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Développement professionnel au regard de la littératie en santé : vers un modèle en milieu de travailBouffard, Maud 08 1900 (has links)
Thèse de doctorat réalisée avec le soutien financier du Conseil de recherches en sciences humaines (CRSH) du Canada / Problématique : Les milieux de la santé connaissent d’importants changements dans leur fonctionnement avec l’émergence de pratiques basées sur la participation et l’engagement des patients. Appelés à être partenaires, bon nombre d’adultes ne sont toutefois pas en mesure de traiter et d’utiliser l’information en lien avec leur santé en raison d’un faible niveau de littératie. Aussi, les intervenantes et intervenants du milieu cherchent à développer leur compréhension du phénomène et leurs compétences afin de fournir une information accessible à ces personnes et favoriser leur autonomie dans leurs démarches de santé. Or, peu de données empiriques existent quant au développement de ces compétences en milieu du travail.
Objectif : Décrire la façon dont des intervenantes et intervenants développent, en cours de pratique, les compétences permettant de soutenir la participation d’une clientèle de faible niveau de littératie à ses soins de santé.
Méthodologie : Trente entrevues semi-structurées ont été réalisées auprès d’intervenantes et intervenants inscrits dans une pratique orientée vers l’autonomie et la participation d’une clientèle à risque sur le plan de la littératie : 9 en médecine et pharmacie, 9 en soins infirmiers, 9 dans des champs connexes (nutrition, psychologie, travail social, etc.) et 3 agissant à titre de pairs aidants.
En s’appuyant sur Le Boterf (2009, 2010), un modèle de développement de la compétence articulant les trois dimensions suivantes a orienté l’analyse des données : 1) la pratique professionnelle et la performance, soit « ce que je fais/les résultats », 2) la réflexivité, « ce que je pense/vis dans ma pratique » et 3) les ressources, « ce que j'utilise pour apprendre/pour agir. » Le traitement des données, via des cartes conceptuelles, a mené à un modèle de développement professionnel en milieu de travail validé auprès de 5 des personnes interviewées, mais aussi à un modèle de bonnes pratiques au regard de l’agir en matière de pro-littératie.
Résultats : Les « bonnes pratiques » identifiées reposent sur quatre piliers, soit 1) mettre en œuvre un partenariat dans et au regard des soins dans une perspective « patient » en lien avec la maladie, la langue et l’écrit; 2) porter attention à des indicateurs de la littératie autres que la scolarité; 3) personnaliser la communication; 4) faciliter l’accès et l’utilisation de l’information, notamment par un soutien pour Internet.
Les résultats orientent vers un apprentissage professionnel essentiellement autodirigé s’actualisant par une orchestration de moyens pour apprendre, tant structurés que spontanés, dans l’environnement de travail. Les savoirs « experts » liés à une pratique pro-littératie semblaient détenus par les personnes au sein de l’organisation. Les patients intervenant dans les équipes interprofessionnelles se sont avérés des ressources clés pour développer des savoirs au regard de la communication avec une clientèle qui a un vocabulaire et une façon d’apprendre qui peuvent être différents.
Retombées : Le modèle de développement professionnel proposé identifie plusieurs cibles pour soutenir et favoriser le développement des compétences en littératie en milieu de travail. Les groupes d’échange et de travail, notamment ceux intégrant des patients, créent des espaces propices à une coconstruction des savoirs nécessaires à une pratique pro-littératie. / Context : Health care organizations and communities are experiencing significant changes with the emergence of practices based on patients’ participation and engagement. Called to be partners, many adults, however, are not able to process and use information related to their health because of low literacy. Hence, health professionals and community stakeholders are expected to develop their practices and their skills in order to reach them adequately so that they take an active role for their health. However, little empirical data exist regarding the development of these skills in a work-based environment.
Objective : Describe how health care practitioners develop their skills to support the participation of patients with low literacy.
Methodology : Thirty semi-structured interviews were conducted with male and female workers enrolled in practices oriented towards autonomy and participation of those at risk in terms of literacy : 9 in medicine and pharmacy, 9 in nursing, 9 in related fields (nutrition, psychology, social work ...) and 3 peer support workers.
Building on Le Boterf (2009, 2010), a model of competence development articulating the following three dimensions has oriented data analysis : 1) professional practice and performance, that is "what I do / the results"; 2) reflexivity, "what I think and live in my practice"; and 3) resources, "what I use to learn / to act." Data processing, through concept maps, led to a model of workplace’s professional development validated with five of those interviewed and also to a model of good practices.
Results : From the data, "good practices" emerged as based on the following four pillars that required to : 1) implement a partnership in health care within a patient’s perspective in terms of his or her disease and spoken/written language; 2) pay attention to indicators of literacy other than education; 3) personalize communication; 4) facilitate access and use of information, including support for Internet.
Results show a professional development, mainly self-directed, together with structured and spontaneous learning within the work environment. Knowledge "experts" associated with "good practices" in health literacy seemed held by people within the organization. Patients involved in interprofessional teams appeared to be key resources to develop knowledge in terms of communication with an adult who has his own vocabulary and way of learning.
Applications : The proposed professional development model identifies several targets in the workplace to support and promote skills development towards literacy. Exchange and working groups, including those incorporating patients, create spaces conducive to co-construction of necessary knowledge for effective practice in literacy.
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E-portfolio as an alternative assessment approach enhancing self-directed learning in an Open Distance Learning environmentNkalane, Patience Kelebogile 11 1900 (has links)
Assessment is an integral part of teaching and learning in higher education. The use
of technology in higher education, particularly in the ODL environment, has brought
some changes on how we teach and assess students. The traditional assessment
practices needed to be reviewed and reconfigured to meet the requirements of the 21st
century assessment practices. The purpose of this doctoral study was to design a
framework to guide the assessment of an E-portfolio as an alternative assessment
approach in an ODL context. The integrated theoretical framework of the learning
theories (behaviourism, cognitive and constructivist) and the ODL theories
(connectivist, online collaborative and self-directed) underpinned the study. This
integrated framework explored lecturer and student experiences in the use of Eportfolio, as an alternative assessment to enhance self-directed learning. In striving to
get in-depth insight into this study, the pragmatism paradigm, which calls for the mixed
methods research design, was employed for the collection and analysis of data. The
sample was drawn from a cohort of six participants and fifty-six respondents in the
three colleges of the university. This sequential exploratory mixed methods design
employed semi-structured interviews, document analysis for qualitative data collection
while a Likert scale of an online questionnaire was used to collect quantitative data.
The findings of this research indicated that the E-portfolio can be of greater use as an
alternative assessment approach and was able to empower students with higher order
thinking skills, critical thinking skills and self-directed learning equipping them with the
21st century skills. Several challenges were experienced during the implementation of
the E-portfolio, which included lack of digital literacies and technical assistance, nonsynchronisation of the learning management system for hosting E-portfolio (myUnisa),
UNISA’s policies which do not include E-portfolio assessment processes and
procedures. In conclusion, the literature study, the findings of the empirical research
and the recommendation of this study formed the basis for designing the framework
to guide the assessment of an E-portfolio as an alternative assessment strategy for an
ODL context. / Curriculum and Instructional Studies / Ph. D. (Curriculum Studies)
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Ausgewählte Konzepte des selbstbestimmten Lernens.: Schlussfolgerungen für den Förderschwerpunkt Lernen.Günther, Susann 25 June 2013 (has links)
Die Idee der Selbstbestimmung ist ein Konzept, welchem im historischen sowie aktuellen pädagogischen Diskurs eine hohe Bedeutung zugemessen wird. Ausgehend von der Epoche der Aufklärung wird der Mensch als vernunftbegabtes Wesen mit der Fähigkeit zum selbstbestimmten Handeln verstanden.
Gleichzeitig hat sich, mit Beginn der Pädagogik als Wissenschaft, aus dem theoretisch und praktisch scheinbar nicht zu lösenden, Widerspruch zwischen subjektiver Autonomie und intentionaler Heteronomie ein Problem aufgetan, dessen Lösungsversuche den erziehungswissenschaftlichen Diskurs bis heute prägen. Wird dem Kind die Fähigkeit und das Recht auf selbstbestimmtes Handeln ausdrücklich anerkannt, ist jede pädagogische Intervention als fremdbestimmt abzulehnen. Dies würde im schlimmsten Fall bedeuten, dass die Erziehung sich selbst abschafft. Wenn man Autonomie allerdings als Kompetenz versteht, die am Ziel eines Entwicklungsprozesses steht, stellt sich die Frage ob ein Mensch ohne Erziehung überhaupt in diesen Zustand gelangen kann.
Vor dem Hintergrund des Selbstbestimmungsdiskurses, des pädagogischen Paradox, der Bindungstheorie und lernpsychologischer Ansätze, wird in der Arbeit der Frage nachgegangen, ob und inwiefern Schüler, denen aktuell keine oder nur wenige Teilkompetenzen für selbstbestimmtes Lernen zugeschrieben werden, selbstbestimmt lernen können.:1 Einleitung
I Der Selbstbestimmungsgedanke
2 Etymologische Einordnung
3 Autonomie aus philosophischer Sicht
3.1 Autonomie als Selbstgesetzgebung in der Moralethik Kants
3.2 Autonomie als moralisches Ziel
3.3 Das Recht auf selbstbestimmtes Handeln
4 Die Pädagogik der Selbstbestimmung im Diskurs
4.1 Das pädagogische Paradox
4.2 Von Selbstbestimmung als Erziehungsziel zur Selbstbestimmung als Erziehungsnotwendigkeit
4.2.1 Das klassisch kantische Modell der Erziehung
4.2.2 Der Umbruch
4.2.3 Das Kind als Akteur seiner eigenen Entwicklung
4.3 Schlussfolgerungen und Kritik an einem perfektiblen Menschenbild
5 Selbstbestimmung vs. Angewiesensein?
5.1 Die Bindungstheorie
5.2 Die Komplementarität von Autonomie und Angewiesensein
5.3 Bindung und kognitive Entwicklung
II Selbstbestimmtes Lernen
6 Begriffsklärung
6.1 Selbstbestimmtes Lernen
6.2 Selbstgesteuertes Lernen
7 Voraussetzungen selbstbestimmten Lernens aus lernpsychologischer Sicht
7.1 Selbstgesteuertes Lernen bei Neber
7.2 Selbstbestimmungstheorie der Motivation von Deci & Ryan
7.3 Boekaerts‘ drei Schichten der Selbstregulation
7.4 Das INVO-Modell von Hasselhorn & Gold
7.4.1 Kognitive Voraussetzungen
7.4.2 Motivational-volitionale Voraussetzungen
8 Zusammenführung
9 Grenzen des Kognitivismus‘
III Selbstbestimmung und Förderschwerpunkt Lernen
10 Voraussetzungen selbstbestimmten Lernens im Kontext von Beeinträchtigungen im Lernen
11 Andere Sichtweisen auf das Phänomen Lernbeeinträchtigung
12 Fazit: Inklusion
IV Ableitende Kerngedanken zum selbstbestimmten Lernen
13 Selbstbestimmung als Kompetenz
14 Rahmenbedingungen selbstbestimmten Lernens
14.1 Unterricht
14.2 Lernumwelt
14.3 Lehrerverhalten
15 Schlussbetrachtung
Literaturverzeichnis
Darstellungsverzeichnis
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A Mixed-Methods and Multi-Level Investigation of the Effects of a Crew Chief Intervention on Job Attitudes, Occupational Stress, and Organizational CommitmentLeo, Michael Charles 01 January 2006 (has links)
High-profile instances of workplace violence and increased pressure from competitors have threatened the viability of one of the nation's largest employers, the United States Postal Service (USPS). As a result, the USPS began a massive change effort in the early 1990's. One of the initiatives implemented to improve labor-management relations was a derivative of the self-managed work team known as the crew chief program. This study provides a mixed-methods and multi-level approach to understand the impact this unique program had on organizational attitudes.
The first aim of this study was to investigate whether the crew chief program reduced employees' stress and strain and improved job and supervisory satisfaction and company and union commitment, while controlling for the nesting of employees within sites and employee demographic characteristics. The second aim was to replicate and extend the stressor-strain-outcome (SSO) model of stress and to determine whether employee perceptions of crew chief support moderated the relationships between stressors, strain, and outcomes.
I evaluated Aim 1 using data from 177 mail processors from 27 units matched from baseline to one-year follow-up with hierarchical linear modeling. This was followed up with an implementation analysis of qualitative data to determine the extent to which the program was implemented compared to the original design. I evaluated Aim 2 using structural equation modeling from 538 mail processors who participated at follow-up.
There was little quantitative support for Aim 1. However, the results of the implementation analysis suggested that the crew chief program was not functioning as conceived. Aim 2 received strong support, with almost all of the main effects of the SSO model replicated. However, there was no support for the moderator effects. Additionally, I found role ambiguity to have direct relationships with other organizational outcomes beyond the indirect effects via strain and that crew chief support was strongly related to stressors and outcomes.
These findings reinforce the notion that employing both quantitative and qualitative methods can dramatically improve the quality of organizational research. Based on these findings, I describe several suggestions for improvements to this specific program and for improving future initiatives aimed at enhancing labor-management relations.
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'n Konstruktivistiese beskrywing van veranderende persepsies in 'n welsynsorganisasieCommerford, Sophia Elizabeth Jacoba 11 1900 (has links)
Text in Afrikaans / Hierdie studie kontrasteer die Newtoniaanse denkwyse en die konstruktivisme as
vertrekpunt. Die beginsels van reduksionisme, neutraliteit en liniere oorsaaklikheid
waarop die Newtoniaanse denke gefundeer is, word gekontrasteer met die sirkulariteit
en non-objektiwiteit van interveiwante elemente binne die lewende sisteem.
Die verskille in aannames van personeel van 'n welsynsvereniging word ondersoek aan
die hand van observasie van prosesse van veranderende denke wat oor 'n periode
ontwikkel het. Die proses van verandering word aan die hand van 'n gevallestudie
bespreek.
Binne die veranderende denke, is erkenning verleen aan die sistemiese orientasie
waar die interaktiewe intervetwantskap van die elemente binne die sisteem ter sprake
raak. Die lewende sisteem en die kenmerke van outonomie, outopo"ise, organisasie en
struktuur word binne die filosofie van konstruktivisme bespreek. Uit hierdie filosofie
evolueer 'n proses waar binne realiteite geskep word, konsensus binne die sisteem
verkry word, en die organisasie van die lewende sisteem reflekteer word / This study focusses on the contrasting thinking patterns of Newtonian thinking and
constructivism. The principles of reductionism, neutrality and linear causality on which
Newtonian thinking is grounded are compared with circular processes and non
objectivity of interrelated elements that are to be found in living systems.
The differences in assumptions of personnel in a welfare organisation are investigated
through observation of changing processes of thinking that evolved over a period of
time. The process of change is discussed by way of a case study.
Recognition is given to the systemic orientation where the interactive interrelatedness
of elements within the system evolved within changing patterns of thinking. The living
system and characteristics of autonomy, autopoiesis, organisation and structure are
discussed from a philosophy of constructivism. From this philosophy evolved a process
in which realities were created, consensus was reached within the system, and the
organisation of the living system was reflected. / Social Work / M.A. (Sosiale Wetenskappe(Geestesgesondheid))
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Challenges faced by staff members in information and communication training at a public university in the Eastern CapeCeza, Nomnqophiso Prudencia 07 1900 (has links)
The introduction of e-learning in teaching and learning has necessitated the training of staff members in Information and Communication Technology (ICT). This study focuses on the challenges that staff members, who are the facilitators of learning, experience when undergoing training in ICT. The research design employed a qualitative methodology which involved focus groups from a public university. Data was collected from the participants through semi-structured interviews. The findings indicate that the challenges that staff members experienced during ICT training are related to a lack of computer competence, lack of time, an information overload, the non-involvement of staff in the planning of their training, facilitation limitations, lack of technical support and institutional challenges that involve infrastructure. The study further revealed that the principles of adult learning play a reciprocal role in the staff’s professional developmental challenges. In view of these findings, this study offers recommendations for improving the ICT training of staff members. / Educational Studies / M. Ed. (Adult Education)
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'n Konstruktivistiese beskrywing van veranderende persepsies in 'n welsynsorganisasieCommerford, Sophia Elizabeth Jacoba 11 1900 (has links)
Text in Afrikaans / Hierdie studie kontrasteer die Newtoniaanse denkwyse en die konstruktivisme as
vertrekpunt. Die beginsels van reduksionisme, neutraliteit en liniere oorsaaklikheid
waarop die Newtoniaanse denke gefundeer is, word gekontrasteer met die sirkulariteit
en non-objektiwiteit van interveiwante elemente binne die lewende sisteem.
Die verskille in aannames van personeel van 'n welsynsvereniging word ondersoek aan
die hand van observasie van prosesse van veranderende denke wat oor 'n periode
ontwikkel het. Die proses van verandering word aan die hand van 'n gevallestudie
bespreek.
Binne die veranderende denke, is erkenning verleen aan die sistemiese orientasie
waar die interaktiewe intervetwantskap van die elemente binne die sisteem ter sprake
raak. Die lewende sisteem en die kenmerke van outonomie, outopo"ise, organisasie en
struktuur word binne die filosofie van konstruktivisme bespreek. Uit hierdie filosofie
evolueer 'n proses waar binne realiteite geskep word, konsensus binne die sisteem
verkry word, en die organisasie van die lewende sisteem reflekteer word / This study focusses on the contrasting thinking patterns of Newtonian thinking and
constructivism. The principles of reductionism, neutrality and linear causality on which
Newtonian thinking is grounded are compared with circular processes and non
objectivity of interrelated elements that are to be found in living systems.
The differences in assumptions of personnel in a welfare organisation are investigated
through observation of changing processes of thinking that evolved over a period of
time. The process of change is discussed by way of a case study.
Recognition is given to the systemic orientation where the interactive interrelatedness
of elements within the system evolved within changing patterns of thinking. The living
system and characteristics of autonomy, autopoiesis, organisation and structure are
discussed from a philosophy of constructivism. From this philosophy evolved a process
in which realities were created, consensus was reached within the system, and the
organisation of the living system was reflected. / Social Work / M.A. (Sosiale Wetenskappe(Geestesgesondheid))
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Challenges faced by staff members in information and communication training at a public university in the Eastern CapeCeza, Nomnqophiso Prudencia 07 1900 (has links)
The introduction of e-learning in teaching and learning has necessitated the training of staff members in Information and Communication Technology (ICT). This study focuses on the challenges that staff members, who are the facilitators of learning, experience when undergoing training in ICT. The research design employed a qualitative methodology which involved focus groups from a public university. Data was collected from the participants through semi-structured interviews. The findings indicate that the challenges that staff members experienced during ICT training are related to a lack of computer competence, lack of time, an information overload, the non-involvement of staff in the planning of their training, facilitation limitations, lack of technical support and institutional challenges that involve infrastructure. The study further revealed that the principles of adult learning play a reciprocal role in the staff’s professional developmental challenges. In view of these findings, this study offers recommendations for improving the ICT training of staff members. / Educational Studies / M. Ed. (Adult Education)
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Learning, Improvisation, and Identity Expansion in Innovative OrganizationsKeidan, Joshua January 2020 (has links)
No description available.
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Utilizing Play to Help Adopted Children Form Healthy AttachmentsSallot, Coleen Michelle 26 April 2021 (has links)
No description available.
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