Varapi vanofanira kuve nehunyanzvi hwekukurukurirana kwemafungiro ekufunga kuti vaite zvisina kukodzera, zvisarudzo zvakachengeteka uye kudzivirira kuita zvikanganiso. Nyanzvi dzakashata dzakasarudzika dzekukurukurirana dzinogona kukanganisa simba rekuchengetedza moyo murefu uye kunonoka kutarisirwa kana kurapwa, kunyanya mudhipatimendi rezvekutarisira zvakanyanya. Kudzidziswa-kwakavakirwa kudzidziswa kunoshandisa hurukuro dzekufunda dzidza zvichitevedzera senzira yekukurudziro yekukudziridza kugona kwekiriniki uchiramba kuchengeteka muripo. Nekudaro, nekuda kwechimiro chemultidimensiondal chemafungiro ekufunga, iko kungwara kwekunyatsoongorora (uye kusiyanisa kwekuongorora (kusarudzika) Funga nezve ruzivo, kugona, zvinhu zvine chekuita neyekuyerera kweruzivo, uye nyaya yakaoma yekuwedzera kiriniki kufunga nekuita boka rekudzidza rekudzidza mushure mekufungidzira senzira yekukurudziro. Chinangwa chedu ndechekutsanangura kukura kwemuenzaniso wekutumira-simulation inoratidza dialogue iyo inofunga nezvinhu zvakawanda zvinokonzeresa kugona kwekiriniki yekufunga kwekufungidzira.
Kurovera-dhizaini boka rekushanda (n = 18), rine varapi, vanotsvaga, vadzidzisi, vanobatana kuburikidza nemisangano inoteedzana kuti vawedzere kufungidzira kuti vanoratidza kufungidzira. Iyo co-dhizaini yekushanda yeboka yakagadzira iyo modhi kuburikidza neiyo fungidziro uye conceptual process uye yakawanda-chikamu-chikamu cheerevhizheni. Iyo yakafanana yekubatanidza yeSter / minus yekuongorora kutsvagisa uye bloom's teksonomy inotendwa kune inogadzirisa yekufungidzira Clints's Clinant kufunga apo kutora chikamu mumitambo yekufungidzira. Zvemukati Validity Index (CVI) uye zvemukati Validity Ratio (CVR) nzira dzaishandiswa kumisikidza kumeso kwechokwadi uye zvemukati chokwadi chemuenzaniso.
Iyo post-simulation inoratidza kudzidza dialogue muenzaniso yakagadziriswa uye yakaedzwa. Iyo modhi inotsigirwa nemienzaniso yakashanda uye nhungamiro yekunoratidza. Chiso uye zvemukati chokwadi chemuenzaniso chakaongororwa uye chakasimbiswa.
Iyo New Co-Design Model yakasikwa kuitwazve hunyanzvi uye kugona kweiyo akasiyana siyana vaitarisira vatori vechikamu, kuyerera uye huwandu hweruzivo, uye kuomarara kwemhosva dzekuenzanisira. Izvi zvinhu zvinofungidzirwa kuti zvinokatyamadza kiriniki kufunga kana kutora chikamu muzvikamu zveboka.
Kukurukurirana kwekiriniki kunoonekwa kuti hwaro hwechiriniki maitiro muhutano hwehutano [1, 2] uye chinhu chakakosha chemabatiro ekiriniki [1, 3, 4]. Icho chiitiko chinoratidzira kuti zviratidzo zvinoshandiswa kuratidza uye kuita zvakakodzera kupindira kune imwe neimwe kiriniki mamiriro avanosangana na [5, 6]. Kukurukurirana kwekiriniki kunotsanangurwa seyakaomarara maitiro ayo anoshandisa nzira dzekufunga uye kuongorora ruzivo nezve murwere, ongorora kukosha kwerudzi urwo, uye sarudza kukosha kwemamwe makosi ekuita [7, 8]. Zvinoenderana nekugona kwekuunganidza zviyero, kuita ruzivo, uye nzwisisa dambudziko remurwere kuti vatore mvumo chaiyo yemurwere kurudyi uye nechikonzero chakakodzera [9, 10].
Vese vagari vehutano vanotarisana nechinodiwa chekuita sarudzo dzakaoma mumamiriro ekusagadzikana kwepamusoro. Mukuchengetwa kwakakomba uye emergency ekutarisira kudzidzira, mamiriro ekiriniki uye emergency mumamiriro ezvinhu anokurumidza uye kupindira kwakakosha kuponesa hupenyu uye kuona kuchengetedzwa kwemurwere [12]. Unyanzvi husina kunaka hwekukurukurirana uye hunyanzvi hwekutarisirwa kwekutarisira hunobatanidzwa nemitero yakakwira yezvikanganiso, kunonoka mukutarisira kana kurapwa [13] uye njodzi dzekuchengetedza [14] uye njodzi dzekurasikirwa nekuchengetedza [14,15,11]. Kuti udzivise zvikanganiso zvinoshanda, varapi vanofanira kuve vanokwanisa uye vane hunyanzvi hwekukurukurirana kokukurukurirana nekugona kuita sarudzo dzakachengeteka uye dzakakodzera [16, 17, 18]. Iyo isiri-yekuongorora (intuitive) maitiro ekufunga ndiyo nzira yekukurumidza inofarirwa nevano nyanzvi. Kusiyana neizvi Kupiwa kuoma kweiyo hutano hwehutano hwehutano uye njodzi ingangoita yezvikanganiso Nzvimbo dzakachengeteka uye kuratidzwa kune dzakasiyana siyana nyaya dzinonetsa dzichiramba dzichichengetedza [21, 22, 24].
Sosaiti yekufungidzira muhutano (SHH) inotsanangura kusevha se "tekinoroji inogadzira mamiriro kana nharaunda iyo vanhu zviitiko zvechinangwa, kudzidziswa, kuongororwa, kana kuwana nzwisiso yehurongwa hwevanhu kana maitiro. " [23] Nguva dzakarongeka dzekufungidzira dzinopa vatori vechikamu nemukana wekunyudza mamiriro ezvinhu esimba paunenge uchidzora mikana yekudzidzira. SBE anokwidziridzwa zvechiriniki zvemunda, achifumura vadzidzi kusvika kune zvematinhi zviitiko zvavangasangana nazvo mumararamiro ekuchengetedza [24]. Uku ndiko kusiri kutyisidzira, kupomera-kusununguka, kwakaratuka, kwakachengeteka, zvakachengeteka-njodzi yekudzidza nharaunda. Inosimudzira kukura kwezivo, hunyanzvi hwechiriniki, kugona, kufunga kwakakomba uye kugona kwekiriniki zvichikurisa kushushikana kwemamiriro ezvinhu, nokudaro kugadzirisa kugona [22, 27, 28] . , 30, 32].
Kuti titsigire kukura kwekiriniki kwekufunga uye hunyanzvi hwekuita kuburikidza ne sbe, kutariswa kunofanirwa kubhadharwa kugadzirwa, template, template, template, uye chimiro cheiyo post-simulate inopa basa rekuita basa [24, 33, 34]. Post-simulation inoratidza hurukuro dzekudzidza (rlc) dzaishandiswa senzira yekubheja kunobatsira vatori vechikamu kuti vaite, kutsanangura zviito zvechitendero chega uye neboka remukati mukuratidzira [32, 36]. Iko kushandiswa kweboka rlc kunotakura mukana wekunetseka kwekunyepedzera kwekufunga kwekiriniki, kunyanya maererano nehunyanzvi hwekugona uye huwandu hwevatori vechikamu. Iyo Dual Process Model inotsanangura huwandu hwehuwandu hwechirume hwekukurukurirana uye mutsauko wevakuru (hypothertico ]. Maitiro aya anofunga anofunga nezvekuchinjana kwekuchinja kwakaringana kuita zviitiko zvakasiyana, uye hazvizivikanwe uye zvinopokana maitiro Chikoro chesekondari uye junior chikoro vadzidzi vechikoro chesekondari zvekugona kusarudzika uye vanoona zviyero zvinotora chikamu mukufungidzira zviitiko zvakasiyana siyana zvine mutsindo [34, 37]. Chimiro chemultidensional chimiro chekiriniki chakabatana nenjodzi yekunyepedzera kwekunakidzwa kwekunakidzwa kwekunakidzwa uye kunyanya kana varapi vachipinda mumasangano akasiyana-siyana neyakaomesesa Izvo zvakakosha kuti uzive kuti kunyangwe paine akati wandei emhando dzekutadza uchishandisa rlc kutevedzera zvinhu zvakaoma kunzwisisa [38]. ]. , 39]. Zvese izvi zvinoda kukura kwemhando yakarongeka iyo inofungisisa mipiro dzakasiyana siyana uye kukurudzira zvinhu kuti uwedzere kurangarira kiriniki kufunga, uku uchisanganisira post-simulation rlc senzira yekushuma. Isu tinorondedzera tyoreticy uye concepergy inoridza maitiro ekudyidzana kwekudyidzana uye kukura kweiyo post-simulation rlc. Muenzaniso wakagadziridzwa kuti udzikise hunyanzvi hwekukurukurirana panguva yekuita Sbe, uchifunga nezve dzakasiyana siyana dzekufambisa uye kukurudzira zvinhu zvakarongeka pakurarama kwekufunga kwekurukurirano.
Iyo RLC Post-Simulation muenzaniso yakagadziriswa kubatana zvichienderana nemhando dziripo uye dzidziso dzekiriniki dzinofunga, dzidzo yekufunga, uye dzidzo, uye kufungidzira. Kuti uwedzere kubatana nemuenzaniso, boka rinobatana. Imwe nzvimbo yakanyanya kuchengetwa, 2 vabatsiri vekushandisa uye 2 vevadzidzisi vepamusoro. Iyi yekugadzira-dhizaini inogadzirwa uye yakagadzirwa kuburikidza nekubatana kwevanhurume pakati pevanoita nehurongwa hwehutano hwehutano, kungave kune hutano hwehutano hunobatanidzwa mukuvandudzwa kwemuenzaniso kana vamwe vanochinjisa sevarwere [40,41,42]. Kusanganisira vamiriri vane mwoyo murefu muCo-Design maitiro vanogona kuwedzera kuwedzera kukosha kune maitiro, sechinangwa chekupedzisira chechirongwa ndechekuvandudza kuchengetedza kwevarwere uye nekuchengetedza [43].
Boka rinoshanda rakaitisa mashopu matanhatu emakumi maviri emuawa kuti akudziridze chimiro, maitiro uye zvemukati zvemhando. Musangano unosanganisira hurukuro, dzidzira uye resimu. Zvinhu zvemuenzaniso zvakavakirwa pane huwandu hwehupamhi-hwakavakirwa zviwanikwa, mhando, dzidziso uye mafungire uye mafomu. Izvi zvinosanganisira: Kuverengera Kudzidza Kudzidza [47], iyo Cual Loop Pfungwa [37], iyo Clinical Ingoda Loop [10] Muenzaniso wacho waibata wakaumbwa wakavakirwa pamasangano epasi rose munharaunda Muenzaniso wacho wakavandudzwa muzvikamu zvina: Kugadzirira kwekuratidzira dialogue mushure mekufungidzira, kutanga kweanoratidza dialogue, kuongorora / kufungisisa (Mufananidzo 1). Iyo nhoroondo yeimwe nhanho imwe neimwe inokurukurwa pazasi.
Chikamu chekugadzirira chemuenzaniso chakagadzirirwa kuita zvepfungwa gadzirira vatori vechikamu chechikamu chinotevera uye kuwedzera kutora chikamu kwavo uye mari yekudyara apo ichisvika pakuchengetedza kwepfungwa [36, 47]. Iyi nhanho inosanganisira sumo kune chinangwa uye zvinangwa; Inotarisirwa nguva yeRLC; tarisiro yevafambisi uye vatori vechikamu panguva yeRLC; Saiti Kutarisa uye Simpulation Setup; Kuona chakavanzika munharaunda yekudzidza, uye kuwedzera uye kuwedzeredza kuchengetedza kwepfungwa. Mhinduro Dzinotevera Dzinotevedzera Kubva kuCo-Design Boka Rekushanda Yakatariswa mukati meiyo pre-destruction chikamu cheRLC modhi. Mutori vechikamu: kuremekedzwa. Uye kuti ndaizvidzivirira kutora chikamu mukukurukurirana mushure mekufungidzira. "Chengetedzwa uye hakuzovi nemhedzisiro." Mutori wechikamu 4: "Ndinotenda kuti kuve ndakatarisisa uye kumisikidza mitemo yepasi pekutanga kuchabatsira vadzidzi mushure mekufungidzira. "Kubata basa mukukurukurirana kwekudzidza."
Matanho ekutanga eRLC modhi anosanganisira kuongorora manzwiro emumwe mutambi, achitsanangura maitiro epasi uye kuongorora mamiriro ezvinhu, uye kunyora zviitiko zvakanaka uye zvisina kunaka, asi kwete kuongororwa. Muenzaniso panguva ino unogadzirwa kuitira kuti urudzire kuti uzviwone kuti uzviwoneke- uye nekugadzirira-pfungwa Chinangwa ndechekudzikisa njodzi ingangozokwikwidza Kubvunza vatori vechikamu kuti vatsanangure muchidimbu kesi yekufungidzira uye vanobatsira kuti vafambe vanoona kuti vadzidzi vari muboka racho vave nekunzwisisa kweiyo nyaya vasati vafambirana kuongorora kuongorora kweiyo ongororo / quised. Uyezve, kukoka vatori vechikamu panguva ino kunogovana zvavanonzwa mumamiriro ezvinhu akafungidzirwa kuchavabatsira kukunda kushushikana kwemamiriro ezvinhu, nekudaro achiwedzera kudzidza [24, 36]. Kugadzirisa nyaya dzemanzwiro kunobatsirawo iyo RLC yekufambisa inzwisise kuti manzwiro evatori vechikamu anokanganisa sei munhu mumwe nemumwe uye izvi zvinogona kutaurwa zvakanyatsonorwa panguva yekuratidzira / kuongorora chikamu. Iyo yekuwedzera / Delta nzira inovakwa muchikamu ichi chemuenzaniso seyambiro yekugadzirira uye yekufungidzira kwekuratidzira / kuongororwa chikamu [46]. Uchishandisa iyo / Delta nzira, vese vatori vechikamu uye vadzidzi vanogona kugadzirisa / kunyora kwavo, manzwiro uye zvinogona kuunganidzwa pfungwa neyekufungidzirwa / kuongorora chikamu chemuenzaniso [46]. Izvi zvichabatsira vatori vechikamu kuwana metacobury mamiriro kuburikidza neakarongedzwa mikana yekudzidza yekugadzirisa kiriniki yekufunga nezve [24, 48, 49]. Mhinduro Dzinotevera Dzinotevedzera Kubva kuCo-Design Boka Rekushanda Yakatariswa Yakatariswa Mukutanga Kwekutanga kweRLC Model. Mutori wechikamu 2: "Ini ndinofunga kuti semurwere akambonyudzwa kune ICU, tinoda kufunga nezvemanzwiro uye nemanzwiro evadzidzi vakafungidzirwa. Ini ndinosimudza nyaya iyi nekuti panguva yekubvuma kwangu ini ndakachengeta huwandu hwakanyanya hwekushushikana uye kunetseka, kunyanya pakati pevanodzvinyirira varapi. uye emergency mamiriro. Iyi modhi inofanira kufunga nezve kushushikana uye manzwiro akabatana nekuenzanisa chiitiko. " Mutori wechikamu 16 anoti: "Kwandiri mudzidzisi, ndinoona zvakanyanyisa kuti ndishandise iyo / delta nzira kuti vadzidzi vakurudzirwe kutora chikamu nekutaura zvinhu zvakanaka uye zvavakafunga nezvemamiriro ekufungidzira. Nzvimbo dzekuvandudza. "
Kunyangwe matanho ekutanga emhando yacho akakosha, kuongorora / kwekuregererwa / kwekuregedza chikamu chakanyanya kukosha kuti uwane kufungidzira kwekufunga kwekiriniki. Yakagadzirirwa kupa kuongororwa kwepamberi / Synthesis uye mukudzika-kwakadzika kuongororwa zvichibva pane zvechiriniki ruzivo, kugona, uye kukanganisa kwezvinyorwa zvine musoro; Rlc maitiro uye chimiro; huwandu hweruzivo rwakapihwa kuti udzivise kuunganidza kuwanda; Kushandisa zvinobudirira kwemibvunzo inoratidza. Nzira dzekuzadzisa Dzimba-Yakatarisana uye Inoshanda Kudzidza. Panguva ino, chiitiko chekiriniki uye kujairana neyekutanga nyaya dzakakamurwa kuita zviitiko zvakasiyana-siyana hapana. kuratidzwa kwapfuura kune modeling misoro. Yetatu: Clinical Professional chiitiko, ruzivo uye hunyanzvi. Professional / Yakatangira kuratidzwa kune modeling misoro. Kugadziriswa kunoitwa kuti ugone kugarwa nezvinodiwa zvevanhu nezvakaitika zvakasiyana uye nekugona kweboka rimwe chete kuti vashandise kufunga kwevanoziva kushandisa hunyanzvi hwekuziva. 20, 34]. , 37]. Maitiro eRLC akarongedzwa akatenderedza kiriniki ekufunga [10], iyo nzira yekuenzanisira [47], uye yekutsvaga dzidziso yekudzidza [50]. Izvi zvinowanikwa kuburikidza nemaitiro akati wandei: Dudziro, kusiyanisa, kutaurirana, kutevedzana uye synthesa.
Kuti udzivise kudzikama kwekuziva, kusimudzira mudzidzi uye kuratidzira kutaura uye kutaura kwekutaura uye mikana yevatori vechikamu kuratidza, kuongorora, uye kuongorora kuzvivimba kwaifungidzirwa. Kuverengera maitiro panguva yeRLC kunoratidzwa kuburikidza nekusimbiswa, kusimbiswa, kuumba, uye maitiro ekubatanidza zvichibva pane mbiri-loop chimiro [37] uye inoziva mutoro wekutakura [48]. Kuve neyakagadziridzwa dialogue maitiro uye kubvumira nguva yakareruka yekufungisisa, kuenderana nevatori vechikamu uye vasina ruzivo, kunyanya mukufungidzira kwakasiyana siyana, kufumurwa uye kugona uye kugona mazinga evatori vechikamu. Mushure menguva. Muenzaniso wekuratidzira kusabvumidzwa kwehunyanzvi hwakavakirwa pane bloom's tekisi yemhando yemhando [51] uye yekubvunzurudza (AI) nzira dzinosvika padanho rekusvika padanho rekunwa-nhanho, Socratic, uye nekufunga. Bvunza mibvunzo, kutanga nemibvunzo-yakavakirwa mibvunzo. uye kugadzirisa hunyanzvi uye nenyaya zvine chekuita nekufunga. Iyi mibvunzo yekubvunza ichavandudza kuongororwa kwekufunga kwekiriniki nekukurudzira vatori vechikamu kutora chikamu uye kufambira mberi vachifunga nenjodzi yekuziva. Mhinduro Dzinotevera Dzinotevedzera Kubva kuCo-Design Boka Rekushanda Yakatariswa PAMWE PAKUTIDZWA / KUPEDZESA Chikamu cheRLC Model. Mutori wechikamu 13: "Kuti udzivise kuunganidza huwandu, tinoda kuongorora huwandu uye kuyerera kweruzivo pabvunzo dzekudzidza-kuverenga kuverenga, uye kuita izvi, ndinofunga kuti zvinokoshesesa kuti vape vadzidzi nguva yekufungisisa kuti vataure uye kutanga neiyo yekutanga . Zivo. Inotanga kutaura uye hunyanzvi, woenda kune yakakwira mazinga ezivo uye hunyanzvi kuti uwane metacognitionitionitionitionitionitionitionitionitionitionitionitionitionitionitionitionitionitionitionition. " " Chikamu cheKusungwa chechikamu chinovavarira kupfupisa pfungwa dzekufunda dzakasimudzwa panguva yeRLC uye nechokwadi chekuti zvinangwa zvekudzidza zvinoonekwa. Mutori wechikamu 8: "Zvakakosha kuti mudzidzi uye mufambisi vanobvumirana nepfungwa dzakakosha kwazvo uye zvinhu zvakakosha kuti ufunge kana uchifamba uchiita."
Kubvumidzwa kwetsika kwakawanikwa pasi peProtocol nhamba (MRC-01-22-117) uye (HSK / PGR / UH / 04728). Iyo modhi yakaedzwa muzvikamu zvitatu zvehunyanzvi hwekutarisira kwekufungidzira kosi kuti uongorore kushandisirwa uye kushanda kwemuenzaniso. Chiso chesiso yemuenzaniso chakaongororwa neCo-dhizaini yeboka (n = 18) uye dzidzo nyanzvi dzekushanda sevarairidzi (n = 6) kugadzirisa zvinhu zvine chekuita nechitarisiko, girama, uye maitiro. Mushure mekureva kwechokwadi, zvemukati kusimbiswa kwakatemwa nevanyori vechidiki vadzidzisi (n = 6) avo vaisimbiswa neAmerican Vanamukoti, uye vakashanda sedzidzo dzedzidzo, uye (n = 6) aive nemakore anopfuura gumi ezvedzidzo uye Kudzidzisa Kudzidzisa. Shanda ruzivo rwekuongorora kwakaitwa nevarairidzi vedzidzo (n = 6). Modelling ruzivo. Zvemukati kusimbiswa kwaive kwakatemwa uchishandisa zvirimo mvumo yeCATIO (CVR) uye iyo zvirimo Index Index (CVI). Iyo yemutemo nzira [52] yaishandiswa kufungidzira CVI, uye nzira yealtz uye bausell [53] yaishandiswa kufungidzira CVR. Mapurojekiti eCVR anodiwa, anobatsira, asi asingadiwe kana kusarudza. Iyo CVI inovharwa pane imwe chete-poindi chiyero zvichienderana nekukasira, uye kujekesa, uye kujekesa, ne1 = kusakosha, 3 = kwakakodzera, uye 4 = kuchenjera, uye 4 = zvakakodzera kwazvo. Mushure mekusimbisa kumeso uye zvemukati kuvimbika, kuwedzera kune mashopu anoshanda, marongero uye ekutarisa uye matsvene akaitwa kune vadzidzisi vanozoshandisa iwo muenzaniso.
Boka rebasa rakakwanisa kukudziridza uye kuyedza post-simulation RLC muenzaniso kuti uwedzere kunongedza hunyanzvi panguva yekutora chikamu muSbe mune yakanyanya kutarisirwa zvikamu (mifananidzo 1, 2, uye 3). CVR = 1.00, CVI = 1.00, inoratidza chakakodzera chiso uye zvemukati chokwadi [52, 53].
Iyo modhi yakagadzirwa yeboka Sbe, uko zviitiko zvinonakidza uye zvinonakidza zvinoshandiswa kune vatori vechikamu pamwe chete kana akasiyana matanho ezvakaitika, ruzivo uye hukasha. Iyo rlc conceptual modhi yakagadziriswa zvichienderana neAcsl Ndege yekufungidzira kuongorora Mafungiro [36] uye mudzidzi-akatarisana uye kuzvitsanangudza, kusanganisira yakashanda mienzaniso (kusanganisira yakashanda mienzaniso (nhamba 1, 2 uye 3). Iyo modhi yaive yakagadzirwa zvine chinangwa uye yakakamurwa kuita zvikamu zvina kuti asangane nemhando yekuenzanisa: kutanga nekupfupika, ichiteverwa nekunyatsoratidza kuongororwa / synthesis, uye kupera neruzivo uye pfupiso. Kuti udzivise njodzi ingangozokwazisa yakadzama, nhanho imwe neimwe yemhando ine chinangwa yakagadzirwa seyakafanotarisisa kwechikamu chinotevera [34].
Simba rekusakura uye zvinhu zvinowirirana neboka pakubata muRLC hazvina kumbobvira zvarayirwa [38]. Kufunga nezve pfungwa dzinoshanda dzezvikamu zviviri uye zvinokoshesa dzidziso mukufungidzira maitiro Kurera kweruzivo rwevorumu, kuyerera uye nekudzidziswa kwekudzidza, pamwe nekunyora kwekunonoka uye kushoma vadzidzi vechikoro chesekondari uye vadzidzi vepamusoro vevadzidzi vanogona kuzadza. Izvi zvinhu zvakaiswa munhoroondo kana uchikudziridza iyo rlc modhi kuti udzivirire uye / kana suboptimal kiriniki yekufunga [18, 38]. Izvo zvakakosha kuti uzive izvo zvinoitisa rlc nemazinga akasiyana ekukudzwa uye kugona kunokonzeresa kutonga pakati pevakuru vatori vechikamu. Izvi zvinoitika nekuti vepamberi vatori vechikamu vanowanzo kuti vadzivise kudzidza pfungwa dzekutanga, dzinotsoropodza kwevatori vechidiki kuti vazadzise metacognition uye pinda-nhanho yekufunga uye maitiro ekukurukurirana [38]. Iyo rlc modhi yakagadzirirwa kuita sevamwe vakuru uye Junior vanamukoti kuburikidza nekuziva kubvunza uye deta nzira [45, 46, 51]. Uchishandisa nzira idzi, maonero evakuru nevakuru vatori vechikamu vane hunyanzvi uye mazinga echiitiko zvicharatidzwa chinhu nechinhu uye chakakurukurwa zvichinyatsoenderana neyekutonga Pamusoro pekuvandudza vatori vechikamu, mufambisi wekutsigira anowedzera kuti aone kuti zvese zvinokatyamadza zvinokwana kufukidza nguva imwe neimwe yekudzidza, nekukasira metacuciation yekugadzirisa kliniki kufunga kwekiriniki [10].
Ruzivo rwekuyerera uye kudzidza kwechimiro uchishandisa rlc modhi inogadziriswa kuburikidza nehurongwa uye yakawanda-nhanho maitiro. Uku ndiko kubatsira mafambisirwo eDebriefitors uye anoona kuti mutambi mumwe nemumwe anotaura zvakajeka uye aine chivimbo padanho rega rega asati afamba nechikepe chinotevera. Vagadziri vachakwanisa kutanga kukurukurirana kwese kwatinotaura vatori vechikamu, uye vanosvika padanho rekutora chikamu kwevakuru vaviri vanobvumirana pane zviitiko zvega kwehurukuro usati waenda kune inotevera [38]. Uchishandisa nzira iyi ichabatsira vane ruzivo uye vanokwanisa vatori vechikamu vanogovana mipiro yavo / kuongororwa, nepo mipiro / kutarisisa kwevatori vechikamu uye vanokwanisa kuongororwa uye vanokurudzirwa [38]. Nekudaro, kuti uwane chinangwa ichi, vafambisi vezvido vanofanira kutarisana nedambudziko rekukurukurirana uye kupa mikana yakaenzana yevakuru uye vatori vechiJunior. Kuti uite izvi, nzira yekuongorora yemuenzaniso yaive yakagadzirwa nemaune uchishandisa bloom's tekiseti yemhando yemhando, iyo inosanganisa ongororo yekuongorora uye inowedzera / delta nzira [45, 46, 51]. Kushandisa maitiro aya uye kutanga nezivo uye nekunzwisisa kwemubvunzo wekusarudza / kukurukurirana kunokurudzira vatori vechikamu kuti vatore chikamu, mushure mekutora chikamu zvishoma nezvishoma kune yakakwirira yekuongorora uye synthesis yemibvunzo / kukurukurirana Mapato ese ari maviri anofanirwa kupa vakuru uye vaJuniors vatori vechikamu vane mukana wakaenzana wekutora chikamu kubva pane yavo yapfuura ruzivo uye ruzivo nekiriniki hunyanzvi kana simpical scenarios. Iyi nzira ichabatsira vatori vechikamu vane ruzivo vanoshingairira kutora chikamu uye kubatsirwa nezviitiko zvakagoverwa nevatori vechikamu vane ruzivo pamwe nekuisa kweiyo yekufambisa. Kune rimwe divi, iyo modhi haina kungoita se sosi ine akasiyana mukana wekutora chikamu uye ruzivo, asiwo weSbe veboka veboka vane ruzivo rwakafanana uye kugona mazinga. Muenzaniso wacho wakagadzirirwa kugonesa kufamba-tsika uye kurongeka kwekufamba kweboka kubva pane kutarisa pane ruzivo uye nzwisiso kune inotarisa pane synthesis uye kuongororwa kuti uwane zvinangwa zvekudzidza. Iyo modhi chimiro uye maitiro akagadzirirwa kukodzera kuenzanisa mapoka emapoka akasiyana uye akaenzana uye ruzivo rwezviitiko.
Mukuwedzera, kunyangwe sbe muhutano mukusanganiswa neRLC inoshandiswa kukudziridza kurangana uye kugona kwevaridzi vechiremba zvine chekuita nekanatidziro yekukanganisa uye ingangoitika njodzi dzekuziva, kunyanya Kana vatori vechikamu vaisanganisira SBE STENRIOS SIMBASE VAKAWANDA VAKAWANDA, Vanotyisa varwere vanoda kupindira nekukurumidza uye kuita kwakashata kuita-2,18,37,38]. Kuti uite izvi, zvakakosha kuti utarise maitiro evaviri vane ruzivo vane ruzivo uye vasinganyatsoziva kuchinja kwemuongorori kana vatora chikamu muSbe, uye kusimbisa nzira-yakavakirwa nzira iyo inobvumira vakuru nevadiki vadzidzi kuti vatore chikamu mukudzidza. Nekudaro, iyo modhi yakagadzirwa nenzira iyo, zvisinei nekuoma kweiyo nyaya yekufungidzira inoratidzwa, iyo inofanirwa kuve nechokwadi chekunzwisisa kwevanhu vakuru uye vatori vechiJunior vakatanga kufukidzwa uyezve zvishoma nezvishoma uye vachizorora kufambisa kuongorora. synthesis uye nzwisiso. ongororo. Izvi zvichabatsira vadzidzi vadiki kuvaka uye kusanganisa zvavakadzidza, uye kubatsira vadzidzi vakuru kuyananisa uye kuvandudza zivo nyowani. Izvi zvichasangana nezvinodiwa kuti zviitwe zvekufunga, kutora ruzivo rwechokwadi uye kugona kweumwe neumwe anotora tsika yechikoro chesekondari kusvika panguva imwe chete yekuongorora uye isiri yekufunga maitiro, ipapo Kuverengera kufungidzira kwekufunga kwekiriniki.
Pamusoro pezvo, vafambisi venhema / Dourrieers vanogona kunge vaine matambudziko anoshanda masimba ekufungidzira hunyanzvi hwekugadzirisa. Kushandiswa kwezviratidzo zvekutonga zvine mutsindo kunodiwa kuti ubudirire mukuvandudza ruzivo rwekuwana ruzivo uye hunyanzvi hwekuita mafambisirwo nemafambisirwo achienzanisa nevaya vasingashandisi zvinyorwa [54]. Zviitiko zvekuziva zvinogona kufambisa basa 'rekuenzanisira evadzidzisi uye nekuvandudza hunyanzvi hwekuita usingaenzaniswi, kunyanya kune vadzidzisi vachiri kushandira ruzivo rwavo rwekubiridzira [55]. Zadzisai simba rakakura uye kukudziridza mavara-ane hushamwari. (Mufananidzo 2 uye Mufananidzo 3).
Iyo yakaenzana yekubatanidza ye / delta, ongororo yekuonga, uye bloom's taxoniomy tekisheni nzira hadzisati ratorwa mune ikozvino kuongororwa kwekuongorora uye kutungamirirwa kwemhando dzekureva. Kubatanidzwa kweti nzira idzi kunoburitsa huwandu hwenzira yeRLC, umo nzira idzi dzakabatanidzwa mune imwe nzira kuti uwane kuongororwa kwekiriniki yekufunga uye mudzidzi-ane hukama. Vadzidzisi vekurapa vanogona kubatsirwa nekuenzanisira boka sbe uchishandisa rlc modhi kuti uvandudze uye gadzirisa clintanti's clinical kugona kugona. Maonero emhando yepamusoro anogona kubatsira kudzidzisa master maitiro ekuratidzira kupokana nekutsungirira hunyanzvi hwavo kuti vave vafambisi vavanogona uye vanokwanisa.
Sbe inogona kusanganisira akawanda akasiyana maitiro uye nzira, kusanganisira asi isina kungogumira kune Mannequin-based Sbe, basa simulators, murwere simulators, varwere vakaenzana, vakaringana uye vanowedzera chokwadi. Kufunga kuti kuzivisa ndechimwe cheiyo yakakosha modeling maitiro, iyo yakafungidzirwa rlc modhi inogona kushandiswa semhando yekushuma kana uchishandisa iyi modes. Uyezve, kunyangwe iyo modhi yakagadziriswa kurangwa neyakayamwisa, ine mukana wekushandiswa mune yehutano hwehutano hweSBE, kuratidza kukosha kwekutanga kwekutsvaga kwekutsvaga kweRLC muenzaniso kune dzidzo yeInterprofired.
Kubudirira uye kuongororwa kweiyo post-simulation rlc modhi yekuchengetedza vakrerwa mu sba yakanyanya kuchengetedza zvikamu. Kuongororwa Kwemangwana / kusimbiswa kwemhando inokurudzirwa kuwedzera iyo generalizability yemuenzaniso wekushandiswa mune mamwe ehutano kuchengetedza uye yekubatira SBE.
Iyo modhi yakagadziriswa neboka rekushanda rakabatana rakavakirwa pane dzidziso uye pfungwa. Kuti uvandudze chokwadi uye general general of the model, kushandiswa kwekuvimbiswa kwekuvimbika matanho ekufananidza zvidzidzo zvinogona kutariswa mune ramangwana.
Kuti uderedze maitiro ekugadzira, varapi vanofanira kuve nehunyanzvi hwekunakidzwa kwekukurukurirana kwekukurukurirana kuti vave nechokwadi chekuita kwakachengeteka uye kwakakodzera kwechisarudzo chekiriniki. Uchishandisa SBE RLC senzira yekubhejera inosimudzira kukura kwezivo uye hunyanzvi hunyanzvi hunodiwa kuti uwedzere kufunga kiriniki. Nekudaro, chimiro chemultidence chemafungiro ekufunga, zvakabatana neakasarudzika uye kufumurwa, zvinoshandura kukosha kwekutanga kwekutanga-kusimbisa kweRLC mhando kuburikidza nekiriniki yekufungidzira inogona kushingairira uye zvinobudirira zvinoitwa. hunyanzvi. Kuregeredza zvinhu izvi zvinogona kukonzerwa nekuvhunduka uye suboptimal kiriniki kufunga. Iyo RLC modhi yakagadziriswa kugadzirisa izvi zvinhu kuti ivirise kiriniki kufunga kana kutora chikamu muzvikamu zveboka. Kuti uwane chinangwa ichi, iyo modhi panguva imwe chete inobatanidza pamwe / minus ongorora kubvunza uye kushandiswa kwemitero yemutero.
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