Problemlerle Başa Çıkmak: Huzurevinde Çalışan Birim Yöneticileri İçin Vaka Tabanlı Çıkarsama Yaklaşımı

Abstract

Yaşlı nüfusunda gün geçtikçe yaşanan artış aynı zamanda huzurevleri gibi yaşlılara hizmet veren kuruluşların sayısının da artmasına sebep olmaktadır. Bu kuruluşlarda kalan yaşlılarla birlikte, bu kişilere hizmet veren çeşitli meslek dallarından çalışanlar da mevcuttur. Bu kurumda çalışan yönetici pozisyonundaki kişilerse hem kurum sakinlerinin problemlerinin çözülmesinden hem de kurumun çalışma düzeninin sağlanmasından sorumludurlar. Bundan dolayı, bu çalışmada yaklaşık 800 sakine hizmet veren bir huzurevinin birim yöneticilerinin problem çözme becerilerinin geliştirilmesi amaçlanmıştır. Bu amaç doğrultusunda da vaka tabanlı öğrenme modeli kapsamında, yarı deneysel bir yöntem izlenerek 4 haftalık bir eğitim verilmiştir. Ön-test ve son-test uygulanan katılımcıların nicel verilerinin sonuçlarına göre önemli bir fark bulunamazken, nitel veriler katılımcıların eğitimi faydalı bulduklarını göstermiştir. Sonuçlar, vaka tabanlı çıkarsama öğretilerinin bu tip kurumlarda oldukça kabul görebileceğini göstermiştir.

Keywords

• Vaka tabanlı çıkarsama,problem çözme,eğitim,huzurevi

Dealing With Problems: A Case-Based Reasoning Approach for Nursing Home Unit Supervisors

Abstract

The increase in aged population leads an increase in the number of elder care facilities at the same time. With the elderly people who reside in these facilities, there are also people from a variety of professions who serve to the elderly. People who work in these facilities as managers are responsible for both solving problems of the residents and keeping the work routine of the facility. So, in this study, it is aimed to improve unit supervisors’ problem solving skills who work in a nursing home which serves to about 800 residents. In line with this purpose, with case based learning model, 4-week training was carried on through a quasi experimental style. According to the results of quantitative data of the participants who filled a pre-test and post-test, there were found no differences; however, the results of qualitative data indicate that participants find the training beneficial. These results showed that case based teaching could be quite acceptable in these types of facilities.

Keywords

• Case-Based Reasoning,Problem Solving,Training,Nursing Home

References

1. Aamodt, A., ve Plaza, E. (1994). Case-based reasoning: Foundational issues, methodological variations, and system approaches. AI Communications, 7(1), 39-59.
2. Anderson, J. R. (1993). Problem solving and learning. American Psychologist, 48(1), 35.
3. Anderson, S. M., ve Helberg, S. B. (2007). Chart-based, case-based learning. South Dakota medicine: the journal of the South Dakota State Medical Association, 60(10), 391-393.
4. Barrows, H. S. (1994). Practice-based Learning: Problem-based Learning Applied to Medical Education. Southern Illinois University, School of Medicine, PO Box 19230, Springfield, IL 62794-9230.
5. Barrows, H. S., ve Tamblyn, R. M. (1980). Problem-based learning: An approach to medical education. Springer Publishing Company.
6. Chan, W. P., Hsu, C. Y., ve Hong, C. Y. (2008). Innovative" Case-Based Integrated Teaching" in an undergraduate medical curriculum: development and teachers' and students' responses. Annals Academy of Medicine Singapore, 37(11), 952.
7. DeMarco, R., Hayward, L., ve Lynch, M. (2002). Nursing students' experiences with and strategic approaches to case-based instruction: a replication and comparison study between two disciplines. Journal of Nursing Education, 41(4), 165-174.
8. Dochy, F., Segers, M., Van den Bossche, P., ve Gijbels, D. (2003). Effects of problem-based learning: A meta-analysis. Learning and Instruction, 13(5), 533-568.

9. Domke, H. R., ve Murphy, J. C. (1959). Training nursing home administrators. Public Health Reports, 74(11), 995.
10. Edwards, A. L. (1957). The social desirability variable in personality assessment and research.
11. Evensen, D. H., ve Hmelo-Silver, C. E. (2000). Problem-based learning: A research perspective on learning interactions. Routledge.
12. Flood, A. B. (1994). The impact of organizational and managerial factors on the quality of care in health care organizations. Medical Care Research and Review, 51(4), 381-428.
13. Gagné, R. M. (1980). Learnable aspects of problem solving. Educational Psychologist, 15(2), 84-92.
14. Hakkarainen, P., Saarelainen, T., ve Ruokamo, H. (2007). Towards Meaningful Learning through Digital Video Supported, Case Based Teaching. Australasian Journal of Educational Technology, 23(1), 87-109.
15. Hansen, J. T., ve Krackov, S. K. (1994). The use of small group case‐based exercises in human gross anatomy: A method for introducing active learning in a traditional course format. Clinical Anatomy, 7(6), 357-366.
16. Heppner, P.P. ve Peterson, C.H. 1982. The development and implications of a personal-problem solving inventory. Journal of Counseling Psychology, 29,66-75.
17. Hofmann, P. B. (1977). The CEO as innovator and catalyst in resources management. Hospital Progress, 58(10), 86-87.
18. Holton, E. F., ve Swanson, R. A. (1998). The adult learner. Houston, Texas: Gulf Publishing Company.
19. Hornby, A. S. (2000). Oxford advanced learner's dictionary of current English. S. Wehmeier (Ed.). Cornelsen ve Oxford.
20. Jonassen, D. H. (2000). Toward a design theory of problem solving. Educational Technology Research and Development, 48(4), 63-85.
21. Kolodner, J. L. (1992). An introduction to case-based reasoning. Artificial Intelligence Review, 6(1), 3-34.
22. Krockenberger, M. B., Bosward, K. L., ve Canfield, P. J. (2007). Integrated Case-Based Applied Pathology (ICAP): a diagnostic-approach model for the learning and teaching of veterinary pathology. Journal of Veterinary Medical Education, 34(4), 396-408.
23. Lischner, R. (2007). Collaborative Learning Lite. Erişim http://www.tempest-sw.com/collab.html
24. Mayo, J. A. (2002). Case-based instruction: A technique for increasing conceptual application in introductory psychology. Journal of Constructivist Psychology, 15(1), 65-74.
25. Miller, R. H., ve Luft, H. S. (1994). Managed care plan performance since 1980: a literature analysis. Jama, 271(19), 1512-1519.
26. Rybarczyk, B. J., Baines, A. T., McVey, M., Thompson, J. T., ve Wilkins, H. (2007). A case‐based approach increases student learning outcomes and comprehension of cellular respiration concepts. Biochemistry and Molecular Biology Education, 35(3), 181-186.
27. Şahin, N., Şahin, N. H., ve Heppner, P. P. (1993). Psychometric properties of the problem solving inventory in a group of Turksih university students, Cognitive Therapy and Research, 4(17), 379-396.
28. Schwartz, P. L., Egan, A. G., ve Heath, C. J. (1994). Students' perceptions of course outcomes and learning styles in case-based courses in a traditional medical school. Academic Medicine, 69(6), 507.
29. Srinivasan, M., Wilkes, M., Stevenson, F., Nguyen, T., ve Slavin, S. (2007). Comparing problem-based learning with case-based learning: effects of a major curricular shift at two institutions. Academic Medicine, 82(1), 74-82.
30. Stewart, S. R., ve Gonzalez, L. S. (2006). Instruction in professional issues using a cooperative learning, case study approach. Communication Disorders Quarterly, 27(3), 159-172.
31. Stjernquist, M., ve Crang-Svalenius, E. (2007). Problem based learning and the case method–medical students change preferences during clerkship. Medical Teacher, 29(8), 814-820.
32. Street, K. N., Eaton, N., Clarke, B., Ellis, M., Young, P. M., Hunt, L., ve Emond, A. (2007). Child disability case studies: an interprofessional learning opportunity for medical students and paediatric nursing students. Medical Education, 41(8), 771-780.
33. Struck, B. D., ve Teasdale, T. A. (2008). Development and evaluation, of a longitudinal Case-Based Learning (CBL) experience for a Geriatric Medicine rotation. Gerontology ve Geriatrics Education, 28(3), 105-114.
34. Sturdy, S. (2007). Scientific method for medical practitioners: the case method of teaching pathology in early twentieth-century Edinburgh. Bulletin of the History of Medicine, 81(4), 760-792.
35. Sutyak, J. P., Lebeau, R. B., Spotnitz, A. J., O'Donnell, A. M., ve Mehne, P. R. (1996). Role of case structure and prior experience in a case-based surgical clerkship. The American Journal of Surgery, 172(3), 286-290.
36. Thistlethwaite, J. E., Davies, D., Ekeocha, S., Kidd, J. M., MacDougall, C., Matthews, P., ... ve Clay, D. (2012). The effectiveness of case-based learning in health professional education. A BEME systematic review: BEME Guide No. 23. Medical Teacher, 34(6), e421-e444.
37. Thorley, L., Gregory, R. D., ve Gregory, R. (Eds.). (1994). Using group-based learning in higher education. Psychology Press.
38. Karataş, H.,Üniversite Öğrencilerinin Epistemolojik İnançları, Öğrenme Yaklaşımları ve Problem Çözme Becerilerinin Akademik Motivasyonu Yordama Gücü,İstanbul,2011,Yıldız Teknik Üniversitesi Sosyal Bilimler Enstitüsü
39. Flood, A.B., Zinn, J., Shortell, S. & Scott, W.R. (2000). Organizational performance: Managing for efficiency and effectiveness. Health Care Management: Organization Design and Behavior, 4th ed. Albany, NY: Delmar Thomson Learning.