Evidence Based Informed Consent for Caesarean Section Using MERLO - Meaning Equivalence Reusable Learning Objects

This chapter describe Meaning Equivalence (ME), Boundary of Meaning (BoM), and Granularity of Meaning (GoM). Meaning Equivalence (ME) is a polymorphous - one-to-many - transformation of meaning that signifies the ability to transcode equivalence-of-meaning through multiple representations within and across sign systems, and multiple definitions of a concept in multiple sign systems. Boundary of Meaning (BoM) is the boundary between two mutually exclusive semantic spaces in the sublanguage: (i) semantic space that contains only representations that do share equivalence-of-meaning with the Target Statement (TS); and (ii) semantic space that contains only representations that do not share equivalence-of-meaning with the TS. Granularity of Meaning (GoM) is the deepest level in which lexical label of a co-occurring subordinate concept appears in the Target Statement. It is therefore a measure of the ‘depth of exploration' of building blocks of a super-ordinate concept in TS. Boundary of Meaning (BoM) and Granularity of Meaning (GoM) are concepts in Pedagogy for Conceptual Thinking, a novel teaching and learning methodology in the digital age (Etkind, Kenett & Shafrir, 2016). These constructs describe important aspects of learning outcomes.

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Production of Evidence-Based Informed Consent (EBIC) With Meaning Equivalence Reusable Learning Objects (MERLO)

Vargas

Lou

Kenett

2022

Research Anthology on Advancements in Women's Health and Reproductive Rights

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Apparently, during an informed consent, patients remember little of the information given and their comprehension level is often overestimated by physicians. This study measures level of understanding of informed consent for elective cesarean surgery using an evidence-based informed consent (EBIC) model based on six MERLO assessments. MERLO recognition and production scores and follow-up interviews of 50 patients and their partners were recorded. Statistical comparison of scores within couples was performed by weighted kappa agreement, t-tests, and Ward's hierarchical clustering. Recognition score means were high for patients and partners with low standard deviation (SD), while production scores means were lower with higher SD. Clustering analysis showed that only 70% (35/50) of couples were assigned to the same cluster and t-test yields significant difference of scores within couple. Kappa yields moderate agreement levels on all items except for items D and C, which are lower. Follow-up interviews show that participants consider MERLO assessments to be helpful in improving comprehension.

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Evidence Based Informed Consent for Caesarean Section Using MERLO - Meaning Equivalence Reusable Learning Objects

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Conceptual Thinking in Statistics and Data Science Education: Interactive Formative Assessment with Meaning Equivalence Reusable Learning Objects (MERLO)

Conceptual Thinking in Statistics and Data Science Education: Interactive Formative Assessment with Meaning Equivalence Reusable Learning Objects (MERLO)

Meaning Equivalence (ME), Boundary of Meaning (BoM), and Granulary of Meaning (GoM)

Production of Evidence-Based Informed Consent (EBIC) With Meaning Equivalence Reusable Learning Objects (MERLO)

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