Current trends-issues-in-nursing-education-nursing-education

CURRENT TRENDS & ISSUES IN NURSING EDUCATION

By:- firoz qureshiDept. psychiatric nursing

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 → NOWThen: Traditional approach – objectives with closely orchestrated learning experiences; faculty controlled

Now: Competencies and outcomes; focus on “end product”; faculty-student collaborative learning process

EXTERNAL FORCES & ISSUES DRIVING

NURSING EDUCATIONMDG’sGlobal issues - global violence - demographic changes - technological advances - globalization - environmental challenges

INTERNAL FORCES & ISSUES DRIVING NURSING EDUCATIONWHO Standards for Basic Nursing Education (2009)

Nursing care delivery systemsNursing shortageNew and emerging degrees21 competencies for the 21st century (Bellack & O’Neil, 2000)

STRATEGIES TO IDENTIFY FORCES AND ISSUES IN INDONESIA RELATED TO NURSING EDUCATION

Comparison of WHO Standards with nursing education programs in Indonesia

Environmental scanForecastingEpidemiologySurvey research/Consensus building

LEARNING & EDUCATION THEORIESBoyer’s Scholarship of Engagement

Kolb’s Learning CycleBloom’s taxonomy of learning objectives

Knowles’s 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 APPROACHESLectureProblem-based learningCompetency-based learning

Concept mappingPortfolioSelf-learning packets

STUDENT LEARNING STYLES

Characteristics of the learner

Diversity of learners

Learning style preferences

TYPES OF LEARNERS

Visual (25%)

Auditory (30%)

Kinesthetic (45%)

http://en.wikipedia.org/wiki/Kinesthetic_learning

Learning Style Lecture Reading Audio-visual Demonstration Discussion group Practice by doing Teaching others Immediate

application in real situation

Knowledge Retention

- 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=questionnaire

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 METHODOLOGIES

Action methodsLiteratureArtMemory aides

ACTION METHODS Drama Case scenarios Simulation Soap operas/television segments

HMONG PRACTICES

CASE SCENARIOS

Labor Patients

SIMULATION

Perinatal Loss

TIME WITH MY SON (D. ARMSTRONG, 2001)

LITERATURE

IGNAZ SEMMELWEIS

(D. Armstrong, 2001)

ARTAudio clipsVideo clipsPhotographyArtwork

POSTPARTUM HEMORRHAGE

MEMORY AIDES Acronym Visual aides Poetry Music Games

BUBBLE-HER (ACRONYM) B – breasts U – uterus B – bowels B – bladder L – lochia E – episiotomy (stitches)/ laceration/incision H – Homan’s sign E – emotional status R – RhoGam candidate? Rubella vaccine?

CARDINAL MOVEMENTS OF THE FETUS Descent Flexion

Internal rotation Extension Restitution

External Rotation Expulsion

“IT’S A DECEL”(TUNE OF “CLEMENTINE”)

It’s a decel; it’s a decelto the left and to the right

Turn the Pit off; grab the 02Let the doc know we’re all

right!

“HANG THE MAG”(TUNE OF “TAPS”)

Hang the Mag; or she’ll seize

Don’t you know that she has clonus three?

Hang the Mag; or she’ll seize

Won’t you, please?

GAMESPerinatal Trivial Pursuit Postpartum BingoWant to be a MillionaireAre 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.

Thank you