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Copy of Oral Health: Pregnant Women and Children

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Susan Conde

on 19 February 2013

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Transcript of Copy of Oral Health: Pregnant Women and Children

New teaching techniques are necessary for students entering nursing in the 21st century

Support from the literature

Proposed clinical course and objectives

Clinical experiences Innovation in Clinical Education Proposal

Caring for Children with Special Needs: Chronic Illnesses Proposed By: Kata Conde, RN Overview Literature Review Cont. Literature Review: Simulation in Nursing Literature Review Cont. (1) (1) Limited clinical sites

Nursing faculty shortage

Interaction limited to stable patients (Alinier, Hunt, Gordon, & Harwood, 2006; Horan, 2009) Simulation offers reproduction of clinical experiences

Students are exposed to multiple scenarios rarely experienced during clinical

Critical thinking skills enhanced through simulation (Alinier et al., 2006; Cooper et al., 2010; Shepherd et al., 2010; Spunt, Foster, & Adams, 2004)

Simulation provides hands-on experiences with no risk to patients

Simulation environment fosters learning, clinical skills, and judgement

Exposes students to real-life clinical situations, and builds confidence Literature Review Cont. (Bruce, Curran, Urschel, Erdley, & Ball, 2009; Horan, 2009; Shepherd et al., 2010; Tuoriniemi & Schott-Baer, 2008) Studies suggest simulation:

Improves interdisciplinary collaboration

Reinforces classroom learning

Builds critical thinking (Bruce et al., 2009; Comer, 2005; Endacott et al., 2010; Schlairet, 2011; Spunt et al., 2004) Literature Review Cont. Debriefing Literature Review Cont. Debriefing Pivotal learning opportunity in simulation

Commends correct actions

Identifies areas to improve

Uses open-ended questions

Thoughtful inquiry (Alinier et al., 2006; LeFlore et al., 2012; Touriniemi & Schott-Baer, 2008) Clinical Description Setting Midwestern four-year state

Traditional face-to-face environment

Accredited by the Commission on Collegiate Nursing Education Pediatrics in Nursing Education Nursing students have little exposure to chronically ill children because sites are limited

Decreased length of stay in hospital

Hospitalized children too complex for the student nurse Proposed Course (Broussard, Myers, & Lemoine, 2009; National Institute for Health Care Management, 2001) Caring for Children with Special Needs: Chronic Illnesses Designed for students with interest in pediatric nursing

3-hour elective offered to junior and senior nursing students

Explores unique concepts of caring for a child with chronic health care needs

Focuses on family-centered care Clinical Description Student paired with a child & family Students observe and interact in home environment Accompany child during out-patient visits Pediatric sim to apply concepts of chronically ill children Learning Objectives Cognitive Domain Students will be able to identify special needs community resources available to assist and support families and children with chronic conditions Learning Objectives Affective Domain Student consistently will involve patients and families in decision-making about care Students will be able to identify special needs community resources available to assist and support families and children with chronic conditions Learning Objective Cognitive Objective Learning Objectives Psychomotor Domain The learner will demonstrate the skill of suctioning children with various chronic illnesses Clincial Experiene Clinical Experiences 180 hours of clinical experiences over 15 weeks

Eight hours each week with assigned family

Four hours each week in pediatric simulation Clinical Experiences Simulation High-fidelity pediatric SIM each week

Care of a hospitalized pediatric patient

Meet each Friday 1-5 p.m. Clinical Experiences In Home Environment Student arranges time with family

Student interacts with child, caregivers, and siblings

Student will not perform invasive procedures or administer medications

Accompany child to appointments when possible Simulation At Home Out-patient Clinical Sites Pediatric Health Care Need Technology and health care advances allow children to survive chronic conditions

~30% of children experience a chronic physical condition
~20% of children live with chronic health care needs

Nursing shortage allows newly licensed nurses to assume position in pediatric health care

~Graduates expected to function in complex field of pediatric nursing

The patient's home

Physician's office

Out-patient therapy

Simulation lab Varied sites prepares the student for innovative approaches to health care (Gaberson & Oermann, 2010) Faculty Role
Create an environment of trust and respect

Encourage thinking without taking over

Open-ended questions to stimulate critical thinking

Shifts responsibility of learning to the student Inquiry-Based Learning (Gaberson & Oermann, 2010; Holaday & Buckley, 2008) Activities Clinical
Presentation of case-study
3-5 page paper supporting case-study

Pre-simulation research Reflective journal (Gaberson & Oermann, 2010; Nehring & Lashely, 2010) Summary The literature supports simulation in nursing education

Pediatric clinical experiences are limited

Health care is moving toward home-based care

This course bridges the gap in pediatric eduction (Broussard, Myers, & Lemoine, 2009; National Institute for Health Care Management, 2001) References Alinier, G., Hunt, B., Gordon, R., & Harwood, C. (2006, May). Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education. Issues and Innovations in Nursing Education, 54(3), 359-369. doi:10.111/j.1365-2648.2006.03810.x
Broussard, L., Myers, R., & Lemoine, J. (2009, March). Preparing pediatric nurses: The role of simulation-based learning. Issues in Comprehensive Pediatric Nursing, 32(1), 4-15. http://dx.doi.org/10.1080/01460860802610178
Bruce, S., Curran, Y., Urschel, D., Erdley, S., & Ball, L. (2009). A collaborative exercise between graduate and undergraduate nursing students using a computer-assisted simulator in a mock cardiac arrest. Nursing Education Perspectives, 30(1), 22-27. Retrieved from http://web.edscohost.com
Comer, S. (2005, November/December). Patient care simulations: role playing to enhance clinical understanding. Nursing Education Perspectives, 26(6), 357-361. Retrieved from https://web.ebscohost.com
Cooper, S., Kinsman, L., Buykx, P., McConnell-Henry, T., Endacott, R., & Scholes, J. (2010, ). Managing the deteriorating patient in a simulated environment: nursing students’ knowledge, skill and situation awareness. Journal of Clinical Nursing, 19(), 2309-2318. doi:10.111/j.1365-2702.2009.03164x
Endacott, R., Scholes, J., Buykx, P., Cooper, S., Kinsman, L., & McConnell-Henry, T. (2010). Final-year nursing students’ ability to assess, detect and act on clinical cues of deterioration in a simulated environment. Journal of Advanced Nursing, 66(12), 2722-2731. doi:10.1111/j.1365-2648.2010.05417.x
Gaberson, K., & Oermann, M. (2010). Clinical teaching strategies in nursing (3rd ed.). New York, NY: Springer
Horan, K. (2009, January/February). Using the human patient simulator to foster critical thinking in critical situations. Nursing Education Perspectives, 30(1), 28-30. Retrieved from http://web.ebscohost.com
LeFlore, J., Anderson, M., Zielke, M., Nelson, K., Thomas, P., Hardee, G., & John, L. (2012, February). Can a virtual patient trainer teach student nurses how to save lives-teaching nursing students about pediatric respiratory diseases. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 7(1), 10-17. doi:10.1097/SIH.obo13e31823652de
National Institute for Health Care Management. (2001). http://nihcm.org
Schlairet, M. (2011, October). Simulation in undergraduate nursing curriculum: implementation and impact evaluation. Journal of Nursing Education, 50(10), 561-568. doi:10.3928/01484834-20110630-04
Shepherd, C., McCunnis, M., Brown, L., & Hair, M. (2010). Investigating the use of simulation as a teaching strategy. Nursing Standard, 24(35), 42-48. Retrieved from http://web.ebscohost.com
Society for Simulation in Healthcare. (2012). https://ssih.org/about-simulation
Spunt, D., Foster, D., & Adams, K. (2004, September/October). Mock code a clinical simulation module. Nurse Educator, 29(5), 192-194. Retrieved from https://web.ebscohost.com
Tuoriniemi, P., & Schott-Baer, D. (2008, April). Implementing a high-fidelity simulation program in a community college setting. Nursing Education Perspectives, 29(2), 105-109. Retrieved from https://web.ebscohost.com
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