L’apprentissage en milieu clinique des étudiants futurs professionnels de la santé : entre l’autonomisation et les contraintes pédagogiques

Abstract : Introduction: taking into account the particularities of learning in clinical environment, the evolution of scientific knowledge, the needs of 21st century students, the expectations of society, the empowerment of learning becomes a necessity. Goals: Mainly: to compare the quantitative results of the items and the overall scores of Motivated Strategies for Learning Questionnaire (MSLQ) by following the systemic approach tested, to the results of the conventional objective approach. Type and study quote: we opted in our study for the mixed approach (quantitative qualitative) and an explanatory sequential estimate. We start with the collection and analysis of quantitative data to follow up after the educational intervention with the collection and analysis of qualitative data. Population of the study: A number of 172 students participated in the first data collection (pretest), 162 students at the second data collection (post-test) and 12 students for the « Focus group ». Pedagogical intervention: the systematic approach (AS), inscribed in the socio-cognitive current, has been experimented. It is based on the principles of the competency-based approach. This approach imposes new pedagogical practices different from the conventional approach. Data collection tools: for the quantitative data collection tool, the MSLQ questionnaire, translated and validated according to Vallerand (89), was used for the collection of data before (pre-test) and after the pedagogical intervention (post-test). For the collection of qualitative data, the focus group interview method was conducted using a semi-structured interview guide. Data analysis methods: for the quantitative data, we used the software "Statistical Package for the Social Sciences", version 20.0, for the qualitative data we carried out a thematic analysis. Results: our study showed a female predominance, the average age is 21.2 standard deviations of 0.7. For the results of MSLQ except for the "test anxiety" scale, all results from the motivation section showed an improvement in the post-test. The overall mean score of the motivation is much better with AS. This score was of the order of 3.93 following the APO to reach a score of 4.94 following the AS. The students' comments confirmed the statistical results with the emergence of the sub-themes as: commitment, regulation identified the feeling of improvement of performances and results. For learning strategies, with the exception of the time and environmental management scale, the results showed an increase in all items and mean post-test scores. The sayings students have argued and confirmed the quantitative results through a judicious deepening especially reflection in action and action, clinical reasoning, mobilization of knowledge and recognition of the expertise of others. The overall score of the learning strategies was of the order of 4.11 in pre test to reach a score of 4.56 in post-test. MSLQ's overall score showed a favorable improvement for AS. It was 4.02 following the APO to evolve to 4.75 by adopting AS. Finally, the students' comments show that the current conventional APO, applied in the context of the CMA, poses pedagogical constraints to take charge of its own learning. Conclusion: The experienced systemic Learning model in the competency-based approach is likely to have a positive impact on both the Motivational Profile and Learning Strategies and on the empowerment of Learning
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Sonia Soussi. L’apprentissage en milieu clinique des étudiants futurs professionnels de la santé : entre l’autonomisation et les contraintes pédagogiques. Education. Université de Lyon; Université virtuelle de Tunis, 2019. Français. ⟨NNT : 2019LYSE1181⟩. ⟨tel-02305839⟩

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