How Presence Affects College Students’Online Learning Outcomes:Unveiling Its Underlying Mechanism

Over the past few years,China’s higher education institutions have experienced remarkable growth in online teaching.However,it remains uncertain whether and how the sense of presence perceived by students affects their online learning outcomes when teachers use online teaching media for communication.This sense specifically pertains to the extent to which students perceive themselves as“real persons”and establish connections with others.Therefore,this study constructs a conceptual model elucidating the impact of presence on students’online learning outcomes and empirically examines the mechanism through which three types of presence influence students’online learning.The test results of the structural equation modeling(SEM)indicate that:(a)teaching presence,social presence,and cognitive presence all exhibit significantly positive outcomes on students’online learning outcomes;(b)these three types of presence can also indirectly and positively influence students’online learning outcomes through the mediating effect of flow experience and learning satisfaction;and(c)flow experience and learning satisfaction play a sequential mediating role in the process by which presence impacts students’online learning outcomes.We hope that the relevant research findings may contribute to unveiling the“black box”of the impact of presence on students’online learning outcomes and offer valuable insights for college educators to overcome online teaching constraints and enhance online teaching quality.

The Relationship Between Teaching Space Design and Learning Outcomes

This article focuses on the connection between classroom design and learning outcomes. It discusses how different spatial arrangements, sounds, lights, and furniture affect engagement, motivation, and attention. Good classroom design supports various classroom activities, encouraging group work and individual tasks. The flexible layouts encourage Interaction and engagement while sound management minimizes interruptions that support focus. On top of that, the use of general and task-oriented lighting enhances mood and alertness, thereby increasing grades. Also, comfortable furniture helps in achieving attention, hence improving learning. Thus, this holistic perspective indicates that purposeful space designs are important in enhancing students’ academic performance and well-being.

Enhancing Learning Outcomes in Vocational Nursing Education Through Low-cost Digital Resources

With the deepening of educational reform,clinical nursing faces increasingly higher requirements in response to societal developments.Vocational nursing students primarily study humanities and social sciences,medical foundations,preventive health care theories,nursing basics,and clinical nursing skills.These subjects are broad and abstract,necessitating the integration of theory with practice to enhance understanding and mastery.In the digital era,numerous resources,such as smartphones,the Superstar Learning Platform,WeChat communication tools,and artificial intelligence,can be utilized in teaching.This study aims to employ low-cost online resources to implement blended teaching methods in nursing education at higher vocational colleges,enriching the classroom experience,stimulating student enthusiasm,improving learning outcomes,and meeting clinical needs.

Prediction of Outcomes in Mini-Basketball Training Program for Preschool Children with Autism Using Machine Learning Models

In recent years evidence has emerged suggesting that Mini-basketball training program(MBTP)can be an effec-tive intervention method to improve social communication(SC)impairments and restricted and repetitive beha-viors(RRBs)in preschool children suffering from autism spectrum disorder(ASD).However,there is a considerable degree if interindividual variability concerning these social outcomes and thus not all preschool chil-dren with ASD profit from a MBTP intervention to the same extent.In order to make more accurate predictions which preschool children with ASD can benefit from an MBTP intervention or which preschool children with ASD need additional interventions to achieve behavioral improvements,further research is required.This study aimed to investigate which individual factors of preschool children with ASD can predict MBTP intervention out-comes concerning SC impairments and RRBs.Then,test the performance of machine learning models in predict-ing intervention outcomes based on these factors.Participants were 26 preschool children with ASD who enrolled in a quasi-experiment and received MBTP intervention.Baseline demographic variables(e.g.,age,body,mass index[BMI]),indicators of physicalfitness(e.g.,handgrip strength,balance performance),performance in execu-tive function,severity of ASD symptoms,level of SC impairments,and severity of RRBs were obtained to predict treatment outcomes after MBTP intervention.Machine learning models were established based on support vector machine algorithm were implemented.For comparison,we also employed multiple linear regression models in statistics.Ourfindings suggest that in preschool children with ASD symptomatic severity(r=0.712,p<0.001)and baseline SC impairments(r=0.713,p<0.001)are predictors for intervention outcomes of SC impair-ments.Furthermore,BMI(r=-0.430,p=0.028),symptomatic severity(r=0.656,p<0.001),baseline SC impair-ments(r=0.504,p=0.009)and baseline RRBs(r=0.647,p<0.001)can predict intervention outcomes of RRBs.Statistical models predicted 59.6%of variance in post-treatment SC impairments(MSE=0.455,RMSE=0.675,R2=0.596)and 58.9%of variance in post-treatment RRBs(MSE=0.464,RMSE=0.681,R2=0.589).Machine learning models predicted 83%of variance in post-treatment SC impairments(MSE=0.188,RMSE=0.434,R2=0.83)and 85.9%of variance in post-treatment RRBs(MSE=0.051,RMSE=0.226,R2=0.859),which were better than statistical models.Ourfindings suggest that baseline characteristics such as symptomatic severity of 144 IJMHP,2022,vol.24,no.2 ASD symptoms and SC impairments are important predictors determining MBTP intervention-induced improvements concerning SC impairments and RBBs.Furthermore,the current study revealed that machine learning models can successfully be applied to predict the MBTP intervention-related outcomes in preschool chil-dren with ASD,and performed better than statistical models.Ourfindings can help to inform which preschool children with ASD are most likely to benefit from an MBTP intervention,and they might provide a reference for the development of personalized intervention programs for preschool children with ASD.

Does robot-assisted laparoscopic radical prostatectomy enable to obtain adequate oncological and functional outcomes during the learning curve?From the Korean experience

To estimate the short-term results of robot-assisted laparoscopic radical prostatectomy(RALRP)during the learning curve,in terms of surgical,oncological and functional outcomes,we conducted a prospective survey on RALRP.From July 2007,a single surgeon performed 63 robotic prostatectomies using the same operative technique.Perioperative data,including pathological and early functional results of the patient,were collected prospectively and analyzed.Along with the accumulation of the cases,the total operative time,setup time,console time and blood loss were significantly decreased.No major complication was present in any patient.Transfusion was needed in six patients;all of them were within the initial 15 cases.The positive surgical margin rate was 9.8%(5/51)in pT2 disease.The most frequent location of positive margin in this stage was the lateral aspect(60%),but in pT3 disease multiple margins were the most frequent(41.7%).Overall,53(84.1%)patients had totally continent status and the median time to continence was 6.56 weeks.Among 17 patients who maintained preoperative sexual activity(Sexual Health Inventory for Men≥17),stage below pT2,followed up for>6 months with minimally one side of neurovascular bundle preservation procedure,12(70.6%)were capable of intercourse postoperatively,and the mean time for sexual intercourse after operation was 5.7 months.In this series,robotic prostatectomy was a feasible and reproducible technique,with a short learning curve and low perioperative complication rate.Even during the initial phase of the learning curve,satisfactory results were obtained with regard to functional and oncological outcome.

The Current State of Transradial Access:A Perspective on Transradial Outcomes,Learning Curves,and Same-Day Discharge

The adoption of transradial access in the United States and internationally has been growing over the past few years.In the population of patients presenting with acute coronary syndromes,particularly ST-elevation myocardial infarction,transradial access has the benefit of fewer vascular and bleeding complications and lower mortality rates over transfemoral access.We will examine the current evidence supporting transradial access for several patient populations,including those patients presenting with acute coronary syndromes.We will review the literature regarding the learning curve for transradial access with new operators,as well as experienced transfemoral operators new to transradial access.Finally,we will investigate the role of transradial access in same-day discharge for stable patients undergoing percutaneous coronary intervention.

Using preceptors to improve nursing students' clinical learning outcomes: A Malawian students' perspective

Objective: Clinical environment remains an important aspect in the development of student's compe-tence, confidence and fulfillment of their expected learning outcomes. Preceptors and clinical teachers play a significant role in preparing students to achieve their professional goals through continuous support and resource provision. This study explored the students' perception of using clinical preceptors to improve their clinical learning outcomes.Methods: The researchers used semi structured interviews to collect qualitative data. A total of 48 stu-dents were purposively and conveniently sampled from 8 hospitals to participate in the study. Content analysis was used to analyse the data. Findings: Two themes emerged from the study findings namely: creating a positive clinical learning environment and facilitating academic clinical collaboration. Conclusions: The findings of the study revealed that students gained more confidence and competence in clinical practice when supported by preceptors as well as achieved clinical learning outcomes. These findings suggest the need to train more clinical preceptors for improvement of students' clinical learning outcomes.

Learning outcomes of nursing curriculum in Turkey:a cross-sectional study

Objective:To assess the nursing curriculum and point out learning outcomes in Turkey.Methods:A cross-sectional design was used in this study.This study was conducted between May and June 2017 from 23 undergraduate nursing schools'education programs for one education and academic year's curriculum.The public information of the universities collected from their web sites and learning outcomes of the schools were classified as cognitive,psychomotor,and affective domains.Results:It appears that half of the basic nursing courses are in the psychomotor domain,and the majority of basic medical sciences courses are in the cognitive domain.Learning outcomes about the affective domain mostly take place in basic nursing courses.Conclusions:The findings of the results of this study can provide insight into current nursing education and guide new curricula to be developed.

Mediating effect of e-learning quality on learning outcomes through student satisfaction in nursing education

Objective:This study aimed to determine the relationships between e-learning quality,student satisfaction,and learning outcomes and the mediating effect of student satisfaction.Methods:A cross-sectional quantitative correlational study using a predictive design and multivariate analysis method was employed in this study.A sample of 241 nursing students were recruited through an online survey based on a stratified random sampling technique.The variance-based Par tial Least Squares Structural Modeling analysis method was used to test the possible relationship and mediating effect among the variables.Results:The findings revealed statistical y significant relationships between e-learning quality,student satisfaction,and learning outcomes.A mediating effect of 37.2%is predicted for e-learning quality on learning outcomes through student satisfaction.Conclusions:This study emphasizes the learning needs of working nurses and the impact on their learning outcomes in e-learning nursing undergraduate programs.Advances in e-learning education have assisted nurses to be more self-sufficient in their pursuit of lifelong learning.

On appropriately assessing students＇ learning outcomes

Some students make negative comments on their learning outcomes after two years＇ college English learning. The article is to investigate factors influencing students＇ evaluation of their learning, including students＇ self-efficacy, learning strategies and different categories of achievement goals.

Achieve Intended Learning Outcomes and Improving Digital Literacy Skills for Practical-Based Subjects Using Online Teaching via Propagation of OER Materials

As professors are subjected to teaching their classes online due to the recent COVID-19, our local Hong Kong students find it difficult to consult their teachers, and ultimately would fail to achieve the intended learning outcomes, especially for practical-based subjects. In this research, students having online classes of a practical-based fabric design subject were encouraged to self-study from Open Educational Resource (OER) materials for a further and better understanding of their subject. Additionally, online materials were developed to improve students’ understanding via skill of digital literacy. Their learning progress was evaluated and compared to the face-to-face version. The majority of students found online classes combined with self-studying OER materials, potentially be a substitute for face-to-face classes. Most of the students further opined different OER videos assisted them without any face-to-face instructions in practical works, to develop new fabric samples from the inspiration. Analysis of test results, and comparison of students’ final grades with different learning modes, supported these phenomena.

Research on Curriculum Attainment Evaluation System Based on Learning Outcomes in Universities

With the continuous development and improvement of educational concepts,the effectiveness of learning outcomes and the achievement of curriculum has become an important way to change the present situation of teaching.This paper explores the construction of the curriculum achievability evaluation system based on learning outcomes from three aspects,namely,phased learning outcomes,graduation requirements,graduation design requirements and employability requirements,which are closely related to learning outcomes,in order to contribute to the promotion of education reform and the improvement of teaching effectiveness.

An Empirical Study of the Influence of Online Learning Behaviors on Learning Outcomes in Blended Teaching Mode—Taking College English Listening as an Example

Blended teaching, which integrates the advantages of online and offline teaching, has become the main direction of higher education teaching reform. In the era of education big data, research on the online learners’ behavior based on data mining has attracted more and more attention from higher education researchers. However, in the field of foreign language teaching, research on the relationship between online learning behaviors and learning outcomes in the blended teaching mode is still at an early stage. Taking the course College English Listening in Zhejiang Yuexiu University (ZYU) as an example, this study conducted a comprehensive data analysis of online learning behaviors of 152 students of ZYU to explore the influence of online learning behaviors on learning outcomes in the blended teaching mode by utilizing Microsoft Excel and SPSS.20 statistic software. The result shows that the number of course login, the quantity and the quality of forum replies, the number of note submission, the quality of the notes, the average score of vocabulary tests, the number of the times of taking listening tests and the average score of listening tests are all significantly and positively correlated with students’ learning outcomes, while the study does not find a correlation between students’ learning outcomes and the number of the times of taking vocabulary tests, the total length of online learning and the length of video viewing. Based on the study results, implications are put forward to give reference for the teaching design and the management of the foreign language blended courses.

A Meta-analysis of the Effect of the Sandwich Teaching Model on the Learning Outcomes of Nursing Students

Objective:To evaluate the effect of the sandwich teaching model on the learning effect of nursing students.Methods:The Chinese and English databases of CNKI,WanFang,Vip,superstar,and PubMed were searched by computer,and the data were analyzed by Rev Man 5.3 software after literature quality evaluation.Results:Meta-analysis showed that the theoretical and operational performance of the nursing students in the sandwich teaching method was better than that of the traditional teaching group.Conclusion:The sandwich approach was superior to the traditional teaching method in the learning outcomes of nursing students.

Do Learners' Preferred Learning Styles Affect Learning Outcomes and Satisfaction in PLE: A Pilot Study of the Supervised-PLE-IELTS Platform

Personal Learning Environment(PLE)enables a knowledge-based,learner-centered lifelong learning which could be successfully integrated with formal education when taking educators’supervision into consideration.But do learners’preferred Learning Styles matter in PLE?To investigate the relationship among learners’Learning Styles,learning outcomes and satisfaction towards the PLE platform,the study constructed and applied a supervised-PLE-IELTS platform.57 sophomores majored in Business in Wenzhou University took part in a 16-week project.Data were collected by Honey and Mumford’s Learning Styles questionnaire for the Learning Styles,post-test of IELTS reading,listening and vocabulary for the cognitive learning outcomes,and Distance Education Learning Environments Survey(DELES)for the satisfaction towards the PLE platform.The results showed:(1)Learning Styles have positive relationship with the cognitive learning achievements in PLE;(2)Learning Styles had no direct effect on satisfaction,and learners of all Learning Styles enjoyed PLE-IELTS platform;and(3)learners who spent more time on PLE platform achieved better cognitive learning outcomes.The paper shed light on the future construction of supervised-PLEs.

Can serious postoperative complications in patients with Crohn’s disease be predicted using machine learning?

The routine introduction of novel anti-inflammatory therapies into the mana-gement algorithms of patients with Crohn’s disease over the last 2 decades has not substantially changed the likelihood of ultimate surgery.Rather it has delayed the operative need and altered the presentation phenotype.The prospect of complic-ations continues to remain high in this modern era but depending upon the cohort assessed,it remains difficult to make strict comparisons between individual spe-cialist centres.Those patients who present rather late after their diagnosis with a septic complication like an intra-abdominal abscess and a penetrating/fistulizing pattern of disease are more likely to have a complicated course particularly if they have clinical features such as difficult percutaneous access to the collection or multilocularity both of which can make preoperative drainage unsuccessful.Eq-ually,those cases with extensive adhesions where an initial laparoscopic approach needs open conversion and where there is an extended operative time,unsur-prisingly will suffer more significant complications that impact their length of hospital stay.The need for a protective stoma also introduces its own derivative costs,utilizing a range of health resources as well as resulting in important alte-rations in quality of life outcomes.Having established the parameters of the pro-blem can the statistical analysis of the available data identify high-risk cases,promote the notion of centralization of specialist services or improve the allo-cation of disease-specific health expenditure?

Nursing Students’ Readiness for Self-Directed Learning and Its Effect on Learning Outcome in South-West Nigeria

Self-directed learning (SDL) uses diverse learning resources to solve identified problems in learning. Nursing is a lifelong learning profession and SDL is a valuable skill to remain relevant and productive professionals. Nursing students are expected to embrace SDL and develop these skills. However, there has been no evidence of this innovative process in South-West Nigeria. This study seeks to evaluate nursing students’ readiness for SDL and its effect on learning outcome. This quasi-experimental study purposively utilized 229 nursing students as participants. Baseline (P1) data was collected using Gugliemino’s SDL readiness scale (SDLRS) and a validated-structured questionnaire. Participants had a pre-test to assess knowledge at P1 followed by 6 weeks interaction using SDL on selected topics in Medical-surgical nursing and the same test at post-intervention (P2). Using a 50-point scale, knowledge was categorized as good ≥ 25 and poor < 25 and SDLRS on a 290-point scale was categorized as below average 5 - 201, average 202 - 226 and above average 227 - 290. Descriptive statistics, Chi-square test, t-test and linear regression analysis were used for analysis at p = 0.05. Nursing students’ SDLRS was average;mean = 203 ± 23.0. A significant difference exists between nursing students with good knowledge at P1 and P2. At P1, 39.2% had good knowledge, mean = 22.2 ± 6.3, and 90.1% at P2, mean = 30.6 ± 5.4, p < 0.05 also a significant relationship exist between SDLR and learning outcome at P2;p < 0.05. With the nursing students’ average SDL readiness level having a significant effect on learning outcome. Nursing training institutions should provide necessary resources to embrace SDL as a main-line teaching method to ensure competent life-long professionals.

Using the Technology Acceptance Model to Analyze the Learning Outcome of Open Education Resources

Along with the development of information and communications technology,open educational resources were widely applied in training usage.The use of these resources facilitates the access to knowledge by enabling learners to transcend time and space.In this way,learners are able to obtain new knowledge more actively and efficiently than before.Using Technology Acceptance Model(TAM)as the theoretical foundation,this study aims to explore the learning outcome of using open educational resources with the perceived convenience as the external variable.In this study,the open educational resources were defined as online courses on the Open Course Ware(OCW)and Massive Open Online Courses(MOOCs),on which the learners choose courses themselves and study without the impact from people,matters,time,space,and things with the help of the Internet.To achieve the objectives of the study,the researchers conducted a survey with the participants who had already used the open educational resources.In total,124 valid samples were collected.The Partial Least Squares(PLS)statistical method was used to carry out the analysis.Overall,the model of this study has good prediction and explanatory power.After the data analysis,the study found that the perceived convenience exerts a positive impact on the use of the open educational resources.In addition,among the four TAM variables,the perceived usefulness does not exert a significant impact on the behavioral intention to use,but the other three TAM variables all have a significant impact on the behavioral intention.

Benefit to Chinese High School Students' Academic Learning Outcome and Evaluation by Comparing Two Different Assessment Systems

More and more researchers are becoming involved through a variety of actions and programs, which divides assessment into different branches(such as formative, summative, normative assessment, etc). In the present paper, I will try to emphasis that collaborative assessment is positive to high school students' learning outcome, and cooperative and competitive assessment should be mixture implemented in Chinese education process rather than only using competitive assessment to evaluate students' achievement. I hope that Chinese students and teachers could teach or test in the less pressure by reforming the educational evaluation system.