bill deans - student-led clinical facilitation (2 sep 2012).pptx
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BILL DEANS
Senior LecturerTe Tari Matauranga Hauora
Faculty of Nursing and Health Studies
Manukau Institute of Technology
Auckland, New Zealand
Sabaah Al-khayr
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The Context
Rapid social and economic growth in countries of the world has
resulted in an increase both in the number of elderly people who are
prone to degenerative and chronic diseases, and new patterns of
illnesses that are brought on by social and economic factors such as
occupational hazards, accidents, and environmental poisonings caused
by air pollution, noise and contaminated water. Communities arestruggling with a large number of people across the lifespan, who
receive minimal or no health care because they cannot afford or access
services. Moreover, public concerns regarding quality, cost, access and
fragmentation of health care have contributed to a shift in care from the
more traditional acute care settings to the community. This has led to
changes in nursing practice. (WHO, 2010)
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The Context
Rapid social and economic growth in countries of the world has
resulted in an increaseboth in the number of elderly people who are
prone to degenerative and chronic diseases, and new patterns of
illnesses that are brought on by social and economic factors such as
occupational hazards, accidents, and environmental poisonings caused
by air pollution, noise and contaminated water. Communities arestruggling with a large number of people across the lifespan, who
receiveminimal or no health carebecause they cannot afford or access
services. Moreover, public concerns regardingquality, cost, access and
fragmentation of health care have contributed to a shift in care from
the more traditional acute care settings to the community. This has led
tochanges in nursing practice. (WHO, 2010)
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Rapid social and economic growth
Increase in number of elderly people and
chronic diseases
New patterns of illnesses Large number of people with minimal or no
health care
Public concerns about quality, cost, access
and fragmentationof health care Changes in nursing practice
The Context
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Community-based health and socialservices are changing at a
remarkable rate and nurses will be
key players in the delivery of many
of these services. Moving the focus from hospital to
primary health care, has resulted in
reduced numbers of placements.
The Problem
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Identify, or create, placementmodels that are flexible rather
than the one size fits all
approach that we have been using.
Design courses and clinicaloutcomes aimed at developing a
different range of skills required
for working in this new
environment.
The Solution
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The emerging multi-disciplinaryand inter-professional nature of
health and social care delivery
demands that:
education and service providersthink more creatively about the
type of placement experience our
future workforce will require in
order working in this new
environment.
develop new supervision
arrangements where there is
limited access to an RN or no RN
onsite.
The Challenge
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1 2 3 4 5 6 7 8 9 10
Placement PlacementBreak
Traditional placements are normally 8-12 and typically
looks like this.
The number of students placed with a service provider
would be based on the physical capacity of the facility
and/or the number of RNs able to act as Preceptors.
Student
No. Weeks
The most common of the traditional clinical
supervision models are:
1. Preceptor-guided Practice Education Model
2. Team Preceptor Model
Traditional Placement Models
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In the Community Nursing with a Community Focus paper we have
introduced variations on three (3) additional models:
1. PROJECT-FOCUSEDCLINICALPLACEMENTMODEL
2. FACILITATEDCLINICALSUPERVISIONMODEL
3. STUDENT-LEDCLINICALFACILITATIONMODEL
Alternative Clinical Placement Models
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1. Project-focused Clinical Placement Model
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How this might look?
1 2 3 4 5 6 7 8 9 10No. Weeks
EXAMPLES: Based on 2 students
Clinical ProjectBreakStudent 1
Project ClinicalBreakStudent 21
Clinical Project BreakStudent 1
Project Clinical BreakStudent 22
C P C P C B C P P BStudent 1
P C P C B C P C P BStudent 2
3
P B PStudent 1
P B PStudent 2
4
1. Project-focused Clinical Placement Model
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2. Facilitated Clinical Supervision Model
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STUDENTFACILITATOR
StudentNurse
StudentNurse
StudentNurse
StudentNurse
StudentNurse
StudentNurse
Student-led Clinical Facilitation Model(Bill Deans, 2011)
SERVICE
PROVIDER
3. Student-led Clinical Facilitation Model
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A combination of models 1 & 3
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eGuide 2012 I Property of Bill Deans
Introduction
Medical Receptionist Tutorial Series
Answering the Phone
Confidentiality
Confirming Appointment
Closing the Call
Self Test
Online Training
Instructions
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Clendon, J. (2004). Demonstrating outcomes in a nurse-led clinic: How primary health
care nurses make a difference to children and their families.Journal for the Australian
Nursing Profession, 18(1-2), 164-176.
Deans, B. (2011) Student-led Clinical Facilitation Model. A pilot project. MIT Report.
Dickson, C., Walker, J., & Bourgeois, S. (2006). Facilitating undergraduate nurses clinical
practicum: The lived experience of clinical facilitators. Nurse Education Today, 26(5),
416-422.
Fortune, T., Farnworth, L., & McKinstry, C. (2006). Project-focused fieldwork: Core
business or fieldwork fillers?Australian Occupational Therapy Journal, 53(3), 233-236.
Pagels, A. A., Wng, M., & Wenstrm, Y. (2008). The impact of a nurse-led clinic on self-
care ability, disease-specific knowledge, and home dialysis modality. Nephrology Nursing
Journal, 35(3), 242-248.
Smith, M., & Flint, E. (2006). Project-focused placements: Enhancing students
understanding of citizens' perspectives. Nurse Education in Practice, 6(2), 117-121.
Whitehorse Division of General Practice. (2007). Nurse Led Clinics - Chronic Disease
Management in General Practice.Victoria: Whitehorse Division of General Practice.
References/Bibliography
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Thank You
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BILL DEANS
Senior LecturerTe Tari Matauranga Hauora
Faculty of Nursing and Health Studies
Manukau Institute of Technology
Auckland, New Zealand
http://www.billdeans.net
http://www.billdeans.net/mailto:[email protected]:[email protected]:[email protected]://www.billdeans.net/