Metacognition in nurse practitioner students: How nurse educators can best serve their students

The dynamic and changing healthcare environment requires educators to prepare nurse practitioner students with more than knowledge and skills. Healthcare providers need to be prepared with enhanced skills related to critical thinking and decision making. Metacognition training has been used by many disciplines within and outside of healthcare to prepare individuals to work in an environment that has volatility, uncertainty, complexity, ambiguity, and delayed feedback (VUCAD). This retrospective exploratory study uses computerized strategic management simulation (SMS) data to address the question: What parameters of metacognition do master's level nurse practitioner (NP) students excel versus underperform? Elements of Presentation: Presentation will include SMS parameters linked with the National Organization of Nurse Practitioner Faculties (NONPF) Core Competencies. In doing this, faculty can better assess students' individualized learning needs and tailor their academic education to address specific needs. Fifty-nine master's level students completed SMS, measuring five unique parameters of metacognition (Crisis, Task, Strategy, People & Information Management). Students' mean and median scores were observed to be high range for crisis management; and moderate range for task management, strategy management, and people management. Conversely, mean and median scores were in the low range for information management. Knowledge gained from this study can be used for curriculum development and planning to ensure that the parameters of metacognition are demonstrated throughout the curriculum's content delivery, training exercises, and evaluation methods. Knowledge related to areas in which NP students score in the low range can be added to courses to assist students better.     

Interpersonal conflict in group therapy: An object relations perspective

The aim of this paper is to demonstrate how object relations theory can be used to understand and regulate interpersonal conflict in group psychotherapy. Such concepts as projective identification, intersubjectivity and the analytic third are used to describe how conflict emerges in group psychotherapy and how it can be worked through. Case material is also provided to illustrate concepts and techniques in promoting a group's transition from a paranoid/schizoid to a depressive position. Positive aspects of the concept of projective identification are discussed including its use as a form of communication, a method of reducing anxiety and reintegrating previously dangerous and threatening aspects of the self.The paper was funded by Evan F. Lilly Memorial Trust Grant PV 13,067.     

The use of children's drawings in multiple family group therapy

This paper describes the advantages, difficulties and techniques of including young children in multiple family group therapy (MFGT). Multiple family group therapy consists of weekly sessions where three or more families meet conjointly with a therapist or cotherapists. Clinical vignettes demonstrate how to use children's drawings with parents to improve family communication. The efficiency of MFGT is compared to family therapy or individual therapy. The effective use of this modality with some children under 10 years is discussed.This research was supported in part by Alcohol, Drug Abuse, and Mental Health Administration Psychiatry Education Branch Grant MH 13882 from the National Institute of Mental Health.     

初中生元认知阅读策略训练效应的实验研究

采用对比实验的方法,运用自编的元认知阅读策略训练教程对重点中学和普通中学的初二学生进行了训练。结果表明:(1)对初中生进行元认知阅读策略训练能有效地提高其阅读理解成绩;(2)对普通中学初中生进行元认知阅读策略训练的效果优于对重点中学初中生进行训练的效果。     

An Extension of Multiple Correspondence Analysis for Identifying Heterogeneous Subgroups of Respondents

An extension of multiple correspondence analysis is proposed that takes into account cluster-level heterogeneity in respondents’ preferences/choices. The method involves combining multiple correspondence analysis and k-means in a unified framework. The former is used for uncovering a low-dimensional space of multivariate categorical variables while the latter is used for identifying relatively homogeneous clusters of respondents. The proposed method offers an integrated graphical display that provides information on cluster-based structures inherent in multivariate categorical data as well as the interdependencies among the data. An empirical application is presented which demonstrates the usefulness of the proposed method and how it compares to several extant approaches. The work reported in this paper was supported by Grant 290439 and Grant A6394 from the Natural Sciences and Engineering Research Council of Canada to the first and third authors, respectively. We wish to thank Ulf B?ckenholt, Paul Green, and Marc Tomiuk for their insightful comments on an earlier version of this paper. We also wish to thank Byunghwa Yang for generously providing us with his data.     

乡镇小学生的数学焦虑与数学成绩:数学自我效能感和数学元认知的链式中介作用

采用儿童数学焦虑量表、小学生数学学习自我效能感量表和小学生数学元认知问卷,对508名乡镇中、高年级小学生进行测量,并运用结构方程模型探讨数学焦虑影响数学成绩的内在作用机制。结果发现：（1）数学焦虑显著负向预测数学自我效能感、数学元认知和数学成绩,数学自我效能感显著正向预测数学元认知和数学成绩,数学元认知显著正向预测数学成绩;（2）在数学焦虑对数学成绩的预测中,数学自我效能感和数学元认知均发挥了部分中介作用;（3）数学自我效能感和数学元认知在数学焦虑和数学成绩之间起链式多重中介的作用。因此,数学焦虑除了直接作用于小学生的数学成绩,还可通过数学自我效能感或数学元认知间接影响数学成绩,而且可通过数学自我效能感进而通过数学元认知间接影响数学成绩。文章讨论了上述发现的理论及教育实践含义。     

Effects of Cognitive Behavioral Therapy and Vocational Rehabilitation on Metacognition and Coping in Schizophrenia

The Indianapolis Vocational Intervention Program (IVIP) is a cognitive behaviorally based program of group and individual interventions that seeks to help persons with schizophrenia improve vocational function and sustain hope. In this study we compared baseline and follow-up assessments of coping and metacognition among 50 participants with schizophrenia spectrum disorders offered a six-month job placement and randomized to receive IVIP (n = 25) or standard services (n = 25). ANCOVA controlling for baseline suggest that the IVIP group gained greater ability to think about their own thinking and to cope by seeing what were previously perceived as negative stressors in more positive light. An erratum to this article can be found at     

Reply to Commentaries

In our response, we address four themes arising from the commentaries. First, we discuss the distinction between cognition and metacognition and show how to draw it within our framework. Next, we explain how metacognition differs from social cognition. The underlying mechanisms of metacognitive development are then elucidated in terms of interaction patterns. Finally, we consider measures of metacognition and suitable methods for investigating it. Copyright © 2013 John Wiley & Sons, Ltd.     

Metacognition as a Moderator of Creative Ideation and Creative Production

Recent theoretical work has called for exploration of the moderating effects of cognitive factors on the relationship between creative ideation and creative production. The Cognitive-Creative Sifting model suggests skills in processing and transforming information influence the association. This study used the Runco Ideational Behavior Scale, Metacognitive Awareness Inventory, and Creative Behavior Inventory to test the moderating effect. Medium to large moderator effects (f² = .015 to f² = .041) were observed across previous theoretically proposed aspects of metacognition. A large, statistically significant moderator effect was observed for overall metacognition (f² = .031). Observed differences across subcomponents of metacognition paralleled theoretical connections between metacognition and creativity. Further studies are suggested using more diverse creativity measures, as well as tests for other cognitive sifters. Implications for educational practice, particularly regarding the creatively gifted, are offered.     

Cracks in a postdisaster service delivery network

Poor linkage cracks are defined and identified empirically in a postdisaster service delivery network. These cracks exist when essential services are provided only by isolated or peripheral clusters of organizations. Network analysis is used to identify the isolated and peripheral clusters of organizations. Measures of experience in responding to disasters and service capacity are used to identify the organizations whose services are essential in the network. Cracks prevent the network from responding effectively in the aftermath of a disaster. Suggestions are made for using network analysis to identify cracks and to improve planning and coordination in all kinds of service networks. Collection of the data for this work was supported by the National Science Foundation (NSF), Societal Response to Earthquake Hazards Mitigation Program, Grant No. CEE-8314421. The analysis and writing were accomplised with support from the National Science Foundation, Grant No. BCS-8920472. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the National Science Foundation. An early version of this paper was presented at the annual meetings of the Midwest Sociological Society, Des Moines, Iowa, April 1991. This paper was distinctly improved through our response to extensive and perceptive suggestions given by the editor and reviewers of theAmerican Journal of Community Psychology. We thank them for the help.     

What can prosody tell a parser?

In this paper, I consider how a sentence processor might use specific prosodic cues at various points in the processing of particular sentences containing (at least temporary) syntactic ambiguity. In principle, the usefulness of prosodic information depends on what a given cluster of prosodic cues typically signifies, and on which syntactic options exist for a given string: in only some instances can prosodic information provide useful disambiguating information.This work was supported by Grant #DC-01409, a Research and Training Grant funded by the National Institute on Deafness and Other Communicative Disorders to the National Center for Neurogenic Communication Disorders, University of Arizona. I wish to thank Andrew Barss for very helpful comments on an earlier draft of this paper.     

Improving attitudes towards minority groups by thinking about the thoughts and meta-cognitions of their members

Research on persuasion has shown that for attitudes to change people need to take into consideration not only the thoughts message recipients generate in response to proposals but also how people think about their own thoughts (metacognition). In the present research, we introduce a new perspective for improving outgroup attitudes focused on the distinction between cognition and metacognition but this time applied to the perceptions of others’ minds. Specifically, we examined to what extent thinking about the mental processes of outgroup members influences attitudes towards those outgroups. We compared the impact of thinking about how others think (perceived primary cognition) with how others think about their own thoughts (perceived secondary cognition or metacognition). In the primary cognition treatment, participants answered questions about the thinking processes of outgroup members. In the secondary cognition treatment, participants answered questions that required them to consider how outgroup members think about their own thoughts (i.e., metacognition). Compared to controls, these treatments were capable of improving attitudes of Spanish citizens towards Syrian refugees, South American immigrants, and Roma people. A third study used a minimal group paradigm in which a fictitious outgroup was described as having primary (vs. secondary) cognition. A final study also tested the implications of assuming that groups have one type of cognition or another. The effects of the two treatments varied depending on the type of outgroup.     

Insensitivity to children: Responses of undergraduates to children in problem situations

A study focused on insensitivity of adults to children was presented and discussed. The responses of 100 male and 100 female college undergraduates to hypothetical parent-child problem situations indicated a general lack of communication concerning the child's and their own feelings. However, when the problems involved adult needs being aroused and thwarted, theSs responses were both more insensitive and destructive than when the confrontation centered around only the child's aroused needs. In the latter case theSs did focus their communications more on the child's feelings and how he or she could express them. The results have implications for understanding effective adult behavior and reciprocal adult-child influences on the development of child-behavior dysfunctions.The research reported in this paper was supported in part by Grant MH 16444 from the U.S. Public Health Service, National Institute of Mental Health.The help of Lawrence Messe, Joel Aronoff, Luch Ferguson, and Albert Rabin is very gratefully acknowledged. We also wish to acknowledge the help of Kathy Barrie, Lew Borman, Deletha Crum, and Eli Karimi, who served as coders.     

幼儿元认知"乐观主义现象"研究述评

儿童元认知发展是当代发展心理学研究的热点领域之一,其中儿童对自身能力的认识与评估又是研究者很感兴趣的课题。大量研究表明,与年长儿童和成人相比,年幼儿童特别是学龄前儿童往往对自己的能力和在各种任务中的成绩作出不切实际的高估,这种高估具有跨领域的一致性,并且具有内在固执性,即通常不受过去失败经验的影响。这就是所谓幼儿元认知“乐观主义现象”。本文对这一领域的相关研究进行整体回顾与分析,并在此基础上尝试对这一现象产生的原因及影响因素作出解释和说明。     

Improving metacognition: A comparison of interventions

Accurate knowledge monitoring is critical to the learning process, as it allows one to regulate studying and test preparation. Thus, a number of investigations have attempted to improve metacognition in the classroom, with the ultimate goal of improving student exam performance. However, such interventions have had inconsistent success using varying paradigms. We compared the effectiveness of five interventions aimed at improving prediction accuracy in a laboratory environment: review, salient feedback, motivation warning lecture, incentives, and reflection. Only the salient feedback and the motivation warning lecture interventions significantly improved participants' prediction accuracy from test 1 to test 2. Review, incentives, and reflection did not improve predictive or postdictive calibration. Well‐timed salient feedback and a lecture warning students not to be biased by desired grades were effective methods of improving calibration accuracy. Results offer effective interventions to improve metacognition that could be used in a classroom setting.     

Effects of age on metacognitive efficiency

Humans have a capacity to become aware of thoughts and behaviours known as metacognition. Metacognitive efficiency refers to the relationship between subjective reports and objective behaviour. Understanding how this efficiency changes as we age is important because poor metacognition can lead to negative consequences, such as believing one is a good driver despite a recent spate of accidents. We quantified metacognition in two cognitive domains, perception and memory, in healthy adults between 18 and 84 years old, employing measures that dissociate objective task performance from metacognitive efficiency. We identified a marked decrease in perceptual metacognitive efficiency with age and a non-significant decrease in memory metacognitive efficiency. No significant relationship was identified between executive function and metacognition in either domain. Annual decline in metacognitive efficiency after controlling for executive function was ∼0.6%. Decreases in metacognitive efficiency may explain why dissociations between behaviour and beliefs become more marked as we age.     

“Play it Again”: a new method for testing metacognition in animals

Putative metacognition data in animals may be explained by non-metacognition models (e.g., stimulus generalization). The primary objective of the present study was to develop a new method for testing metacognition in animals that may yield data that can be explained by metacognition but not by non-metacognition models. Next, we used the new method with rats. Rats were first presented with a brief noise duration which they would subsequently classify as short or long. Rats were sometimes forced to take an immediate duration test, forced to repeat the same duration, or had the choice to take the test or repeat the duration. Metacognition, but not an alternative non-metacognition model, predicts that accuracy on difficult durations is higher when subjects are forced to repeat the stimulus compared to trials in which the subject chose to repeat the stimulus, a pattern observed in our data. Simulation of a non-metacognition model suggests that this part of the data from rats is consistent with metacognition, but other aspects of the data are not consistent with metacognition. The current results call into question previous findings suggesting that rats have metacognitive abilities. Although a mixed pattern of data does not support metacognition in rats, we believe the introduction of the method may be valuable for testing with other species to help evaluate the comparative case for metacognition.     

Examining the validity of scores from an instrument designed to measure metacognition of problem solving

The authors' purpose in this study was to gather evidence on the validity of scores on an instrument designed to evaluate levels of metacognition in problem solving--Swanson's 15-item metacognition questionnaire (1990, 1993). Forty-three participants took part in this study: 21 professors and 22 graduate students from several Western and Midwestern campuses in the fields of psychology and educational psychology. A Kendall Coefficient of concordance (W) was performed to determine the consistency of ranked responses for professors, students, and both groups combined, and to determine whether their responses matched those of the scoring key for the instrument we studied. This analysis indicated problems for some of the responses to this instrument, as demonstrated through the ranking task developed in this study. Many of the professors disagreed with the ranking of the responses suggested by Swanson. There is certainly a need for more instruments to validly measure metacognition. This instrument is one that, with some modification, might be used more in research on metacognition.     

Specific fears as predictors of generalized anxiety in children

The study investigated the relationship between fear and anxiety in childhood. One hundred fifty-one children aged 6 to 11 years (mean=8.7 years) completed the Fear Survey Schedule for Children-Revised (FSSC-R) and the Revised Children's Manifest Anxiety Scale (RCMAS). Correlational analyses demonstrated that the FSSC-R and each of the fear factors were significantly correlated with each other and with the RCMAS score. A stepwise regression procedure was used to determine if the FSSC-R or any of its five factors was significantly related to scores on the RCMAS. Results indicated that Factor 1 (Failure and Criticism) accounted for 31% of the variance (p < .0001)and Factor 2 (Fear of the Unknown) accounted for an additional 1% of the variance (p < .03)in the RCMAS scores. The relationship between these results and those from a similar study with adults (Goetsch, Tishelman, & Adams, 1987), as well as how the results add to an understanding of childhood anxiety, is discussed.This study was supported by BRSG Grant S07RR0714917 from the Biomedical Research Support Grant Program, Division of Research Resources, National Institute of Health, to the Research Foundation of the State University of New York at Binghamton.     

元认知与面部认知的结合：切入点及方法

元认知是对认知的认知,包含认知的各个方面,近年来元认知与面部认知的结合开始得到关注。两者结合切入点包括元认知错觉(达克效应和自我中心偏见)在面部认知中的适用性,以及面部认知现象(异族效应和熟悉度优势)在元认知中的适用性。研究方法根据测量时间点和评估对象的选取而各有侧重。当前研究尚停留在元认知监测层面,未来可扩展至面部认知的元认知控制、与机器学习结合等方向,为理解面部认知提供新角度,扩展其应用价值。