Advancing Nursing Informatics Through Clinical Placements: Pilot Study

2021 ◽  
Author(s):  
Zerina Lokmic-Tomkins ◽  
Sandeep Brar ◽  
Neville Lin ◽  
Melvin Khor ◽  
Kate Mathews ◽  
...  
Keyword(s):  
Nursing Students ◽  
Patient Care ◽  
Thematic Analysis ◽  
Teaching And Learning ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Nursing Curriculum ◽  
Nursing Informatics ◽  
Clinical Placements ◽  
Work Integrated Learning

Work integrated learning in the space of nursing informatics is a new concept in Australian nursing curriculum. This study examined nursing students’ experiences in the pilot nursing informatics clinical placement centered on electronic medical records, their use in patient care and clinical decision making. Students completed reflective diaries of their learning during the four-week placement. Data was explored by thematic analysis. Emergent themes included: importance of adequate training in using EMR; impact of EMR on nursing workflow and patient care; shaping future career choices; forming rewarding relationships; and potential for improvements. These themes will be used to enhance teaching and learning opportunities as this pilot placement evolves into permeant part of the nursing curriculum.

scholarly journals 23. An Internal Audit of a Virtual Learning Space to Facilitate Clinical Decision-Making in Nursing

2012 ◽  
Vol 5 ◽  
pp. 132 ◽  
Author(s):  
Beryl McEwan ◽  
Gylo Hercelinskyj
Keyword(s):  
Nursing Students ◽  
Situated Learning ◽  
Teaching And Learning ◽  
Clinical Decision Making ◽  
Charles Darwin ◽  
Internal Audit ◽  
Clinical Decision ◽  
Nursing Program ◽  
Clinical Settings ◽  
Learning Space

In any nursing program, it is a challenge to foster an awareness of, and engagement with, the complexity and reality of nursing practice.  During their studies, nursing students have to learn the relevant underpinning theoretical knowledge for practice as well as develop their understanding of the role and responsibilities of the registered nurse in clinical settings. At a regional Australian university the Bachelor of Nursing is offered externally with the student cohort predominantly off-campus. There are significant challenges in providing opportunities to enhance learning (Henderson, Twentyman, Heel, & Lloyd, 2006) and to foster early professional engagement with the nursing community of practice (Andrew, McGuiness, Reid, & Corcoran, 2009; Elliot, Efron, Wright, & Martinelli, 2003; Morales-Mann & Kaitell, 2001) in a context for learning nursing knowledge and inter-professional collaborative practice. This paper presents the results of a series of internal audits of students’ feedback of the Charles Darwin Hospital (CDU) vHospital™ undertaken from 2008 to 2010, following integration into theory and clinical nursing subjects in the Bachelor of Nursing program.  The feedback from students demonstrates the value students place on teaching and learning activities that provide realistic situated learning opportunities (Hercelinskyj & McEwan, 2011).

scholarly journals The involvement of students as simulated patients in a ward management exercise

2012 ◽  
Vol 9 (1) ◽  
pp. 81-94
Author(s):  
Pauline Hamilton
Keyword(s):  
Nursing Education ◽  
Nursing Students ◽  
Clinical Decision Making ◽  
Clinical Skills ◽  
Clinical Decision ◽  
Simulated Patients ◽  
Clinical Placements ◽  
Clinical Simulation ◽  
Undergraduate Nursing ◽  
Skills Education

This paper discusses the experience of planning and implementing a clinical simulation session, from the perspective of students and lecturers. The aim of the simulation exercise was to prepare students for coping with clinical decision making associated with caring for a group of patients. Students were in year three of a Pre-registration Nursing Honours Degree programme.Preparation of nurses who are fit for practice has been the subject of scrutiny for some time. Most recently the Nursing and Midwifery Council (NMC) publication, Nursing: Towards 2015 (NMC 2007) and the recent pre-registration review of nursing education (NMC, 2008), highlight the national shortage of clinical placements for undergraduate pre-registration nursing students. Consequently an opportunity has been created to increase simulated practice hours as the Nursing and Midwifery Council (NMC) indicate that practice hours for pre-registration nursing students can be undertaken in a simulated practice environment (NMC Circular 36/2007). Thus, there is an imperative to increase clinical simulation time within undergraduate nursing education as well as the opportunity develop creative clinical skills education to augment other aspects of the curriculum.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

Decision-making under pressure: medical errors in uncertain and dynamic environments

2018 ◽  
Vol 42 (4) ◽  
pp. 395 ◽  
Author(s):  
Alicia M. Zavala ◽  
Gary E. Day ◽  
David Plummer ◽  
Anita Bamford-Wade
Keyword(s):  
Decision Making ◽  
Human Factors ◽  
Clinical Outcomes ◽  
Medical Errors ◽  
Thematic Analysis ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Dynamic Environments ◽  
Emergency Situations ◽  
Case Complexity

Objective This paper provides a narrative overview of the literature concerning clinical decision-making processes when staff come under pressure, particularly in uncertain, dynamic and emergency situations. Methods Studies between 1980 and 2015 were analysed using a six-phase thematic analysis framework to achieve an in-depth understanding of the complex origins of medical errors that occur when people and systems are under pressure and how work pressure affects clinical performance and patient outcomes. Literature searches were conducted using a Summons Search Service platform; search criteria included a variety of methodologies, resulting in the identification of 95 papers relevant to the present review. Results Six themes emerged in the present narrative review using thematic analysis: organisational systems, workload, time pressure, teamwork, individual human factors and case complexity. This analysis highlights that clinical outcomes in emergency situations are the result of a variety of interconnecting factors. These factors may affect the ability of clinical staff in emergency situations to provide quality, safe care in a timely manner. Conclusions The challenge for researchers is to build the body of knowledge concerning the safe management of patients, particularly where clinicians are working under pressure. This understanding is important for developing pathways that optimise clinical decision making in uncertain and dynamic environments. What is known about the topic? Emergency departments (EDs) are characterised by high complexity, high throughput and greater uncertainty compared with routine hospital wards or out-patient situations, and the ED is therefore prone to unpredictable workflows and non-replicable conditions when presented with unique and complex cases. What does this paper add? Clinical decision making can be affected by pressures with complex origins, including organisational systems, workload, time constraints, teamwork, human factors and case complexity. Interactions between these factors at different levels of the decision-making process can increase the complexity of problems and the resulting decisions to be made. What are the implications for practitioners? The findings of the present study provide further evidence that consideration of medical errors should be seen primarily from a ‘whole-of-system’ perspective rather than as being primarily the responsibility of individuals. Although there are strategies in place in healthcare organisations to eliminate errors, they still occur. In order to achieve a better understanding of medical errors in clinical practice in times of uncertainty, it is necessary to identify how diverse pressures can affect clinical decisions, and how these interact to influence clinical outcomes.

scholarly journals Resident uncertainty in clinical decision making and impact on patient care: a qualitative study

2008 ◽  
Vol 17 (2) ◽  
pp. 122-126 ◽  
Author(s):  
J M Farnan ◽  
J K Johnson ◽  
D O Meltzer ◽  
H J Humphrey ◽  
V M Arora
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Patient Care ◽  
Clinical Decision Making ◽  
Clinical Decision
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