Medicine and Health Sciences Commons^™

Practc: Practice Readiness Academic Clinical Training Collaborative –– Gap Analysis To Advance Clinical Training For Nurse Practitioner Students, Jennifer Hartlaub, Mary Ann Muzi, M. Jamie Cairo, John R. Brill, James Weese, Kristin Rivera, Susan Hafemann, Ann M. Rohrer, Julia Schumacher, Terri L. Vandenhouten

Kristin Rivera

Background: Multiple factors have created a perfect storm of health care provider shortages in the United States. Advanced practice registered nurses (APRNs), long established as high-quality, cost-effective health care providers, are meeting health care needs across the nation in a variety of settings, and in Wisconsin will be needed to augment the primary care workforce. With 5.7% of its registered nurses credentialed as APRNs, Wisconsin lags behind the national average of 8.7%. However, current capacity to educate this workforce is strained, requiring innovative data-driven clinical education models. Purpose: To identify gaps in the current clinical educational framework for nurse practitioner …

Evaluating The Message Communication Strategies In Dementia Training For Use With Community-Based Aged Care Staff Working With People With Dementia: A Controlled Pretest-Post-Test Study, Erin R. Conway, Helen Chenery

Helen Chenery

Aims and Objectives:

The study aims to evaluate the effects of a communication skills training programme on community aged care staff's knowledge of communication support in dementia and on staff's care experience.

Background:

Dementia can lead to impairments in communication. Therefore, quality community-based dementia care requires that staff be skilled communicators, equipped to facilitate interactions with people with dementia. The current investigation evaluated the effectiveness of the MESSAGE Communication Strategies in Dementia for Care Staff training programme with respect to knowledge of communication support and the staff/caregiver experience.

Design:

A multi-centre controlled pretest/post-test design with randomised cohort allocation was used. …

Using Surveymonkey® To Teach Safe Social Media Strategies To Medical Students In, Katrina Bramstedt, Ben Ierna, Victoria Woodcroft-Brown

Katrina A. Bramstedt

Social media is a valuable tool in the practice of medicine, but it can also be an area of ‘treacherous waters’ for medical students. Those in their upper years of study are off-site and scattered broadly, undertaking clinical rotations; thus, in-house (university lecture) sessions are impractical. Nonetheless, during these clinical years students are generally high users of social media technology, putting them at risk of harm if they lack appropriate ethical awareness. We created a compulsory session in social media ethics (Doctoring and Social Media) offered in two online modes (narrated PowerPoint file or YouTube video) to fourth- and fifth-year …

Anatomical Variations: How Do Surgical And Radiology Training Programs Teach And Assess Them In Their Training Curricula, Athanasios Raikos, Janie Smith

Athanasios Raikos

Sound knowledge of anatomy and anatomical variations plays an integral role in surgical and radiology specialties. This study investigated the current teaching and assessment trends on anatomical variations in various surgical and radiology specialty training curricula in Canada and Australia. A survey was sent to 122 Program Directors and Chairs of specialty committees in Canada and Directors of Training/Education in Australia of selected surgical and radiology specialties. A total of 80.7% of respondents report that their training curricula include anatomical variations. The highest rated classes of variations included in the curriculum are arterial (76%), venous (68%), followed by organs (64%). …

Anatomical Variations: How Do Surgical And Radiology Training Programs Teach And Assess Them In Their Training Curricula, Athanasios Raikos, Janie Smith

Janie Smith

Sound knowledge of anatomy and anatomical variations plays an integral role in surgical and radiology specialties. This study investigated the current teaching and assessment trends on anatomical variations in various surgical and radiology specialty training curricula in Canada and Australia. A survey was sent to 122 Program Directors and Chairs of specialty committees in Canada and Directors of Training/Education in Australia of selected surgical and radiology specialties. A total of 80.7% of respondents report that their training curricula include anatomical variations. The highest rated classes of variations included in the curriculum are arterial (76%), venous (68%), followed by organs (64%). …

The Unique Contribution Of Behavioral Scientists To Medical Education: The Top Ten Competencies., Jeffrey L. Sternlieb Phd

Jeffrey L Sternlieb PhD

Understandably, the focus of most physicians is primarily on the biomedical-What is this disease or injury? Behavioral scientists from various disciplines in medical education generally have a broader approach-Who is this person with these symptoms and what is their story? Since behavioral scientists are often alone among U. S. residency faculty, physicians may fail to recognize the value of their approach to medical resident training. This review identifies and describes the top areas of expertise that behavioral scientists bring to medical education and how their training prepares them to think differently than other medical educators. In the course of identifying …

Words And Pictures, Katrina Bramstedt

Katrina A. Bramstedt

This is a review of the 2013 film Words and Pictures. Surprisingly, the film is not about justifying a role for the humanities in education but, rather, a battle to determine which is more valuable—literature or art?. At a time when many schools question if these have any value at all, this film uses passionate and afflicted teachers to explore which is most important and finds valuable intersections between the two.

How We "Breathed Life" Into Problem-Based Learning Cases Using A Mobile Application, Michelle Mclean, Victoria Brazil, Patricia Johnson

Patricia Johnson

Background: Problem-based learning (PBL) has been widely adopted in medical education. Learners become bored with paper based cases as they progress through their studies. Aim: To breathe life (i.e. develop virtual patients) into paper-based PBL cases. Methods: The ‘‘patients’’ in paper-based PBL cases in one Year 2 were transformed into virtual patients by simulated patients roleplaying and the videos and associated patient data uploaded to Bond’s Virtual Hospital, a mobile Application. In unsupervised ‘‘clinical teams’’, second-year students undertook ‘‘ward rounds’’ twice a week, prompted by a virtual consultant and registered nurse. Immediately following the ‘‘ward rounds’’, they met with a …

Medical Educators Working Abroad: Who Are They?, Michelle Mclean, Anna Da Silva, Judy Mckimm, Stella Major

Michelle McLean

Background: Medical education is an international activity. As students and educators travel across the globe to study and teach, both medical student populations and academic staff profiles are becoming increasingly multinational. Little is, however, known about medical educators who chose to work and live abroad. Methods: Following a pilot study in the Middle East, an online survey was adapted for an international audience. In addition to demographic data, information was collected about international medical educators’ countries of birth, where they had studied, their work history as well as their roles and responsibilities as medical educators. Results: The survey, completed by …

Medical Professionalism Across Cultures: A Challenge For Medicine And Medical Education, Vikram Jha, Michelle Mclean, Trevor Gibbs, John Sanders

Michelle McLean

Background: The recognition of medical professionalism as a complex social construct makes context, geographical location and culture important considerations in any discussion of professional behaviour. Medical students, medical educators and practitioners are now much more on the move globally, exposing them to cultural and social attitudes, values and beliefs that may differ from their own traditional perceptions of professionalism. Aims and Methods: This paper uses the model of the intercultural development continuum and the concept of ‘‘cultural fit’’ to discuss what might transpire when a student, teacher or doctor is faced with a new cultural environment. Using our own experiences …

Nursing Education At Indiana University - Purdue University Fort Wayne, Sarah Beckman, Sanna Boxley-Harges, Lois Lowry

Sarah J. Beckman

No abstract provided.

On Being An International Medical Educator, Michelle Mclean, Stella Major, Judy Mckimm

Michelle McLean

Hayden's (2006) article on the internationalisation of medical education set out a compelling vision of transnational medical education. A typical scenario would therefore be an international teacher with a class of international students, an international curriculum and instiutional collaboration across national boundaries. In today's shrinking global world of travel and communication, such a scenario is probably not as uncommon as one might imagine.

How We "Breathed Life" Into Problem-Based Learning Cases Using A Mobile Application, Michelle Mclean, Victoria Brazil, Patricia Johnson

Michelle McLean

Background: Problem-based learning (PBL) has been widely adopted in medical education. Learners become bored with paper based cases as they progress through their studies. Aim: To breathe life (i.e. develop virtual patients) into paper-based PBL cases. Methods: The ‘‘patients’’ in paper-based PBL cases in one Year 2 were transformed into virtual patients by simulated patients roleplaying and the videos and associated patient data uploaded to Bond’s Virtual Hospital, a mobile Application. In unsupervised ‘‘clinical teams’’, second-year students undertook ‘‘ward rounds’’ twice a week, prompted by a virtual consultant and registered nurse. Immediately following the ‘‘ward rounds’’, they met with a …

Three Technology Enhancements In Nursing Education: Informatics Instruction, Personal Response Systems, And Human Patient Simulation, R. Jensen, Linda Meyer, Carol Sternberger

Carol S Sternberger

No abstract provided.

Over Mountains, Across Rivers, And Through Woods: Teaching Collaboratively Using A Cross-Platform Environment, Carol Sternberger, B. Deal, R. Fountain

Carol S Sternberger

No abstract provided.

Clinical Education Adapts To Changing Times, P. Jarzemsky, S. Kruger, Stephanie Gilbertson-White

Stephanie Gilbertson-White

No abstract provided.

Online Learning Environments For Medical Education - A Case Study, Martin Olmos, Lori Lockyer

Professor Lori Lockyer

No abstract provided.

Changes In The Diagnostic Process During 40 Years Of Clinicopathologic Conferences, A. Feinstein, Jennifer Niebyl

Jennifer R Niebyl

No abstract provided.

Oral Hypoglycemic Agents In Pregnancy, N. Tran, Stephen Hunter, J. Yankowitz

Stephen K. Hunter

Pregnancies in diabetic women are associated with increased risk of spontaneous abortion, congenital malformations, preeclampsia, preterm labor, macrosomia, shoulder dystocia, and cesarean section. Advances in antepartum cares and strict adherence to dietary and insulin regimens have been shown to significantly reduce the rate of maternal morbidity as well as perinatal morbidity and mortality. Historically, reports of potential fetal teratogenicity and hypoglycemic effects on the fetus contraindicated the use of oral hypoglycemic agents in pregnancies complicated with either type II diabetes mellitus (DM) or gestational diabetes mellitus (GDM). Recently, physicians increasingly prescribe newer generations of oral hypoglycemic agents to treat GDM …

Obstetric Forceps Training Using Visual Feedback And The Isometric Strength Testing Unit, Kimberly Leslie, P. Dipasquale-Lehnerz, M. Smith

Kimberly K. Leslie

OBJECTIVE: This is a descriptive study that tested the maximum traction residents could apply to forceps during simulations. Visual feedback was then used to reinforce an optimal range of traction, and the ability of residents to reproduce this pull when blinded was assessed. METHODS: Fifty-five residents participated in 6 pulling exercises using an isometric strength testing unit with a real-time computer printout of the force applied. Maximum traction was determined for male and female residents in standing and sitting positions. Visual feedback was then used to estimate whether residents could be trained to reproduce an optimal force range of 30-45 …

Dietary Behaviors After Gestational Diabetes Mellitus Group Education, Jimmy Chun Yu Louie, Tania Markovic, Deborah Foote, Glynis Ross, Jennie Brand-Miller

Jimmy Chun Yu Louie

No abstract provided.

Comparison Of Selected Teaching Strategies Incorporating Simulation And Student Outcomes, Elizabeth Swanson, Anita Nicholson, Teresa Boese, Ellen Cram, Anita Stineman, Kimberly Tew

Elizabeth A. Swanson

No abstract provided.

Simply The Best: Teaching Gerontological Nursing Students To Teach Evidence-Based Practice. Creating Tip Sheets Can Help Achieve The Goal Of Implementing Ebp In Clinical Facilities, Deborah Schoenfelder

Deborah P. Schoenfelder

This article describes a teaching strategy used in an undergraduate gerontological nursing clinical course to familiarize students with evidence-based practice. Students are required to read and summarize an assigned evidence-based practice guideline published by The University of Iowa Gerontological Nursing Interventions Research Center. They then develop a "tip sheet," based on the assigned guideline, to disseminate to health care staff at their practicum sites, which is either a long-term care facility or a hospital-based skilled nursing facility. Nursing students' reactions to the assignment and nursing staff's responses to the tip sheets are discussed.

Creative Practicum Leadership Experiences In Rural Settings, Deborah Schoenfelder, J. Valde

Deborah P. Schoenfelder

Rural healthcare systems provide rich learning environments for nursing students, where strong nursing leaders manage care for people with diverse health problems across the lifespan. The authors describe the development, implementation, and evaluation of rural clinical leadership practicum, a prelicensure course that specifically focuses on the application of leadership concepts in small rural healthcare systems.

Economics And The Education Of Nurse Anesthetists: Part 1, Cormac O'Sullivan, E. Thompson

Cormac T. O'Sullivan

No abstract provided.

Economics And The Education Of Nurse Anesthetists: Part 2, Cormac O'Sullivan, E. Thompson

Cormac T. O'Sullivan

Economic assumptions and other factors affecting the economics of nurse anesthesia education are presented in Part 2 of this 2-part column. In Part 1, published in the October 2004 issue of the AANA Journal, general economic principles and healthcare economic principles in particular were described, explained, and related to the current US healthcare system.

An Examination Of The Sustainable Adoption Of Whole-Person Care (Wpc), Maria Joseph, D. Laughon, Richard Bogue

Maria (Lindell) Joseph

AIM: This study illustrates how King's theory of goal attainment was used to focus an examination of whole-person care (WPC) and to extend the range of knowledge needed for WPC and nursing practice. BACKGROUND: Leadership implemented a faith-based innovation using continuing education for patient care that incorporates body-mind-spirit and eight principles called CREATION. Three questions arose: (1) Is there an evidence-based framework to determine whether the philosophy supports the discipline of nursing? (2) How extensive is the adoption and application of WPC? (3) Does the model make a difference in the context of nurse-patient interactions and outcomes in support of …

Professional Issues. Health Care Quality And Outcome Guidelines For Nursing Of Children And Families: Implications For Pediatric Nurse Practitioner Practice, Research, And Policy, C. Betz, J. Cowell, Martha Craft-Rosenberg, M. Krajicek, M. Lobo

Martha J. Craft-Rosenberg

No abstract provided.

Using Nanda, Nic, And Noc In An Undergraduate Nursing Practicum, K. Smith, Martha Craft-Rosenberg

Martha J. Craft-Rosenberg

Although use of diagnoses originally developed by NANDA (now known as NANDA-I), NIC, and NOC in education and practice is increasing, many faculty members have not been educated in their use and may be reluctant to teach these languages. This article provides guidance on the use of NANDA-I, NIC, and NOC in clinical education. This guidance will facilitate both faculty and student learning.

Proposed Changes In University Of Iowa College Of Nursing Curriculum, Martha Craft-Rosenberg

Martha J. Craft-Rosenberg

No abstract provided.