Qualitative Study on Cognitive Load in Epilepsy Specialist Nurse Training in Northeast China: A Phenomenological Study Among Ten Trained Nurses.

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Multidisciplinary Healthcare Pub Date : 2025-08-23 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S530409
Li Yin, Xinmin Liu, Lan Lin, Qinghua Jin, Shuang Dai
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引用次数: 0

Abstract

Background: Although cognitive load theory has been applied in general nursing education, its role in epilepsy specialist training remains unexplored, particularly in resource-constrained regions such as Northeast China, where medical disparities intensify learning barriers.

Objective: To investigate the cognitive load experienced by epilepsy specialist nurses (ESNs) during training in Northeast China.

Methods: The research participants were 10 nurses who underwent epilepsy training between December 2023 and February 2024, all from tertiary hospitals within the province. Data were collected through semi-structured interviews. Colaizzi's phenomenological method was used for data analysis.

Results: Epilepsy specialist training nurses face challenges related to intrinsic load, including inadequate disease knowledge and the complex nature of neuroanatomy and electrophysiology. Extrinsic load arises from the negative effects of instructional techniques and educational environments, such as the limitations of traditional teaching methods and the mixed effectiveness of scenario-based simulations. Germane load relates to professional beliefs that enhance learning effectiveness, such as the influence of exemplary mentors and professional identity, along with active reflection and the internalisation of knowledge, which can substantially improve the learning outcomes of ESNs.

Conclusion: Nurses engaged in epilepsy care in Northeast China experience a relatively high cognitive load during ESNs training, and their level of specialised theoretical knowledge requires improvement. Optimising the training model by reducing intrinsic and extrinsic loads while increasing germane load can effectively enhance the training's overall effectiveness. The findings of this study offer specific recommendations for improving the quality of ESNs training in real medical education settings.

东北地区癫痫专科护士培训认知负荷的定性研究:对10名培训护士的现象学研究。
背景:虽然认知负荷理论已应用于普通护理教育,但其在癫痫专科培训中的作用仍未被探索,特别是在资源有限的地区,如中国东北,医疗差异加剧了学习障碍。目的:了解东北地区癫痫专科护士(ESNs)培训期间的认知负荷情况。方法:研究对象为10名于2023年12月至2024年2月接受癫痫培训的护士,均来自省内三级医院。数据通过半结构化访谈收集。数据分析采用Colaizzi现象学方法。结果:癫痫专科培训护士面临着与内在负荷相关的挑战,包括疾病知识不足以及神经解剖学和电生理学的复杂性。外在负荷来自教学技术和教育环境的负面影响,如传统教学方法的局限性和基于场景的模拟的混合效果。密切相关负荷与专业信念有关,如模范导师的影响和职业认同,以及积极的反思和知识的内化,这些都可以大大提高ESNs的学习效果。结论:东北地区从事癫痫护理的护士在ESNs培训过程中认知负荷较高,专业理论知识水平有待提高。通过减少内部和外部负荷,增加相关负荷来优化训练模型,可以有效地提高训练的整体效果。本研究结果提供了具体的建议,以提高在实际的医学教育环境的培训质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Multidisciplinary Healthcare
Journal of Multidisciplinary Healthcare Nursing-General Nursing
CiteScore
4.60
自引率
3.00%
发文量
287
审稿时长
16 weeks
期刊介绍: The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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