Reflective Learning Research Articles

Expanding virtual reality simulation with reflective learning to improve mental health nursing skills of undergraduate nursing students

Expanding virtual reality simulation with reflective learning to improve mental health nursing skills of undergraduate nursing students

From awareness to action: multicultural attitudes and differentiated instruction of teachers in Chinese teacher education programmes

AbstractThe increasing diversity in modern classrooms necessitates that teacher education programmes equip pre-service teachers with skills to create equitable and inclusive learning environments for all students. In response to this imperative, particularly within the Chinese educational context, this study investigated pre-service teachers' multicultural attitudes—including stages of awareness (Know), emotional engagement (Care), and behavioural intentions (Act)—and their differentiated instruction skills. Furthermore, it examined how Chinese teacher education programmes can cultivate these attributes and enhance their alignment. Using a mixed-methods approach, we surveyed 257 pre-service teachers on their multicultural attitudes and 1356 students on their perceptions of their teachers' differentiated instruction skills, supplemented by in-depth interviews with 10 pre-service teachers. Results from descriptive, correlation, and multilevel modelling analyses revealed that pre-service teachers generally possessed positive multicultural attitudes, progressing from initial awareness to empathy and behavioural intention, and were perceived as proficient in differentiated instruction. However, the Know and Act dimensions showed limited direct relationships with student-perceived differentiated instruction practices, highlighting an 'intention-action gap'. Content analysis identified several essential components of teacher education for enhancing pre-service teachers' multicultural competence and bridging this gap, including specialized formal training, reflection activities, and practical application opportunities. These findings advocate for a shift towards more personalized, experiential, and reflective learning environments in Chinese teacher education programmes to better align multicultural attitudes with effective differentiated instruction implementation.

Enhancing Analytical and Critical Thinking Skills through Reflective and Collaborative Learning: A Quasi-Experimental Study

In the context of contemporary higher education, cultivating students' analytical and critical thinking capabilities is essential for their achievement in both academic and professional arenas. Conventional pedagogical approaches frequently fail to adequately support the advancement of these sophisticated cognitive competencies. Recent studies suggest that reflective and collaborative learning methodologies can significantly strengthen these skills. Nevertheless, there remains a paucity of research concerning the overall effects of these educational strategies on university students. This initial investigation seeks to fill this void by assessing a blended instructional model that combines reflective and collaborative learning techniques to enhance the analytical and critical thinking abilities of students at Yunnan University of Traditional Chinese Medicine. The results indicate that this holistic approach not only improves cognitive skills but also fosters a more engaging and effective educational atmosphere. This research provides empirical validation for the incorporation of reflective and collaborative learning, offering valuable insights for curriculum design and instructional practices within higher education.

Business Educators’ Critical Reflection on Leadership

It is axiomatic: Leadership is pivotal for positive organisational results. Pervasive literature can guide, yet many organisations suffer unsatisfactory results. It is a question of the gap between intent and execution. Mountains of leadership literature obfuscate versus clarify. This distortion demands scrutiny. Our research question is: “What is leadership?” Our research methodology was reflection (Dewey and others), attempting clarification to improve understanding and guide successful action. Our findings demonstrate that literature inconsistently defines leadership which impacts understanding and practice. Leadership is often studied from the perspective of either (a) the person, specifically their competence, i.e., knowledge, skills, attitude, experience, and behaviour about (i) themselves, (ii) cultivating positive relationships with others, (iii) nurturing effective teams, and (iv) business/technical/job-related content, or (b) function, i.e., attaining organisational results by goal achievement through coordination of organisation-wide activities supported by the free-willed cooperation of all organisational members, or (c) social influence, that is leadership behaviour impacting the functioning of the organisation. Research primarily examines leadership as social influence. These three perspectives are seldom integratively studied, suggesting mutually exclusive domains. However, person, function, and social influence are interconnected. Our findings imply leadership as an interplay between the person, the collective, and contextual conditions impacting organisational results. Therefore, studying leadership from the combined perspectives of person, function, and social influence is more useful. Doing so provides a holistic understanding that ensures attaining positive organisational results. The value of the study includes that reflection, an underused research method examining leadership, can limit proliferation of superfluous literature that often produces confusion. Both academics and practitioners can question their thinking, assumptions, and actions to guide better actions and to approach better results. We recommend further study to hone reflective practice and learning.

An inquiry on the on-the-job training experiences of accounting interns

This study examines the experiences of accounting interns during their On-the-Job Training (OJT) program in accounting firms, banking institutions, and government agencies. The research participants, who graduated from the accountancy program in 2022-2023, have completed the OJT program and are currently employed. Using the cognitive apprenticeship theory, the researchers explored the experiences of interns in their PJT. During their OJT, the accounting interns experienced immersive training, practical application, and interactions with colleagues. The on-the-job training experiences of the Accounting Interns contribute to their overall professional development and personal growth through building professionalism, developing workplace skills, employing adaptive resilience, and cultivating reflective learning. The OJT experiences prepare the Accounting Interns for their current job because they have developed positive workplace behaviour and efficiency. The challenges encountered by the Accounting Interns during OJT are unrelated or unfamiliar tasks, problems with social skills, difficulty in task organization, and difficulty adjusting to work culture and protocols. Accounting Interns cope with the challenges during their OJT through self-initiated learning, seeking help from colleagues, building confidence, time management, and observing professionalism. Furthermore, the OJT program combined academic knowledge with practical skills to improve students' career readiness. The experience prepared them for professional challenges in their fields. The findings of this study contribute to the exploration of the accountancy students during their OJT. Moreover, other students can find ways on how to deal with encountered problems as they undergo the OJT program.

Well-being interventions for emergency department staff: ‘necessary’ but ‘inadequate’ – a phenomenographic study

IntroductionStress and burnout are prevalent among emergency department (ED) staff in the UK. The concept of well-being interventions for ED staff is a growing area of interest and research worldwide....

Using a policy learning lens to understand health financing policy outcomes: the case of translating strategic health purchasing into policy and practice in Burkina Faso

IntroductionAchieving universal health coverage (UHC) through an effective health financing system is a challenge for many low-income countries. Learning is key to success due to many uncertainties and unknowns. Using the case of translating strategic health purchasing into policy and practice in Burkina Faso, our study seeks to understand how policy learning can shape policy processes and outcomes.MethodsWe used a qualitative case study design and Dunlop and Radaelli’s conceptualisation of policy learning to identify which modes of learning did or did not occur, what helped or hindered them and the resulting policy outcomes. Dunlop and Radaelli frame policy learning as epistemic, reflexive, negotiative or hierarchical. We collected data through documentary review and in-depth individual interviews with 21 key informants. We analysed the data manually using pattern-matching techniques.ResultsThe introduction of strategic health purchasing in Burkina Faso was initially seen as an opportunity to reduce the fragmentation of the health financing system by coupling a performance-based financing scheme and a user fee exemption policy. However, this has faltered, and our findings suggest that an inability to harness all modes of learning has led to blockages. Indeed, while reflective learning was present, epistemic, hierarchical and learning through bargaining were absent, preventing national policy actors from defending their own policy or scheme from reaching compromises. But thanks to facilitating processes led by a well-resourced organisation and contextual elements that encouraged the emergence of more pluralistic modes of learning, some progress was achieved in operationalising strategic health purchasing.ConclusionsSome modes of learning seem to be overlooked in countries’ efforts to achieve UHC. Facilitation techniques and initiatives that encourage the use of all modes of learning, while supporting countries to take full ownership and responsibility for consolidating their own learning health systems, should be promoted.

Preparing the ground for bespoke nursing training in advanced renal cell carcinoma care (RCC4Nurses): An international prospective study

ObjectivesNurses require specialist knowledge and skills to effectively support an increasing population of people affected by advanced renal cell cancer (aRCC). RCC4Nurses was a three-phase project that aimed to develop bespoke training in aRCC for nurses in Europe. Phase 1 examined pre-existing educational programs in kidney cancer, then developed a curriculum of core education topics in aRCC care to suit generalist and specialist nurses’ education needs. MethodsPhase 1 employed a prospective design that involved two parts. Part 1 was a scoping review of educational programs developed for multidisciplinary health professionals in kidney cancer/RCC. Findings of Part 1 formed the basis for Part 2, which was a three-round Delphi study that involved experts by personal experience or profession in aRCC, who rated the importance of a range of education topics and education methods for inclusion in the developing RCC4Nurses. ResultsThe scoping review identified eight education programs via two published reports and six online resources. Existing programs had limitations in accessibility, recency and target professional groups; none of them was developed specifically for nurses. Program content was primarily focused on diagnostic, treatment and management procedures in kidney cancer. Fourteen educational topics were derived from the review and evaluated during Round 1 of the Delphi by 47 experts. By Round 3, 17 topics had iteratively reached consensus for inclusion within RCC4Nurses. Experts showed preference to problem-solving and clinical-scenario learning methods, but not reflective practice learning. ConclusionsGiven the dearth of up-to-date, evidence-based training for nurses in aRCC, we have prepared the ground to develop a bespoke training course in this area of practice. Implications for Nursing PracticeThe RCC4Nurses project will offer accessible, state-of-the-art education to registered nurses in Europe to help enhance nursing competency in aRCC and enhance the standard of care provided to people affected by aRCC.

Fostering clinical judgment in prelicensure nursing: utilizing a concept map template

BackgroundThe National Council State Boards of Nursing (NCSBN) clinical judgment model (CJM) is integral to prelicensure nursing education, necessitating consistent strategies to develop students’ clinical judgment. Effective strategies should guide students’ decision-making, emphasize priorities, and support deep learning. InnovationThis article introduces a mapping template aligned with the NSCBN CJM, facilitating a systematic approach to clinical judgment. The template offers visual organization, specific actions for each step, and prompts for critical thinking. ImplicationsThe mapping template can enhance student engagement, repetition of concepts, and reflective learning to support clinical judgment consistently across a prelicensure nursing curriculum. Faculty can integrate it into various teaching contexts, clinical instructors can assess students’ decision-making in real-life situations, and students can employ it for independent study. ConclusionsConsistent use of the mapping template fosters a common language, reinforces CJM steps, and serves as a formative assessment tool. Integrating the template into prelicensure nursing education aligns with best practices for developing clinical judgment.

Uncovering Reflections of Preclinical Medical Students from Clinical Shadowing: A Thematic Analysis

Purpose Clinical shadowing(CS) offers preclinical medical students the opportunity to observe certified physicians in practice. Analyzing the content of students’ reflective writings(RWs) to understand core competencies they perceived during CS, as well as stages of their reflections, can offer valuable insights for course design and instructor guidance. This study aimed to address this matter by employing a thematic analysis of students’ RWs to explore the learning outcomes derived from CS. Materials and methods The dataset of the thematic analysis comprised de-identified RWs from preclinical medical students who participated in the clinical shadowing program during the first semester of the 2019 academic year at National Taiwan University College of Medicine. Two researchers independently extracted and categorized pertinent content from the texts of RWs, aligning them with the six core competencies of ACGME and mapping them to the stages of Kolb’s learning cycle. Additionally, correlation with shadowing specialties and fields was investigated. Results In total, 155 RWs were analyzed. Patient care emerged as the most frequently reflected competency(30%), followed by systems-based practice(23%), and medical knowledge(21%). The shadowing specialties and fields had an impact on the core competencies students perceived. In terms of Kolb’s learning stages, concrete experience(66%) predominated in RWs, while abstract conceptualization(19%) and reflective observation(14%) were less prevalent. For each competency, concrete experience was the prevailing stage, with active experimentation being the least dominant one. Students exhibited varying proportions of reflections at different stages for each core competency. Conclusions Clinical shadowing experiences enable preclinical medical students to explore required clinical core competencies, with emphases depending on the shadowing specialties and fields. Currently, most reflections are concentrated at Kolb’s concrete experience stage. This study offers valuable insights for designing future CS programs and improving faculty development, aimed at helping students achieve deeper and more comprehensive reflective learning in relation to core competencies, and even professional identity.

The future of tourism: an interview with Leslie Vella about the future of tourism in Malta

PurposeAs the Journal of Tourism Futures celebrates its 10th Anniversary, Dr Ian Yeoman (Hotel Management School Leeuwarden) interviews Leslie Vella (Malta Tourism Authority) about the future of tourism in Malta, drawing upon a series of scenarios as a reflective learning tool.Design/methodology/approachA personal interview.FindingsThe interview discusses the future of tourism in Malta raising issues and reflections, through four scenarios that portray the Mediterranean island: Scenario 1: A Regenerative Future – Reposition, Realignment and Refocus (Transformation), Scenario 2: A Sustainable Pathway – Adaption and Innovative Growth (Growth), Scenario 3: Europe’s Second Class – Second Choice Destination (Stagnation) and Scenario 4: No Tourism (Collapse).Originality/valueUpon critical reflection, scenarios can be seen as a powerful learning device to frame, surface and discuss issues associated with tourism, in this case in Malta.

메타버스와 인공지능을 반영한 최신 음악교육매체 기반예비교사 교육과정 적용 및 경험 탐색

The study aims to examine experiences and draw implications by designing and applying a pre-service teacher curriculum based on the latest media in music education that reflects of the metaverse and artificial intelligence. Using backward design as stage, 15-session curriculum was planned, and appropriate media were selected for each session. To analyze the experience of pre-service teachers, the survey was planned with 8 TPACK questions of technological pedagogical content knowledge and 9 questions of instructional self-efficacy, and the subjective experience was closely examined by analyzing reflective journals, performance tasks, observation diaries, and learning management systems (LMS). As a result, a significant increase in the mean TPACK scores of pre-service teachers was observed. Observations indicated that tailored learning tools could be developed using media functions, and media-based instruction methods were effectively recognized. Descriptive analysis of the self-efficacy survey revealed high average scores, particularly in 'motivation' and 'instruction planning suitable for social flow,' while 'strategies for underachievement' showed relatively low scores. To improve the media-based curriculum: First, media-based curricula should be implemented considering the various levels of prospective teachers and should have sufficient time. Second, suitable media must be selected in elementary classrooms, considering student differences, and a curriculum addressing underachievement is needed. Third, a stable digital environment should be ensured through regular checks of equipment, with additional support for headsets during sound editing. This study hopes to help pre-service teachers enhance their technological pedagogical content knowledge and develop media-based music education for the digital age.

Social Networking Sites (SNS) for Japanese Language Learning

Social Networking Sites (SNS) have become an integral part of modern society, influencing various aspects of life, including education. SNS facilitates interactive, collaborative, and reflective learning experiences in language learning. This study aims to evaluate the use of SNS in enhancing learning inside and outside Japanese language classrooms. The research was conducted using a qualitative approach with a survey method, utilizing a questionnaire distributed via Google Forms. Quantitative and qualitative data collected from 85 Japanese Language Education Study Program students were analyzed and presented narratively. The data were examined through the lens of SNS use in foreign language learning and its impact on language acquisition. The results reveal that most students frequently use SNS platforms such as YouTube, Instagram, and Twitter for learning Japanese, both for classroom materials and independent study. Additionally, students reported that SNS use has improved their reading, writing, listening, and speaking skills in Japanese. Moreover, SNS has been identified as a motivational tool, fostering students’ confidence in using the language orally and in writing. These findings provide valuable insights for future research on using SNS as a learning medium in Japanese language education.

How do mentors perceive and perform their role in a reflection-based mentoring programme for medical students?

To explore how mentors perceive and perform their role in a longitudinal mentorship programme with the objective of guiding medical students in becoming reflective learners. A qualitative exploratory study was conducted using semi-structured interviews with 16 mentors from the Ghent University medical education mentoring programme. Participants were selected by purposeful sampling on gender, years of experience and area of specialisation. Interview transcripts were analysed using inductive thematic analysis. Afterwards, all transcripts were re-analysed combining the resulting themes to identify different mentoring profiles. Our analysis yielded three themes. First, the basic conditions for mentorship showed wide differences in competencies that mentors considered necessary. Second, goals and purposes of mentoring identified roles ranging from ombudsperson, confidential advisor, role model to guide towards professional and personal growth. Third, attitudes to the mentoring programme revealed a wide variation from fully embracing to rejecting the reflective method. Further analysis led to three mentor profiles: reflective, sharing and advising. Even reflective mentors struggled in varying degrees with applying the guidelines, mostly depending on prior experience with reflection. Advising mentors found the intervision techniques too constrictive and expressed doubts about the usefulness of the programme. In this reflection-based mentoring programme, different mentor perceptions strongly determined how reflection is being taught to medical students. This may affect the students' professional identity formation. Training should enable mentors to reflect on their beliefs and mentoring style. Further research is needed on the effects of reflection in mentoring and on mentor selection.

Exploring the intercultural potential of picturebooks in early secondary EFL classrooms in Austria

Abstract Intercultural education has constituted an interdisciplinary teaching principle in Austrian upper and lower secondary curricula since 1992 and was reinforced by a decree in 2017. Literary texts have been identified as promising resources and valuable tools for initiating intercultural learning through their frequently inherent multi-perspectivity encouraging students to empathize with characters, consider different perspectives, contrast viewpoints, relate stories to personal experiences, and reflect on diverse ideas. However, research on the implementation of intercultural teaching and learning using literature in foreign language classrooms has so far mostly focused on upper secondary education and has frequently related to using postcolonial fiction writings. To counter the knowledge gap on the implementation of intercultural learning in lower educational levels, this study adopts a literary science approach to explore the potential of picturebooks in early secondary EFL classrooms. Using The Little Green Jacket (Dee, 2020), it specifically examines perspective-taking as a key dimension of intercultural learning. Through written learner reflections, the research study assesses whether students in two Austrian EFL classrooms (n = 35) can adopt a different viewpoint. The findings show that most students are successful, or at least partly successful, in perspective-taking and mostly describe emotions of sadness but also hopefulness in their reflective writings. Thus, the study suggests that picturebooks have the potential to facilitate perspective-taking as an essential dimension of intercultural education among young EFL learners with low language proficiency, highlighting their largely untapped potential in early language education.

Using Mortality and Morbidity Conferences in Advanced Practice Nurse Education to Enhance Student Self-Efficacy.

The integration of morbidity and mortality (M and M) conferences into advanced practice nurse (APN) nursing curricula is a novel approach aimed at enhancing education, reflective learning, and continuous improvement. M and M conferences have traditionally been a standard practice for medical specialties, yet a gap exists in their utilization within APN education. A quasiexperimental pilot study with 20 student registered nurse anesthetists was conducted at a large urban academic center. The General Self-Efficacy Scale was utilized to evaluate student self-efficacy and confidence in managing adverse events. Significant improvement in self-efficacy scores (p = .003) postintervention indicated the educational benefits of M and M conferences. All participants reported increased confidence in navigating unexpected events. The M and M conference is a valuable tool within APN education for cultivating self-efficacy and confidence in navigating adverse events. [J Nurs Educ. 2024;63(X):XXX-XXX.].

Affective Engagement with Metaphor in Introductory Statistics Education

Metaphor is a popular pedagogical tool to help learners understand unfamiliar concepts, but its affective and interactional qualities remain underexplored compared to its cognitive benefits. This study investigates how metaphor may enhance affective engagement within introductory statistics education for linguistics students. As previous research tends to rely on delayed and self-reported data, this study employs a mixed-methods approach that combines real-time physiological measures of engagement with feedback through surveys and interviews. It compares metaphorical and literal instructional styles for teaching simple linear regression, focusing on: i) differences in teacher and learner skin conductance levels, ii) teacher-learner synchrony through skin conductance concordance, iii) the relationship between physiological measures and affect-related survey responses, and iv) learner reflections on their experiences. Results show that the metaphorical style is associated with higher engagement levels and stronger teacher-learner synchrony, affirming the role of metaphors in enhancing collaborative learning when elaborated over time in spontaneous interactive fashion. However, the qualitative data reveal nuanced learner perceptions, highlighting the importance of clearly communicating the scope of metaphor use. This study contributes to understanding the interplay between affective and cognitive engagement in metaphorical learning, offering practical recommendations for its effective implementation in complex subjects like statistics.

Evaluating the Value of Eye-Tracking Augmented Debriefing in Medical Simulation-A Pilot Randomized Controlled Trial.

Debriefing after simulation facilitates reflective thinking and learning. Eye-tracking augmented debriefing (ETAD) may provide advantages over traditional debriefing (TD) by leveraging video replay with first-person perspective. This multisite randomized controlled trial compared the impact of ETAD with TD (without eye-tracking and without video) after simulation on 4 outcomes: (1) resident metacognitive awareness (the primary outcome), (2) cognitive load (CL) of residents and debriefers, (3) alignment of resident self-assessment and debriefer assessment scores, and (4) resident and debriefer perceptions of the debriefing experience. Fifty-four emergency medicine residents from 2 institutions were randomized to the experimental (ETAD) or the control (TD) arm. Residents completed 2 simulation stations followed by debriefing. Before station 1 and after station 2, residents completed a Metacognition Awareness Inventory (MAI). After each station, debriefers and residents rated their CL and completed an assessment of performance. After the stations, residents were interviewed and debriefers participated in a focus group. There were no statistically significant differences in mean MAI change, resident CL, or assessment alignment between residents and debriefers. Debriefer CL was lower in the experimental arm. Interviews identified 4 themes: (1) reflections related to debriefing approach, (2) eye-tracking as a metacognitive sensitizer, (3) translation of metacognition to practice, and (4) ETAD as a strategy to manage CL. Residents reported that eye tracking improved the specificity of feedback. Debriefers relied less on notes, leveraged video timestamps, appreciated the structure of the eye-tracking video, and found the video useful when debriefing poor performers. There were no significant quantitative differences in MAI or resident CL scores; qualitative findings suggest that residents appreciated the benefits of the eye-tracking video review. Debriefers expended less CL and reported less perceived mental effort with the new technology. Future research should leverage longitudinal experimental designs to further understand the impact of eye-tracking facilitated debriefing.

Pedagogical Interaction and Student Engagement at Selected University

This quantitative study examined pedagogical interaction and student engagement in a university in Guangdong, China, involving 364 students and 132 teachers. Surveys evaluated pedagogical strategies, including reflective, inquiry-based, and collaborative learning, alongside cognitive, emotional, and behavioral aspects of student engagement. Professional development was measured by the establishment of training systems aimed at enhancing students' capacity to engage in classroom interactions, ensuring that teachers progressively cultivate active participation.The findings show that teachers frequently facilitate teamwork, reflect on their teaching practices, and set clear expectations for group activities. They also promote inquiry-based learning by fostering interactive environments where students exchange ideas and engage in discussions. In problem-based learning settings, teachers guide students through research, data analysis, and presentations. However, Spearman’s rho correlation analysis found no significant relationship between teaching strategies and student engagement, suggesting that changes in one do not necessarily affect the other. This indicates that factors beyond pedagogy, such as student motivation or external influences, may impact engagement. The study highlights the need for more personalized learning approaches and enhanced support systems to encourage participation. And, continuous professional development remains crucial, ensuring educators can create environments that nurture meaningful student engagement, regardless of instructional strategies used.

The Effect of Using the Wheatley Educational Model According to Cooperative Groups to Reflective Thinking and Learning the Basic Skills of Freestyle Swimming for Students

The research aimed to identify the effect of the Wheatley model according to cooperative groups in reflective thinking and learning the basic skills of freestyle swimming for students. As for the research hypothesis, it was represented by the presence of statistically significant differences between the post-tests of the two groups (experimental and control), and the research population was determined by the intentional method of third-stage students in College of Physical Education and Sports Sciences, University of Sulaymaniyah. As for the research sample, it was randomly selected by lottery from Division (A) and consisted of (32) students. It was divided into two groups: the experimental group, which consisted of (14) students, and the control group, which consisted of (14) students. The skill tests for free swimming were relied upon to reach the results after treating them with appropriate statistical means. The researcher concluded that the Wheatley educational model according to the cooperative groups had a positive impact on reflective thinking and learning the basic skills of free swimming for the third stage students of the College of Physical Education and Sports Sciences in University of Sulaymaniyah. The researcher recommended the need to use the Wheatley educational model according to cooperative groups in learning the basic skills of freestyle swimming for different stages and age groups. The researcher also recommended the need to use the Wheatley educational model according to cooperative groups in teaching various other activities and sports.