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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Patricia H. Kelley; Gregory P. Dietl; Gregory P. Dietl;

    Despite the promise conservation paleobiology holds for using geohistorical data and insights to solve conservation problems, training in the field typically does not equip students to be competent environmental problem solvers. The intention of this perspective piece is to start a conversation about how we might train conservation paleobiology students better, focusing on the competencies needed to promote deep engagement with “wicked” conservation problems that are difficult to solve. Ongoing conversations regarding design of academic programs in sustainability, a field allied with conservation science, can inform our discussion. The sustainability literature has defined an interrelated set of “core competencies” that go beyond general academic competencies to enable real-world sustainability problem solving: systems thinking, temporal thinking, normative thinking, strategic thinking, and interpersonal competence. Conservation paleobiology is usually taught within geology programs, where students are exposed to systems thinking and temporal thinking. However, the remaining competencies typically are absent or insufficiently developed. To infuse these competencies into conservation paleobiology curricula, we recommend: (1) enhancing connections with sustainability programs and encouraging a more cross-disciplinary approach to training; (2) developing a “menu” of concepts and methodologies for each competence from which to choose; and (3) recognizing that different skills are appropriate at different levels of education and experience. The proposed competency-based framework serves as a shared reference that can be used to develop pedagogies to better prepare conservation paleobiology students to navigate the wicked conservation challenges of our time.

    image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Frontiers in Ecology...arrow_drop_down
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    Frontiers in Ecology and Evolution
    Article . 2022 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Frontiers in Ecology...arrow_drop_down
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      Frontiers in Ecology and Evolution
      Article . 2022 . Peer-reviewed
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    Authors: Lieblen, G.; Francis, C.; Barth-Eide, W.; Torjusen, H.; +14 Authors

    ABSTRACT Three graduate-level short courses on ecological agriculture and food systems were held in 1995–1997 in Norway to introduce systems thinking, creative research methods, and innovative learning approaches. In 1999, a three-day evaluation and planning workshop was held to assess course impacts, to determine relative importance of content areas, to compare learning methods with special attention to case studies, and to vision and develop action plans for future education in the region. Students and faculty agreed that soft systems research methods and varied learning processes in the course were more valuable than specific technical content that can be learned in other venues. Nine priority education areas were identified for ecological agriculture: (1) systems thinking, (2) research methods, (3) farmer/stakeholder participation, (4) improving production methods, (5) relating agriculture to food systems, (6) learning about learning, (7) values and ethics, (8) faculty development and institutional ch...

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    Journal of Sustainable Agriculture
    Article . 2000 . Peer-reviewed
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      Journal of Sustainable Agriculture
      Article . 2000 . Peer-reviewed
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    Authors: Lili-Ann Wolff; Peter Ehrström;

    Social sustainability is a dimension of sustainability that has received little attention. Our aims in this article are to create a definition of social sustainability based on a comprehensive literature study, and to discuss the implementation of the concept in higher education settings at theoretical and practical levels. We also aim to answer the question of whether it is possible to achieve a socially sustainable and transformative practice in educational contexts. Our approach in the study is critical and reflective and, firstly, built on a literature review including policy documents, research articles and books on sustainability from the perspectives of education and social studies. Secondly, we provide examples of practice from four university sustainability courses. In these courses, social sustainability appears in an interdisciplinary and a sustainable leadership framework. The conclusion from this study is that it is possible to implement social sustainability in various ways at the course level. We identify elementary features at basic, personal and educational levels that facilitate the implementation. However, we see the inclusion of social sustainability as the only way to reshape education and rethink the role of educational institutions. In this reshaping, ethics is the core.

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    Sustainability
    Article . 2020 . Peer-reviewed
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    Article . 2020
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      Article . 2020 . Peer-reviewed
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Robert Lecusay; Anna Pauliina Rainio; Beth Ferholt;

    We investigate the concept of care in adult-child joint play through two cases that illustrate ways in which the development of care relations among researchers, pedagogues, and children—and the imaginary characters they create through their joint play—shape and sustain early childhood education and care research and practice. We focus on the ways that early childhood education and care pedagogues’ approaches to care provide insights into practices of social sustainability, specifically social inclusion. The cases we present are drawn from recent studies of early childhood play. The studies belong to a corpus of international research projects that are researcher-teacher collaborations. These studies explore a unique form of adult-child joint imaginary play known as playworlds. Playworlds are based on cultural historical theories of development and art, Gunilla Lindqvist’s studies of playworlds, and local theory and practice of early childhood education and care. Our analyses of playworlds are based, in part, on Winnicott’s concept of transitional objects. The two cases are drawn from ECEC playworlds in Finland and the US. Each exemplifies how playworlds, as forms of participatory design research, make social sustainability possible. Furthermore, these cases highlight how, by working with the boundaries between and moving between real and imagined, the participants are able to develop new ways of being that are radically inclusive. We argue that they do so by facilitating and maintaining the development of care relations among researchers, teachers, children, and, importantly, imaginary characters, in ways that create what we call transitional subjects. We conclude that social sustainability, like care, should be conceived of as an ecology of caring practices.

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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Sustainabilityarrow_drop_down
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    Authors: Muhammad Zaheer Asghar; Muhammad Naeem Afzaal; Javed Iqbal; Yasira Waqar; +1 Authors

    Teacher education has a large and favorable impact on a teacher’s performance. Effective training brings improvement in the productivity and performance of employees due to the acquisition of new knowledge and skills. The National Vocational and Technical Training Commission organized an in-service vocational teachers’ training program through blended learning approaches in Pakistan. This study aimed at finding out the effectiveness of that in-service vocational teachers’ training program. The four levels of the Kirkpatrick model were used as the theoretical framework. A survey approach was used to collect data from 629 in-service vocational teachers who took part in the training program through blended learning approaches. Partial least square structural equation modeling was applied to find the hierarchal relationship among the four levels of the Kirkpatrick model. The results of the current research revealed that trainees were satisfied at all four levels of the Kirkpatrick model, including the reaction, learning, behavior and results. A hierarchal relationship between the four levels of the Kirkpatrick model was also found for the evaluation of the training program. The direct effect of the reaction had a positive and significant relationship with learning, learning with behavior and behavior with the results. The results of the specific indirect relationship among the four levels clearly depicted that behavior was mediated through learning and the results, learning was mediated through the reaction and behavior and behavior was mediated through the reaction and results. This study is useful for vocational education institutions and skill development policymakers to design in-service training programs for in-service teachers. Future studies can be conducted about the adaptation of instructions for the in-service vocational teachers’ training program through blended learning approaches.

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    Authors: Korsunova-Tsaruk, Angelina; Horn, Susanna; Vainio; Annukka;

    Abstract It is generally accepted that governments, municipalities, businesses and citizens alike have a role to play in transitioning towards a circular economy (CE). Yet most academic and policy discussions of CE revolve around technological solutions and business models. Although CE also means significant changes to ways of living, these aspects of CE are barely addressed. The citizen role is traditionally assumed to be that of a consumer or user of the newly developed solutions, while also following the guidelines for sorting and recycling. Little is known about how citizens envision being part of the CE, and what skills and competences are relevant for CE. Our study addresses this gap by exploring the perceptions of young adults in Finland on how CE reflects into their everyday lives. Our dataset consists of 249 responses from high school students in Finland to open-ended questions regarding CE. The results highlight that young adults in Finland strongly associate CE with recycling, waste sorting and re-selling/buying second-hand, which is in line with the conventional roles of efficient recyclers and consumers. Although CE harbors wider potential for more active citizen roles related to repair, maintenance and upcycling, these aspects are often overlooked in favor of more familiar lifestyles. Building on the 5R framework for CE and emerging themes from student responses, we bring forward the new roles of upcycler, thrifter, expert/learner, giver/benefactor and conservationist. Supporting these emerging roles is an opportunity for cooperation between young adults, other citizen groups, cities, policy makers and businesses, and a key for jointly advancing the transition to CE.

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    Sustainable Production and Consumption
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    Authors: Suvi Lakkala; Edda Óskarsdóttir;

    In recent decades, inclusive education has been the focal point of many international declarations related to children’s and young people’s educational rights [...]

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    Authors: Emily Shaw; Sarah Walpole; Michelle McLean; Carmen Alvarez-Nieto; +30 Authors

    The purpose of this Consensus Statement is to provide a global, collaborative, representative and inclusive vision for educating an interprofessional healthcare workforce that can deliver sustainable healthcare and promote planetary health. It is intended to inform national and global accreditation standards, planning and action at the institutional level as well as highlight the role of individuals in transforming health professions education. Many countries have agreed to ‘rapid, far-reaching and unprecedented changes’ to reduce greenhouse gas emissions by 45% within 10 years and achieve carbon neutrality by 2050, including in healthcare. Currently, however, health professions graduates are not prepared for their roles in achieving these changes. Thus, to reduce emissions and meet the 2030 Sustainable Development Goals (SDGs), health professions education must equip undergraduates, and those already qualified, with the knowledge, skills, values, competence and confidence they need to sustainably promote the health, human rights and well-being of current and future generations, while protecting the health of the planet. The current imperative for action on environmental issues such as climate change requires health professionals to mobilize politically as they have before, becoming strong advocates for major environmental, social and economic change. A truly ethical relationship with people and the planet that we inhabit so precariously, and to guarantee a future for the generations which follow, demands nothing less of all health professionals. This Consensus Statement outlines the changes required in health professions education, approaches to achieve these changes and a timeline for action linked to the internationally agreed SDGs. It represents the collective vision of health professionals, educators and students from various health professions, geographic locations and cultures. ‘Consensus’ implies broad agreement amongst all individuals engaged in discussion on a specific issue, which in this instance, is agreement by all signatories of this Statement developed under the auspices of the Association for Medical Education in Europe (AMEE). To ensure a shared understanding and to accurately convey information, we outline key terms in a glossary which accompanies this Consensus Statement (Supplementary Appendix 1). We acknowledge, however, that terms evolve and that different terms resonate variably depending on factors such as setting and audience. We define education for sustainable healthcare as the process of equipping current and future health professionals with the knowledge, values, confidence and capacity to provide environmentally sustainable services through health professions education. We define a health professional as a person who has gained a professional qualification for work in the health system, whether in healthcare delivery, public health or a management or supporting role and education as ‘the system comprising structures, curricula, faculty and activities contributing to a learning process’. This Statement is relevant to the full continuum of training – from undergraduate to postgraduate and continuing professional development.

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    Medical Teacher
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  • The question-asking strategies of 90 Finnish alcoholics were measured on a Vygotskian version of the Twenty Questions procedure. There were two questions to analyse: (1) can the performance of alcoholics be improved by means of instruction in question-asking; and (2) how does the duration of abstinence affect test performance? The results indicated that instruction had a positive effect on the performance of alcoholics. The duration of abstinence had no general effect; its effect was evident only in one type of question, i.e., pseudoconstraint questions. There were marked interindividual differences in both the pre-test and the post-test. About 15% of the subjects showed no noticeable improvement in their post-test performance in spite of the instruction they received.

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    Authors: Maria Hofman-Bergholm;

    In this theoretical paper, a multidisciplinary framework is structured to enable the formation of a shared understanding of the need to combine education for sustainability, traditional knowledge, transformative learning, systems thinking, and storytelling. The paper summarizes results from some fairly new studies on sustainability implementation in education, recognizes problems, and provides alternative suggestions on how to address problems that prevent the integration of sustainability in education. An increase in ecological illiteracy in society and lost contact with nature seem to occur within the now-growing generation. In research literature, it is largely agreed that systems thinking needs to be developed in order to understand the concept of sustainability. Reviewing research in the field, systems dynamics, simulations, and case studies are highlighted as possible pedagogical tools to emerge in the understanding of sustainability. However, do we still only preform information transformation? To transform both education and society, transformative learning must be adopted. This paper would like to emphasize the capacity of storytelling to make sustainability more easily accessible. Storytelling as a pedagogical tool for learning sustainability is still a bit overshadowed, but the idea of sustainability can be traced far back in aboriginal cultures, where storytelling has been used to transfer traditional knowledge from one generation to the next.

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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Patricia H. Kelley; Gregory P. Dietl; Gregory P. Dietl;

    Despite the promise conservation paleobiology holds for using geohistorical data and insights to solve conservation problems, training in the field typically does not equip students to be competent environmental problem solvers. The intention of this perspective piece is to start a conversation about how we might train conservation paleobiology students better, focusing on the competencies needed to promote deep engagement with “wicked” conservation problems that are difficult to solve. Ongoing conversations regarding design of academic programs in sustainability, a field allied with conservation science, can inform our discussion. The sustainability literature has defined an interrelated set of “core competencies” that go beyond general academic competencies to enable real-world sustainability problem solving: systems thinking, temporal thinking, normative thinking, strategic thinking, and interpersonal competence. Conservation paleobiology is usually taught within geology programs, where students are exposed to systems thinking and temporal thinking. However, the remaining competencies typically are absent or insufficiently developed. To infuse these competencies into conservation paleobiology curricula, we recommend: (1) enhancing connections with sustainability programs and encouraging a more cross-disciplinary approach to training; (2) developing a “menu” of concepts and methodologies for each competence from which to choose; and (3) recognizing that different skills are appropriate at different levels of education and experience. The proposed competency-based framework serves as a shared reference that can be used to develop pedagogies to better prepare conservation paleobiology students to navigate the wicked conservation challenges of our time.

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    Frontiers in Ecology and Evolution
    Article . 2022 . Peer-reviewed
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      image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Frontiers in Ecology...arrow_drop_down
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      Frontiers in Ecology and Evolution
      Article . 2022 . Peer-reviewed
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Lieblen, G.; Francis, C.; Barth-Eide, W.; Torjusen, H.; +14 Authors

    ABSTRACT Three graduate-level short courses on ecological agriculture and food systems were held in 1995–1997 in Norway to introduce systems thinking, creative research methods, and innovative learning approaches. In 1999, a three-day evaluation and planning workshop was held to assess course impacts, to determine relative importance of content areas, to compare learning methods with special attention to case studies, and to vision and develop action plans for future education in the region. Students and faculty agreed that soft systems research methods and varied learning processes in the course were more valuable than specific technical content that can be learned in other venues. Nine priority education areas were identified for ecological agriculture: (1) systems thinking, (2) research methods, (3) farmer/stakeholder participation, (4) improving production methods, (5) relating agriculture to food systems, (6) learning about learning, (7) values and ethics, (8) faculty development and institutional ch...

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    Journal of Sustainable Agriculture
    Article . 2000 . Peer-reviewed
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      Journal of Sustainable Agriculture
      Article . 2000 . Peer-reviewed
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Lili-Ann Wolff; Peter Ehrström;

    Social sustainability is a dimension of sustainability that has received little attention. Our aims in this article are to create a definition of social sustainability based on a comprehensive literature study, and to discuss the implementation of the concept in higher education settings at theoretical and practical levels. We also aim to answer the question of whether it is possible to achieve a socially sustainable and transformative practice in educational contexts. Our approach in the study is critical and reflective and, firstly, built on a literature review including policy documents, research articles and books on sustainability from the perspectives of education and social studies. Secondly, we provide examples of practice from four university sustainability courses. In these courses, social sustainability appears in an interdisciplinary and a sustainable leadership framework. The conclusion from this study is that it is possible to implement social sustainability in various ways at the course level. We identify elementary features at basic, personal and educational levels that facilitate the implementation. However, we see the inclusion of social sustainability as the only way to reshape education and rethink the role of educational institutions. In this reshaping, ethics is the core.

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    Article . 2020
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      Sustainability
      Article . 2020 . Peer-reviewed
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Robert Lecusay; Anna Pauliina Rainio; Beth Ferholt;

    We investigate the concept of care in adult-child joint play through two cases that illustrate ways in which the development of care relations among researchers, pedagogues, and children—and the imaginary characters they create through their joint play—shape and sustain early childhood education and care research and practice. We focus on the ways that early childhood education and care pedagogues’ approaches to care provide insights into practices of social sustainability, specifically social inclusion. The cases we present are drawn from recent studies of early childhood play. The studies belong to a corpus of international research projects that are researcher-teacher collaborations. These studies explore a unique form of adult-child joint imaginary play known as playworlds. Playworlds are based on cultural historical theories of development and art, Gunilla Lindqvist’s studies of playworlds, and local theory and practice of early childhood education and care. Our analyses of playworlds are based, in part, on Winnicott’s concept of transitional objects. The two cases are drawn from ECEC playworlds in Finland and the US. Each exemplifies how playworlds, as forms of participatory design research, make social sustainability possible. Furthermore, these cases highlight how, by working with the boundaries between and moving between real and imagined, the participants are able to develop new ways of being that are radically inclusive. We argue that they do so by facilitating and maintaining the development of care relations among researchers, teachers, children, and, importantly, imaginary characters, in ways that create what we call transitional subjects. We conclude that social sustainability, like care, should be conceived of as an ecology of caring practices.

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    Article . 2022 . Peer-reviewed
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  • image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
    Authors: Muhammad Zaheer Asghar; Muhammad Naeem Afzaal; Javed Iqbal; Yasira Waqar; +1 Authors

    Teacher education has a large and favorable impact on a teacher’s performance. Effective training brings improvement in the productivity and performance of employees due to the acquisition of new knowledge and skills. The National Vocational and Technical Training Commission organized an in-service vocational teachers’ training program through blended learning approaches in Pakistan. This study aimed at finding out the effectiveness of that in-service vocational teachers’ training program. The four levels of the Kirkpatrick model were used as the theoretical framework. A survey approach was used to collect data from 629 in-service vocational teachers who took part in the training program through blended learning approaches. Partial least square structural equation modeling was applied to find the hierarchal relationship among the four levels of the Kirkpatrick model. The results of the current research revealed that trainees were satisfied at all four levels of the Kirkpatrick model, including the reaction, learning, behavior and results. A hierarchal relationship between the four levels of the Kirkpatrick model was also found for the evaluation of the training program. The direct effect of the reaction had a positive and significant relationship with learning, learning with behavior and behavior with the results. The results of the specific indirect relationship among the four levels clearly depicted that behavior was mediated through learning and the results, learning was mediated through the reaction and behavior and behavior was mediated through the reaction and results. This study is useful for vocational education institutions and skill development policymakers to design in-service training programs for in-service teachers. Future studies can be conducted about the adaptation of instructions for the in-service vocational teachers’ training program through blended learning approaches.

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    Authors: Korsunova-Tsaruk, Angelina; Horn, Susanna; Vainio; Annukka;

    Abstract It is generally accepted that governments, municipalities, businesses and citizens alike have a role to play in transitioning towards a circular economy (CE). Yet most academic and policy discussions of CE revolve around technological solutions and business models. Although CE also means significant changes to ways of living, these aspects of CE are barely addressed. The citizen role is traditionally assumed to be that of a consumer or user of the newly developed solutions, while also following the guidelines for sorting and recycling. Little is known about how citizens envision being part of the CE, and what skills and competences are relevant for CE. Our study addresses this gap by exploring the perceptions of young adults in Finland on how CE reflects into their everyday lives. Our dataset consists of 249 responses from high school students in Finland to open-ended questions regarding CE. The results highlight that young adults in Finland strongly associate CE with recycling, waste sorting and re-selling/buying second-hand, which is in line with the conventional roles of efficient recyclers and consumers. Although CE harbors wider potential for more active citizen roles related to repair, maintenance and upcycling, these aspects are often overlooked in favor of more familiar lifestyles. Building on the 5R framework for CE and emerging themes from student responses, we bring forward the new roles of upcycler, thrifter, expert/learner, giver/benefactor and conservationist. Supporting these emerging roles is an opportunity for cooperation between young adults, other citizen groups, cities, policy makers and businesses, and a key for jointly advancing the transition to CE.

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    Sustainable Production and Consumption
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    Sustainable Production and Consumption
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    Authors: Suvi Lakkala; Edda Óskarsdóttir;

    In recent decades, inclusive education has been the focal point of many international declarations related to children’s and young people’s educational rights [...]

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    Authors: Emily Shaw; Sarah Walpole; Michelle McLean; Carmen Alvarez-Nieto; +30 Authors

    The purpose of this Consensus Statement is to provide a global, collaborative, representative and inclusive vision for educating an interprofessional healthcare workforce that can deliver sustainable healthcare and promote planetary health. It is intended to inform national and global accreditation standards, planning and action at the institutional level as well as highlight the role of individuals in transforming health professions education. Many countries have agreed to ‘rapid, far-reaching and unprecedented changes’ to reduce greenhouse gas emissions by 45% within 10 years and achieve carbon neutrality by 2050, including in healthcare. Currently, however, health professions graduates are not prepared for their roles in achieving these changes. Thus, to reduce emissions and meet the 2030 Sustainable Development Goals (SDGs), health professions education must equip undergraduates, and those already qualified, with the knowledge, skills, values, competence and confidence they need to sustainably promote the health, human rights and well-being of current and future generations, while protecting the health of the planet. The current imperative for action on environmental issues such as climate change requires health professionals to mobilize politically as they have before, becoming strong advocates for major environmental, social and economic change. A truly ethical relationship with people and the planet that we inhabit so precariously, and to guarantee a future for the generations which follow, demands nothing less of all health professionals. This Consensus Statement outlines the changes required in health professions education, approaches to achieve these changes and a timeline for action linked to the internationally agreed SDGs. It represents the collective vision of health professionals, educators and students from various health professions, geographic locations and cultures. ‘Consensus’ implies broad agreement amongst all individuals engaged in discussion on a specific issue, which in this instance, is agreement by all signatories of this Statement developed under the auspices of the Association for Medical Education in Europe (AMEE). To ensure a shared understanding and to accurately convey information, we outline key terms in a glossary which accompanies this Consensus Statement (Supplementary Appendix 1). We acknowledge, however, that terms evolve and that different terms resonate variably depending on factors such as setting and audience. We define education for sustainable healthcare as the process of equipping current and future health professionals with the knowledge, values, confidence and capacity to provide environmentally sustainable services through health professions education. We define a health professional as a person who has gained a professional qualification for work in the health system, whether in healthcare delivery, public health or a management or supporting role and education as ‘the system comprising structures, curricula, faculty and activities contributing to a learning process’. This Statement is relevant to the full continuum of training – from undergraduate to postgraduate and continuing professional development.

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    Medical Teacher
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    Medical Teacher
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  • The question-asking strategies of 90 Finnish alcoholics were measured on a Vygotskian version of the Twenty Questions procedure. There were two questions to analyse: (1) can the performance of alcoholics be improved by means of instruction in question-asking; and (2) how does the duration of abstinence affect test performance? The results indicated that instruction had a positive effect on the performance of alcoholics. The duration of abstinence had no general effect; its effect was evident only in one type of question, i.e., pseudoconstraint questions. There were marked interindividual differences in both the pre-test and the post-test. About 15% of the subjects showed no noticeable improvement in their post-test performance in spite of the instruction they received.

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    Authors: Maria Hofman-Bergholm;

    In this theoretical paper, a multidisciplinary framework is structured to enable the formation of a shared understanding of the need to combine education for sustainability, traditional knowledge, transformative learning, systems thinking, and storytelling. The paper summarizes results from some fairly new studies on sustainability implementation in education, recognizes problems, and provides alternative suggestions on how to address problems that prevent the integration of sustainability in education. An increase in ecological illiteracy in society and lost contact with nature seem to occur within the now-growing generation. In research literature, it is largely agreed that systems thinking needs to be developed in order to understand the concept of sustainability. Reviewing research in the field, systems dynamics, simulations, and case studies are highlighted as possible pedagogical tools to emerge in the understanding of sustainability. However, do we still only preform information transformation? To transform both education and society, transformative learning must be adopted. This paper would like to emphasize the capacity of storytelling to make sustainability more easily accessible. Storytelling as a pedagogical tool for learning sustainability is still a bit overshadowed, but the idea of sustainability can be traced far back in aboriginal cultures, where storytelling has been used to transfer traditional knowledge from one generation to the next.

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