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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
91

STUDIEMOTIVATION I RELIGIONSUNDERVSINING : Undervisningsmetodernas påverkan på elevernas studiemotivation på gymnasiet ur ett lärarperspektiv

Salometsä, Marianne January 2024 (has links)
Students ‘motivation for religious studies at upper secondary school decrease on a yearly basis. The reasons for this lack of motivation are, among other things, the rising secularization in the Swedish society as well as the methods used for teaching religious studies.  The aim of this pedagogic study is to elucidate the challenges connected to the motivation of the students ‘regarding the motivation for religious studies that teachers encounter, as well as to understand how teachers undertake these challenges in their teaching practices. The method used for this study was semi structured interviews with active teachers conducted on the telephone or in person. The interviews were recorded and then transcribed. From this data a number of key factors were selected through thematized content analysis.  The result of the study confirms that the motivation of religious studies dwindles in Swedish Upper Secondary Schools. Teachers encounter vast challenges when trying to explain why students should take religious studies, especially vocational students find religious studies superfluous. The teachers who reached the highest degree of attainment reported that they teach in close connection to the students. Furthermore, they aim at using a broad variety of methods adjusted for the different students. Future research ought to study the reception of the subject by the students ‘ and how they perceived their own motivation for religious studies. By interviewing students, you might also collect data representing the experiences and perception of the students.
92

Pressions et stratégies dans la formation professionnelle universitaire : le cas de la formation des directions d’établissement scolaire du Québec (1988-1989 à 2008-2009)

D'Arrisso, David 06 1900 (has links)
La multiplication des formations professionnelles universitaires (FPU) a poussé plusieurs chercheurs à s’intéresser aux caractéristiques de ces formations, leur perméabilité à une multitude de pressions étant l’une des plus fréquemment relevées. Ainsi, les unités responsables de FPU sont confrontées à des pressions diverses et souvent contradictoires. Si les écrits scientifiques sur les FPU témoignent bien de cette réalité, ceux-ci nous informent moins bien de la manière dont les unités responsables de ce type de formation répondent à ces pressions. Cette thèse a donc fait appel à plusieurs concepts de l’approche institutionnelle issue de la sociologie des organisations pour analyser l’évolution récente de la FPU destinée aux directions d’établissement scolaire (DES) du Québec, un champ qui a connu d’importantes transformations au cours des vingt-cinq dernières années. Construite sur une étude de cas interprétative dite à « unités enchâssées » (Yin, 2003), cette thèse s’est intéressée à l’évolution de cette formation dans deux unités universitaires francophones : le Département d’administration et fondements de l’éducation de l’Université de Montréal et le Département de gestion de l’éducation et de la formation de l’Université de Sherbrooke. Couvrant la période allant des années universitaires 1988-1989 à 2008-2009, elle repose sur une analyse du discours produit par les deux unités sélectionnées, et, dans une moindre mesure, par les organisations qui composent le champ organisationnel de la formation des DES au Québec. Pour ce faire, trois corpus documentaires distincts ont été assemblés et une série d’entrevues (dix par unités) ont été réalisées auprès d’informateurs-clés (doyens, directeurs de département/section, responsables de formation). Les résultats montrent comment ces unités tendent à se rendre isomorphes à leur environnement, et comment cela se fait en réponse à des pressions institutionnelles et de compétition diverses émanant d’un champ organisationnel en pleine transformation. En fait, poussée par des changements plus profonds touchant l’administration scolaire, cette transformation amène un champ organisationnel plus structuré, où les attentes concernant la FPU destinée aux DES sont plus explicites. Cela n’est pas sans conséquence sur l’évolution de la formation dans les deux unités. En effet, celle-ci connaît des changements importants, dont plusieurs convergent autour d’une logique de professionnalisation, d’un archétype spécifique de formation (un continuum de formation de 2e cycle, au cœur duquel se trouve un diplôme de deuxième cycle) et d’outils conséquents (conditions d’admission et populations étudiantes élargies; flexibilité dans la structure du programme et professionnalisation des activités; équipes enseignantes plus diversifiées). Les deux unités n’apparaissent cependant pas impuissantes devant ces pressions. Les résultats témoignent d’un certain niveau d’agence des deux unités, qui déploient un éventail de stratégies en réaction à ces pressions. Ces stratégies évoluent au cours de la période observée et visent surtout à gérer la situation de « pluralisme institutionnel » à laquelle elles sont confrontées, notamment entre les pressions externes de nature plus professionnalisantes, et les pressions intraorganisationnelles de nature plus académisantes. Ainsi, plusieurs des stratégies et tactiques composant la typologie d’Oliver (1991) ont été observées, les stratégies de compromis et de manipulation occupant, dans les deux unités, une place de plus en plus importante au gré de l’évolution du champ. La mise en œuvre de ces stratégies vise surtout à maintenir la légitimité de leur offre de formation devant des pressions plurielles et parfois contradictoires. Les résultats montrent aussi que la nature de l’entrepreneuriat institutionnel en place détermine en grande partie les stratégies qu’elles déploient. Cet « entrepreneuriat » est au cœur de l’évolution de la formation. Cependant, les résultats montrent aussi comment celui-ci est en partie contraint ou, a contrario, stimulé par les choix historiques qui ont été faits par les unités et leur université, et par l’empreinte et les dépendances de sentier qui en découlent. Ces résultats apportent un éclairage « institutionnaliste » sur la manière dont deux unités universitaires ont réagi, à une période donnée, aux pressions diverses provenant de leur environnement. Ils brossent un portrait complexe et nuancé qui vient à la fois (1) approfondir notre compréhension de cette spécificité des FPU, (2) approfondir notre compréhension de l’évolution récente de la FPU destinée aux DES québécoises, et (3) confirmer la puissance d’analyse de plusieurs concepts tirés de l’approche institutionnelle. / The multiplication of university professional training programs (UPTP) has generated some interest in the description of such programs. Their permeability to pressures is often cited as a characteristic of UPTP. Departments that offer UPTP deal with pressures that are both diverse and often contradictory. This phenomenon is well documented in the scientific literature, though said literature does not well inform researchers on how departments respond to these pressures. This doctoral research used various concepts taken from institutional theory (itself a branch of organizational sociology) to analyze the recent evolution of UPTP for educational leadership in the province of Quebec (Canada). This field of training has gone through major changes in the past 25 years. Using an embedded interpretative case study (Yin, 2003), this research studied the evolution of educational leadership training programs in two university departments: the Département d’administration et fondements de l’éducation at Université de Montréal and the Département de gestion de l’éducation et de la formation at Université de Sherbrooke. We analyzed the discourse from the two departments (from 1988-1989 to 2008-2009) and from other organizations involved in educational leadership training in Quebec. We compiled data from three distinct document sources and from a series of interviews (ten per department) conducted with key agents (deans, department chairs, program coordinators). Results show that the two units tend to become isomorphic to their environment. They behave as such as a response to institutional pressures and organizational competition in a changing environment. These changes, often driven by a deeper transformation in the field of school administration, actually help create a more structured organizational field in which demands regarding UPTP for educational leadership were made more explicit. This had observable impacts on the evolution of training programs in both departments, where they went through several changes and were lead to share a ‘logic’ of professionalization, a training ‘archetype’ (a graduate continuing education program with, at its core, a graduate diploma) and some relevant institutional ‘tools’ (widened admissions policies and target student population, enhanced program flexibility, professionalized training activities, and teaching teams with diversified backgrounds). Nevertheless, none of the departments appeared powerless when facing these pressures. Results show that these two units uphold their agency, through a variety of strategies in response to the pressures from the environment. These strategies evolved during the period under scrutiny and seem aimed at managing the ‘institutional pluralism’ that arises from the clash of external pressures (that push towards professionalizing educational leadership development programs) and internal pressures (that push towards a more “academic” model of development). Many of the strategies and tactics described by Oliver (1991) were used, including compromise and manipulation, both of which took more and more place as time went by. The quest for legitimacy seems to have driven the implementation of these strategies, with regards to the multitude of sometimes contradictory pressures. The nature of the institutional entrepreneurship also determines the choice of strategy used by each department. This entrepreneurship is the main driver of the evolution of the UPTP. Results show, however, that this entrepreneurship is both constrained and stimulated by historical institutional choices and, furthermore, by the ‘imprint’ and ‘path dependencies’ created by these choices. These results shed an institutionalist spotlight on the way these two departments reacted to environmental pressures during the period under study. The complex portrait sketched by these results 1) enhances our understanding of this important characteristic of university professional training programs, 2) enhances our understanding of the recent evolution of educational leadership training in Quebec, and 3) confirms the analytical strength of many concepts that stem from institutional theory.
93

An Analysis of Education Reform in Sub-Saharan Africa

Eger, Katharine 01 January 2016 (has links)
Sub-Saharan Africa continues to fall behind other developing regions regarding educational attainment, despite recent progress in enrollment. This thesis examines a variety of external conditional factors that could contribute to a country’s relative success, in terms of years spent in school using a prediction model that compares years enrolled in secondary education as a foundation to determine over- and under-performing countries in sub-Saharan Africa. By exploring various educational policies, historical patterns, and projects executed in Rwanda, South Africa, Ghana, and Botswana, this thesis sheds light on four main challenges that can impact educational attainment: ethnic and racial tensions, an acute shortage of learning materials and trained teachers, inappropriate curricula, and high costs of education. Some of these challenges have been met with an array of policies, with mixed results in terms of the soundness and fairness of policies as well as the effectiveness of implementation. This thesis argues that to facilitate the creation of an effective school system, education policies must focus on more appropriate reallocations of funding, improved teacher-training quality throughout rural regions, applicable and localized curricula, conditional cash transfer programs, and long-term improvements in the job market.
94

The Effects of an Informational Briefing on the Attitudes of Certain High School Seniors in the Dallas-Fort Worth Metropolitan Area Toward the Air Force ROTC Training Program

Andrews, Robert Glenn 05 1900 (has links)
This study was a simple "before" and "after" attitude measurement experiment using an experimental group and a control group. The attitude measurements were made before and after the subjects in the experimental group were presented an informational briefing about the Air Force ROTC training program. Both the experimental group and the control group were subject to exposure to the Air Force mass communication advertising during the two-month study period. The results indicate that the increased knowledge gained by the experimental group through its exposure to the informational briefing caused a negative change of attitude within the group. However, the control group had no significant change of attitude during the study period even though more than 87 percent of those subjects were exposed to some form of Air Force advertising.
95

POLÍTICAS PÚBLICAS DE FORMAÇÃO CONTINUADA DE PROFESSORES NO BRASIL: UM ESTUDO DE CASO NA REDE ESCOLAR PÚBLICA ESTADUAL DE EDUCAÇÃO DO PARANÁ E DO RIO GRANDE DO SUL / BRAZILIAN PUBLIC POLICY ON TEACHERS FURTHER EDUCATION: CASE STUDY ON PUBLIC SCHOOL NETWORK IN PARANÁ AND RIO GRANDE DO SUL STATES

Casagrande, Ieda Maria Kleinert 15 April 2015 (has links)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This thesis is part of the Research Line Public Policy and School Practice of the Graduate Program in Education of the Federal University of Santa Maria. It is a multiple case study that aimed to identify, interpret and understand the organization of continuous training of public school teachers policies of high school in the cities of Cascavel \ PR and Santa Maria \ RS. In seeking the context of these practices analyzes focused on the Educational Development Program Paraná \ PDE / PR and continuing training policies for teachers resulting from the Proposed Restructuring Curriculum of Secondary Education of the State Secretariat of Rio Grande do Sul Education (SEDUC / RS). The analysis left of the relationship between changes in the workplace that show in different professional sectors, continuing education as a requirement to meet the needs of society governed by the intellectualization of the productive, social and cultural space. In education, continuing education of teachers has been put as essential for professional advancement, this because the decentralized education policy, due to the new organization of the now relaxed and collective work, put on the teacher responsible for the training subjects capable of understanding and enter critically in society. For the development of research used the case study (Yin, 2010; GIL, 2009) and as techniques for data collection semi-structured interviews (CHIZZOTTI, 2012; FLICK, 2009) with teachers and students of state schools as well as analysis technical and official documents of states and schools, laws, plans, courses and continuing education programs sponsored by the Secretaries of State for Education and schools. The main thesis that the proposals for continuing education practice teachers in the public education state networks are consolidating School policies in accordance with the proposals of each State has been confirmed, although in practical terms showed detachment of teachers and students of specific training in the perspective of integrated and polytechnic education. The study made it clear that the inclusion of continuing education programs for teachers contributes to the expansion of production experience and theoretical and methodological knowledge in the subjects that act; He highlighted the contradictions of scientific development that separates science from the workplace and the importance of enhancing teachers' knowledge about the principles underlying the proposed curriculum that takes work, culture, science and technology. / Esta tese integra a Linha de Pesquisa Políticas Públicas e Práticas Escolares do Programa de Pós-Graduação em Educação da Universidade Federal de Santa Maria. Trata-se de um estudo de caso múltiplo que objetivou conhecer, interpretar e compreender a organização das políticas de formação continuada de professores da escola pública estadual do Ensino Médio nos municípios de CascavelPR e Santa MariaRS. Ao buscar a contextualização destas práticas as análises incidiram sobre o Programa de Desenvolvimento Educacional do ParanáPDE/PR e as políticas de formação continuada de professores decorrentes da Proposta de Reestruturação Curricular do Ensino Médio da Secretaria Estadual de Educação do Rio Grande do Sul (SEDUC/RS). A análise partiu das relações existentes entre as mudanças no mundo do trabalho que evidenciam em diferentes setores profissionais, a formação continuada como requisito para atender aos anseios da sociedade regida pela intelectualização do espaço produtivo, social e cultural. No campo educacional, a formação continuada de professores tem sido colocada como imprescindível para o avanço profissional, isto porque as políticas educacionais descentralizadas, fruto da nova organização do trabalho agora flexibilizado e coletivo, colocam no professor a responsabilidade de formar sujeitos capazes de compreender e se inserir criticamente na sociedade. Para o desenvolvimento da pesquisa utilizou-se o estudo de caso (YIN, 2010; GIL, 2009) e como técnicas para a coleta de dados entrevistas semiestruturadas (CHIZZOTTI, 2012; FLICK, 2009) com professores e alunos de escolas estaduais além de análise de documentos técnicos e oficiais dos estados e das escolas, legislações, planos, cursos e programas de formação continuada promovida pelas Secretarias de Estado da Educação e pelas escolas. A tese principal de que as propostas de formação continuada de professores em prática nas redes estaduais públicas de ensino estão consolidando as políticas de Ensino Médio em acordo com as propostas de cada Estado foi confirmada, ainda que no plano prático demonstrasse o distanciamento de professores e de estudantes das especificidades da formação na perspectiva da educação integrada e politécnica. O estudo tornou evidente que a inserção de programas de formação continuada para os professores contribui para a ampliação de experiências e produção de conhecimentos teórico-metodológicos nas disciplinas que atuam; ressaltou as contradições do desenvolvimento científico que separa a ciência do mundo do trabalho, bem como a relevância de potencializar o conhecimento dos professores acerca dos princípios que fundamentam a proposta curricular que assume o trabalho, a cultura, a ciência e a tecnologia.
96

International Teaching Assistants' (ITA') Experiences with Language Learning, Learner Autonomy, and Technology as Students in a Requisite Oral Communication Course

Wallace, Lara R. January 2014 (has links)
No description available.
97

Institutionnalisation de formations francophones en contexte non francophone : politiques curriculaires et statut du français : l'université Galatasaray en Turquie (1992-2012) : une étude de cas élargie à d'autres formations en Europe orientale / Institutionalization of training programs in French in a non French-speaking context : curricular policies and status of the French language : Galatasaray University, Turkey (1992-2012) : a case study, extended to other training programs in Eastern Europe

Troncy, Christel 13 December 2016 (has links)
Comment s'’institutionnalise dans la durée le statut du français comme langue d’'enseignement dans des formations universitaires en contexte non francophone ? L’'hypothèse principale est celle d’'une faible institutionnalisation du statut curriculaire du français en contexte non francophone, due notamment aux acteurs producteurs de la politique curriculaire universitaire, de moins en moins engagés dans un curriculum en français.L’'étude de l’'évolution de la politique curriculaire de l’'université Galatasaray - université créée en 1992 sur la base d’'un accord franco-turc - est envisagée selon une démarche qualitative et inductive, au moyen d’'une étude de cas élargie à d’'autres formations francophones, de moindre ampleur, mais créées à la même période au tournant des années 1980-1990 en Turquie et dans d’'autres pays d’Europe orientale. L’'étude s’'appuie sur un vaste corpus de données d’'archives et de données d’'entretiens. Les différents éléments recueillis sur plusieurs formations, permettent de mettre à jour des processus d’'institutionnalisation initiaux du statut du français communs à ces formations et à l’'université Galatasaray. Toutes sont représentatives d’'une période particulière, de courte durée, propice à un mouvement de création de formations universitaires francophones dans ces contextes globalement non francophones d’'Europe orientale.Dans la majorité des cas, à des degrés divers, vingt ans après, le statut du français apparaît d’autant plus instable que les réseaux d’'acteurs producteurs de la politique curriculaire universitaire sont faibles et que le statut du français est de moins en moins consensuel. / How does the status of the French language as the teaching language for the courses become institutionalized in academic training programs, within a non French-speaking context? The main assumption is that of a weak institutionalization of the curricular status of the French language in a non French-speaking context, due in particular to the players, who generate the academic curricular policy while being less and less committed to a curriculum in French.The study of the curricular policy evolution at Galatasaray University — a university created in 1992 on the basis of a franco-turkish agreement is —considered along the lines of a qualitative and inductive approach, by means of a case study extended to other training programs in French, of a lesser scope but created during the same era, at the turn of the 1980s-1990s in Turkey and in other Eastern Europe countries. The study relies on a vast corpus of archival data and interview-gathered data. The elements concerning the selected training programs enable us to bring to light some initial institutionalization processes of the status of the French language, that are common to these training programs and to Galatasaray University. All are representative of a particular era, of short lasting, propitious for a movement of academic training programs creation, in French, within these globally non French-speaking contexts in Eastern Europe. In the majority of cases, at various degrees, twenty years later, the status of the French language appears all the more unstable that the networks of players who generate the curricular academic policy are weak, and that the status of the French language is less and less consensual.
98

Založení a rozvoj školicího střediska / Creating and developing of training centre

Žídek, Marek January 2008 (has links)
Document describes foundation and development of computer training center. It introduces the reader to the development process and the structure of business plan in the beginning. The process starts with SLEPTE analysis, customer research and simple financial analysis. The result of previous three analyses is SWOT analysis. SWOT analysis recommends author to continue in the business plan development. Therefore, documents describe more accurate and detailed analyses specialized to computer professional courses in the region of Brno and surrounding cities. Next, it describes company strategy according to the results of analyses. Marketing and financial parts of the strategy are the most stressed ones. The reader is very deeply familiarized with company product and their price policy. The last pages of document present steps required to successfully implement company strategy.
99

Contributions d'un programme de formation continue virtuel sur les troubles concomitants au développement des compétences des infirmières : un devis mixte convergent

Chicoine, Gabrielle 03 1900 (has links)
Les personnes atteintes de troubles concomitants (TC) de santé mentale et d’usage de substances présentent des besoins biopsychosociaux particuliers et complexes, qui peuvent rendre leurs prises en charge plus ardue pour les professionnels de la santé. Au Canada comme dans d’autres pays, les infirmières et les infirmiers sont fréquemment appelés à intervenir auprès de personnes atteintes de TC par le biais d’une approche intégrée des soins centrés sur leurs besoins particuliers. Toutefois, les études soulignent des difficultés et barrières inhérentes à la complexité de cette prise en charge par les infirmières, comme le sentiment de fardeau ou d’échec professionnel, les attitudes défavorables ou l’inconfort à l’égard de ces personnes et le manque de connaissances ou d’habiletés quant à certaines approches psychothérapeutiques essentielles. Qui plus est, rares sont les occasions de formation continue portant spécifiquement sur les TC pour soutenir et mieux outiller les infirmières dans le développement de leurs compétences. Cette thèse par articles présente les résultats d’une étude visant à comprendre dans quelle mesure et de quelles manières un programme de formation continue virtuel portant sur les TC a contribué au développement des compétences des infirmières. Le programme de formation continue virtuel sur les TC développé et mis en place en 2018 au Centre hospitalier de l’Université de Montréal (CHUM) en s’appuyant sur le modèle Extension for Community Healthcare Outcomes (©ECHO), s’adresse à l’ensemble des professionnels de la santé et des services sociaux du Québec. Celui-ci constitue un modèle de formation continue visant à soutenir le développement des compétences de ces professionnels dans la prise en charge de conditions de santé chroniques et complexes. Le modèle ECHO repose sur trois théories sociales de l’apprentissage, incluant la Théorie sociale cognitive, la Théorie des communautés de pratique et la Théorie de l’apprentissage situé. Le programme ECHO sur les TC comprend des séances éducatives virtuelles offertes en continu, d’une durée de 90 minutes à chaque deux semaines, guidées par une équipe interprofessionnelle d’experts dans le domaine des TC. La participation au programme s’effectue par l’entremise de visioconférences simultanées, au cours desquelles les professionnels inscrits au programme sont invités à présenter une situation clinique vécue, laquelle faisant ensuite l’objet d’une riche discussion entre pairs et d’une rétroaction personnalisée par l’équipe d’experts. Des capsules didactiques portant sur les pratiques exemplaires dans le domaine des TC sont également présentées aux participants, en fonction de leurs besoins d’apprentissage. Un devis mixte convergent a été utiliser pour collecter et analyser les données QUANtitatives et QUALitatives issues d’une population potentielle de 65 infirmières ayant participé au programme de formation ECHO sur les TC pour les vagues de formation 2018-2019 et 2019-2020. Dans le volet QUAN, une étude de cohorte prospective observationnelle a été mené pour mesurer l’évolution des infirmières à six mois (T1) et 12 mois (T2) suivant leur entrée au programme (T0) quant à leur: 1) sentiment d’auto-efficacité; 2) participation; 3) satisfaction et acceptabilité; 4) connaissances; 5) attitude; et 6) perception de la performance clinique. Dans le volet QUAL, une étude descriptive interprétative a été réalisée auprès de 10 infirmières ayant participé au programme ECHO, afin d’explorer leur expérience et perceptions à l’égard du développement et de la mise en pratique de leurs compétences, ainsi que des facteurs ayant influencé ce processus. Enfin, l’emploi d’une stratégie de comparaison des résultats QUAN et QUAL a facilité leur intégration, permettant ainsi de mettre en évidence leurs similitudes, différences ou éléments de complémentarité. Les analyses de variance effectuées dans le volet QUAN de l’étude ont indiqué une amélioration significative quant au niveau de connaissances sur les TC (pT1–T0 = 0,0045; pT2–T0 = 0,0014) et au score d’attitude à l’égard des TC (pT1–T0 = 0,0472 ; pT2–T0 = 0,0139) des infirmières (n = 28) à T1 et T2. En contrepartie, seules les infirmières (n = 16/28) ayant participé à au moins 25 % des 20 séances virtuelles offertes au cours d’un curriculum de formation ont montré une augmentation significative de leur sentiment d’auto-efficacité à T2 (pT2–T0 = 0,0213). En complémentarité, l’analyse thématique réalisée dans le volet QUAL de l’étude a mis en lumière qu’au cours de leur participation, les infirmières ont davantage développé huit éléments de compétences propres à la pratique auprès de personnes atteintes de TC, et que plusieurs facteurs d’ordre personnel, interpersonnel, contextuel et organisationnel avaient facilité ou contraint ce processus. Enfin, les constats mixtes de l’étude, illustrés par six thèmes, font état de six conditions clés pour favoriser le développement des compétences et leur mise en œuvre dans la pratique: 1) des expériences de mise en pratique et de validation; 2) des relations de réciprocité et de confiance en contexte de formation interprofessionnelle; 3) un partage d’expériences similaires entre pairs et des activités de mentorat; 4) une collaboration avec des experts; 5) une attitude positive solidifiée à l’égard de l’exercice de son rôle professionnel en situation de complexité et d’adversité; et 6) des expériences d’apprentissage d’équipe, adaptées aux particularités des milieux et en partenariat avec les organisations. Cette étude a permis de mieux comprendre comment un programme de formation continue virtuel sur les TC reposant sur le modèle ECHO a contribué au développement des compétences des infirmières. Les résultats suggèrent que dans certaines conditions, le programme de formation ECHO sur les TC peut favorablement contribuer au développement des compétences des infirmières et au renouvellement de leur pratique. Des recommandations sont formulées à l’effet d’orienter la recherche vers l’évaluation des effets du modèle ECHO sur le changement des pratiques et la santé des personnes atteintes; et d’explorer des avenues de recherche visant la conjugaison de stratégies auprès des professionnels et sur le plan de l’intervention, du contexte et des organisations, pour favoriser la mise en œuvre effective des pratiques exemplaires. / People with concurrent disorders (CD) in mental health and substance use have specific and complex biopsychosocial needs, which can make their care more challenging for healthcare professionals. In Canada, as in other countries, nurses are frequently called upon to intervene with people with CD through an integrated approach to care that focuses on their specific needs. However, studies point to difficulties and barriers for nurses caused by the complexity of this care. These include feelings of being burdened or of professional failure, judgmental attitudes about or discomfort with these individuals, and lack of knowledge or skills in certain essential psychotherapeutic approaches. Moreover, there are few continuing education opportunities specifically focused on CD to support nurses and give them the tools they need to develop their skills. This article-based thesis presents the results of a study carried out to understand how, and to what extent, a virtual continuing education program on CD contributed to nurses’ competency development. The virtual continuing education program for CD was developed and implemented in 2018 at the Centre hospitalier de l’Université de Montréal (CHUM), based on the Extension for Community Healthcare Outcomes (©ECHO) model. It is intended for all health and social services professionals in Quebec. ECHO is a model of continuing education designed to support the competency development of these professionals in the management of chronic and complex health conditions. The ECHO model is based on three social theories of learning, including the Social Cognitive Theory, the Communities of Practice Theory, and the Situated Learning Theory. The ECHO program for CD consists of 90 minute virtual educational sessions, offered bi-weekly on an ongoing basis. The sessions are guided by an interprofessional team of experts in the field of CD. Participation in the program takes place through videoconferences, during which professionals enrolled in the program are invited to present a real-life clinical situation, which is then the subject of a rich peer discussion and personalized feedback from the team of experts. Short didactic presentations on best practices in the field of CD are also presented to participants, based on their learning needs. A convergent mixed-methods design was used to collect and analyze QUANtitative and QUALitative data from a potential population of 65 nurses who participated in the ECHO CD program during its first two cycle (2018–2019 and 2019–2020). In the QUAN component, a prospective observational cohort study was conducted to measure nurses’ evolution at six months (T1) and 12 months (T2) following their entry into the program (T0) with respect to their: 1) self-efficacy; 2) participation; 3) satisfaction and acceptability; 4) knowledge; 5) attitude; and 6) perceived clinical performance. In the QUAL component, an interpretive descriptive study was conducted with 10 nurses who had participated in the ECHO program. The study explored their experiences and perceptions regarding the development of their competency and their clinical practice, as well as factors that influenced this process. Finally, a strategy of comparing QUAN and QUAL results facilitated their integration and thus highlighted their similarities, differences, or complementary elements. Longitudinal analyses of variance performed in the QUAN component of the study indicated a significant increase in the level of knowledge about CD (pT1–T0 = 0.0045; pT2–T0 = 0.0014) and in the attitude score toward CD (pT1–T0 = 0.0472; pT2–T0 = 0.139) of nurses (n= 28) at T1 and T2. In contrast, only nurses (n = 16/28) who participated in at least 25% of the 20 virtual sessions offered during a program cycle showed a significant increase in their self-efficacy score at T2 (pT2–T0 = 0.0213). In addition, the thematic analysis conducted in the QUAL component of the study revealed that, during their period of participation, nurses further developed eight competency elements specific to practice with people with CD, and that several personal, interpersonal, contextual, and organizational factors either facilitated or constrained this process. Finally, the study’s mixed-methods findings, illustrated by six themes, point to six key conditions that foster the development of nurses’ competencies and their implementation in clinical practice: 1) Opportunities for practice and validation; 2) Reciprocal and trusting relationships in an interprofessional learning environment; 3) Peer-to-peer sharing of similar experiences and mentoring activities; 4) Collaboration with experts; 5) Reinforcement of positive attitudes about performing professional role in complex and adverse situations; and 6) Learning experiences that are team-based, tailored to the setting specifics and receive organizational support. This study provides a better understanding of how a virtual continuing education program for CD, based on the ECHO model, contributed to nurses’ competency development. The results suggest that under certain conditions, the ECHO program for CD can contribute positively to the development of nurses’ competencies and the renewal of their clinical practice. Recommendations are made in two areas: first, to direct research toward evaluating the impact of the ECHO model on practice change and health outcomes; and, second, to explore research avenues for combining strategies among professionals and with regard to intervention, context and organizations, to support effective implementation of best practices.
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You get what you play for : A multiple-baseline experimental design on child-directed play for parents of autistic children

Andreasson, Filippa, D'Angelo Gentile, Axel January 2020 (has links)
Parents of children with autism spectrum disorder (ASD) face many challenges which lead to low levels of psychological well-being, partly caused by inability to parent in accordance with one’s values. Child-directed play, a moment of being fully attentive and responsive to one’s child, has the potential to increase parental values. A non-concurrent multiple-baseline experimental design investigated whether daily exercises of child-directed play improved valued parenting and parental perspective-taking. Eight parents of children with diagnosed or suspected ASD were followed daily for six weeks. The intervention comprehended daily practice of child-directed play and video supervision. Child-directed play increased ratings of parental values for all but one participant (Hedges’ g* = 1.67) with effect maintained at follow-up, and increased ratings of parental perspective-taking. A gradual effect indicates the need for greater difference in baseline length between participants. No effects on children, nor on parental well-being were investigated in the present study.

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