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Over the last 20 years the nursing profession has widely accepted reflective practices and reflective learning as effective measures to help students provide care in a frequently changing context. The purpose of the study was to explore and describe the role of nurse educators in the facilitation of reflective learning in students. The objectives were to explore the reflective teaching practices of nurse educators, describe the learning activities that could promote reflective learning in student nurses and to determine whether the learning environment is conducive to promote reflective teaching and learning. A quantitative, explorative, descriptive study was conducted in nursing education institutions in Gauteng. A total of 121 nurse educators completed a structured questionnaire. The findings revealed that, although nurse educators agree with the importance of reflective practices in the teaching and learning environment they do not necessarily place emphasis on developing their own reflective practices. Reflective learning was not identified as a formal learning approach in the programmes the nurse educators facilitated but the educators did attempt to include reflection in the teaching and learning activities planned. Not enough emphasis is placed on the creation of a teaching and learning environment that will enhance reflection in a non-threatening context. The deeper understanding of reflective learning comes with continued personal reflective practices. Nurse educators should be taught how to facilitate reflective learning activities and how to create an environment conducive to reflection. Through reflective teaching practices students could be supported in developing into critical thinkers hence reflective learning should be a formal teaching and learning approach in nursing curricula / Health Studies / M.A. (Health Studies)

Over the last 20 years the nursing profession has widely accepted reflective practices and reflective learning as effective measures to help students provide care in a frequently changing context. The purpose of the study was to explore and describe the role of nurse educators in the facilitation of reflective learning in students. The objectives were to explore the reflective teaching practices of nurse educators, describe the learning activities that could promote reflective learning in student nurses and to determine whether the learning environment is conducive to promote reflective teaching and learning. A quantitative, explorative, descriptive study was conducted in nursing education institutions in Gauteng. A total of 121 nurse educators completed a structured questionnaire. The findings revealed that, although nurse educators agree with the importance of reflective practices in the teaching and learning environment they do not necessarily place emphasis on developing their own reflective practices. Reflective learning was not identified as a formal learning approach in the programmes the nurse educators facilitated but the educators did attempt to include reflection in the teaching and learning activities planned. Not enough emphasis is placed on the creation of a teaching and learning environment that will enhance reflection in a non-threatening context. The deeper understanding of reflective learning comes with continued personal reflective practices. Nurse educators should be taught how to facilitate reflective learning activities and how to create an environment conducive to reflection. Through reflective teaching practices students could be supported in developing into critical thinkers hence reflective learning should be a formal teaching and learning approach in nursing curricula / Health Studies / M.A. (Health Studies)

Background: This study examined whether levels of parental reflective function (RF), parental expressed emotion (EE) and children’s attachment styles are significantly related in a sample of children with high levels of conduct disorder (CD) symptoms. Method: The sample (n = 143) consisted of children aged 5-7 years at risk of behaviour problems. Participants were recruited from a borough of London and a unitary authority in the south west of England. Data for the three main variables and confounders were collected using semi-structured interview, direct observation and questionnaires from both parents and children. The Parent Development Interview (PDI) was used to assess RF; the Five-Minute Speech Sample to assess EE and the Manchester Child Attachment Story Task (MCAST) to assess child attachment. Results: Global levels of maternal RF did not significantly differ between the securely and insecurely attached groups of children. Mothers of securely attached children, however, had higher RF ratings on the negative interactions and anger subscales of the PDI compared to mothers of insecurely attached children. No significant difference was found in parental EE between secure and insecurely attached children. High EE-warmth was associated with high global RF, but there was no significant relationship between EE-criticism and RF. Multiple logistic regression found no significant relationships between parental RF, parental EE and child attachment. Conclusions: These findings may suggest that attachment classification influences the levels of maternal RF in specific negative situations. Conversely it is possible that high maternal RF in such situations enables mothers to respond more sensitively to their child, leading to more secure attachment. The finding that maternal RF and EE were not associated with child attachment may suggest these variables are not strongly related, the sample is too small to detect any effect or that the specific sample lacks variability in scores. To the author’s knowledge this is the first study to test for these relationships with confounders included in the model, which may explain the null findings.

Curriculum is a means by which the medium of thought finds expression. It is a palette for the mind. Curriculum is a device by which thoughts are given form that can be shared. In the hands of a curriculum artist, symphonies of thought are conceived, composed, and performed. Like a palette in the hands of a master, curriculum in the hands of a teacher can transform minds. This dissertation seeks to examine, through reflective inquiry, the efficacy of an integrative, concept‐driven curriculum framework for novice elementary teachers, and, thereby, posit a generalized model of reflective curriculum inquiry to generate a deeper understanding for the researcher and her readers. The emergent model is not a curriculum, but when viewed as a framework, this model can become a means to facilitate design and to further support the development and evaluation of curricula. This dissertation is a story of how a teacher was made, not born. It is a story of how students learned conceptually and performed purposefully. It is also a story of roles and relationships found between students, teachers, parents, administrators, and curriculum. Throughout this dissertation, actor‐network theory (ANT) was used to help describe these relationships between the various roles that I assumed in relation to others, resources, and educational settings. Finally, this dissertation reveals a significant and direct relationship between standards‐derived concept vocabulary, subject matter integration, and literacy development that emphasized the need for a configurable curriculum framework to serve as a model for curriculum inquiry. / text

Reflective practice, though ill-defined, has become an accepted educational concept within many health care disciplines particularly in nursing. Subsequently it has become benchmarked within Paramedic Sciences as a professional requirement for continuing education and clinical practice. However, despite the vast literature in nursing and the increasing growth of reflective practice in paramedic curricula it is unclear how it influences the students’ learning in preparation for graduate practice as future reflective practitioners. This research explored ‘to what extent does reflective practice in the paramedic curriculum influence the students’ academic and clinical learning leading to graduate practice’? A mixed methods approach with cohort samples of undergraduate health care students comprised four studies including surveys and non-participant observations of clinical simulation that were conducted in a university learning environment. The results showed overall that Paramedic students believed that they understood reflective practice and perceived it to be useful for their academic studies and clinical practice; although this is probably influenced more by formal teaching rather than the result of their own views. Students were able to describe reflective practice in ideal theoretical terms and were positive towards it regardless of their individual learning styles. However, in a clinical context, they applied it differently with significant emphasis on technical reflection. Evidence of the nature of reflective practice as it occurred during and after clinical simulation scenarios highlights a need for revised approaches to existing learning/teaching strategies with paramedic students. An extended understanding and refinement of reflective practice concepts including a new pedagogic framework to promote enhanced reflectivity are proposed. This theoretical framework is designed to accommodate reflective learning for both personal and collaborative learning related to curriculum outcomes. The use of clinical simulation for the development of reflective practice in the paramedic curriculum is supported with recommendations for further studies in academic and clinical settings.

Background: Empirical evidence suggests a relationship between early trauma and psychosis. However, the underlying mechanisms for this relationship remain unclear. Research into metacognitive functioning in psychosis indicates higher levels of metacognitive dysfunctional beliefs within this patient group. The potential effects of early trauma on metacognitive functioning in psychosis has to date been scarcely researched. Reflective functioning (RF) is believed to be affected by early trauma and leading to psychopathology, particularly borderline personality disorder. However, to date no studies have investigated the effects of early trauma on RF within psychosis. Objectives: The primary aim of this study was to establish core links between the effects of early trauma and metacognitive and reflective functioning in psychosis. A secondary aim was to test the clinical applicability of a brief, newly developed attachment-based measure for RF. Furthermore, the study aimed to explore potential overlaps between the concepts of metacognition and reflective functioning. Method: A quantitative methodology was employed, using a combination of semi-structured interviews and self-report questionnaire, and group comparisons were conducted. Twenty-seven patients with psychosis or bipolar disorder were recruited. Participants were grouped into early trauma versus no early trauma; trauma versus no trauma; and in-patient versus out-patient, and exploratory analyses were completed. Results: No significant effects were found for early trauma but for trauma in general, indicating higher level of dysfunctional beliefs in patients with trauma (early plus adult trauma) history. No significant effect between groups were found for RF. Inpatients, however, showed significantly lower levels of RF when compared with outpatients, and outpatients significantly higher levels of cognitive self-focus(thinking about thoughts). Moreover, a modest positive correlation was found between both measures. Discussion: The findings of the present study suggest core links between the effects of trauma on metacognitive functioning in psychosis. This highlights the importance of routine trauma assessment with psychotic patients. The limitations of the metacognitive model within psychosis are discussed. Further research is implicated to investigate any potential effects of early trauma on RF in psychosis. Low level of RF in in-patients highlights the importance to integrate therapeutic techniques to improve RF functioning in this patient group since high RF is associated with resilience and better therapy outcome. The correlation between metacognition and RF measure indicates construct-validity for the RF measure. The differences between both concepts are considered. Furthermore, the limitations of this study and clinical utility are discussed along with suggestions for future research.

Background: Attachment literature indicates attachment status is related to trauma with associations between early trauma and insecure attachment. Links between psychosis and trauma have been established within the literature; however the precise nature of this relationship is still not fully understood. A systematic review was carried out to assess the state of the evidence pertaining to psychosis and attachment. Associations between insecure attachment and psychotic symptoms were identified. Other psychological correlates such as perceived parental care, attachment to services and interpersonal problems were found to relate to insecure attachment status. However due to the early stage of this area of research, small clinical sample sizes and heterogeneity of correlates investigated, firm conclusions cannot currently be drawn. Aim: The aim of this study was to investigate the relationship between trauma, attachment, reflective functioning (RF) and distress for people with psychosis with a view to further understanding these links and the clinical implications. Method: Participants with a diagnosis of psychosis were recruited and measures were completed with the principle investigator pertaining to trauma, attachment and distress in psychosis. Results: The majority of the sample reported insecure attachment and low RF and there were high levels of general, and more specifically, interpersonal trauma within the sample. Results indicated that early interpersonal trauma was associated with higher levels of emotional distress. Exploratory mediation analyses implicated anxious attachment in mediating the relationship between interpersonal trauma and distress. Discussion: The results indicate the need to consider early trauma histories and specifically interpersonal trauma and attachment in the context of emotional distress for people experiencing psychosis. Incorporating trauma and attachment based therapeutic approaches for people with psychosis is as relevant as it is for other trauma populations, where these approaches may be more routinely drawn on for formulation and treatment. Limitations of the methodological approach are considered along with suggestions for future research.

This study explores an EFL practitioner’s teaching life story, with a focus on the development of personal and professional identities, and on the rationale for teaching principles and practices within a Japanese socio-educational context. The study is grounded firmly in the belief that “in understanding something so intensely personal as teaching, it is critical we know about the person the teacher is” (Goodson, 1992, p. 234). As a single participant study this thesis places particular emphasis on the importance of subjective and interpretive insights and understandings as opposed to the generalizability and objectivity of knowledge claims embodied in more traditional approaches to research in the field of TESOL. To elicit the participant’s teaching life story I used a taped monologue technique, whereby the speaker, without the presence of an interviewer, is in complete control of topic selection and has the freedom to determine the temporal and sequential course of their narrative. The resulting two-hour monologue is the primary data for the study, and working within a narrative research framework I analyzed the story for critical incidents and teaching perspectives that can be interpreted as having informed the participant’s practicing professional identity, which can be defined as a set of values, principles and practices which guide an individual’s present teaching philosophy and future directions. Through the lens of the Japanese socio-educational context I focus on the unifying themes of teacher development and education, critical cultural knowledge, humanism, and second language (L2) only classroom policy. Furthermore, I explore the narrative thread that runs through the participant’s story, connecting past and present experiences with future teaching life directions and goals as the narrator takes the opportunity to articulate the rationale behind her main principles and practices, and in so doing underscores her practicing professional identity in a way that demonstrates a strong sense of the narrator’s purpose, values, efficacy and self-worth. As such, this process engages the narrator not only in a meaningful and coherent narrative account of professional development, but also in the process itself of professional development as it demonstrates potentialities for self-revelation, affirmation, and even transformation. This thesis offers a distinctive contribution to the field of TESOL educational research in three particular ways. First, in exploring the sources of a teacher’s beliefs and practicing professional identity, it offers an exemplar of how to undertake interpretive research as reflective practice and professional development. Secondly, it widens our understanding of conducting single participant case studies in TESOL education. This thesis also points the way forward to possible research using an innovative taped monologue technique with other individual teacher case studies that can then contribute to building a body of knowledge in the field.

Orientador: Fernando Bastos / Banca: Alvaro Lorencini Junior / Banca: Lizete Maria Orquiza de Carvalho / Banca: Eduardo Adolfo Terrazzan / Banca: Silvia Regina Quijadas Aro Zuliani / Resumo: Este estudo buscou, inicialmente, identificar o perfil dos professores que trabalham com conteúdos de ciências, com o intuito de propiciar situações reflexivas, à luz de proposições teóricas e metodológicas. Para tanto, foi aplicado um questionário a onze professoras do ensino fundamental das séries iniciais em uma escola pública do interior de São Paulo, Brasil. Este questionário norteou as atividades posteriores com a finalidade de propiciar a reflexão sobre a prática pedagógica desses professores, procurando compreender os aspectos relacionados ao processo de ensino e aprendizagem, particularizando as ações da atividade docente. Foram analisadas as ações educacionais relatadas pelas professoras, na tentativa de se verificar a ocorrência de situações pedagógicas consideradas problemáticas, tais como, problemas em ensino e aprendizagem, no método de ensino, no estabelecimento e valorização da relação professor-aluno e na interação desses professores com seus pares. Foram elaboradas atividades com Grupo de Trabalho, formados pelos próprios professores que foram todas filmadas e transcritas. Para a análise e apresentação dos dados, foram elencados eixos e sub-eixos temáticos de análise, com tópicos de analise retirados do questionário e transcrições das atividades. Os dados apontaram os professores do estudo são profissionais com defasagem na sua formação e que não participam de cursos de capacitação. Apresentam dificuldade em trabalhar conteúdos de ciências na prática e recorrem a livros didáticos para sanar suas dúvidas e dificuldades. O conteúdo de ciências que apresenta maior dificuldade em trabalhar é sexualidade. Participam de cursos promovidos pela Diretoria de Ensino, porém consideram esses cursos muito teóricos e pouco práticos e que não... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The objective of this study was to identify, first of all, the profile of the teachers who work with sciences, in order to provide some reflection, when facing theoretical and methodological propositions. Thus, a questionnaire was applied to eleven teachers of elementary school, who teach the basic years in one public school based in the interior of São Paulo state, Brazil. This questionnaire has guided the posterior activities, in order to lead to the reflection about the pedagogic procedures of these teachers, trying to understand the aspects related to teaching and learning processes, specifying the procedures of the teachers. The educational approaches described by the teachers were analyzed, in order to verify the incidence of pedagogic situations, considered as problematic, such as: problems concerning teaching and learning, teaching methods, stabilization and appraisal of teacher- student relationship and the interaction of these teachers among themselves. Some activities were elaborated with the Group of Work. These activities were filmed and transcript. For the analysis and data presentation, some topics and sub-topics which needed to be analyzed were listed, presenting subjects for analysis, which were obtained from the questionnaire and descriptions of the activities. The data showed that the teachers which were analyzed, are not updated professionals and do not attend recycling courses. They also have some difficulties in working with sciences practices and search for didactic books in order to clarify their doubts and problems. The topic in science which presents more difficulty to explain is sexuality. They attend courses provided by the Board of Educational Teaching, but they consider these courses very theoretical and not very practical and state that they are not related to the context that the students belong to. They do not get support from teaching theories and consider their own practices in the classroom as theory. / Mestre