Clinical Judgment in an Online Class
Responding to Acute Changes
in Patient Condition:
Challenging Nursing Students to Practice Clinical Judgment in an Active Online Environment
Raney Linck, DNP, RN and Linnea Benike, DNP, RN, PCCN-K and
SIDM 2022 Conference:
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BEST PRACTICES IN
HEALTHCARE EDUCATION 2022 Presentation slides from May 5, 2022 |
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“Active Learning Day” Class Session Details:
- Facilitated online using Zoom during Spring of 2021
- Occurred in Week 13 of a 15-week semester for senior Bachelor of Science in Nursing (BSN) students at the University of Minnesota School of Nursing
- Incorporated patient care scenarios to promote retrieval practice for concepts and skills that were introduced earlier in the semester:
- Cardiac dysrhythmias
- Cardiac rhythm devices
- Focused cardiovascular assessment
- Care of patients following thyroidectomy
- Care of patients with endocrine and thyroid disorders
- Activation of Rapid Response Teams in clinical care
- Focused neurological assessments
- Recognizing signs and symptoms of stroke
- Care of the postoperative patients
- Early detection of the deteriorating patient
- Learning Objectives:
- Demonstrate critical thinking in response to assessment data and patient evaluation
- Respond effectively to acute changes in a patient condition
- Describe criteria for activating Rapid Response Team (RRT) and Code Teams
- Collaborate with care team members to develop a plan of care in accordance with patient information and clinical status
- Demonstrate effective communication using SBAR in response to a change in patient condition
- Learning Layout:
- Case studies in patient care
- Care interruptions
- NCLEX-style questions
- Problem-solving in pairs
- Faculty-led debriefing
- Tools to Facilitate Learning
- Zoom
- Mentimeter
- SimMon
- Clinical Reasoning Cases in Nursing (7th ed.) by Harding and Snyder (2020) *our students were required to purchase this textbook as part of the course
- Learner Evaluation
- Formative assessment in real-time using student responses to active learning prompts
- Short online anonymous survey with the following selected response items:
- I was engaged throughout the session
- I was able to relate each one of the learning objectives to the learning that I achieved during this session
- The length of the session was appropriate for the content and learning objectives
- The scenarios included during the session felt applicable to clinical practice
- Overall, this was a useful experience
- Content included in this session was: too basic, just right, too advanced
- On a scale of 1-10, how would you rate your confidence to apply what you’ve learned during this session?
- Please list the 3 best things about this session
- Please list the top 3 things that could change about this session
- Learning Objectives:
More info to come