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ERIC Number: ED553317
Record Type: Non-Journal
Publication Date: 2013
Pages: 219
Abstractor: As Provided
Reference Count: N/A
ISBN: 978-1-3030-5404-4
ISSN: N/A
Active Teaching Strategies for a Sense of Salience: End-of-Life Communication
Kopp, Mary L.
ProQuest LLC, Ph.D. Dissertation, Capella University
This study compared active teaching strategies with passive lecture by evaluating cognitive, affective, and psychomotor learning outcomes, while highlighting end-of-life communication in nursing education. The problem addressed was twofold: First, passive lecture prevents transfer to situational decision-making, or a sense of salience (Benner, Sutphen, Leonard, and Day, 2010). Second, death discussions are more complicated than standard communication courses teach. The design was comparative, quasi-experimental, and posttest-only with control. Instruments included a multiple-choice test (Malloy, Virani, Kelly, & Munevar, 2010), a survey measuring openness toward end-of-life communication ("Questionnaire for Understanding the Dying Person and His/Her Family" , Yeaworth, Kapp, & Winget, 1974), and an observational checklist called the "Simulated Client End-of-Life Communication Scale" (SCEOLCS). The sample was 46 senior level baccalaureate nursing students enrolled in a private Upper Midwest school of nursing. Significant psychomotor differences were revealed (t(46) = -5.65, p=<0.001). No measurable cognitive and affective differences existed. Still, results favored active teaching in all domains. Significant correlation existed between cognitive outcomes and grade point average (r=0.338, N=46, p=<0.05), and marginal correlation between affective outcomes and GPA (r=-0.288, N=46, p=0.052). The SCEOLCS demonstrated internal consistency (alpha=0.902). Active teaching strategies improved the nursing student's sense of salience during end-of-life communication. Ultimately, nursing students were better prepared for one of their most underestimated and rewarding roles, caring for dying patients and their families. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]
ProQuest LLC. 789 East Eisenhower Parkway, P.O. Box 1346, Ann Arbor, MI 48106. Tel: 800-521-0600; Web site: http://www.proquest.com/en-US/products/dissertations/individuals.shtml
Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A