Inaugural Nursing Education Workshop

Last week the EKM project rolled out the next phase of implementation by holding our inaugural Nursing Education Workshop. This month’s topic explored the results of the recent faculty survey on continuing education needs, and contemporary techniques in higher education.

Slides from the session outlining the results of the survey are here: EKM Workshop 1 Slides , and the following commentary outlines the discussion.

Participants argued that higher education in nursing facilitates critical thinking and problem solving skills that are needed for success in the clinical setting. Also, evidence from the research conducted in higher education programs leads to better patient health outcomes. As nurses continue to progress through higher education we hope that they will choose to employ evidence based practice in their careers. Higher education can also give the nursing profession credibility politically and within healthcare power structures.

With the need for higher education in mind, we looked at what educational techniques are commonly used within the UBC School of Nursing. We compared clinical instruction, seminars and tutorials, simulation activities, lectures and online facilitation. Most faculty present at the workshop admitted to using lecture based teaching frequently in the classroom. We spoke about the need to focus our attention on methods that challenges us most, and many faculty members stated they were most challenged by online facilitation.

Behavioural, cognitive, constructivist and humanistic learning theories can help us understand how students learn, but learning theory has probably not advanced significantly since the 1990’s (although work goes on refining knowlwdge within those domains). However, with more easily accesible information technologies, educators have been rethinking the relationships between teachers, students, and content.

Traditionally the teacher controlled the content and disseminated this information to students. In the present information,age students are able to access incredible amounts of free information without requiring the teacher as an intermediary. Students are now “free range learners”. It was suggested the information age has left some teachers finding it difficult to keep up with student access to such resources, and contemporary information and communications technologies (ICT).

Our students are socially interactive and need social connection in their education. A social presence in learning communities helps to establish the conditions needed for social inquiry. Social presence has also been weaved into a variety of conmtemporary approaches to learning including team based learning and inter-professional learning.

The quality of social student interactions supports collaboration and helps learners achieve their learning goals. Social learning can be augmented with social technologies. Students are generally technologically competent and have a desire to maintain this in their careers. Action oriented education using technology is necessary for this generation of learners.

Today we know from educational research that student centred learning using mixed methods is most effective for both educators and learners in terms of achieving learning outcomes. Mixed method teaching includes a wide variety of lecture-based teaching, seminars, tutorials,multimedia, elearning, interactive heuristic activities, problem-based learning and simulation.The aim of using mixed methods is to accomodate multiple learning styles and to teach in ways that further develop critical thinking skills.

Methods of teaching and examination are changing to become more student centred within UBC policy as well. A recent student led initiative at UBC has led to the creation of a new UBC examination policy. On March 8th, 2013 the senate approved the creation of a UBC exam database where past exam papers will be shared. This hopefully will encourage UBC faculty to create new examinations annually and it is suggested that this new policy will avoid the recycling of old examination papers. This policy will be challenging for the School of Nursing as some of our classes are taught six times every year. Creating six new exams every year will entail an increased workload for faculty, but giving student’s access to a range of old papers (without answer guides) meets their expectations, and supports better understanding of the examinable content.

Next months workshop om May 7th (12:00 Room T206 at the School of Nursing) will focus on interactive technologies to support classroom polling and will include a demonstration and tutorial on PollEverywhere (by popular demand). Bring your laptops or smartphones!

Bernie

Scholarship of Teaching & Learning Community of Interest Updates

Hello All,

Hope you’re well and enjoying the spring! A few updates for today – note especially that we have put out a call for a Scholarship of Teaching and Learning (SoTL) Community of Practice Facilitator.

1. The Second SoTL Journal Club meeting is scheduled for April 9

Date: April 9th, 2:00 – 3:00 pm
Register:http://www.events.ctlt.ubc.ca/events/view/2387

Members of the UBC teaching and learning community are welcome to register for our upcoming meeting as well as our future monthly meetings on the CTLT Events website. Drop-ins are always welcome. We pre-select an article to read prior to our monthly meeting dates, which we will then discuss in groups. The selected article for our April discussion group is: Neath, I. (1996). How to improve your teaching evaluations without improving your teaching. Psychological Reports, 78(3), 1363-1372.
You can access this article here. Here are some questions to think about as you read the article. For more information contact: Shaya Golparian, Ph.D., CTLT Resource Room Coordinator, at ctlt.resourceroom@exchange.ubc.ca

2. Online, Blended, and ‘Flexible’ Learning: A SoTL Lens

Date: April 15th, 1:00 – 2:30
Registration (limited!): http://www.events.ctlt.ubc.ca/events/view/2255

During our February 28th meeting, members of the SoTL community identified a strong interest in talking about online/blended learning. At this community meeting, we’ll begin our conversation by discussing ways that members have explored ‘flexible’, online, and blended learning through their own scholarship of teaching and learning practice. In the second half of the meeting, we’ll share our own SoTL practice and explore directions for the emerging SoTL Community of Practice.

3. Call for Scholarship of Teaching and Learning Community of Practice Facilitator

The Scholarship of Teaching and Learning Community of Practice (SoTL CoP) at CTLT is seeking an experienced co-facilitator. Co-facilitators work with community members to develop and plan community events.

To volunteer as SoTL Community of Practice co-facilitator, please send a brief statement of interest and qualifications to ctlt.copdeveloper@mail.ubc.ca as soon as possible.

EKM Journal Club’s Inaugural Meeting: Wikipedia as a source of evidence

Thank you to everyone who attended our inaugural EKM Journal Club meeting. We were thrilled to see so many people out generating such a great discussion.

The format will be the same each month with a paper title distributed two weeks in advance, and then discussion at the meeting and then a follow up blog post to support ongoing online discussion (just add your thoughts as a comment to this post). Currently we are leaving the blog open to all, but if the majority of members prefer we can revisit this later on.

All attendees will be invites to become subscribers to the blog (and will then receive updates by e-mail) and you can also follow our Twitterfeed @TeachingNursing.

This week’s topic was the use of Wikipedia as a source of evidence. If you haven’t had a chance to read it, the article can be found here. Remember, you can add to the discussion here, just post a comment on your thoughts on these matters (click on comment on the left)!

Discussion

It was noted that Wikipedia reliability/validity research has tended to fall into one of two categories:

  1. Studies comparing Wikipedia to other established peer reviewed sources.
  2. Studies appraising Wikipedia articles for quality, or confidence in their evidence.

This paper falls into the later category, and those present were polled on their perceptions about the appropriateness of students using Wikipedia in academic work (see attached slides). Results were mixed:

  • Not useful as an academic resource 43%
  • OK for background, but not for citation in papers 29%
  • Encourage them to use it 29%
  • Inaccurate and misleading, avoid 0%

Several of those attending admitted to using Wikipedia as a tool to obtain accurate and updated information and primary references. Others argued that using Wikipedia as a source is problematic.

It was suggested, on occasion students may directly take from Wikipedia, rather than going to the primary references listed by Wikipedia i.e. sometimes, the primary source is not even consulted. There was agreement that peer reviewed publications remain the most reliable sources, however, there is a push towards incorporating technology and social media into the classroom.

It is not uncommon for textbooks to take three years to be published and sometimes the information within the textbook is dated upon publication. Wikipedia can present the most recent research and is continually updated. However, although generally reliable, because of its nature the information presented on Wikipedia can be incorrect or biased.

This brought up the important issue of undergraduate students developing the ability to critically appraise and discriminate the validity of sources. When a topic is searched for on Google, Wikipedia often appears first in the search results. However, this does not mean the information is the most reliable and it is important to be able to decipher between credibility and popularity. Use of Wikipedia in classes could be a good way to get students to consider the quality of the evidence presented in the entry. Alternatively, a student assignment could be to adopt a Wikipedia entry or correct one.

The push towards technology also presents the opportunity for creative uses of technology in the classroom such as podcasts, blogs and TED Talks. We need to explore how to best incorporate these sources of information in our teaching. We also need to explore how to maximize the opportunities of using these new forms of technology while being critical of their limitations. Adopting a health Wikipedia webpage as an assignment could be a helpful contribution to both the wiki-world and students’ understanding of source appraisal.

Wikipedia is not without its faults. One faculty member shared a story about an expert trying to share their knowledge on Wikipedia only to be denied because their opinion was contrary to the majority. When determining what information is acceptable, Wikipedia tends to rely on a majority rules standard.   Another faculty member mentioned that in the last few years Wikipedia has become more adept at presenting multiple opinions on topics, currently a limitation of textbooks. Wikipedia has also become more transparent by alerting readers when the information they are viewing needs additional sources or may be biased. A banner provides a warning at the top of the screen to relay this information. The article reports that this often happens when the topic is controversial.

We also discussed changes taking place with student-centred learning, in information holding and its dissemination. In the past, information was more unidirectional with experts delivering information to learners. The Internet is a limitless source of information and coupled with open-source learning access to information is more oopen than ever. In a world using social media for increasingly diverse uses, we need to learn how to manage this shift in power to the users,  while still maintaining academic integrity.

Appraisal of the Paper

Overall, the article earned an average rating from the audience. The author was commended on the originality and attempt to appraise quality of Wikipedia entries. The format of the paper made it hard for some to follow with one chart missing categories, a table with a format error, and others presenting findings in a confusing format. The methodology was a little unclear, particularly the selection methods for subjects to review. The use of a research quality validation tool to assess learning materials (e.g. textbooks) was also not explained, and its validity for this purpose seemed questionable. Lastly, the focus appeared more towards health rather than nursing and that could have generated different results. Overall this work was felt to be a very useful contribution to the knowledge in this area.

Another article, “You Just Type in What You Are Looking For”: Undergraduates’ Use of Library Resources vs. Wikipedia, was also recommended and can be found here.

Additional Resources

Slides used at the club meeting: EKM Journal Club 1

Here is another useful paper that was discussed in the meeting:

You Just Type in What You Are Looking For”: Undergraduates’ Use of Library Resources vs. Wikipedia

Summary of reports of the accuracy of Wikipedia can be accessed here:

Thanks to everyone for attending and contributing to a great conversation. If you have any ideas or articles you would like us to cover in a Journal Club meeting please email bernie.garrett@nursing.ubc.ca or allana.hearn@nursing.ubc.ca The next EKM Journal Club meeting will take place on April 16th. Everyone is welcome and stay tuned for the next article!