ABSTRACT
High-fidelity simulation is commonplace in nursing education. However, critical thinking, decision making, and psychomotor skills scenarios are emphasized. Scenarios involving communication occur in interprofessional or intraprofessional settings. The importance of effective nurse-patient communication is reflected in statements from the American Nurses Association and Quality and Safety Education for Nurses, and in the graduate outcomes of most nursing programs. This qualitative study examined the patterns of communication observed in video recordings of a medical-surgical scenario with 71 senior students in a baccalaureate program. Thematic analysis revealed patterns of (a) focusing on tasks, (b) communicating-in-action, and (c) being therapeutic. Additional categories under the patterns included missing opportunities, viewing the "small picture," relying on informing, speaking in "medical tongues," offering choices okay?, feeling uncomfortable, and using therapeutic techniques. The findings suggest the importance of using high-fidelity simulation to develop expertise in communication. In addition, the findings reinforce the recommendation to prioritize communication aspects of scenarios and debriefing for all simulations.
Subject(s)
Communication , Education, Nursing, Baccalaureate , Nurse-Patient Relations , Patient Simulation , Clinical Competence , Empathy , Humans , Nurse's Role , Qualitative Research , Task Performance and Analysis , Video RecordingABSTRACT
Engaging students in active techniques that promote learning and socialization in nursing may be achieved using Voki technology. The authors discuss a project, and its outcomes, that used avatar-assisted case studies. Instructors looking for a new teaching technology that can be integrated into case studies are encouraged to explore this venue as an active learning technology.
Subject(s)
Computer-Assisted Instruction , Education, Nursing/methods , Educational Technology , Pharmacology/education , Problem-Based Learning , Humans , Nursing Education Research , Nursing Evaluation Research , Nursing Methodology Research , Pilot Projects , Socialization , Students, Nursing/psychology , User-Computer InterfaceABSTRACT
Abusive head trauma, formerly known as shaken baby syndrome, is a condition with physical, psychosocial, and fiscal implications presenting opportunities for nurses to intervene with prevention strategies. This integrative review of the literature explored the empirical evidence to identify prevention strategies effective in decreasing abusive head trauma. Education, medical, and nursing databases yielded 14 quality research studies providing the basis for the review. Multiple facets of prevention strategies were identified with patterns in the literature of community involvement, early detection and involvement by health professionals, and parental education programming. A five-component model of prevention strategies is proposed to provide nurses with a comprehensive approach to the issue. These components consist of a) completion of personal inventory, b) involvement in multi-modal parental education, c) commitment to a prevention program, d) participation of the family and community, and e) connection to a spiritual element. Through these components, it is hoped there is enhancement of the quality of life for parents and infants, and a discouragement of situations that increase the risk of infant injury.
Subject(s)
Shaken Baby Syndrome/prevention & control , Humans , Infant , Infant, NewbornABSTRACT
Medication administration at mealtimes may result in food-drug interactions. Older adults are especially at risk of food-drug interactions leading to adverse drug effects and subtherapeutic responses. Research on potential food-drug interactions is limited and dated. This study examined the frequency of potential food-drug interactions in long-term care. Forty-nine percent of drugs administered at mealtimes had potential for interaction, with cardiovascular medications given most frequently. The frequency of potential interactions makes this phenomenon critically important to review. Collaboration between nurses and pharmacists may identify optimal medication scheduling. Nurses can enhance care by identifying strategies to limit interactions through knowledge and creative, collaborative administration schedules.
Subject(s)
Food-Drug Interactions , Long-Term Care , Biological Availability , Humans , PharmacokineticsABSTRACT
The shortage of academic nurse educators has many baccalaureate programs recruiting master's-prepared clinical experts to fill faculty vacancies. A work-role transition occurs when entering a new community of practice. Naturalistic inquiry guided this study involving 18 nurse practitioners and clinical nurse specialists in their first or second year of full-time teaching in a baccalaureate program. Analysis of data from semistructured interviews with participants resulted in six patterns. These patterns are depicted in the metaphor of a mermaid entering a "sea of academia." Patterns included sitting on the shore, splashing in the shallows, drowning, treading water, beginning strokes, and throughout the waters. Findings present insight into the holistic experience of the work-role transition, viewing it from psychological, sociological, and cognitive perspectives. Nurse educators and nursing education administrators can use this information in designing effective orientation programs to facilitate healthy transition.
Subject(s)
Adaptation, Psychological , Faculty, Nursing , Nurse Clinicians/psychology , Nurse Practitioners/psychology , Professional Role , Education, Nursing, Baccalaureate , Humans , Metaphor , United StatesABSTRACT
The author relates the findings of a qualitative study of the work-role transition of a clinical expert to novice nurse educator in a baccalaureate program. The information is presented in the form of a metaphor to provide a figurative way of reading research that can serve to stimulate thinking about the phenomenon while using storytelling to pique interest.
