Medicine and Health Sciences Commons^™

Effectiveness Of Simulation-Based Learning On Clinical Competence In Dietetics Students: A Narrative Review, Claudia W. Scott, Rena Zelig, Diane L. Rigassio Radler

Journal of Dietetic Education

Clinical supervised practice experiences offered through dietetic internships have historically been among the most challenging to obtain. The COVID-19 pandemic heightened the scarcity of these experiences and forced dietetics education programs to offer alternative experiences in the absence of direct patient care opportunities. Simulation-based learning experiences (SBLE) or objective structured clinical examinations (OSCE) are one method of providing these alternative options, and if effective, could be routinely incorporated into dietetics education. This review evaluates five original research articles to determine the effectiveness of simulation-based learning on perceived or observed clinical competence in dietetic students. The findings of the studies unanimously …

Development Of Neuraxial Anesthesia Educational Videos For Nurse Anesthesia Students, Mackenzie Schutt, Kaylie Lajeunesse

Doctor of Nursing Practice Projects

Development of Neuraxial Anesthesia Educational Videos for Nurse Anesthesia Students

Kaylie LaJeunesse, BSN, RN, SRNA & Mackenzie Schutt, BSN, RN, SRNA

Performance and evaluation of anesthetic procedures, specifically neuraxial anesthesia, are core components of nurse anesthesia curriculums. Teaching methods must provide nurse anesthesia students with the proper tools and knowledge to perform skills confidently and proficiently. Traditional teaching methods have fallen short of providing the necessary instruction for optimal student success. Incorporating video-learning resources on neuraxial anesthesia into course curriculums can significantly improve nurse anesthesia practice by better-preparing students for the clinical setting. Video learning increases student engagement and facilitates …

Clinical Practice Skills And The Development Of A Visual Perception Screening Tool For Inpatient Settings, Annie J. Mehl

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

Clinical Skills Of General Practitioners In Nairobi, Kenya: A Cross-Sectional Study, Gulnaz Mohamoud, Robert Mash

Family Medicine, East Africa

Background: Quality service delivery in primary care requires motivated and competent health professionals. In the Kenyan private sector, GPs with no postgraduate training in family medicine offer primary care. There is a paucity of evidence on the ability of primary care providers to deliver comprehensive care and no such evidence is available for GPs practising in the private sector in Kenya.

Aim: To evaluate GPs’ training and experience in the skills required for comprehensive primary care.

Design and setting: A cross-sectional descriptive survey in 13 primary care clinics in the private sector of Nairobi, Kenya.

Method: A questionnaire, …

Effectiveness Of Simulation-Based Clinical Skills Training For Medical Students In Respiratory Medicine: A Pilot Study, Russell S. Martins, Saniya Sabzwari, Meesha Iqbal

Medical College Documents

Objective: To assess the effectiveness of high-fidelity simulation-based medical education (HF-SBME) in teaching and learning respiratory clinical examination in medical students.
Study design: Quasi-experimental pilot study.
Place and duration of study: The Aga Khan University, Karachi, from November 2018 to January 2020. Methodology: This study was conducted amongst third year medical students at the University. Students were assigned to intervention (IG) or control groups (CG). The IG underwent training for the respiratory clinical examination on a high-fidelity simulator mannequin, while the CG received the conventional practice session on standardised patients. Students were assessed on their respiratory clinical examination skills in …

The Acquisition Of Dental Competencies And Clinical Skills: Perceptions From Students, Faculty, Practicing Dentists And Industry Professionals In The Dominican Republic, Laura Virginia Reyes Alardo

Dissertations

The Dominican healthcare system faces many challenges, and dental education is not an exception. The lack of competencies established for dentistry is one of the most critical challenges that dentistry faces. There is no way to guarantee that all dentists receive the same quality education with no standards and lack of competencies. Previous research has revealed that the competencies achieved by dental students determine the way such students develop their professional practice in the future as dental graduates (Alcota, De Gauna, & González, 2016). However, there is a lack of shared language observed in dental education around the world. Not …

Use Of Simulation Based Technology In Pre-Clinical Years Improves Confidence And Satisfaction Among Medical Students, Muhammad Bilal Mirza, Anjiya Sulaiman, Satwat Hashmi, Samar Zaki, Rehana Rehman, Rozmeen Akbar

Medical College Documents

Objective: To determine perception of medical students about learning from integrated simulated clinical skill sessions as part of the undergraduate curriculum.
Methods: The cross-sectional study was conducted at the Centre for Innovation in Medical Education, Aga Khan University (AKU), Karachi, from July 2018 to February 2019, and comprised first year medical students undertaking the Respiration and Circulation module of the curriculum. Quantitative data was collected using a questionnaire and the responses were assessed on a five-point Likert scale. Data was analysed using SPSS 21. Qualitative data was gathered through focused group discussion with students and an in-depth interview with the …

Teaching Clinical Skills Online: Techniques, Student Feedback, And Lesson Learned, Kathleen Eglseder, Amanda Littleton

Journal of Occupational Therapy Education

The use of online education has long been used in occupational therapy for both post professional and continuing education. In entry level programs, however, strict online education is not common due to the intensive clinical skills that the students must obtain. These are typically taught in lab format with consistent practice and faculty feedback. Due to the COVID 19 epidemic, many universities were forced to make a rapid transition to online learning with little preparatory time. While it is believed that many courses were conducive to this change in format, instructors of clinical skills courses were forced to identify creative …

Developing Physical Exam Skills In Residency: Comparing The Perspectives Of Residents And Faculty About Values, Barriers, And Teaching Methods, John W. Ragsdale, Catherine Habashy, Sarita Warrier

Internal Medicine Faculty Publications

Background: The physical examination (PE) skills of residents are often not improved since medical school. Unfortunately, how residents learn PE is not well understood. There is a paucity of research on the factors involved and the differences between resident and faculty perspectives. The authors sought to determine resident and faculty perceptions about the value of PE, the major barriers to learning PE, and the most effective teaching methods.

Methods: Based on a rigorous process of literature review and semi-structured interviews, the authors developed an online survey which was sent to 406 internal medicine residents and 93 faculty at 3 institutions. …

How Medical Students Screen For Hiv With Standardized Patients Establishing Care., Christopher J. Brown, Emily J. Noonan, Laura A. Weingartner

Undergraduate Research Events

How Medical Students Screen for HIV with Standardized Patients Establishing Care

AUTHORS

Christopher J. Brown, B.S., B.A. Candidate; Emily J Noonan, PhD, MA; Laura A. Weingartner, PhD, MS

BACKGROUND

Approximately 1.1 million people in the U.S. are living with HIV. The US Preventive Services Task Force (USPSTF) recommends HIV testing for everyone 15-65 years old at least once regardless of sexual activity, with more frequent testing for those considered at risk.

METHODS

Rising third-year medical students were recorded taking health histories from standardized patients. These recordings were coded for HIV screening, including: risk factors such as unprotected sex, intravenous drug …

Ultrasound Measurements On The Inferior Vena Cava By Renal Nursing Staff For Assessment And Management Of Intravascular Volume Status In Haemodialysis Patients, Ulrich Steinwandel

Theses: Doctorates and Masters

Title: Ultrasound measurements on the inferior vena cava (IVC-US) by renal nursing staff for assessment and management of intravascular volume status in haemodialysis patients.

Aims: The primary aim of this thesis was to provide evidence that renal nurses could safely and efficiently perform IVC-US on haemodialysis patients to obtain objective assessment of intravascular volume status and potentially reduce adverse events and morbidity. The secondary aims for this study were: (1) conduct a systematic literature review to identify evidence if renal nurses have previously used this method for intravascular volume assessment; (2) teach a renal nurse through a staged educational programme, …

The Transfer Of Problem-Based Learning Skills To Clinical Practice, Marie T. Stanton, Suzanne Guerin, Terry Barrett

Interdisciplinary Journal of Problem-Based Learning

The purpose of this article is to present and discuss the reported impact of a fully problem-based learning (PBL) master’s program on the way graduates worked with patients and colleagues in Ireland. These graduates had completed a sixteen-month fully PBL master’s in sonography while concurrently working in clinical practice. Semi-structured telephone interviews were used to collect qualitative data from graduates of the PBL program. PBL graduates reported four notable changes in their approach to clinical practice following the PBL MSc ultrasound program: (1) thinking more before, during, and after clinical practice; (2) more effective communication with patients; (3) improved communication …

Many Hands Make Light Work: Crowdsourced Ratings Of Medical Student Osce Performance, Mark Grichanik

USF Tampa Graduate Theses and Dissertations

Clinical skills are often measured using objective structured clinical examinations (OSCEs) in healthcare professions education programs. As with assessment centers, it is challenging to provide learners with effective feedback due to burdensome human capital demands. The aim of this dissertation was to evaluate the viability of using a crowdsourced system to gather OSCE ratings and feedback. Aggregating evaluations of student performance from a crowd of patient proxies has the potential to mitigate biases associated with single-rater evaluations, allow the patient a voice as the consumer of physician behavior, improve reliability, reduce costs, improve feedback latency, and help learners develop a …

Effects Of A Peer Evaluation Technique On Nursing Students' Anxiety Levels, Patricia Stewart

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The rigorous educational experience of nursing school can cause stress and anxiety for nursing students. Identifying techniques to help decrease stress and anxiety during a nursing program can be beneficial to the students’ overall health and mental well-being as well as to their academic success. A quasi-experimental design was utilized to examine if a peer evaluation technique (PET) during clinical skill practice sessions decreases anxiety prior to the students’ skill performance evaluation with nursing faculty. The State Trait Anxiety Inventory questionnaire was utilized to measure anxiety levels. The difference in post state anxiety scores between the control group (M = …

Physiotherapy Students' Perceptions And Experiences Of Clinical Prediction Rules, G Knox, S Snodgrass, T Stanton, D Kelly, B Vicenzino, B Wand, D Rivett

Physiotherapy Papers and Journal Articles

Objectives: Clinical reasoning can be difficult to teach to pre-professional physiotherapy students due to their lack of clinical experience. It may be that tools such as clinical prediction rules (CPRs) could aid the process, but there has been little investigation into their use in physiotherapy clinical education. This study aimed to determine the perceptions and experiences of physiotherapy students regarding CPRs, and whether they are learning about CPRs on clinical placement.

Design: Cross-sectional survey using a paper-based questionnaire.

Participants: Final year pre-professional physiotherapy students (n=371, response rate 77%) from five universities across five states of Australia.

Results: S …

The Role Of Simulation-Based Learning Environments In Preparing Undergraduate Health Students For Clinical Practice, Brennen Mills

Theses: Doctorates and Masters

Experiential learning (EL), whereby students are able to integrate theory with practice, is an essential component of learning for health professionals. Traditionally, EL in the health education context has been achieved through clinical placements (CPs) that see students ‘apprentice’ in real clinical settings. The literature suggests there are a number of factors that diminish a student’s ability to learn in such environments, including limited opportunities to practice, being confined primarily to observation roles as opposed to participate in tasks, being exposed to skills/procedures outside their level of learning/understanding, and institutional learning objectives being secondary to workplace goals. Simulation-based learning environments …

Clinical Faculty Perceptions Of Using A Skills Checklist In Teaching Pn Students Bedside Physical Assessments, Helen Daniels-Moncrief

Regis University Student Publications (comprehensive collection)

Abstract An area of student learning where assessment and support is most important is in the teaching of physical assessment to practical nursing (PN) students. Faculty teaches techniques of body system assessments and then evaluates student learning. First year practical nursing (PN) students at a Midwest community college were reported to be deficient in performing bedside physical assessments by clinical nursing faculty and hospital staff. It was proposed that the use of a bedside physical assessment checklist would assist faculty in teaching physical assessment and improve student outcomes. This qualitative phenomenological study involved a purposive sample of seven nursing faculty …

Effectiveness Of A Structured Curriculum Focused On Recognition And Response To Acute Patient Deterioration In An Undergraduate Bsn Program, Patricia L. Hart, Jane D. Brannan, Janice M. Long, Mary Beth R. Maguire, Lois R. Robley

Faculty Articles

The study purpose was to evaluate the effectiveness of a structured education curriculum with simulation training in educating undergraduate Baccalaureate of Science in Nursing (BSN) students to recognize and respond to patients experiencing acute deterioration as first responders. Researchers have demonstrated a lack of adequate clinical reasoning skills in new graduate nurses is a factor in critical patient incidents. A mixed methods design using a quasi-experimental, repeated measures and a descriptive, qualitative approach was used. A convenience sample of 48 BSN students was recruited. Statistically significant increases were shown in knowledge, self-confidence, and perceptions of teamwork. Six categories emerged from …

Simulated Learning In Musculoskeletal Assessment And Rehabilitation Education: Comparing The Effect Of A Simulation-Based Learning Activity With A Peer-Based Learning Activity, Mark Hecimovich, Simone Volet

Faculty Publications

Background: Musculoskeletal disorders and diseases are leading causes of pain, physical disability, and doctor visits throughout the world. Health professionals must be trained to assess, treat through rehabilitation and monitor patients with these disorders. Yet, due to overcrowded curricula, some health education programs struggle to accommodate more than minimal training in musculoskeletal conditions. Consequently, educators in these professions must consider how traditional instruction could be complemented effectively to enhance students’ preparation for the diverse musculoskeletal disorders and pathologies they may encounter. The purpose of this study was to explore the benefits that can be obtained from laboratory practice in musculoskeletal …

Development And Psychometric Evaluation Of Scales To Measure Professional Confidence In Manual Medicine: A Rasch Measurement Approach, Mark D. Hecimovich, Irene Styles, Simone E. Volet

Faculty Publications

Background: Health professionals in athletic training, chiropractic, osteopathy, and physiotherapy fields, require high-level knowledge and skills in their assessment and management of patients. This is important when communicating with patients and applying a range of manual procedures. Prior to embarking on professional practice, it is imperative to acquire optimal situation-specific levels of self-confidence for a beginner practitioner in these areas. In order to foster this professional self-confidence within the higher education context, it is necessary to have valid and reliable scales that can measure and track levels and how they change. This study reports on the development and psychometric analysis …

Evaluation Of The Use Of Patient-Focused Simulation For Student Assessment In A Surgery Clerkship., Gerald A Isenberg, Katherine W Berg, Judith A Veloski, Dale D Berg, J J. Veloski, Charles Yeo

Department of Surgery Faculty Papers

BACKGROUND: The purpose of this study was to evaluate the use of simulated patients in conjunction with anatomic and tissue task-training models to assess skills.

METHODS: Faculty reviewed the objectives of the clerkship to identify skills to be acquired. Three cases were developed related to rectal examination, suturing, and inserting intravenous lines and nasogastric tubes. Student scores were based on their ability to gather data from simulated patients and perform procedures on simulation models.

RESULTS: A total of 670 students were assessed between 2006 and 2009. Alpha reliability coefficients were .97 for Communication/Interpersonal Skills, .71 for Procedures, and .58 for …

Media Supported Problem-Based Learning And Role-Play In Clinical Nurse Education, Leeann Whitehair, Meg O'Reilly

Dr Meg O'Reilly

The introduction of a problem-based learning role-play into an undergraduate nursing degree has motivated and inspired students to take an active approach to learning. Practising the role of a registered nurse and working in a simulated patient environment were seen as valid preparation for future practice. Collaborating with peers and tutors provided students with confidence to solve authentic patient problems and motivated them to accept responsibility for preparation and active participation during lab sessions. Inclusion of digital recordings of expert demonstrations of clinical skills significantly enhanced students’ skills development. Students’ future colleagues working in health care, noted their preparedness, high …

Rethinking Theory And Practice: Pre-Registration Student Nurses Experiences Of Simulation Teaching And Learning In The Acquisition Of Clinical Skills In Preparation For Practice, Angela Hope, Joanne Garside, Stephen Prescott

Faculty of Science, Medicine and Health - Papers: part A

In the United Kingdom (UK) simulation learning has been recognised in the form of a regulatory agreement that may replace hours from clinical practice. This integration has become an embedded feature of the pre-registration nursing programme at a University in the North of England, along with strategic investment in staff and simulation suites developed to underpin this curriculum change albeit in the absence of sparse empirical evidence, hence the rationale for the study which was designed to explore the relationship between simulation, theory and practice. The study features a thematic analysis of evaluation questionnaires from pre-registration student nurses (n=>500) …

Manikins Across The Lifespan: Intertwining Scenarios With Hi-Fidelity Simulation To Teach Medical Students Clinical Skills, Patricia Johnson

Patricia Johnson

No abstract provided.

Measuring The Quality Of Rural-Based, Government Health Care Workers In Nepal, Stephen J. Knoble, Anil Pandit, Bibek Koirala, Laxmi Ghimire

Internet Journal of Allied Health Sciences and Practice

A representative, cross-sectional clinical skills assessment of 163 mid-level, rural-based, government health care workers was conducted in four districts of Nepal in June 2007. All Health Assistants and Auxiliary Healthcare Workers within the target districts were scored using checklists of standardized key skills in clinical encounters with model patients or clinical models. Participant scores were reported as a mean percentage in adult medicine 28(%), pediatric medicine 56(%), maternity medicine 35(%), orthopedic medicine 45(%), clinical procedures 59(%), and management 46(%). This was measured against the government’s 60(%) standard on clinical skills. There was little significant difference between categories of health workers …