背景: 高擬真情境模擬（HFS）已成為一種流行的護理教育教學法，能讓學生安全及有效地利用高擬真情境模擬人練習護理。許多西方的研究報告指出，HFS對護理學生的自信心培育、解決問題的能力和批判性思維均有正面影響。然而，對本地護理學生所做的研究有限。基於文化差異，以及不同的學習風格，西方國家的證據未必能套用在香港的護理學生身上。 / 目的: 本研究志在探討高級護理文憑課程的學生對研究員研發的高擬真情境模擬訓練課程(HFSTP)的滿意度，及HFSTP對學生的學習自信及批判性思維發展的影響。 / 研究方法: 這項研究採用了混合方法研究設計，分為兩個階段。第一階段為準實驗性研究，利用前測後測設計，以探討HFSTP對護理學生的自信心、滿意度以及批判性思維發展的影響。共90位護理學高級文憑課程二年級學生，按他們就讀課程的要求，參加了第一階段的研究。而HFSTP是参照科爾布的經驗學習週期所研發，當中包括兩個1小時的小組研討和兩個1小時HFS實驗室培訓。第一階段的研究採用了四份問卷，包括學生滿意度和學習中自信量表（SCL），批判性思維調查（CTS），仿真設計量表（SDS）和人口表。而在SCL得分最高及最低各12位學生會被邀請參加第二階段的焦點團體訪談。這階段研究以半結構化面試指南來探索學生們對HFSTP的看法。所得數據以內容分析法作分析。 / 結果: 配對t檢驗結果表明，SCL和CTS的後測平均分均顯著高於前測（P = 0.001）。而對HFSTP的設計評價，學生評定保真度和匯報會為HFSTP學習中最重要的元素。大部份學生在定性訪談中表示滿意這嶄新的學習方法。根據定性數據分析的結果得出四大主題：（1）模擬臨床環境，（2）整體護理經驗，（3）信息和反思的思維，及（4）HFS的用量，研究人員得出結論，參照科爾布的經驗學習週期所研發的高擬真情境模擬訓練課程，是一種有效的教學策略，它能有效地提高學生的學習自信及培養出批判性思維。同時，學生表示滿意這次課程的安排。至於這次研究結果對護理教育，護理實務和高等教育管理的影響將會在這論文的最後部份發表。 / Background: High-fidelity simulation (HFS) has become a popular teaching method in nursing education that allows students to practice their nursing care skills safely and effectively on human patient stimulators. Many studies have reported the positive impacts of nursing students’ learning experience with the use of HFS on their development of self-confidence, problem solving and critical thinking. However, studies done on local nursing students are limited. Acknowledging that there may be cultural differences in the learning styles between Chinese and non-Chinese people, the existing evidence mainly come from western countries, which may have limited generalizability to Hong Kong nursing students. / Aims: This study aims to examine the satisfaction of the higher diploma nursing students on the researcher-developed high-fidelity simulation training program (HFSTP), and the effects of HFSTP on the students’ self-confidence in learning and development in critical thinking. / Methods: A mixed methods study design was used in two phases. In Phase I, a quasi-experimental, one-group pretest-posttest design was employed to investigate the effects of HFSTP on nursing students’ satisfaction, self-confidence, and critical thinking development. A total of 90 year 2 higher diploma nursing students participated in the Phase I study. The Kolb’s experiential learning cycle guided the development of the HFSTP including two 1-hour simulation tutorials and two 1-hour HFS laboratory and debriefing sessions. Four questionnaires including Student Satisfaction and Self-Confidence in Learning (SCL), Critical Thinking Survey (CTS), Simulation Design Scale (SDS), and a Demographic Sheet were employed in the Phase I study. In Phase II, a focus-group interview was conducted to explore students’ perception of HFSTP. A total of 24 students from the highest or lowest scores in the posttest SCL in Phase I were invited for the focus group interview. A self-developed semi-structured interview guide was used to explore the participants’ perception of the HFSTP. Content analysis was used for data analysis. / Results: Results of paired t-test indicated that the mean scores of both SCL and CTS in the posttest were significantly higher than those of the pretest (p = <0.001). With regard to the evaluation of the design of HFSTP, the participants rated the fidelity and debriefing sessions as the most important learning features in the HFSTP. In the qualitative interview, most of the students expressed satisfaction towards the learning of HFSTP. Four main themes (1) A mimic clinical environment, (2) Holistic care experience, (3) Information and reflective thinking, and (4) Dosage of the HFS, emerged from the analysis of the qualitative data based on students’ perceptions of having HFSTP as a new teaching strategy. Researcher concluded that the HFSTP, which is based on Kolb’s experiential learning cycle, is an effective teaching strategy for promoting nursing students’ self-confidence in learning and critical thinking development. Students were satisfied with the program design. Fidelity and debriefing sessions were reported as the two most important learning features of the HFSTP. Implications of the findings for nursing education, nursing practice and higher education administration will be presented at the end of the paper. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Fong, Wan Ching Kathryn. / Thesis (D.Nurs.)--Chinese University of Hong Kong, 2013. / Includes bibliographical references (leaves 154-161). / Abstracts also in Chinese. / Chapter CHAPTER ONE --- INTRODUCTION --- p.1 / Introduction --- p.1 / Background of the Study --- p.1 / Justification for the Study --- p.5 / Research Questions --- p.6 / Conceptual and Operational Definitions --- p.7 / Significance of the Study --- p.9 / Overview of the Study --- p.10 / Chapter CHAPTER TWO --- LITERATURE REVIEW --- p.12 / Introduction --- p.12 / Search Strategy --- p.13 / Development of Simulation --- p.13 / History of Simulation Learning in Nursing Education --- p.16 / HFS used in Nursing Education --- p.17 / Self-Confidence in Learning --- p.25 / Satisfaction with Learning Experience --- p.37 / Critical Thinking --- p.43 / Theoretical Framework: Kolb’s Experiential Learning Cycle --- p.48 / Conclusion --- p.52 / Chapter CHAPTER THREE --- METHODOLOGY --- p.55 / Introduction --- p.55 / Research Questions --- p.56 / Aims --- p.56 / Research Objectives --- p.56 / Research Design --- p.57 / Setting --- p.61 / Phase I Study --- p.63 / Phase II Study --- p.83 / Ethical Issues --- p.90 / Pilot Study --- p.91 / Summary --- p.91 / Chapter CHAPTER FOUR --- RESULTS --- p.93 / Introduction --- p.93 / Research Hypotheses --- p.94 / Phase I Study --- p.94 / Phase II Study --- p.105 / Summary --- p.126 / Chapter CHAPTER FIVE --- DISCUSSION --- p.128 / Introduction --- p.128 / Participant Recruitment and Response --- p.128 / Issues of Dropouts and Participant Non-attendance --- p.129 / Discussion on Study Findings --- p.129 / The Use of Assessment Tools --- p.142 / Limitations of the Study --- p.143 / Implications for Nursing Education --- p.144 / Implications for Nursing Practice --- p.146 / Implications for Higher Education Administration --- p.148 / Recommendations for Future Studies --- p.150 / Conclusions --- p.151 / REFERENCES --- p.154

Schwartz and Bilsky (1987, 1990) constructed a universal psychological structure for cross-cultural studies of motivational dynamics. To test this structure, Simmons (1991) adapted data from a twenty year broad-based value survey of student cohorts at an American university. The availability of reliable, long-term data on American students permitted a comparison with responses of contemporary Chinese college students to a standardized personal value questionnaire. Ratings and priorities assigned by the Chinese and American students differed significantly. Chinese students emphasized Achievement, Maturity, and Prosocial motivational domains. American students emphasized Self-Direction, Security, and Enjoyment. Tradition, Power, and Stimulation were listed as least important for both groups. The effects of traditional Chinese religious and philosophical teachings on the stability of community norms were noted, as was some evidence of priority shifts in the values for Chinese youth, suggesting changes in response to altered political and economic expectations in China. / Graduation date: 1992

University of Macau / Faculty of Education

Dissertation / This study examined the experiential world of adolescents in the middle and late phases of adolescent development with homosexual parents. A comprehensive literature review was conducted to explore homosexual parenting and societal reactions to this phenomenon. Thereafter, Bronfenbrenner’s bio-ecological systems theory of child development was highlighted followed by a synopsis comprising different dimensions of the development of adolescents in the middle and late phases of adolescent development. The empirical investigation was carried out through qualitative research methodology. In-depth case studies selected by purposeful sampling were carried out with three adolescents, each of whom had a homosexual father. Although the qualitative data is not generalisable, the findings of the case studies revealed similarities in the life worlds of the adolescents. The participants were affected by the discovery of their father’s homosexuality, but they chose to accept their father’s sexual orientation and sought a relationship with him. Finally, recommendations for practice were made. / Psychology of Education / M. Ed. (Guidance and Counselling)

Afrikaans text / Met hierdie studie is beoog om leerders se persepsies van skool vas te stel en om riglyne vir ouers daar te stel om leerders met negatiewe persepsies van skool te hanteer. Daar is beoog om hierdie riglyne deur middel van praktiese modelle en werksvelle te implementeer sodat ouers begrip vir kinders se persepsies kan verkry en dat konflik opgelos kan word deur middel van positiewe kommunikasie. In die literatuurstudie word ondersoek ingestel na persepsievorming en die oorsake vir die vorming van negatiewe persepsies van skool. ‘n Persepsie word gevorm deurdat betekenis aan ‘n ervaring, op grond van die persoon se verwysingsraamwerk gegee word. Interne- sowel as eksterne faktore speel ‘n rol wanneer persepsies gevorm word. Eksterne faktore behels die verhouding met rolspelers soos: die ouers, die skool en onderwysers, die portuurgroep en die leerder se verhouding met homself. Interne faktore wat in hierdie studie ondersoek is, behels: lokus van kontrole, motivering, emosionele probleme, kognitiewe probleme en gedragsprobleme.Die navorsingsprobleem is verken met behulp van ‘n loodsondersoek as ‘n voortoets en diagnostiese vraelys wat deur die navorsingsgroep van 50 leerders voltooi is. Onderhoude is met vyf leerders gevoer oor hulle ervaringe en behoeftes met betrekking tot hulle persepsies van skool. Bevindinge dui aan dat ongeveer ‘n vyfde van die skool se leerders oor ‘n negatiewe persepsie van skool beskik. In die vraelys is leerders se persepsies ten opsigte van verskeie rolspelers vasgestel. Daar bestaan behoefte by leerders dat ouers betrokke en ondersteunend sal wees en dat ouers begrip vir hulle persepsies sal toon. Deur middel van praktiese diagramme en werksvelle is begrip en positiewe kommunikasie tussen ouer en kind bewerkstellig. In Hoofstuk 6 word praktiese riglyne aan ouers gegee oor hoe om sy kind, met ‘n negatiewe persepsie van skool, te hanteer. Op hierdie wyse is gepoog dat leerders positiewe ervaringe sal geniet; ‘n positiewe verwysingsraamwerk sal vorm en sodoende positiewe persepsies van skool sal vorm. ‘n Bydrae is ten opsigte van ouerleiding gelewer. Ouers word toegerus om ‘n kind met negatiewe persepsies van skool met begrip te hanteer. / The aim of this study was to determine learners’ perceptions of school and to provide guidelines for parents to deal with negative perceptions of school. These guidelines were implemented using practical models as well as work sheets. These were specifically aimed at enhancing parents’ understanding of the negative perceptions and resolving conflict through positive communication. In the literary study, the constitution of perceptions as well as the causes of the constitution of negative perceptions was investigated. A perception is established when a person gives meaning to an experience based on that person’s frame of reference. Internal and external factors play a part when perceptions are constituted. External factors in this study entail the relationship with parents, school and teachers, peer group and the learner's relationship with himself. Internal factors referred to in this study are locus of control, motivation, emotional problems, cognitive problems and behavioural problems. vii The research problem was explored using a pilot investigation as pre-test. A diagnostic questionnaire was also completed by 50 learners. Five learners were interviewed about their experiences and needs specifically in relation to their perceptions of school. Findings show that approximately one fifth of the learners of the school have negative perceptions of school. In the questionnaire, the learners’ perceptions with respect to a variety of role players were determined. There is a definite need for parents to be involved and supportive. Learners also need them to show understanding for their perceptions. Positive communication and understanding between parents and learners were established through practical diagrams and work sheets. In Chapter 6 practical guidelines are given to equip parents to understand how to handle the child with negative perceptions. The aim of this was to encourage learners to enjoy positive experiences, to form a positive frame of reference and therefore develop positive perceptions of school. A contribution towards parental guidance was made. Parents are left equipped to deal with a child with negative perceptions of school. / Educational Studies / D. Ed. (Sielkundige Opvoedkunde)

The focus of this dissertation revolved around the phenomenon of friendship, specifically amongst adolescents. Friendship is a universal phenomenon, that occurs in every race, culture and religion. Within friendship there are some universal aspects that were investigated. The research attempted to understand the phenomenon of friendship amongst the developmental phase of the adolescent. Furthermore, the effect of friendship on the adolescent’s general psychological functioning had been investigated. The research came to the conclusion that friendship does have a positive influence on an adolescent’s general psychological functioning but that some psychological factors, such as communication skills, social skills and self confidence need to be developed to a certain extent in order for friendship to have a positive influence on the adolescent’s psychological functioning. If these psychological factors are however not in place, friendship may to a certain extent highlight an adolescent’s weaknesses and reinforce his/her social inadequacy, inferiority, lack of self confidence and negative self talk. / Psychology of Education / M. Ed. (Guidance and Counselling)

The primary aim of this research was to determine whether the home environment of secondary school children has an influence on their academic performance. A literature study was done where the major aspects of the home environment were identified: family lifestyle, parental involvement and attitude, physical living conditions. An analysis of academic performance and the factors affecting it was done. A measuring instrument was developed in order to measure the home environment in terms of being positive or negative. The results of the empirical research indicated that while home environment and age do play a significant role in the academic performance of secondary school children, gender, maternal employment, and whether the child lives permanently with both parents, did not. The educational implications of the findings and the teacher's role are discussed, and guidelines regarding the development of a home environment conducive to better academic performance are given. / Psychology of Education / M. Ed. (Psychology of Education)

Text in Afrikaans / Die invloed van die persoonskonstruk, lokus van kontrole, op die akademiese prestasie van leerlinge in die senior sekondere skoolfase is aangespreek. Literatuur bevestig 'n verband tussen lokus van kontrole en akademiese prestasie. Interne kontrole word met hoe akademiese prestasie en verantwoordelikheidsaanvaarding geassosieer. Persoonlikheidskenmerke van intern of ekstern georienteerde leerlinge, die invloed van lokus van kontrole op persoonlike perspektief, selfkonsep en akademiese prestasie toon dat internes hulself as bekwaam, effektief en suksesvol beskou terwyl eksternes meer negatiewe persoonskenmerke beklemtoon. Die CNS-IE en IAR vraelyste is gebruik om algemene- en akademiese lokus van kontrole onderskeidelik te meet. Leerlinge wat akademies volgens vermoe presteer, behaal hoer interne tellings as die wat onderpresteer. Geen een-tot-een verwantskap tussen lokus van kontrole en akademiese prestasie is tydens die empiriese ondersoek gevind nie. Daar is dus ander faktore wat saam met lokus van kontrole die akademiese prestasie van senior sekondere leerlinge beinvloed. / The influence of the personality construct, locus of control, on the academic achievement of pupils in the senior secondary school phase was investigated. Literature confirms a relation between locus of control and academic achievement. Internal control is associated with high academic achievement and acceptance of responsibility. Personality characteristics of internals and externals, the influence of locus of control on personal perspective, self-concept and academic achievement shows that internals view themselves as capable, ef cient and succesful while externals emphasise more negative personality characteristics. The CNS IE and IAR were used to measure general and academic locus of control. Academic achievers obtained higher internal scores than underachievers on both questionnaires. The results of the Empirical research indicate that locus of control is not the sole determinant of academic achievement. Therefore, other factors in conjunction with locus of control influence academic achievement. / Psychology of Education / M. Ed. (Voorligting)

This study explored the relationship between cultural mistrust level and attitudes toward seeking professional psychological help. It was hypothesized that Blacks with high levels of cultural mistrust, when compared to those with low levels, would show less favorable attitudes toward seeking formal help for psychological problems. Black students were administered the Cultural Mistrust Inventory, Help-Seeking Attitude Scale, Reid-Gundlach Social Service Satisfaction Scale, and Opinions About Mental Illness Scale. Using a 2 (gender) X 2 (mistrust level) MANCOVA, a main effect for the factor of mistrust level was found along with a mistrust level by gender interaction. Students with higher levels of cultural mistrust were found to hold less favorable attitudes toward seeking professional psychological help when compared to students with lower levels of cultural mistrust.

There were two purposes of the current study: (1) to evaluate if the East Asian Student Stress Inventory could be used to assess the stress experienced by International and American students at the University of North Texas and (2) to determine if the Inventory could discriminate between the two groups on the basis of the stress assessment. A sample of International (n=205) and American (n=216) graduate and undergraduate students completed the inventory. Results indicated that the EASSI could be generalized to a wider spectrum of International students. Using principal component factor analysis with varimax rotation, eight factors were extracted: culture shock, physiological symptoms, family pressure, test anxiety, financial difficulties, attitude toward study, social support and academic self esteem. The inventory clearly discriminated between the two groups on the subscales of culture shock, family pressure and attitude toward study and the International students scored higher on these subscales.