Unit 3

Optimizing learning by mobilizing your trainee’s inner forces

Orientation to Unit 3

In this Unit, you will be invited to explore additional factors that influence your trainee’s learning. His emotions, stress level, motivation, sense of self-efficacy and his prior knowledge all deserve further scrutiny.

Specific objectives

  • Explain the effect of emotions and stress on your trainee’s learning
  • Propose strategies that promote your trainee’s ability to manage emotions and stress
  • Select strategies that foster your trainee’s self-determination, intrinsic motivation and perceived self-efficacy
  • Suggest methods for activating your trainee’s prior knowledge

Do emotions influence his learnings?

Emotions play a crucial role in academic success .

They will influence several cognitive abilities, such as attention, abilities to problem-solve and store information .

Have you noticed that your trainees’ learning is variable?

On a particular day, your trainee may be inspired, enthusiastic and engaged, while the next day he will be going through moments of frustration and disengagement .

How do such emotions influence your trainee’s learning?

 Instructions:

  1. Click on each image below to see more information.
  2. Click on the “Close” button to close the window.

What is stress?

"Stress is the non-specific response of the body to any demand for change"

(Selye, 1973, p. 692).

This demand may be real or perceived . Stress can be good or bad. Good stress is controllable and may help stimulate the trainee. Bad stress can lead to the trainee feeling uncomfortable and losing control, thus affecting his health and happiness .


Let’s remember that a placement is often the most stressful period of a student’s academic journey.

(Chernomas & Shapiro, 2013).

Can you identify three sources of stress for the trainee?

Feedback

During this period, the trainee experiences several changes. He may be exposed to numerous demands, such as :

  • A workload that may be heavier than that of the previous placement
  • Use of complex protocols
  • Lack of sleep
  • Lack of personal time
  • Loneliness
  • Conflicts
  • Caring for very sick patients whose health is rapidly deteriorating

How does stress impact learning?

In very stressful situations (where demands are significant or in an evaluation context), the cognitive charge becomes too substantial and the trainee’s attention is affected . Some authors claim that selective attention is enhanced in stressful situations, while others come to opposing conclusions . This divergence can be explained when the source of stress is further examined.

The two following situations portray the stress experienced by two trainees participating in the same intervention.

 Instructions: Click on Patrick and Catherine to see more information.

Patrick

Patrick is experiencing stress related to accomplishing a task that he finds complicated (such as doing a social intervention in a crisis situation or reanimating a patient).

Impact on attention and memorization

Patrick’s attention focuses on the source of stress, the action he needs to accomplish. Thus, he will store information surrounding the intervention in his long-term memory (LTM) .

Catherine

During the same intervention, Catherine experiences stress related to the fear of being judged by the supervisor (doing a social intervention in a crisis situation or reanimating a patient).

Impact on attention and memorization

Catherine’s attention is focused on the supervisor’s reaction, rather than on the patient. Her attention is directed toward the source of stress, which is the evaluation context. She will store information about her experience with supervision in her LTM . For example, she may remember the feedback she received, the supervisor’s attitude and reaction, as well as the sense of being judged in front of other people.

Activity: How to help Myriam manage her stress?

 Instructions:

  1. Read the simulated situation.
  2. Propose a solution in the box designed for this purpose.
Myriam

Myriam is experiencing a lot of stress this week, because you have agreed that some of the interventions that will take place next week will be formally evaluated.

What can you do to help Myriam?

Feedback
  1. Talk with Myriam about repercussions that emotions may have on her learning .
  2. Encourage Myriam to take the time to recognize her emotions in the here and now .
  3. Propose that Myriam use relaxation techniques relieve her stress.
  4. Point out to Myriam that an evaluation is the opportunity to move toward achieving her goal rather than proving her abilities.
  5. Establish a trusting climate where Myriam feels safe to learn.
  6. Refer Myriam to external resources that will help her manage her emotions
    .

Why focus on the trainee’s motivation?

Why focus on the trainee’s motivation?

At work, we all have to take on tasks that we don’t really want to do. Our instinct is often to delay, even though we know that we have the skills to do it.

Although an individual may have the skills required to accomplish a task, it is his desire to act (his motivation) that will lead him to act . In fact, motivation is the driving force behind learning and is associated with academic success . Indeed, motivation fosters the trainee’s involvement in placement-related tasks and enables him to fully invest himself in achieving his objectives .

What is motivation?

"Motivation is the hypothetical construct used to describe the internal and/or external forces that generate the activation, direction, intensity and persistence of the behaviour"

(Vallerand et al., 1993, as quoted by Poteaux & Pelaccia, 2016, p. 182).

Therefore, motivation does not only refer to reasons for a trainee to act, but also to the persistence of this behaviour .

This definition uses the notions or external and internal forces, which refer to intrinsic and extrinsic motivation. Are you familiar with these concepts?

Activity: What is intrinsic and extrinsic motivation?

 Instructions: Click on the symbols to know more about intrinsic and extrinsic motivation

What is the impact of self-determination on learning?

It may be difficult to draw a distinction between a trainee’s intrinsic and extrinsic motivation. Deci & Ryan’s theory of self-determination clarifies the particularities and nuances that distinguish the types of motivation and regulation .You are invited to consult the following animated scheme to find more information about this model.

Download the printable version of What is the impact of self-determination on learning?

 Instructions: Click on the colored box to see a description of each element.

In your role as supervisor, you can support your trainee in the development of his self-determination and progress toward intrinsic motivation and regulation by:

  • Helping him satisfy his needs for competence, autonomy and belongingness
  • Inciting him to make connections and develop his personal and professional values

As the trainee’s behaviours are increasingly self-determined, his motivation will be internalized and his learning will be more effective and long-lasting.

Activity: Identifying the trainee’s type of motivation

Download the printable version of this activity

 Instructions:

1.  Watch the following video by clicking on the play button. A new window will open.

2.  To close it, click outside of the video.

3.  Click on icon to turn on the “Subtitles/closed captions (c)” and select your language in the “Settings” icon.

4.  Determine the trainee‘s type of motivation and internalization.

5.  Click on if you want to review the structure.

Video of Marissa’s situation

play

What is the type of motivation and internalization of Marissa?

Video of Raphael’s situation

play

What is the type of motivation and internalization of Raphaël?

Video of Marie-Ève’s situation

play

What is the type of motivation and internalization of Marie-Ève?

Video of Laurence’s situation

play

What is the type of motivation and internalization of Laurence?

You may have noticed a similarity between Raphael (extrinsic motivation and identified regulation) and Laurence (intrinsic motivation and intrinsic regulation). These two trainee’s motivation is more autonomous and self-determined. Their learning will be more long-lasting. In general, a trainee who has high intrinsic motivation will learn more effectively .

Marissa and Marie-Ève are similar in terms of motivation: it is non-autonomous and non-self-determined. Their motivation is controlled by their supervisor.

In order to increase a trainee’s motivation, his internalization and self-determination must be enhanced.

How to increase trainees’ self-determination?

To answer this question, think about a trainee that you (or a colleague) supervised, who lacked motivation. What did you (or what would you have done if you were in your colleague’s position) to motivate him? Write your answer below:

What would you do differently after reading about self-determination? What new strategies would you put in place?

Do your strategies:

  • Stimulate the trainee’s cognition, beliefs and values
  • Satisfy your trainee’s need for autonomy, belonging and competency?

If you answered positively, you are mobilizing your trainee’s inner forces, and you are stimulating an autonomous motivation and self-determination .

You can stimulate your trainees’ self-determination in many ways , for instance by:

 Instructions: Cick on each element for more detail.

Establishing a trusting relationship

You can:

  • Listen to your trainee and support him
  • Embrace mistakes because they are part of the learning process
  • Provide positive feedback: congratulate him when he performs well in an intervention, support the trainee in his self-evaluation, and talk about challenges or avenues for improvement rather than weaknesses or mistakes
  • Recognize efforts as well as performance
Confiance
Exploring his beliefs and values in order to have a better grasp of what drives him to act

You can:

  • Provide your trainee with a list of values or beliefs, and ask him to select and explain the five aspects that he considers priorities. Click here for an example
  • Discuss his expectations of learnings he needs to acquire during his placement
  • Help the trainee make connections between his objectives and his values
Valeurs
Considering your trainee’s beliefs, values and interests in choosing your support strategies

You can:

  • Let your trainee choose his learning activities. His choice should be consistent with his values and expectations
  • Offer an opportunity for your trainee to observe a specific intervention related to the clientele he wants to work with in the future
  • Establish links between his values and the institution’s procedures
Stratégie
Developing his attitudes or his inner disposition to learn

You can:

  • Incite and encourage your trainee to jump into action in order to develop his competencies and autonomy
  • Specify the benefits of modifying his behaviour, for example by indicating to your trainee that it will be easier to complete the patient’s file if he writes his notes on the same day
Apprentissage
Acting on his emotions

You can relieve your trainee’s anxiety in order for him to adapt more easily to his environment

Emotions

Activity: What are the benefits of stimulating your trainee’s self-determination?

 Instructions: Select all of the statements that identify the benefits of stimulating your trainee’s self-determination.

Feedback

By stimulating self-determination, you will also allow your trainee to:

  • Demonstrate more creativity
  • Reduce the risk of his being affected by the professional burn-out syndrome
  • Adopt a healthier lifestyle
  • Enhance his mental health

In addition to self-determination, other dimensions influence motivation and learning, such as motivational beliefs.

What is meant by motivational beliefs?

Motivational beliefs, also called "metamotivations", refer to an individual’s introspection ability in terms of his abilities and motivational functioning in different disciplines. If these motivational beliefs are positive, they often support learning. Conversely, if they are negative, they hinder learning. Thus, because of his positive emotions and motivation, the trainee makes sense of his knowledge and develops an internal context that is conducive to the development of his competencies .

There are several types of motivational beliefs :

  • Bandura’s perceived self-efficacy
  • Expectations of successes or failures
  • Focusing on the objective
  • Value judgements
  • Weiner’s attribution

What is perceived self-efficacy (PSE)?

Developed by Bandura, the concept of perceived self-efficacy (PSE) refers to an individual’s belief in his ability to complete tasks, rather than in his aptitude to complete them. These beliefs will guide the individual in his choice of activities and environment. They also play a crucial role in a person’s commitment and performance .

PSE is a predictive factor in terms of the trainee’s ability to practice an intervention and develop his professional competencies .

As a supervisor, can you think of elements that may help you increase your trainee’s ability to successfully accomplish placement-related tasks?

Compare your answer with Bandura’s theory and identify commonalities.

Perceived self-efficacy will be influenced by four sources .

 Instructions:

  1. Click on each number.
  2. Answer the questions.
  3. Click on "Feedback" to know more.

1.  Mastery, active or prior experience (previous performance, success and failure)

Mastery experience is one of the most important and influential sources in terms of personal belief in self-efficacy. A trainee who performs a task successfully will build his belief in his self-efficacy. The opposite is also true. When a trainee faces a task-related failure, it feeds his belief in his incompetence .

What can you do to develop your trainee’s perceived self-efficacy?

Feedback

You can:

  • Acknowledge his successes and congratulate him
  • Repeat successful activities
  • Encourage him to set aside negative experiences that may weaken his sense of self-efficacy
  • Give him tasks that are related to his competencies

2.  Vicarious experiences or indirect experiences (modelling, age, social comparison)

This type of learning is based on observing a person who has a competency level that is considered similar, as well as modelling of an attitude or behaviour .

A trainee who has similar characteristics (e.g., age or gender) is more likely to be a source of information that improves the trainee’s PSE .

What can you do to develop your trainee’s perceived self-efficacy?

Feedback

You can:

  • Encourage him to observe a colleague who successfully carries out a difficult task
  • Encourage him to be well surrounded in his placement setting
  • Invite him to initiate discussions with his colleagues about his experiences and respective successes

3.  Verbal persuasion (feedback and encouragement)

This type of learning comes from suggestions, advice and comments provided by other people. They help strengthen the trainee’s belief in his abilities and capacity to successfully carry out a task .

Beliefs generated through verbal persuasion have less impact when they are the sole source of self-belief, as the individual is not carrying out the task.

Outcomes are influenced by the trainee’s perception of the resource person . This person must be considered credible .

What can you do to develop your trainee’s perceived self-efficacy?

Feedback

You can:

  • Give your trainee positive feedback
  • Provide him with several opportunities to practice in collaboration with peers and experienced professionals who act as models and provide feedback

4.  Emotional and physiological states

When a trainee fails to successfully carry out a task, his emotional and physiological states can lead him to question his skills in adopting the adequate behaviour or accomplishing the requested task. This phenomenon can lead to failure. Signs of stress or fatigue can also be linked to poor performance .

Conversely, if a trainee is not troubled by his emotional and physiological states, he will be more likely to believe in his success .

A positive or negative mood will also influence the PSE, either positively or negatively .

What can you do to develop your trainee’s perceived self-efficacy?

Feedback

You can: :

  • Encourage your trainee to become aware of his emotions
  • Discuss strategies for managing stress and emotions referred to earlier:

Deep breathing: consists in taking deep breaths (slowly, through the nose, letting the belly fill with air) followed by deep exhalations .

Meditation: consists in paying attention and concentrating on one thing to reach a state of calm and serenity (word, mantra, object) .

Visualization: consists in imagining a positive and pleasing action .

 Reminder:

Don’t forget to click on all 4 numbers!

The opportunity to successfully practice abilities in a clinical setting is the most important source of information in terms of perceived self-efficacy .

The trainee will use the four learning sources to develop his self-efficacy.

Mastery and vicarious experiences are sources that most influence the sense of self-efficacy .

How to activate your trainee’s prior knowledge to anchor new knowledge?

The trainee’s interpretation, understanding and building of new knowledge is based on what he already knows (prior knowledge) .His prior knowledge is the most influential factor on his learning .

How can you activate your trainee’s prior knowledge?

Feedback

Several strategies will allow you to activate your trainee’s prior knowledge. The following text provides an overview of a few strategies, while the animation demystifies the activation process of this knowledge.

Several support strategies or tools, explored earlier in this workshop, will help you activate your trainee’s knowledge, for instance:

  • Knowledge Inventory : a self-assessment tool on the knowledge level in various aspects related to the clinical setting. The inventory can even be sent to the trainee before the start of the placement. It allows you to determine your trainee’s profile
  • Learning Contract : a tool that outlines the key elements of the placement, such as placement objectives and supervisory process. A brief section is reserved for the trainee’s profile
  • Oral Questions: questions that may be asked in various ways, in the form of open questions, brainstorming ideas, explanations of the trainee’s reflection, etc
  • Concept Map: consists of the graphic representation of a concept or situation. As seen in Unit 1, it simplifies prioritizing elements and creating links between the important ones. The map can be drawn by hand or through software

To foster the transfer of new knowledge into different situations (thus promoting the activation of knowledge in the future), the supervisor can provide examples of concrete applications and explain to the trainee in what conditions and contexts this new knowledge may prove useful (clienteles, settings) .

Did your answer identify some of these strategies? Which tools do you deem most relevant in your supervisory context?

Reflection question

Based on what you just read, which strategies would you like to put in place in order to:
  • Foster your trainee’s positive emotions?
  • Develop your trainee’s self-determination and intrinsic motivation?
  • Stimulate your trainee’s sense of self-efficacy?
  • Activate his prior knowledge?

Which one of these strategies do you see as a priority? Why?

Conclusion

Your trainee’s emotions greatly impact his learning. By creating a trusting climate, where the trainee feels comfortable enough to express his opinions or make mistakes, you will optimize the development of his competencies and self-determination.

The more behaviour is self-determined, the more motivation is autonomous and internalized. When the trainee’s motivation is intrinsic, his learning is more effective and long-lasting. You can stimulate your trainee’s self-determination by exploring and integrating his beliefs and values into placement learning activities.

Some motivational beliefs, such as self-efficacy, will promote the trainee’s success. Several strategies will allow you to support the trainee in developing his perceived self-efficacy, by acting on four sources:

  1. Mastery, active or previous experience (previous performance, success, failure)*
  2. Vicarious experiences or indirect experiences (modelling, age, social comparison)*
  3. Verbal persuasion (feedback and encouragement)
  4. Emotional and physiological states
* most impactful sources on PSE

Finally, as a supervisor, you play a key role in activating your trainee’s prior knowledge and developing his ability to transfer his learnings in other contexts. The proposed strategies will help you in this matter.

Continue to Unit 4

Name: Caroline Borris
Professional discipline: Occupational therapist
Employer: Consortium national de formation en santé (CNFS) – Volet Université d’Ottawa et Université d’Ottawa
Mailing address: 200, Lees Avenue (room E100-B), Ottawa, Ontario, K1N 6N5
Email address caroline.borris@uOttawa.ca
Telephone number: 613-562-5800, ext. 8521 or 1-877-221-CNFS
Office hours: 8 a.m. to 3:30 p.m., Monday to Friday

Member

Professional information: My name is Caroline Borris, Coordinator of training projects at the CNFS – Volet Université d’Ottawa. I hold a master’s degree in education with a focus on training healthcare professionals and a Bachelor’s degree in occupational therapy. Here is a brief overview of my professional experience.

I worked for ten years in hospital centres, providing occupational therapy services to an adult and senior clientele with physical or cognitive disorders. Throughout these years, I supervised several trainees. In addition, I worked for four years as coordinator of interprofessional training in rehabilitation, and as teaching coordinator in the context of a national research project on mobilizing vulnerable seniors in Ontario.

Since 2004, I have been involved in teaching at college and university levels, in the master’s programs in occupational therapy and physiotherapy.

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