History: Contextualizing Reading Instruction (CMS 185) with Nursing

The Reading/Academic Success Division has been preparing to move toward learning communities for allied health/nursing students for the past four years. In order to ground ourselves in understanding learning communities and the complexities of thinking skills necessary to understand and apply text information that allied health/nursing students would encounter, we first piloted through “Grow Your Own” with Jewish Hospital paired reading and an academic success course for pending nursing students and used the “Fundamentals of Nursing” text. All the students are still in the nursing program. We have since piloted for two semesters paired reading and academic success in linked learning communities with allied health/nursing students using the Anatomy and Physiology text, and we have also paired reading and an academic success using the psychology  text being used at JCTC in the psychology courses. The most important lesson learned is that for allied health/nursing students, reading cannot be taught as isolated skills, but rather must be taught as (meta)cognitive skills with a focus on making thinking visible and on organizing information to be learned so that it can be reasoned with and applied to novel situations or to solve problems.

 

Contextualizing Reading Instruction (CMS 185) for Pending Developmental Allied Health/Nursing Students

Two courses that pending nursing students will take before entering the nursing are psychology, and anatomy and physiology. How to determine the contextualized approach to reading instruction? Keep in mind that the developmental reading instructor has an obligation to provide the reading skills the student will need to succeed in their entry-level content courses. If the student does not survive their first entry level courses in their Academic Program Plan, then they do not proceed to their desired academic program (allied health or nursing, for example). For most developmental students anatomy and physiology is semesters away because most have several courses of math they have to take before they can take anatomy and physiology. The content of anatomy and physiology is visually content laden with an enormous amount of information to make meaningful in a very short amount of time. At some point pending allied health/nursing students need to have instruction for dealing with this kind of material, yet anatomy and physiology is semesters away for most of these students and immediate success in entry-level courses is also necessary. Psychology becomes a good possibility for a contextualized course because the pending developmental reading student can take it immediately after exiting developmental reading or concurrently with their reading course. Psychology has intense visual content in its brain sections with anatomy and physiology similarities, as well as content more reflective of most entry level course text material.

 

According to Dan Hull's (1993) definition of contextual learning, learning occurs only when learners connect information to their own frame of reference:

"According to contextual learning theory, learning occurs only when students (learners) process new information or knowledge in such a way that it makes sense to them in their frame of reference (their own inner world of memory, experience, and response). This approach to learning and teaching assumes that the mind naturally seeks meaning in context--that is, in the environment where the person is located--and that it does so through searching for relationships that make sense and appear useful." (p. 41)

If we build on Hull’s definition and frame leaning around elaboration theory and Rita Smilkstein’s brain-based “natural learning theory”* we begin to see that contextual learning activities can be developed which take advantage of the learner’s prior knowledge. New information becomes meaningful only as it is interconnected with ("elaborated" with or "instantiated" into) meaningful patterns that the reader already knows. However, the reader can not stop at construction meaning, because much that the allied health/nursing student will encounter later requires the application of the information to new situations or will be used to solve problems. This requires the developmental reading instructor to not only help the pending student construct meaning, but to also learn it so that it can then be recalled, reasoned with, extended by inference, and used to filter new perceptions - apply and solve problems.

 

Contextualization will therefore focus on the following thinking outcomes:

And the following Cognitive and Elaborations skills (tying new information to old information)”

·        Activating prior knowledge

·        Predicting

·        Identifying what is important

·        Organizing information

·        Elaborating information (tying new information to prior knowledge)

Higher Level-Thinking

·        Expressing new information

·        Applying information in novel situations (transfer)

·        Solving problems with information learned

With the psychology course (both reading and psychology will be make up the part of the SuccessNow Learning Community)

 

* Five Rules of How the Brain Learns

1. Dendrites, synapse, and neural networks grow only from what is already there.

2. Dendrites, synapse, and neural networks grow for what is actively, personally, and specifically experienced and practiced.

3. Dendrites, synapse, and neural networks grow from stimulating experiences.

4. Use it or lose it.

5. Emotions affect learning.

 

* Six Principles of Learning and Their Implications for Teaching

from We’re Born to Learn, Rita Smilkstein

In this convergence of the research, we observe the following principles and implications for how human beings learn:

1. Principle: Learning is physiological. New structures grow in the learner’s brain during learning, and learning is the growing of new brain structures (dendrites and synapses). In other words, learning and growing new brain structures are the same thing.

Implication: Teaching is like gardening: the purpose is helping students grow their own new brain structures.

 

2. Principle: Brain structures grow specifically for what is practiced. Brain structures that grow for on object of learning are only for that one object.

Implication: Students need practice with the target object of learning so they can grow brain structures for (learn) it.

 

3. Principle: New brain structures grow with practice and processing over time. Usually new brain structures take time to grow.

Implications: Students need sufficient time for practicing (time on task) and processing to grow their brain structures. The time spent on this authentic work (on growing knowledge structures for the target object of learning) is some of the most well-spent class time.

 

4. Principle: For each new object of learning, it is necessary, as a first step, to help each student make a personal connection with it. This makes it possible for every student to “catch on” and have a foundation from which to grow higher structures (more knowledge and skill) and start constructing the new networks.

Implication: It is critical to give every student the opportunity and time to make a personal connection with a new and unfamiliar concept, skill, or body of information.

(Meta)cognitive Skills

·        Activating prior knowledge

·        Predicting

·        Identifying what is important

·        Organizing information

·        Elaborating information (tying new information to prior knowledge)

·         

5. Principle: Students need to have a foundation of personal, basic familiarity with a new object of learning before they can do critical or creative thinking about the object of learning. Learners cannot do higher-level thinking abut an object of learning unless and until they first have a foundation of familiarity about it..

Implication: Curricula should give opportunities to student to construct a foundation of new knowledge (new neural structures) through the first stages of eth brain’s natural learning process before assigning activities at the higher, critical or creative thinking stages.

Critical and Higher-Order Thinking Skills using new information learned using (meta)cognitive skills above

·        Expressing new information

·        Applying information in novel situations (transfer)

·        Solving problems with information learned

·         

6. Principle: DNA can affect how quickly brain structures grow for different objects of learning, accounting for aptitudes.