current trends issues in nursing education
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Joan Edwards, RNC, MN, CNS Associate Clinical Professor Texas Womans University Houston jedwards3@twu.edu
Objectives
Describe forces and issues driving nursing education in the 21st century. Apply at least one theory to nursing education. Define components of curriculum development and design & redesign. Identify different approaches to teaching. Explain teaching methodologies applicable for adult learners.
Then Now Then:
Traditional approach objectives with closely orchestrated learning experiences; faculty controlled Now: Competencies and outcomes; focus on end product; facultystudent collaborative learning process
MDGs Global
External Forces & Issues Driving Nursing Educationissues - global violence - demographic changes - technological advances - globalization - environmental challenges
WHO
Standards for Basic Nursing Education (2009) Nursing care delivery systems Nursing shortage New and emerging degrees 21 competencies for the 21st century (Bellack & ONeil, 2000)
Internal Forces & Issues Driving Nursing Education
Comparison
of WHO Standards with nursing education programs in Indonesia Environmental scan Forecasting Epidemiology Survey research/Consensus building
Strategies to identify Forces and Issues in Indonesia related to Nursing Education
Learning & Education Theories Boyers
Scholarship of Engagement Kolbs Learning Cycle Blooms taxonomy of learning objectives Knowless adult learning theory
Components of Curriculum Development and Design Type
of undergraduate nursing program: diploma, associate or baccalaureate degree Curriculum design: - blocked content - integrated content Sequencing of courses (master plan)
Use of Theory in Curriculum Development Single
specific nursing theory or model Concepts from multiple theories or models
Next Steps Mission Vision Core
Values Philosophy Competencies (with leveling) Curriculum outcomes Quality improvement activities
Accrediting Bodies National
League for Nursing Accrediting Commission (NLNAC) Commission on Collegiate Nursing Education (CCNE)
Teaching ApproachesLecture Problem-based
learning Competency-based learning Concept mapping Portfolio Self-learning packets
Student Learning Styles Characteristics
of the learner Diversity of learners Learning style preferences
Types of Learners Visual
(25%) (30%) (45%)
Auditory
Kinesthetic
http://en.wikipedia.org/wiki/Kinesthetic_learning
Learning
Style
Knowledge
Retention
Lecture Reading Audio-visual Demonstration Discussion group Practice by doing Teaching others Immediate application in real situation
- 10% - 20% - 30% - 50% - 75% - 85% - 90% - 90%(National Training Laboratory Institute, Alexandria, VA, 2006)
Learning Style Assessment Tool
http://www.vark-learn.com/Indonesian/page.asp?p=q
What do we want to stick ? Disease
processes Assessment data Critical thinking Nursing diagnoses Interventions Emergent care Desired outcomes Customer service
Adult learner education components Reflection:
Analysis of experiences, observations, feelings, and perceptions Strategies include thinking out loud; journaling
Adult learner education components
Understanding & Making Connections: between anatomy, physiology, pathophysiology, disease processes, interventions, medications, patient care, patient teaching, impact on family, community Care mapping; concept maps, care planning, etc.
Interactive Learning MethodologiesAction
methods Literature Art Memory aides
Action MethodsDrama Case
scenarios Simulation Soap operas/television segments
Hmong Practices
Case Scenarios
Labor Patients
SimulationPerinatal Loss
Time with my son2001)
(D. Armstrong,
Literature
(D. Armstrong, 2001)
Ignaz Semmelweis
ArtAudio
clips Video clips Photography Artwork
Postpartum Hemorrhage
Memory AidesAcronym Visual Poetry Music Games
aides
BUBBLE-HER (acronym)B
breasts U uterus B bowels B bladder L lochia E episiotomy (stitches)/ laceration/incision H Homans sign E emotional status R RhoGam candidate? Rubella vaccine?
Cardinal Movements of the Fetus Descent Flexion Internal rotation Extension Restitution External Rotation Expulsion
Its a Decel (tune of Clementine)
Its a decel; its a decel to the left and to the right Turn the Pit off; grab the 02 Let the doc know were all right!
Hang the Mag (tune of Taps)
Hang the Mag; or shell seize Dont you know that she has clonus three? Hang the Mag; or shell seize Wont you, please?
GamesPerinatal
Trivial Pursuit Postpartum Bingo Want to be a Millionaire Are you Smarter than a Student Nurse?
Small Group Learning Activity Break
into small groups Choose a topic (disease process, assessment data, nursing interventions, emergent care, desired outcome, etc.) Choose an interactive learning process Create your tool to Make It Stick!
Share Time
Future Trends & Issues in Nursing Education
Increased collaboration between nursing practice and nursing education Increased emphasis on collaboration between healthcare disciplines Increased development of educational products for faculty and students Increased student and nurse mobility (including increased licensure mobility) Increased distance (online) learning Schools of nursing providing ongoing professional development for competence requirements Increased teaching of evidence-based practice.
References
Bellack , J.P., & ONeil, E.H. (2000). Recreating nursing practice for a new century: Recommendations and implications of the Pew Health Professions Commissions final report. Nursing & Health Care Perspectives, 21(1), 14-21. Billings, D.M. & Halstead, J.A. (2009). Teaching in nursing: A guide for faculty (3rd Ed). St. Louis, Missouri: Saunders Elsevier. National League for Nursing. (2007). The scope of practice for academic nurse educators. New York, NY: NLN. World Health Organization. (2009). Global standards for the initial education for professional nurses and midwives. Retrieved April 12, 2010, from World Health Organization website: http://www.who.int/hrh/nursing_midwifery/en/
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