...Chapter 51. Enhancing Patient Safety in Nursing Education Through Patient Simulation Carol Fowler Durham, Kathryn R. Alden Background The alarming rise in morbidity and mortality among hospitalized patients throughout the United States heightens concerns about professional competency.1 Nurses and other health care professionals are under increased scrutiny to provide safe, effective care. Likewise, nursing education programs are faced with increased pressure to produce graduates who are capable of providing safe patient care. Toward that end, nursing education programs develop curricula, hire qualified faculty, and select learning experiences for students in an effort to train and graduate competent, effective nurses. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decisionmaking ability as well as in developing the psychomotor skill performance of new graduates. Of course, it is unrealistic to think that graduates of nursing education programs have received all the training they need when they depart the doors of academia. Orientation programs for new graduates and continuing education for nurses are essential tools to help practitioners improve their knowledge, skills, and expertise so that quality patient care is provided and outcomes are optimized while errors are minimized. Ongoing evaluation of nursing competence is necessary...
Words: 20085 - Pages: 81
...National League for Nursing Evaluation and Learning Advisory Committee (ELAC) ANNOTATED BIBLIOGRAPHY ON ASSESSMENT AND EVALUATION ELAC Members: Marilyn H. Oermann (Chair) Karen Saewert (Chair-elect) Pamela Rutar Suzanne Yarbrough Sub-committee Members: Reba Childress Dawne-Marie Dunbar Sally Erdel Barbara Haas Evelyn Hayes Debra Hurd Sheila Kyle Gayle Preheim, Chair Linda Siktberg Gale R. Woolley, Chair A comprehensive literature review was completed, reflecting best practices in assessment, evaluation, and grading in nursing. This annotated bibliography of the literature is organized into four areas: assessment and evaluation in (a) the classroom, (b) the online environment, (c) clinical practice, and (d) learning and simulation laboratories. There is a fifth section that provides references on the assessment of psychomotor learning and performance; that section is not annotated. This work was completed by members of ELAC and its subcommittees as noted above. 1 CLASSROOM ASSESSMENT Ahmad, N. (2002). Evaluation of teaching: Through eyes of students. Plano: Institutional Research Office, Collin County Community College District. This article reviews the student evaluations instruments used to evaluate learning and faculty in the classroom. The purpose of this article was to search for come standardized instruments of student evaluations. Instruments used are: Individual Developmental and Educational Assessment (IDEA), Student Assessment of Learning...
Words: 20999 - Pages: 84
...Interservice/Industry Training, Simulation, and Education Conference (I/ITSEC) 2008 Five Forces Driving Game Technology Adoption Roger D. Smith U.S. Army Program Executive Office for Simulation, Training, and Instrumentation Orlando, FL roger.smith14@us.army.mil ABSTRACT The computer gaming industry has begun to export powerful products and technologies from its initial entertainment roots to a number of “serious” industries. Games are being adopted for defense, medicine, architecture, education, city planning, and government applications. Each of these industries is already served by an established family of companies that typically do not use games or the technologies that support them. The rapid growth in the power of game technologies and the growing social acceptance of these technologies has created an environment in which these are displacing other industry-specific computer hardware and software suites. This paper introduces five specific forces that compel industries to adopt game technologies for their core products and services. These five forces are computer hardware costs, game software power, social acceptance, other industry successes, and native industry experimentation. Together these influence the degree and rapidity at which game technologies are adopted in a number of industries. The military simulation industry is just one of the many industries that are being impacted by these technologies and the five forces are affecting it just as they are many other...
Words: 3248 - Pages: 13
...PERU E. M COLLINS COMMUNICATIONS SKILLS TERM PAPER ARGUEMENTATION STUDENT ID NO: D33/34238/2010 AN ARGUMENTATIVE RESEARCH PAPER ON RESEARCH TOPIC: WHAT IS SCIENCE? TOPIC: Dispelling Misconceptions; Physical and Natural Sciences are not superior over Social Sciences. TABLE OF CONTENTS Abstract. 3 Introduction 4 Recommendations 22 REFERENCES 25 Abstract. Science in general is a great and highly developed human enterprise. Its intricacies are clearly not limited to the scientists alone, but it is essential for the entire human race. If we think of science as a space within the larger space of society then it is at the interfaces between these two spaces that human beings are involved with science. To see this interface clearly from the space of science is not the same as seeing it as a mere collection of facts that should be construed to be true and nothing but the truth. Science is beyond facts, ideals and thoughts. It is a process and a model that has undergone tests, been tried, reviewed and accepted as a true representation of the processes and occurrences in the natural world However, due to the broad nature of science, and the work, time and resources involved in pursuit of knowledge in different science fields which entails different interests, and thereby different values too; and the different...
Words: 9230 - Pages: 37
...Introduction In recent years, the healthcare industry has experienced a looming nursing crisis in health facilities. This problem has posed crisis towards establishing better health for those in need. The primary concern concerning this looming nursing shortage is identifying the root cause. Apparently, it appears as if that this crisis established its primary source in nursing training and retention in hospitals, care facilities, and other institutions. It appears as if there is serious downfall in the practicum of nurse-executive. Consequently, the concerned authority seems to portray weakness strategies in conducting this nursing practicum that has led to shortages of faculty. The big inquiry is whether these training facilities offer standardized training that would present the needed feedback facilitating nursing transition and retaining nursing staff. The central focus would then be whether this strategy would pose positive impacts in nursing training. This capstone project will explore these nursing concepts with a primary intention of presenting the root cause of nursing crisis in health facility. Annotated Bibliography Seago, A. J., Alvarado, A., Keane, D., Grumbach, K., & Spetz, J. (2006). The nursing shortage: is it really about image? Journal of Health Management, 51(2), 96-10. A research conducted in tertiary institutions Central Valley by Seago and the rest confirmed that nursing occupation lagged behind other occupations. This perspective is attributed by...
Words: 1380 - Pages: 6
...The Effectiveness of Virtual Training in Organizations Lisa R. Sickinger University of Maryland University College ITEC 610 Section 9042 Abstract This paper discusses how virtual training is a cost effective training solution for organizations without sacrificing training quality. Three major motivations for implementing virtual training are discussed: 1) To replace traditional training; 2) To develop new training capabilities; and 3) To augment traditional training. In each of these scenarios, this paper shows how cost effectiveness is realized through cost savings, reduced risks and increased proficiency of trainees. Table of Contents Introduction 4 Background 4 What is Virtual Training? 4 What is Cost Effectiveness? 5 Virtual Training Effectiveness 6 Replacing Traditional Training 6 Developing New Training Capabilities 9 Augmenting Traditional Training 13 Conclusion 18 References 19 Introduction Virtualization is a term often heard today with regards to information technology innovations. One area of virtualization that is widely being adopted by organizations is virtual training. Is the adoption of virtual training simply a popular trend or are there greater benefits? Like any project, the development and implementation of a new technology like virtual training requires extensive planning and resource allocation. Are the extensive investments needed to implement a virtual training program worth it to the organization in the long...
Words: 4490 - Pages: 18
...Implementation of Evidence-Based Practice Sheila Wright Submitted to Sharon Mooney, RN, MSN in partial fulfillment of NR 460R Evidence-Based Practice in Nursing Regis University April 9, 2010 Implementation of Evidence-Based Practice Throughout history, nursing practice has experienced change. Florence Nightingale initiated the greatest change in nursing in the mid-1800’s when she gathered data regarding the morbidity and mortality of soldiers (Chitty & Black, 2007). Nightingale recognized there was a need for change to improve patient outcomes. Her determination to provide the best possible care, based on the evidence she gathered, has inspired a profession. Today, the process of using research to care for patients is referred to as evidence-based practice. The purpose of this paper is to define and explain the importance of evidence-based practice, discuss qualitative and quantitative research studies which affect medical-surgical areas, and barriers preventing research utilization and how they may be overcome. Definition of Evidence-Based Practice There are numerous definitions of evidence-based practice (EBP). EBP is defined by Boswell and Cannon (2007) as, “A research-based, decision-making process used to guide the delivery of holistic patient care by nurses” (p. 340). Cope (as cited in Chitty & Black, 2007), defines EBP as “using the best available research findings to make clinical decisions that are most effective and beneficial for patients”...
Words: 1434 - Pages: 6
...the Decision Support System (DSS) defined in various ways depending upon the author’s point of view by Turban (1995), Little (1970), Moore and Chang (1980), Keen (1980), and Power (1997); history of DSS during late 1950s and early 1960s until millennium approached of Web-based analytical applications; the Decision support system (DSS) has been used in many different ways (Alter 1980, Power, 2002). Turban (1995) defines it as "an interactive, flexible, and adaptable computerbased information system, especially developed for supporting the solution of a nonstructured management problem for improved decision making. It utilizes data, provides an easy-to-use interface, and allows for the decision maker's own insights." For Little (1970), a DSS is a "model-based set of procedures for processing data and judgments to assist a manager in his decision-making." Moore and Chang (1980) define DSS as extendible systems capable of supporting ad hoc data analysis and decision modeling, oriented toward future planning, and used at irregular, unplanned intervals. importance of DSS to assist in high-level decision-making, assist academic advising staff, improve the quality and timeliness of marketing decisions, and medical diagnosis process; and current issues of DSS where decision-making as the most important activities for human beings, Clinical Decision Support Systems (CDSSs), several types of DSS usage and deployment, and Social decision support system (SDSS) . In contrast, Keen...
Words: 1600 - Pages: 7
...Research on Educational Impact of Games A Literature Review Institute for Games for Learning NYU Education/Assessment Group CUNY Education/Assessment Group White Paper # 02/2009 Version 0.1 June 25, 2009 Florrie Ng Helen Zeng Jan L. Plass Gaming Literature Coding In response to researchers’ calls for more systematic investigations of the use of games for learning, we conducted an extensive literature review on this topic. By surveying prior research, we examined the themes that emerged, the methodology employed, and the findings yielded, the ultimate goal being to identify knowledge gaps in the literature. To this end, we reviewed the relevant research conducted in the last 15 years by following the procedures outlined below. (a) Using the widely used social science database PsycINFO, we searched for articles which focused on both games and learning. The keywords chosen were “gam*” and either “learn*”, “teach*”, or “educat*” (the wildcard * can stand for any of a defined subset of all possible characters; for example “gam*” includes “game,” “games,” “gaming,” etc.). This generated about 4000 peer-reviewed articles from the earliest date (i.e., before 1960) to the end of 2008. (b) Given that studies conducted a decade ago tended to be less rigorous methodologically or yield obsolete results, we decided to focus our attention on more recent research. Once we narrowed down the time period to the years of 1995 to 2008, about 2400 peer-reviewed articles were left in the...
Words: 6821 - Pages: 28
...VARK Analysis More and more, today’s student is becoming less traditional in many areas of their lives and fields of study. Variances can be found in the students’ culture and background, age, degree of intelligence and conditioning. This is becoming truer especially in the medical sciences such as nursing. Much of today’s earning of an advanced nursing degree is done in an environment where the student is not in the traditional learning setting which could include lecturing which can be defined as a passive form of learning. The modern curriculum must explore other methods in the delivery of its goals along with meeting the needs and expectations of the student (Alkhasawneh, Mrayyan, Docherty, Alashram, & Yousef, 2008). One such tool is the VARK method. VARK, which is an acronym for Visual, Aural, Read/Write and Kinesthetic. A common misconception of VARK is that it is a learning style itself. Rather, it is a tool to be utilized to determine the preferred learning style of the student. The VARK questionnaire, which consists of 16 questions, was developed by Neil D. Fleming. There are basically three principles associated with the VARK tool. First everyone can learn academic issues. However, everyone has their own specific learning style. Next, there is found to be an increase in learning motivation when an awareness of the learner’s specific is learning style. Finally concepts are learned through using the senses to differentiate various perceptions (Peyman, Sadeghifar...
Words: 974 - Pages: 4
...differences between nurse’s competencies for an associate degree program (ADN) versus a baccalaureate degree program (BSN). These nursing programs differ in terms of time for completion, financial cost and career opportunities. An ADN usually takes 24 months to finish, while the BSN program takes a minimum of 4 years (Peterson, 2014). Traditionally, in the academic arena, the ADN college degree prepares the nurse with introductory course work, which then prepares the student for a four-year BSN degree program. While the BSN program is more in-depth, it can be much costlier. The cost of an ADN degree is lower than the cost of a BSN four-year degree. However, the ADN and the BSN degree coursework contain similar level course content, such as medical terminology, nutrition, biology and anatomy. The nurses that complete their ADN degree work in the same settings as the nurses that earn a BSN degree (Peterson, 2014). The only limitation for the nurse with the ADN is that her long-term career advancement opportunities are limited without a BSN. The paradigm shift in the nursing industry has started to require nurses to have a BSN degree as requirement for hire (Stevens, 2013). In the past, the ADN degree program may have enjoyed the same jobs as the BSN, however, that trend is changing as the market is becoming more competitive and employers seek nurses with BSN degrees and higher. However, this does not necessarily mean that an ADN nurse is not qualified and competent. An ADN nurse may...
Words: 978 - Pages: 4
...Manufacturing With Simulations and Games: A Survey and Future Directions Fazleena Badurdeen1, Philip Marksberry1, Arlie Hall1, and Bob Gregory1 Simulation & Gaming 41(4) 465–486 © 2010 SAGE Publications Reprints and permission: http://www. sagepub.com/journalsPermissions.nav DOI: 10.1177/1046878109334331 http://sg.sagepub.com Abstract Problem-based learning focuses on small groups using authentic problems as a means to help participants obtain knowledge and problem-solving skills. This approach makes problem-based learning ideal for teaching lean manufacturing, which is driven by a culture of problem solving that values learning as one key output of manufacturing production. Thus, simulations that organize participants in teams for realistic manufacturing production problem solving are widespread as a way to use problembased learning to teach lean manufacturing. But a critical assessment of existing simulations for lean manufacturing instruction has been lacking. Accordingly, a literature survey is conducted and existing simulations are classified according to their emphasis on lean tools or the overall lean system; the degree of their focus on soft skills, if any; and their area of application, whether academic or industry. Four gaps are found in existing simulation designs: lack of stress on soft skills, a mistaken focus on “linear lean,” misunderstanding of the key role of the facilitator, and lack of realism. Future directions for study and improvement in lean simulation design...
Words: 8901 - Pages: 36
...Managing Environmental Issues Simulation SCI/362 Managing Environmental Issues Simulation The relationship between the stakeholders in Week 4’s environmental issues simulation needs to equally considered and environmental justice must be applied to protect the indigenous peoples as well as the environment. The stakeholders must choose the best path forward on the project that will be beneficial to all parties involved and not just produce the most profits. Managing Environmental Issues: Simulation Background The Environmental Issues Simulation assesses the activities of the pharmaceutical company Colney and Pitts as they plan to expand new operations in Kenya that will hopefully assist them in developing drugs to treat prostate cancer. The company is a US firm based in California and will be dealing with the government of Kenya as well as the native Kikuyu people. Colney and Pitts anticipates gathering a rare plant named Pygeum from the tribal lands of the Kikuyu people to study its properties that have been used for generations in treating various medical issues of older tribal males. The simulation states that the company will be investing $250,000 into their research into the viability of using the Pygeum plant in their modern pharmaceutical products. The company projects its earnings from this new drug to be around $220 million a year. As a precaution, the International Center for Ethno Botanical Research will be monitoring the company’s project to protect the...
Words: 1128 - Pages: 5
...Standardized Simulation NR442 Asthma Management/Nabiha Meer Chamberlain College of Nursing: Nursing Students We want to thank you in advance for your active participation in this standardized simulation. Our purpose is to immerse you in a high quality clinical experience that will enhance critical thinking, decision-making, and prepare you as you move forward in the curriculum and transition into practice. The following material can be used in scenario preparation. You will find preparation documentation that includes course and student learning outcomes as well as general scenario information and resources. A brief patient history will be provided in addition to the most recent physician orders. Be prepared to document your assessment findings, administration of medication, and nursing notes. A medication administration record, laboratory results and patient education material will be provided for you during the simulated experience. One of the most important aspects of simulation is the assessment of performance and debriefing. Keep in mind that the purpose of participation is to enhance your learning and allow you to identify areas of needed remediation. There is no high-stakes testing. We are only asking that you engage in the learning experience and begin to use the feedback provided to enhance your practice. We want you to be able to self-reflect on your actions and interventions and remediate areas that you identify. An assessment matrix has been created...
Words: 3842 - Pages: 16
...all learners and to keep the learners involved and interested in the learning process. The No Child Left Behind Act (NCLB) and the 2004 reauthorization of the Individuals with Disabilities Act (IDEA) mandate that statewide tests be used to measure and evaluate student progress. This leaves educators striving to adapt their instruction to accommodate the needs of students in terms of learning styles and ability. It has been suggested in the literature that virtual reality (VR) has the potential to assist educators in accommodating individual differences in terms of learning style, ability, and engagement (Muscott & Gifford, 1994; Chen, Toh, & Ismail, 2005; Neel, 2006; and Tiala, 2007). Virtual reality can be defined as a text and graphics-based environment that is created by a computer. Today’s students are proficient in using technology; ninety percent of children in the U.S. between the ages of 5 and 17 use computers on a regular basis (DeBell & Chapman, 2003). It stands to reason that integrating virtual reality technology into lessons would improve student motivation and engagement. Levels of Virtual Reality The educational community in general has been slow to embrace virtual reality as an assistive technology. This is most likely to due to its cost and its complexity. Many school districts are already overburdened financially and have difficulty providing students with what have always been considered the basic necessities: teachers, books, and equipment. Providing basic...
Words: 2452 - Pages: 10
