M. S., Mbeah-Bankas, H., & Serrant, L. (2023). An international exploration of blended learning use in pre-registration nursing and midwifery education. Nurse Education in Practice, 66, 103514-103514. https://doi.org/10.1016/j.nepr.2022.103514
Jølstad, A. L., Røsnæs, E. R., Severinsson, E., & Lyberg, A. (2019). A Paradigm Shift in Nurse Specialist Clinical Supervision—Implementation of a Competence Program. SAGE Open Nursing, 5, 2377960819844366. https://doi.org/10.1177/2377960819844366
Kelly, M., Lapkin, S., McGrath, B., Holloway, K., Nielsen, A., Stoyles, S., Campbell, M., Dieckmann, N. F., & Lasater, K. (2020). A Blended Learning Activity to Model Clinical Judgment in Practice: A Multisite Evaluation. Clinical simulation in nursing, 43, 10-16. https://doi.org/10.1016/j.ecns.2020.03.006
Korstjens, I., & Moser, A. (2017). Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. European Journal of General Practice, 24(1), 120-124. https://doi.org/10.1080/13814788.2017.1375092
Krause, S. A. (2016). Precepting Challenge: Helping the Student Attain the Affective Skills of a Good Midwife. Journal of Midwifery & Women's Health, 61(S1), 37-46. https://doi.org/10.1111/jmwh.12517
Krupat, E., Frankel, R., Stein, T., & Irish, J. (2006). The Four Habits Coding Scheme: Validation of an instrument to assess clinicians’ communication behavior. Patient Education and Counseling, 62(1), 38-45. https://doi.org/10.1016/j.pec.2005.04.015
Langslet, G. J. (1999). LØFT : løsningsfokusert tilnærming til organisasjonsutvikling, ledelsesutvikling og konfliktløsning. Ad notam Gyldendal.
Matsuda, M., & Kohno, A. (2021). Development of a blended learning system for nurses to learn the basics of psychoeducation for patients with mental disorders. BMC Nursing, 20(1), 1-164. https://doi.org/10.1186/s12912-021-00677-1
Ministry of Education and Research (2016). Culture for quality in higher education. (Meld.St.16). https://www.regjeringen.no/contentassets/aee30e4b7d3241d5bd89db69fe38f7ba/no/pdfs/stm201620170016000dddpdfs.pdf
Ministry of Education and Research (2014). National Qualifications Framework for lifelong learning (NKR). https://www.regjeringen.no/globalassets/upload/kd/vedlegg/kompetanse/nkr2011mvedlegg.pdf
Ministry of Education and Research (2019). National Curriculum Regulations for Norwegian Health and Welfare Education (RETHOS). https://www.regjeringen.no/no/tema/utdanning/hoyere-utdanning/utvikling-av-nasjonale-retningslinjer-for-helse--og-sosialfagutdanningene/id2569499/
Nayar, B., & Koul, S. (2020). Blended learning in higher education: a transition to experiential classrooms. International journal of educational management, 34(9), 1357-1374. https://doi.org/10.1108/IJEM-08-2019-0295
Philip, L. (2006). Encouraging reflective practice amongst students: a direct assessment approach. Planet, 17(1), 37-39. https://doi.org/10.11120/plan.2006.00170037
Romanelli, F., Bird, E., & Ryan, M. (2009). Learning Styles: A Review of Theory, Application, and Best Practices. American Journal of Pharmaceutical Education, 73(1), 9-9. https://doi.org/10.5688/aj730109
Saltrøe E, Aas M, Just Andersen B. Sykepleieres vurderinger av kurset «Fire gode vaner» – en tverrsnittsstudie. Sykepleien Forskning, 16(87671):e-87671. https://doi.org/10.4220/Sykepleienf.2021.87671
Srisaeng, P. & Uppvall, MJ: (2020). Looking toward 2030: Strengthening midwifery education through regional partnerships. Journal of Advanced Nursing, 76, 715-724. https://doi:10.1111/jan.14015
Universitets-og høgskolerådet. (2018). Veiledende retningslinjer for utdanning og kompetansevurdering av praksisveiledere i helse- og velferdstjenesten. https://www.uhr.no/temasider/nasjonale-retningslinjer/veiledende-retningslinjer-for-praksisveiledere-i-helse-og-velferdstjenestene/
Talkdebrief. (2023). https://www.talkdebrief.org/
Tveiten, S. (2019). Veiledning mer enn ord. Pedagogikk, Yrkes- og utdanningsveiledning. Vigmostad & Bjørke AS
Wallin, K., HÖrberg, U., Harstäde, CW., Elmqvist, C. (2020). Preceptors’ experiences of student supervision in the emergency medical services: A qualitative interview study. Nurse Education Today, 84, 104223 https://doi.org/10.1016/j.nedt.2019.104223
World Health Organization. (2013). Transforming and scaling up health professionals´education and training. https://www.ncbi.nlm.nih.gov/books/NBK298953/pdf/Bookshelf_NBK298953.pdf
World Health Organization. (2016). Nurse educator core competencies. https://apps.who.int/iris/bitstream/handle/10665/258713/9789241549622-eng.pdf
Øvrebø, LJ., Dyrstad, DN & Hansen, BS. (2022). Assessment methods and tools to evaluate postgraduate critical care nursing students’ competence in clinical placement. An integrative review. Nurse Education in Practice, 58, 103258. https://doi.org/10.1016/j.nepr.2021.103258
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Opphavsrett 2024 Dagrunn Nåden Dyrstad, Synnøve Eidsvik Folkvord, Ida Helene Mykkeltveit, Christina Furskog Risa, Jorunn Flaten Lyngset, Petter Mordt, Franziska Maria Vogler, Kine Gjesdal
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