scholarly journals An Interprofessional E-Learning Resource to Prepare Students for Clinical Practice in the Operating Room—A Mixed Method Study from the Students’ Perspective

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1028
Author(s):  
Ann-Mari Fagerdahl ◽  
Eva Torbjörnsson ◽  
Anders Sondén

The operating room is a challenging learning environment for many students. Preparedness for practice is important as perceived stress and the fear of making mistakes are known to hamper learning. The aim was to evaluate students’ perspectives of an e-learning resource for achieving preparedness. A mixed methods design was used. Students (n = 52) from three educational nursing and medical programs were included. A questionnaire was used to explore demographics, student use of the e-learning resource, and how the learning activities had helped them prepare for their clinical placement. Five focus group interviews were conducted as a complement. Most students (79%) stated that the resource prepared them for their clinical placement and helped them to feel more relaxed when attending to the operating room. In total, 93% of the students recommended other students to use the e-learning resource prior to a clinical placement in the operating room. Activities containing films focusing on practical procedures were rated as the most useful. We conclude that an e-learning resource seems to increase students’ perceived preparedness for their clinical practice in the operating room. The development of e-learning resources has its challenges, and we recommend student involvement to evaluate the content.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1944.1-1945
Author(s):  
L. Raunsbæk Knudsen ◽  
K. Lomborg ◽  
A. De Thurah

Background:Patient education (PE), with the aim of supporting patients to self-manage their disease is important in the treatment and care of patients with rheumatoid arthritis (RA) (1). Today, there is a shift in the organization of healthcare systems due to a demographic change towards ageing populations and an increasing use of technology. Advancements in web-technology can offer alternative ways to provide PE – e.g. through an e-learning platform. However,E-Learning development must be based on the needs of the learners and on existing evidence on both education and content.Objectives:To develop an e-learning platform targeting newly diagnosed patients with RA.Methods:Focus group interviews with patients, rheumatologists and nurses, with the aim of exploring informational and educational needs related to RA and how this may be communicated in an e-learning program, were conducted. We used a short interview guide to ensure the focus of the interviews, however, strived for a less structured start of the interview to promote a free discussion and later a more structured discussion of specific questions. Pictures, illustrating possible topics in PE within RA and ways to communicate, were also applied. The transcribed interviews were analyzed using thematic analysis (2).The theoretical framework in the development and design drew on the cognitive theory of multimedia learning (3) and entertainment education (4).Results:Four themes, covering experiences and needs emerged in the analysis of the focus-group interviews;‘Knowledge of RA, the disease course and prognosis’, ‘Medical treatment’, ‘A new life situation’and‘Daily living with RA’.Subsequently, the program was developed through an iterative process between the project group, patient representatives, a communication consultant, graphic designers and an e-learning company.The program was divided into three learning modules covering knowledge of RA, complications, medical treatment, examinations and daily living with RA, e.g. coping with emotions, pain, fatigue, work, education, physical activity etc. It offers a combination of e.g. animations, videos with personal patient stories, podcasts, written text, spoken words and interactive quizzes.Conclusion:The e-learning program is developed and ready for feasibility testing. Subsequently, the effectiveness of the program will be tested in a RCT study among approximately 250 patients.References:[1]Zangi HA, Ndosi M, Adams J, et al. EULAR recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis. 2015; 0:1-9.[2]Braun V, Clarke V. Using thematic analysis in psychology.Qualitative research in psychology. 2006; 3 (2): 77-101.[3]Mayer R. The Cambridge handbook of multimedia learning. 2005. New York.[4]Singhal A, Cody MJ, Rogers EM, Sabido M (editors). Entertainment-education and social change – History, research and practice. Taylor and Francis; 2003.Acknowledgments:We thank the participants in focus groups who shared their experiences. We also express our gratitude to the Novo Nordisk Foundation for supporting the study. Furthermore, we are grateful for the collaboration with the communication consultants, graphic designers and the e-learning company, who have contributed to the development of the e-learning platform.Disclosure of Interests:Line Raunsbæk Knudsen Consultant of: Phizer (Not relevant for the present study)., Speakers bureau: Phizer (Not relevant for the present study).Lily (Not relevant for the present study).Roche (Not relevant for the present study)., Kirsten Lomborg: None declared, Annette de Thurah Grant/research support from: Novartis (not relevant for the present study)., Speakers bureau: Lily (not relevant for the present study).


Author(s):  
Ann Donohoe ◽  
Tim McMahon ◽  
Geraldine O’Neill

The primary purpose of this chapter is to explore how online communities of inquiry can be developed to facilitate students to engage in reflective practice. The discussion begins with a critical review of the literature, examining the role of educational technology within higher education and the need to develop pedagogical frameworks for its use in practice. An overview of an action research study is presented that used communities of inquiry to facilitate registered nurses to critically reflect on clinical practice. The preliminary findings from focus group interviews indicate that learners viewed their participation in online communities of inquiry as a beneficial aid to reflection. The chapter concludes with recommendations for practice and for further research in the area of online communities of inquiry.


2021 ◽  
Author(s):  
Dylan Jape ◽  
Jessie Zhou ◽  
Shane Bullock

Abstract Background: Pharmacology is a cornerstone of medical education as it underlies safe prescribing practices. However, medical students have reported unease regarding their perceived proficiency in clinical pharmacology. Despite the significant impetus to improve student outcomes, there is little analysis available of the techniques used by medical students to learn, retain and apply pharmacology knowledge.Methods: A mixed methods, student-focused approach was conducted to design and refine specific resources developed to address gaps in pharmacology education. This methodology comprised an anonymised scoping survey, followed by structured focus group interviews. We developed a relevant and time efficient resource to support long-term revision for academic and clinical success. These resources were released to a cohort of 100 graduate preclinical medical students who were invited at the end of year to evaluate the intervention via a subsequent anonymous survey.Results: The scoping survey received 103 complete responses. Surveys and focus group interviews revealed that only 50% of students engage in ongoing revision. The analysis identified in-semester revision of pharmacology as a significant predictor of strategic and deep learning methods and improved quiz performance (a 5% higher score on average), compared to superficial learning methods. Amongst our cohort, we identified that the evidence-based technique of spaced-repetition was particularly well regarded. Hence, we developed and evaluated a bespoke resource utilising AnkiTM, an open-source, spaced-repetition flashcard program. A total of 1208 flashcards spanning 156 distinct classes of drugs with supplementary summary tables, diagrams and explanatory video and summary guides were created. Designed as a strategic revision tool to reinforce learning, evaluation showed students greatly appreciated the “comprehensive” and “well formatted” AnkiTM resource that supported existing teaching modalities, with a global rating of 3.8 out of 5. Conclusions: Strategic and personalised techniques for pharmacology learning that assist with in-semester revision and long-term retention are highly valued amongst students for examination preparation and preparedness for practice. Collectively, these results define a novel approach to identifying and addressing weaknesses in existing teaching methodologies in a manner that is inclusive of, and acceptable to, medical students.


2019 ◽  
Vol 25 (4) ◽  
pp. 471-483
Author(s):  
Sunghee Park ◽  
Hyeyoung Cho

Purpose: The purpose of this study was to explore the experiences of perception of nursing students' rights participating in clinical practice. Methods: This descriptive study carried out purposeful sampling. The participants were 17 nursing students, who had experience of participating in clinical practice for more than 12 weeks. Data were collected through focus group interviews. Twelve subjects were in their third year and five in their fourth year. All were practicing in secondary general and tertiary university hospitals. The data were analyzed using classical content analysis method. Results: The researchers extracted 23 codes representing the nursing students' rights of clinical practice, which were grouped into 4 categories and 11 subcategories. The 4 categories were 'deep disappointment as an alienated person in a clinical field', 'clinical practice experience that cannot be given up despite difficulties', 'need for a practice environment that takes care of nursing students', and 'hope for support, advocacy and respect'. Conclusion: Nursing students cannot claim rights at this time, but expressed the desire to build a support system so that these parts can be improved in the future. Therefore, nursing education institutions and clinical fields should maintain diverse efforts through reciprocal relationships.


2013 ◽  
Vol 9 (1) ◽  
pp. 35 ◽  
Author(s):  
Karen Louise Pedersen ◽  
Kari Anne Einarsen

<p class="Toverskrift3" style="margin: 6pt 0cm;"><span style="mso-ansi-language: EN-US;" lang="EN-US"><strong><span style="font-size: large;"><span style="font-family: Times New Roman;">Abstract</span></span></strong></span></p><p class="Toverskrift3" style="margin: 6pt 0cm;"><strong><span style="font-size: large;"><span style="font-family: Times New Roman;"><span style="mso-ansi-language: EN-GB;" lang="EN-GB">N</span><span style="mso-ansi-language: EN-US;" lang="EN-US">ursing students&rsquo; experiences of the relevance of the theory of science in </span><span style="mso-ansi-language: EN-GB;" lang="EN-GB">clinical practice</span><span style="mso-ansi-language: EN-US;" lang="EN-US"></span></span></span></strong></p><p style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><em style="mso-bidi-font-style: normal;"><span style="color: black; mso-ansi-language: EN-US; mso-themecolor: text1;" lang="EN-US">This article presents nursing students&rsquo; experiences of the relevance of the theory of science in </span></em><em style="mso-bidi-font-style: normal;"><span style="color: black; mso-ansi-language: EN-GB; mso-themecolor: text1;" lang="EN-GB">clinical practice. These experiences come to light in focus group interviews with third-year students. The results show that students may perceive the theory of science as vague and meaningless, while at the same time it gives them a perspective on the nursing profession and provides an opportunity to view their own practice from a critical perspective. However, the theory of science becomes more comprehensible through metaphor, more meaningful through narratives, and more concrete via nursing theories. When the students describe their experiences of the relevance of the theory of science, these descriptions are often related to their own life-world and their view of humanity.</span></em></span></span></p><p style="margin: 0cm 0cm 0pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><em style="mso-bidi-font-style: normal;"><span style="color: black; mso-ansi-language: EN-GB; mso-themecolor: text1;" lang="EN-GB">The students would nevertheless like an opportunity to discuss the theory of science related to situations in clinical practice. They also accept that they are required to be theoretically prepared. The article concludes that the goal of such discussions, where the students share experiences related to the theory of science, is the process of gaining insight, not coming up with the &ldquo;right&rdquo; answers</span></em><span style="color: black; mso-ansi-language: EN-GB; mso-themecolor: text1;" lang="EN-GB">.</span></span></span></p>


Author(s):  
Jaehee Jeon ◽  
Jin Hee Kim ◽  
Eun Hee Choi

Virtual reality programs are being actively utilized in various education fields, but not many have been developed/used in nursing. This study aimed to explore the essential components and improvements needed in an adult nursing VR-based simulation training program for nursing students through focus group interviews (FGIs). This was a qualitative study. Fourteen nursing students from three cities in Korea who had experienced clinical practice and simulation training participated. They were divided into three FGIs. Data were collected from February–March 2020. We analyzed the data from the FGIs using Colaizzi’s phenomenological methodology. In total, 40 themes emerged, divided into 13 theme clusters and the following four categories. When developing an adult nursing VR-based simulation training program, the development should focus on addressing the limitations of conventional clinical practice, and these should be analyzed; it should also reflect students’ needs, including the following: provide an array of scenarios/skills to be trained; difficulty-specific learning scenarios; immediate feedback (e.g., those in computerized games); simulate emergency situations; simulate clinical cases that are difficult to experience in clinical practice; and allow for the training of patient–nurse communication skills.


BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Jørn Hustad ◽  
Berit Johannesen ◽  
Mariann Fossum ◽  
Olav Johannes Hovland

Abstract Background Simulation-based training is used to develop nursing students’ clinical performance in assessing and managing situations in clinical placements. The use of simulation-based training has increased and become an integrated part of nursing education. The aim of this study was to explore nursing students’ experiences of simulation-based training and how the students perceived the transfer of learning to clinical practice. Methods Eight focus group interviews were conducted with a total of 32 s- and third-year nursing students who participated in a simulation-based training organized as preparation for clinical placement. The transcribed interviews were analysed with thematic analysis. Results Three major themes emerged from the focus group interviews; first, the simulation-based training promoted self-confidence; second, understanding from simulation-based training improved clinical skills and judgements in clinical practice; and third, simulation-based training emphasised the importance of communication and team collaboration. Conclusions This study revealed students’ transfer of learning outcomes from simulation-based training to clinical practice. The students’ experiences of the simulation-based training remain as enduring and conscious learning outcomes throughout their completion of clinical practice. The organisation of simulation-based training and its implementation in the curriculum are crucial for the learning outcomes and for students’ experiences of the transfer of knowledge to clinical practice.


2014 ◽  
Vol 10 (1) ◽  
pp. 83 ◽  
Author(s):  
Dorte Vesterager Kristensen ◽  
Jill Flo ◽  
Lisbeth Fagerström

<p><strong><em>Interdisciplinary Professional clinical practice for health sciences students as part of the regular work placement- a casestudy from an acute geriatric - stroke and rehabilitation department.</em></strong></p><p><em>This study describes students' experiences of interdisciplinary clinical practice (ICP) in an emergency department of geriatrics, stroke and rehabilitation in Norway. The purpose of this study was to investigate whether ICP has contributed to the students' knowledge of their own and other professional' expertise and expanded understanding of patients' rehabilitation needs. 19 students; nursing, occupational therapist, physiotherapist and social worker students were represented in the study. A model with various learning activities was developed in collaboration between two university colleges and the department. ICP lasted two weeks during a regular practice period. Students' experiences were evaluated through focus group interviews. The study concludes that collaboration in patient situations is essential for the students awareness of each other's disciplines, expanded perspective on own subjects and the patients need of rehabilitation. The short length of stay in the department led to increased focus on interaction early in the patient care.</em><em></em></p>


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ingunn Aase ◽  
Ingrid Tjoflåt ◽  
Kristin Hjorthaug Urstad

Abstract Background Interprofessional teamwork is crucial for fostering healthcare performance and for minimizing adverse events. The daily huddle is an important arena for interprofessional interaction and communication between nurses and physicians in hospitals. Although prevalence strongly rooted in clinical practice, the huddle does not seem to be a prioritized area in nursing education programs. Taking part in a huddle is traditionally something nursing students learn in their clinical studies. Therefore, there is need for learning tools that can provide nursing students with quality assured training that can improve their preparation for interprofessional teamwork and strengthen the link between the educational institution and the field of practice. In this study, we have developed and tested a podcast to increase nursing students’ competence in interprofessional teamwork when participating in huddles. The aim of the pilot study was to explore nursing students’ experiences with utilizing a huddle-focused podcast as a learning tool during their clinical practice studies in the hospital. Method This qualitative and exploratory pilot study used focus group interviews. Eleven third-year nursing students who had listened to the podcast during their practical studies at a medical hospital ward were included. The interviews were subjected to content analysis. Result The analysis identified four categories that resonated across all participants in the focus group interviews: 1. understanding one’s own role in the huddle; 2. being encouraged to speak up; 3. using the huddle as a flexible learning tool; and 4. being authentic but not always realistic. Conclusion Findings indicate that the huddle-focused podcast seems to be valuable for nursing students learning about interprofessional teamwork. The podcast seemed especially useful in helping the students to understand their own role and to speak up in the huddle meetings. The positive experiences with the flexibility of the podcast learning tool are promising for use in other educational settings.


2021 ◽  
Vol 58 (6) ◽  

The Maltreatment and Abuse Chronology of Exposure scale (MACE) trauma questionnaire Background: A 55-item Norwegian version of the Maltreatment and Abuse Chronology of Exposure (MACE) scale was recently developed. For clinicians to apply MACE, they need to perceive the instrument as acceptable to patients and useful. We investigated clinicians’ experiences and views of the acceptability, usefulness and application of MACE. Method: Twenty-three clinicians recorded their perceptions of how unpleasant it was for 84 adult patients to complete MACE, 20 clinicians answered a survey about MACE, and eight clinicians attended focus group interviews to detail their experiences and views. Results: According to the clinicians, the MACE form was sufficiently self-explanatory to function as a questionnaire. Clinicians considered MACE as emotionally tolerable for most patients. They reported that some patients had strong negative reactions but that these patients did not regret participating. The majority of clinicians found MACE to be useful. Based on their experiences, they proposed ways of utilising MACE in clinical practice. Conclusion: MACE appears applicable and useful to clinicians in an outpatient setting. Possible negative patient reactions should be taken into account when administering the instrument. Keywords: MACE; trauma instrument; clinicians’ perceptions; acceptability, usefulness, application


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