UNDERSTANDING NURSE CREATED COGNITIVE ARTIFACTS: PERSONALLY-CREATED-COGNITIVE-ARTIFACTS AS EXTERNAL REPRESENTATIONS OF DISTRIBUTED COGNITION

Manuscript 1: “Conceptual Analysis: Externalizing Nursing Knowledge” We use concept analysis to establish that the report tool nurses prepare, carry, reference, amend, and use as a temporary data repository are examples of cognitive artifacts. This tool, integrally woven throughout the work and practice of nurses, is important to cognition and clinical decision-making. Establishing the tool as a cognitive artifact will support new dimensions of study. Such studies can characterize how this report tool supports cognition, internal representation of knowledge and skills, and external representation of knowledge of the nurse. Manuscript 2: “Research Methods: Exploring Cognitive Work” The purpose of this paper is to describe a complex, cross-sectional, multi-method approach to study of personal cognitive artifacts in the clinical environment. The complex data arrays present in these cognitive artifacts warrant the use of multiple methods of data collection. Use of a less robust research design may result in an incomplete understanding of the meaning, value, content, and relationships between personal cognitive artifacts in the clinical environment and the cognitive work of the user. Manuscript 3: “Making the Cognitive Work of Registered Nurses Visible” Purpose: Knowledge representations and structures are created and used by registered nurses to guide patient care. Understanding is limited regarding how these knowledge representations, or cognitive artifacts, contribute to working memory, prioritization, organization, cognition, and decision-making. The purpose of this study was to identify and characterize the role a specific cognitive artifact knowledge representation and structure as it contributed to the cognitive work of the registered nurse. Methods: Data collection was completed, using qualitative research methods, by shadowing and interviewing 25 registered nurses. Data analysis employed triangulation and iterative analytic processes. Results: Nurse cognitive artifacts support recall, data evaluation, decision-making, organization, and prioritization. These cognitive artifacts demonstrated spatial, longitudinal, chronologic, visual, and personal cues to support the cognitive work of nurses. Conclusions: Nurse cognitive artifacts are an important adjunct to the cognitive work of nurses, and directly support patient care. Nurses need to be able to configure their cognitive artifact in ways that are meaningful and support their internal knowledge representations

How Do You Feel, Developer? An Explanatory Theory of the Impact of Affects on Programming Performance

Affects---emotions and moods---have an impact on cognitive activities and the working performance of individuals. Development tasks are undertaken through cognitive processes, yet software engineering research lacks theory on affects and their impact on software development activities. In this paper, we report on an interpretive study aimed at broadening our understanding of the psychology of programming in terms of the experience of affects while programming, and the impact of affects on programming performance. We conducted a qualitative interpretive study based on: face-to-face open-ended interviews, in-field observations, and e-mail exchanges. This enabled us to construct a novel explanatory theory of the impact of affects on development performance. The theory is explicated using an established taxonomy framework. The proposed theory builds upon the concepts of events, affects, attractors, focus, goals, and performance. Theoretical and practical implications are given.Comment: 24 pages, 2 figures. Postprin

From Faculty Development to the Classroom: A Qualitative Study of How Nurse Educators Turn Faculty Development into Action

The purpose of this qualitative study was to better understand the transfer of learning by uncovering how various factors supported the integration of knowledge and skills gleaned from the Faculty Development: Integrated Technology into Nursing Education and Practice Initiative (ITNEP) programs into nursing education curricula. Through interviews with 20 participants from four ITNEP programs, this study confirmed the importance of learner characteristics, program design elements, and factors in the work environment for supporting successful transfer of learning and supports a variety of other transfer of learning research findings. New or seldom discussed supportive individual characteristics were found, including: leadership abilities, lifelong learning, ability to recognize limitations, persistence, creativity, and risk-taking. Study findings suggest that proactive personality may support transfer of learning. Participants maintained motivation from pre-training through post-training at a high enough level to successfully transfer learning. The importance of networking opportunities, a diversity of perspectives, post conference support, and teams in programs designs were found to positively influence transfer and were discussed in relation to social influence. The variety of supportive factors in the participants' work environments, including strategic alignment, strengthens the assertions that transfer may be individually context dependent. Barriers to transfer efforts in the work environment were also addressed. Additionally, while patterns of specific characteristics emerged, interacting findings were found threaded throughout

The care plan as an indicator of change in nursing science instruction: a textbook-based analysis

Sciences are critical in nursing education to aid the nurse in understanding health and disease processes. Accrediting bodies for nursing education have emphasized that educators teach in ways that encourage critical thinking and, therefore, produce safe-practicing, competent nurse graduates. Nursing care plans best reflect nursing education’s central goals. Because of its longevity of use and familiarity, in this study, the nursing care plan was used as a proxy for nursing science’s learning objectives. This research was a study of the nursing care plan as an indicator for change in nursing science education in the United States to determine if change has occurred, using historical research methods supplemented with phenomenological data analysis. Because historical nursing care plan archives were non-existent, historical nursing textbooks were used to track the care plan’s evolution. Key findings included: (a) there is a “disconnect” between care plan instructional goals and their application in real-world nursing; (b) care plans open a new window for science education research on the state of nursing instruction; (c) nursing care plans were shown to have emphasized higher order thinking skills for over 80 years; and (d) the nursing care plan has been expanded from one concentrated patient study to three with a subsequent loss of student focus

The implementation of storytelling in the native Language to promote L2 vocabulary in older adults

Este proyecto de aula presenta la implementación de la técnica de narración de cuentos utilizando mitos y leyendas colombianos para enseñar vocabulario en inglés a adultos mayores. Para este proyecto, establecimos algunos objetivos de enseñanza que se dividieron en dos; objetivos generales en los que los adultos mayores reconocen el vocabulario establecidos a través de la producción verbal y no verbal. También los objetivos específicos, por ejemplo, la implementación de la narración de cuentos como un medio para promover el vocabulario en inglés. La metodología utilizada en este proyecto de aula se centró en la andragogía, que es la ciencia de la educación de adultos, en base a esto enseñamos vocabulario en inglés utilizando mitos y leyendas colombianas. Los participantes involucrados fueron siete adultos mayores de una casa de retiro en Pereira, y los tres facilitadores los cuales usaron como instrumentos diarios, observaciones y artefactos de los participantes recolectar evidencia y su posterior análisis. Los resultados indicaron que los participantes pudieron recordar y utilizar el vocabulario presentado durante la sesión de narración de mitos y leyendas. Como conclusión, este proyecto de aula reveló que el uso de mitos y leyendas para enseñar vocabulario en inglés es una técnica favorable la cual permitió a los participantes sentirse cómodos y usar sus conocimientos previos en su idioma nativo con el propósito de aprender vocabulario en inglés

Centring Human Connections in the Education of Health Professionals

Many of today’s learning environments are dominated by technology or procedure-driven approaches that leave learners feeling alone and disconnected. The authors of Centring Human Connections in the Education of Health Professionals argue that educational processes in the health disciplines should model, integrate, and celebrate human connections because it is these connections that will foster the development of competent and caring health professionals. Centring Human Connections in the Education of Health Professionals equips educators working in clinical, classroom, and online settings with a variety of teaching strategies that facilitate essential human connections. Included is an overview of the educational theory that grounds the authors’ thinking, enabling the educators who employ the strategies included in the book to assess their fit within curriculum requirements and personal teaching philosophies and understand how and why they work.illustrato

Understanding social identity through children’s drawings: Where is your happy place?

Civil war and instability in Syria has resulted in mass casualties and the largest migration of peoples since WWII (International Organization for Migration, 2015). The year 2015 witnessed a refugee crisis in the Middle East and Europe, a crisis that continues today. Fleeing danger undoubtedly shapes the identities of refugees, and the identities of refugee children are indeed the most vulnerable. This study examines ways in which Syrian refugee orphans communicate elements of social identity. Utilizing social identity theory (SIT) as a lens to analyze children’s drawings, this study not only reveals which social groups are most salient amongst children’s orphaned Syrian refugee children in Jordan, but it also examines the positive and negative views of home after traumatic experiences. The drawings analyzed in this study were collected by the Syrian Emergency Task Force during a humanitarian visit to Jordan and were later published online and in calendars. The refugee children were asked to draw, ‘where is your happy place?’ These drawings provide insight into how children categorize self and others. Such insight provides a window into the multiple identities held by this group of children. Through the analysis of these drawings, potential cross-cultural adaptation needs can be identified. This methodology could prove useful for humanitarian relief groups in the future in communicating with children of all ages when there is a language or cultural barrier

The Effect of Unmet Expectations of Information Quality on Post-Acceptance Workarounds among Healthcare Providers

Electronic health record (EHR) systems have the capacity to aid clinical decision making by providing timely and relevant information about patients. However, providers’ lack of access to complete and up-to-date information in the required format hinders their ability to make timely decisions and often leads to misdiagnosis or redundant, duplicate tests. This research evaluates the extent to which pre-adoption information quality expectations are met and their effect on post-adoption satisfaction with an EHR system in terms of information quality and the workarounds that they may generate. The hypotheses were empirically tested through analysis of the responses of 64 healthcare stakeholders. The results indicate that lower information quality was perceived post-adoption than was expected at pre-adoption of the EHR system. Ultimately, workarounds were found largely to be a direct result of dissatisfaction with the EHR system. The results have implications for remedies to workarounds in terms of policy, training, and EHR system features modifications