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Disorientation in Community Service-Learning: A Phenomenological Inquiry 社区服务学习的迷失:现象学探究
Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-10-03 DOI: 10.1177/23733799231204023
Janette S. Leroux, Louise de Lannoy, Colin P. T. Baillie
Community service-learning (CSL) is commonly featured in health promotion curriculum. Lauded for its pedagogical richness and transformative potential, CSL is also pedagogically messy and often experienced as a struggle. And yet, the content, contexts and conditions of that which students find disorienting in CSL have garnered little attention in the literature. In this qualitative, phenomenological study, we explore the “disorienting dilemma” as an understated concept in CSL. Our aim is to better understand the disorienting dilemma to “make CSL a smoother experience for everyone.” We draw upon reflections from 39 students enrolled in a full-year undergraduate health promotion CSL course. Using directed content analysis, we read and coded 390 reflections. In mapping the codes ( n = 2104), we found them to cluster around three domains: (i) aspects of the CSL learning experience that were most disorienting, (ii) course aspects that enabled students to navigate their disorientation, and (iii) how students relate their learning to the disorientation. Students often shared their emotional experience of CSL as a pedagogy, and that they struggled with the process of real program planning, and uncertainty with how they related to the community. Often, it was the practical, social, and relational content that students struggled with that morphed into support for students to navigate their disorientation. We found students to relate their disorientation to new self-learning, a changed and more collectivist criteria of success, and an altered sense of self in relation to community. We discuss theoretical and pedagogical implications of the disorienting dilemma.
社区服务学习是健康促进课程的重要内容。CSL因其教学的丰富性和变革潜力而受到称赞,但在教学上也很混乱,经常经历一场斗争。然而,学生在对外汉语学习中迷失方向的内容、语境和条件却很少得到文献的关注。在这个定性的、现象学的研究中,我们探讨了“迷失方向的困境”作为CSL中一个被低估的概念。我们的目标是更好地理解迷失方向的困境,“让CSL为每个人带来更顺畅的体验”。我们借鉴了39名参加了本科全年健康促进CSL课程的学生的思考。使用定向内容分析,我们阅读并编码了390个反思。在绘制这些代码(n = 2104)时,我们发现它们聚集在三个领域:(i)最容易迷失方向的CSL学习经验方面,(ii)使学生能够驾驭迷失方向的课程方面,以及(iii)学生如何将他们的学习与迷失方向联系起来。学生们经常分享他们作为一名教师的情感体验,以及他们在真正的项目规划过程中遇到的困难,以及他们如何与社区联系的不确定性。通常,学生们纠结的是实用的、社会的和关系的内容,这些内容变成了对学生们导航迷失方向的支持。我们发现,学生们将他们的迷失方向与新的自我学习、集体主义成功标准的改变以及与社区有关的自我意识的改变联系起来。我们讨论了迷失方向困境的理论和教学意义。
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引用次数: 0
Enhancing Students’ Understanding of Health Disparities and Social Determinants of Health Through a Community and Research-Based Project 通过社区和研究为基础的项目,提高学生对健康差异和健康的社会决定因素的理解
Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-09-29 DOI: 10.1177/23733799231201539
Caress A. Dean, Iffa Iqbal, Sumeet Sidhu, Krista Morris, Cristina Valeria Tellez Nunez
The complex health demands of society emphasize the need for future health professionals to gain a deeper understanding of social determinants of health (SDOH) and provide meaningful health outcomes. Seventeen undergraduate and graduate students enrolled in a cross-listed public health elective course in Winter 2020 completed a remote application-based course project. This project was conducted to expand students’ comprehension of SDOH as underlying factors contributing to health disparities and inequities. It also sought to increase their awareness of tools and resources in the community to aid populations in overcoming determinants. Last, it aimed to provide them with experience applying population health concepts and enhancing their research skills. The course project utilized a real-world application approach as it consisted of students (1) developing a Detroit-focused community resource guide, (2) creating a related resource map, and (3) composing two manuscripts on the course project and learning experience. Students’ deliverables included a developed community resource guide and related interactive map and the construction of the manuscripts on the project and their learning experience, which was separated into two manuscripts. Students completed a journal reflection, which was used to assess their learning experience. Students’ journal reflections were examined using NVivo12 to identify the six themes in their learning experience. The project effectively met the course learning outcomes while aiding students in recognizing Detroit’s health disparities and the influence of SDOH. It also provided students with deliverables.
社会复杂的健康需求强调需要未来的卫生专业人员获得健康的社会决定因素(SDOH)有更深的了解,并提供有意义的健康结果。17名本科生和研究生参加了2020年冬季交叉列出的公共卫生选修课程,完成了一个基于远程应用的课程项目。本项目旨在扩大学生对SDOH作为导致健康差异和不平等的潜在因素的理解。它还试图提高他们对社区工具和资源的认识,以帮助人们克服决定因素。最后,旨在为他们提供应用人口健康概念的经验,提高他们的研究技能。该课程项目采用了现实世界的应用方法,因为它由学生组成(1)开发一个以底特律为重点的社区资源指南,(2)创建一个相关的资源地图,以及(3)撰写两份关于课程项目和学习经验的手稿。学生们的成果包括开发的社区资源指南和相关的互动地图,以及项目稿件的构建和他们的学习经验,分成两份稿件。学生们完成了一份日记反思,用来评估他们的学习经历。使用NVivo12检查学生的日记反思,以确定他们学习经历中的六个主题。该项目有效地实现了课程学习成果,同时帮助学生认识到底特律的健康差距和SDOH的影响。它还为学生提供了可交付成果。
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引用次数: 0
Specifications Grading for Graduate Students: Motivated, Less Stressed, and Achieving in Public Health 研究生的规格评分:积极、压力小、在公共卫生方面有所成就
Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-09-12 DOI: 10.1177/23733799231198774
Jennifer L. Gay, Ruth Poproski
Specifications grading is an alternative approach designed to establish assessment criteria aligned with well-defined learning outcomes while giving students autonomy and choice with respect to their level of achievement in a course and focus on the act of learning instead of earning points. Degrees in public health are based on the development of discipline-specific competencies, making them prime candidates for a specifications grading design. This study presents the implementation process and evaluation of specifications grading applied to three graduate health promotion courses, including a comparison of final letter grade distribution as well as student and instructor perceptions of the grading scheme implementation. We hypothesized that although the grading scheme may take some adjustment by students, overall students would feel more control over their letter grade and therefore less stress. The process of revising requirements for assignments and maintaining alignment with competencies is discussed. There were no differences in the distribution of final letter grades between traditional points-based grading and specifications grading. However, students were overwhelmingly favorable toward the specifications grading scheme, with a majority reporting reduced stress, more flexibility, a clearer understanding of the learning objectives and grading standards, greater engagement with the course content, and the perception of greater control over final grades. Using a grading scheme based on displaying competencies is logical in the public health education context. This study supports the application of specifications grading for meeting student and instructor needs, and contributing to an equitable learning environment.
规范评分是另一种方法,旨在建立与明确定义的学习成果相一致的评估标准,同时给予学生自主和选择,尊重他们在课程中的成就水平,并关注学习行为而不是赚取分数。公共卫生学位是基于学科特定能力的发展,使他们成为规范分级设计的主要候选人。本研究提出了三个研究生健康促进课程的规范评分的实施过程和评估,包括最终字母评分分布的比较以及学生和教师对评分方案实施的看法。我们假设,尽管评分方案可能需要学生进行一些调整,但总体而言,学生对自己的字母分数有更多的控制,因此压力更小。讨论了修改任务要求和保持与胜任力一致的过程。在传统的基于点的评分和规范评分之间,最终字母评分的分布没有差异。然而,学生们压倒性地支持规范评分方案,大多数人表示压力减轻,更灵活,对学习目标和评分标准有更清晰的理解,对课程内容有更大的参与度,对最终成绩有更大的控制权。在公共卫生教育背景下,使用基于展示能力的评分方案是合乎逻辑的。本研究支持规范评分的应用,以满足学生和教师的需求,并促进公平的学习环境。
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引用次数: 1
Rethinking Penalties for Late Work: The Case for Flexibility, Equity, and Support 重新思考迟到的惩罚:灵活、公平和支持的案例
Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-09-09 DOI: 10.1177/23733799231198778
Jessica S. Kruger
Specifications grading is an alternative approach designed to establish assessment criteria aligned with well-defined learning outcomes while giving students autonomy and choice with respect to their level of achievement in a course and focus on the act of learning instead of earning points. Degrees in public health are based on the development of discipline-specific competencies, making them prime candidates for a specifications grading design. This study presents the implementation process and evaluation of specifications grading applied to three graduate health promotion courses, including a comparison of final letter grade distribution as well as student and instructor perceptions of the grading scheme implementation. We hypothesized that although the grading scheme may take some adjustment by students, overall students would feel more control over their letter grade and therefore less stress. The process of revising requirements for assignments and maintaining alignment with competencies is discussed. There were no differences in the distribution of final letter grades between traditional points-based grading and specifications grading. However, students were overwhelmingly favorable toward the specifications grading scheme, with a majority reporting reduced stress, more flexibility, a clearer understanding of the learning objectives and grading standards, greater engagement with the course content, and the perception of greater control over final grades. Using a grading scheme based on displaying competencies is logical in the public health education context. This study supports the application of specifications grading for meeting student and instructor needs, and contributing to an equitable learning environment.
规范评分是另一种方法,旨在建立与明确定义的学习成果相一致的评估标准,同时给予学生自主和选择,尊重他们在课程中的成就水平,并关注学习行为而不是赚取分数。公共卫生学位是基于学科特定能力的发展,使他们成为规范分级设计的主要候选人。本研究提出了三个研究生健康促进课程的规范评分的实施过程和评估,包括最终字母评分分布的比较以及学生和教师对评分方案实施的看法。我们假设,尽管评分方案可能需要学生进行一些调整,但总体而言,学生对自己的字母分数有更多的控制,因此压力更小。讨论了修改任务要求和保持与胜任力一致的过程。在传统的基于点的评分和规范评分之间,最终字母评分的分布没有差异。然而,学生们压倒性地支持规范评分方案,大多数人表示压力减轻,更灵活,对学习目标和评分标准有更清晰的理解,对课程内容有更大的参与度,对最终成绩有更大的控制权。在公共卫生教育背景下,使用基于展示能力的评分方案是合乎逻辑的。本研究支持规范评分的应用,以满足学生和教师的需求,并促进公平的学习环境。
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引用次数: 1
Public Health Graduate Students' Longitudinal Perceptions of Remote Learning Challenges and Career Goals During an Ongoing Public Health Crisis. 公共卫生研究生在持续的公共卫生危机中对远程学习挑战和职业目标的纵向感知。
IF 1.5 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-09-01 DOI: 10.1177/23733799221143379
Astrid N Zamora, Ella August, Olivia S Anderson

The ongoing COVID-19 pandemic created a shift from traditional face-to-face learning toward remote learning, resulting in students experiencing unforeseen challenges and benefits through participation in a non-traditional mode of education. Little is known regarding the impact that a shift to remote learning may have had on the learning experiences and the career goals of Master of Public Health (MPH) students. A qualitative study was conducted among a convenience sample of MPH students in the US from January to April 2021. The primary aims were (1) to describe salient challenges or benefits of learning that persisted throughout a semester of remote learning and (2) to describe how being in graduate school during the pandemic impacted students' career goals in public health. A secondary aim was to describe students' general feelings regarding their public health education, given their lived experience of remote learning during the COVID-19 pandemic. Study findings demonstrated that MPH students had mixed perceptions of how a shift to remote learning during a public health crisis impacted their learning experiences and career goals in public health over one semester. Understanding students' responses can guide public health instructors to best prepare trainees to join the workforce during ongoing and future unforeseen public health crises that continue or have the potential to disrupt learning modalities.

持续的COVID-19大流行造成了从传统面对面学习向远程学习的转变,使学生通过参与非传统教育模式体验到意想不到的挑战和益处。对于转向远程学习可能对公共卫生硕士学生的学习经历和职业目标产生的影响,人们知之甚少。本研究于2021年1月至4月在美国公共卫生硕士学生中进行了一项定性研究。主要目的是(1)描述在整个学期的远程学习中持续存在的学习的突出挑战或好处,(2)描述在大流行期间在研究生院如何影响学生在公共卫生领域的职业目标。第二个目的是描述学生对公共卫生教育的总体感受,考虑到他们在COVID-19大流行期间远程学习的亲身经历。研究结果表明,公共卫生硕士学生对公共卫生危机期间转向远程学习如何影响他们一个学期的学习经历和公共卫生职业目标的看法不一。了解学生的反应可以指导公共卫生教员为受训者在持续或有可能破坏学习模式的当前和未来不可预见的公共卫生危机期间加入劳动力队伍做好最好的准备。
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引用次数: 0
Online Learning: Innovative Approaches for Public Health and Health Promotion Pedagogy 在线学习:公共卫生和健康促进教学法的创新方法
Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-08-24 DOI: 10.1177/23733799231190289
Melissa Alperin
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引用次数: 0
Facilitation of Competency-Based Learning With a Practicum Administration Software: The User Experience 使用实践管理软件促进基于能力的学习:用户体验
IF 1.5 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-08-07 DOI: 10.1177/23733799231191106
Chikaodili Arinze, C. Lokker, M. Slifierz, E. Apatu
Technology is essential in the facilitation of many operations in higher educational institutions. The use of web-based platforms to deliver academic content, including practice-based training, has gained popularity. However, their use in practicum process administration is not well studied. In the 2020/2021 academic year, a graduate program in the Faculty of Health Science within a public university in Ontario incorporated the InPlace platform to streamline the administration of the practicum process, including goal setting. This study aimed to understand the user experience of the platform in facilitating competency-based learning. Twelve students participated in two focus group sessions that lasted approximately 1.5 hr each. Two staff members participated in one-on-one semi-structured interviews. The System Usability Scale (SUS) was used as a measure of the platform’s usability. Other outcomes included staff and students’ user experience. Overall, the students and staff believe the platform is good for facilitating competency-based learning. The SUS score was 61.8 (95% confidence interval, [56.7, 66.9]). Eight students (66.7%) indicated that the platform was useful in helping them navigate their learning goals. Staff expressed appreciation of the program with respect to communication, practicum process, and overall program administration. Some suggestions for improving the platform were made. The practicum placement platform has shown some initial benefits in communication and practicum process administration. In a future configuration of similar platforms, the implementation of the suggestions provided in this study may be necessary to improve usability and enhance the facilitation of competence-based learning.
技术对于促进高等教育机构的许多运作至关重要。使用基于网络的平台提供学术内容,包括基于实践的培训,已经越来越受欢迎。然而,它们在实践过程管理中的应用并没有得到很好的研究。2020/2021学年,安大略省一所公立大学健康科学学院的一个研究生项目纳入了InPlace平台,以简化实习过程的管理,包括目标设定。本研究旨在了解该平台在促进基于能力的学习方面的用户体验。12名学生参加了两次焦点小组会议,持续时间约为1.5 每个小时。两名工作人员参加了一对一的半结构化访谈。系统可用性量表(SUS)被用来衡量平台的可用性。其他成果包括员工和学生的用户体验。总的来说,学生和工作人员认为该平台有利于促进基于能力的学习。SUS得分为61.8(95%置信区间,[56.7,66.9])。八名学生(66.7%)表示,该平台有助于帮助他们实现学习目标。工作人员对该项目在沟通、实习过程和整体项目管理方面表示赞赏。提出了一些改进平台的建议。实习实习平台在沟通和实习过程管理方面已经显示出一些初步的好处。在类似平台的未来配置中,实施本研究中提供的建议可能是提高可用性和促进基于能力的学习所必需的。
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引用次数: 0
Health Literacy in Higher Education: A Systematic Scoping Review of Educational Approaches 高等教育中的健康素养:教育方法的系统范围审查
IF 1.5 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-08-06 DOI: 10.1177/23733799231191107
Yngve Røe, A. Torbjørnsen, B. Stanghelle, S. Helseth, K. Riiser
Over the past decade, health literacy has received increased attention as a tool for promoting health, well-being, and sustainable development. So far, educational approaches to health literacy have mainly been implemented in health sciences education and linked to the needs of health professionals in communication with patients. The main objective of this systematic scoping review was to investigate health literacy educational approaches in higher education study programs, including the covered content and the learning activities employed. Altogether, 26 studies on health literacy training in higher education study programs were included. The most frequent study programs represented were medicine and pharmacy. A wide range of health literacy content was extracted from the studies; by far the most frequently studied skill was patient communication, which was identified in 20 studies, followed by identification of patients with low literacy in 12 studies and conceptual knowledge of health literacy in 11 studies. All studies except one reported the use of student active learning as part of the educational approach, and 17 studies reported the use of educational technology. The scientific literature indicates that current health literacy educational approaches mainly focus on the individual components of health literacy and fail to address environmental components and health literacy in vulnerable population groups. Despite the rather extensive use of active learning in educational approaches, pedagogical foundations were scarcely reported. In addition, the use of educational technology was rarely pedagogically integrated.
在过去十年中,卫生知识普及作为促进健康、福祉和可持续发展的工具受到越来越多的关注。迄今为止,卫生知识普及的教育方法主要是在卫生科学教育中实施的,并与卫生专业人员与病人交流的需要联系起来。本研究的主要目的是调查高等教育学习计划中的健康素养教育方法,包括涵盖的内容和采用的学习活动。总共纳入了26项关于高等教育研究项目中健康素养培训的研究。最常见的学习项目是医学和药学。从研究中提取了广泛的健康素养内容;到目前为止,最常研究的技能是患者沟通,有20项研究确定了这一点,其次是12项研究确定了识字程度低的患者,11项研究确定了卫生素养的概念知识。除了一项研究外,所有研究都报告了将学生主动学习作为教育方法的一部分,17项研究报告了教育技术的使用。科学文献表明,目前的健康素养教育方法主要侧重于健康素养的个人组成部分,而未能解决弱势群体的环境组成部分和健康素养。尽管在教育方法中相当广泛地使用主动学习,但几乎没有关于教学基础的报道。此外,教育技术的使用很少与教学结合起来。
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引用次数: 0
Enhancing Students’ Skills in Applying Theory Through Collaborative and Active Learning: A Pre-Post Evaluation of an Innovative Theory Course for Graduate Public Health Students 通过合作与主动学习提高学生运用理论的能力:公共卫生研究生创新理论课程的前后评价
IF 1.5 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-07-25 DOI: 10.1177/23733799231186637
Robin E. McGee, E. Walker, Colleen M. McBride, E. Nehl, Whitney S. Rice, Nicolette E. Wise, Carla Jones-Harrell, D. Lang
Modern public health practice includes planning, implementation, and evaluation of programs targeting the structural and social determinants of health. To prepare graduate students to engage with theory in complex, practical, and innovative ways, a new model of course delivery was created to focus on developing and applying theorizing skills to the social ecological model. Throughout the semester, students engage in collaborative learning to apply theory to real-world public health interventions focused on high-profile public health issues. Data were gleaned from three course sections ( N = 80) using a pre-post study design to evaluate students’ ability to apply theory at various levels of the social ecological model and confidence to meet course objectives. The post-course survey also included questions about the helpfulness of specific course elements and asked for recommendations for improvement. Descriptive statistics were calculated and differences between pre- and post-ratings were tested with paired samples t-tests and Wilcoxon signed rank tests. Students improved in their ability to apply theory by the end of the semester ( p < .001) and in their confidence in meeting all learning objectives ( p < .001). Most students found that this new format of engaging with theory in complex, applied, and innovative ways by working in teams, completing in-class activities, and open poster presentations beneficial. Engaging students in a new course format led to critical reflection about various levels of influence on health and enhanced students’ ability to apply theory at multiple levels of influence. Further refinement and course development will continue to facilitate developing theorizing skills.
现代公共卫生实践包括针对健康的结构和社会决定因素的规划、实施和评估。为了使研究生能够以复杂、实用和创新的方式参与理论,我们创建了一种新的课程交付模式,重点是发展和应用社会生态模型的理论技能。在整个学期中,学生参与协作学习,将理论应用于现实世界的公共卫生干预措施,重点关注引人注目的公共卫生问题。数据收集自三个课程部分(N = 80),采用前后研究设计来评估学生在社会生态模型的各个层面应用理论的能力和实现课程目标的信心。课后调查还包括关于具体课程内容的帮助性的问题,并要求提出改进建议。计算描述性统计量,并使用配对样本t检验和Wilcoxon符号秩检验检验前后评分之间的差异。到学期结束时,学生们应用理论的能力有所提高(p < 0.001),他们对实现所有学习目标的信心也有所提高(p < 0.001)。大多数学生发现,通过团队合作、完成课堂活动和公开的海报展示,这种以复杂、应用和创新的方式参与理论的新形式是有益的。让学生参与到一种新的课程形式中,导致了对健康不同程度影响的批判性反思,并提高了学生在不同程度影响中应用理论的能力。进一步的细化和课程开发将继续促进理论技能的发展。
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引用次数: 1
Rejecting a Narrative of Individual Deficit: A Model for Developing Antiracist Curriculum in the Health Sciences 拒绝个体缺陷叙事:健康科学反种族主义课程开发的模式
IF 1.5 Q3 EDUCATION & EDUCATIONAL RESEARCH Pub Date : 2023-06-15 DOI: 10.1177/23733799231180614
Alexandra Samarron Longorio, S. Shuman, Catherine Lockmiller, Candace Robertson-James
Recent attention to issues of systemic and institutional racism have resulted in renewed calls for antiracist teaching and learning in the health sciences. Concurrently, there is an emerging socio-political mobilization to pass legislation that limits the teaching of systemic racism. We argue that teaching and learning about racism in academic health professional curricula often has serious limitations—stagnating in a place of teaching about the social and structural determinants of health, yet emphasizing health education and individual behavioral interventions as solutions to health inequities. We present a framework that explains essential components of antiracist knowledge and action that we argue must be implemented across health sciences curricula. Using this framework, we call on health sciences educators to examine how learners engage with racism as a determinant of health and to make curricular changes that provide opportunities to learn about and engage with antiracist actions.
最近对系统性和制度性种族主义问题的关注再次呼吁在卫生科学领域进行反种族主义教学。与此同时,正在出现一种新的社会政治动员,以通过限制系统性种族主义教学的立法。我们认为,在学术健康专业课程中教授和学习种族主义往往有严重的局限性——在教授健康的社会和结构决定因素方面停滞不前,但强调健康教育和个人行为干预是解决健康不平等的办法。我们提出了一个框架,解释了反种族主义知识和行动的基本组成部分,我们认为这些知识和行动必须在健康科学课程中实施。利用这一框架,我们呼吁健康科学教育工作者研究学习者如何将种族主义作为健康的决定因素,并进行课程改革,为学习和参与反种族主义行动提供机会。
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引用次数: 0
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Pedagogy in Health Promotion
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