The Bucket List: Making the Most of Clinical Learning Opportunities

Carin Adams RN MSN CPN

Clinical PlacementsTraditional clinical experiences

Acute care hospitalLong term acute care facilities/ nursing homes

Placement barriers availability (128 hours and no where to go)

Faculty to student ratio

Experiential Learning A philosophy developed by David A.

Kolb Educators purposefully engage with

learners in direct experience and focused reflection in order to increase knowledge, develop skills, clarify values, and develop people's capacity to contribute to their communities.

Experiential Learning The learner must be willing to be actively

involved in the experience The learner must be able to reflect on the

experience The learner must use analytical skills to

conceptualize the experience The learner must possess decision making

and problem solving skills in order to use the new ideas gained from the experience.

Experiential Learning

Experiential LearningSimulation

Clinical simulations in nursing can be used to immerse the student in the hospital environment and the role of the bedside nurse.

Simulation allows students to experience the application of theory in a safe environment where mistakes can be made without risk to the patient (Billings and Halstead 2012)

Experiential LearningSimulation Evaluation of simulation experience Debriefing

- The role of faculty is to support participants in reflection.

What do you think about your performance? What would you have done differently? How did that make you feel?

http://www2.sunysuffolk.edu/winstah/SIM/Debriefing.pdf

Experiential LearningSimulation Clinical Reasoning Scenarios Electronic Documentation Med pass simulation Virtual simulation – second life

Problem based learning Students were

given a disease process

Researched the pathology, signs and symptoms

Created a patient for the whole group to assess

Service Learning

develops values, cultural competence, social responsibility

Private schools Child assessment:

height, weight, growth chart Vital signs – BP norms Hearing and Vision Scoliosis Acanthosis nigricans

Student pre-work reading assignments

Service LearningDevelopmental Clinic

Student experience role of pediatric nurse Environment of safety

HIPPA/FERPA Patient identification

Anticipatory guidance Medication safety- Coloring books www.poisoncontrol.org

Evaluation Direct observation

Vision and Hearing Certification

Students certified to perform state required

hearing and vision screens for school age

children in the state of Texas.

Certification good for 5 years

Purchased 2 audiometers http://www.dshs.state.tx.us/vhs/default.shtm

School Nurse Experience Collaboration between four ISD’s Nurse Health Service Coordinators and

faculty created student nurse preceptor program Students mentored by the same nurse

for 3 (8 hour) “shifts” Students can assist nurse with vision

and hearing screenings.

Preceptors Clinical preceptors may be used to

enhance clinical learning experiences within a course after a student has received clinical and didactic instruction in the basic areas of nursing for that course or specific learning experience.

http://www.bon.texas.gov/nursingeducation/faq_clinical.html

School Nurse Experience Students pre-clinical assignment – Role of the school nurse Selected chapters from School Nursing: A

Comprehensive Text [Janice Selekman] ISBN-10: 0803622090

Evaluation: report from precepting nurseTimelinessPhone calls

Reflective summary excepts

School Nurse Experience

Preceptor incentives http://

www.collegeforalltexans.com/apps/financialaid/tofa2.cfm?ID=546

BON regulations regarding preceptors http://

info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=4&ti=22&pt=11&ch=215&rl=Y

Anticipatory Guidance Students use skills that reflect college core

Writing and public speaking Nursing objectives - recognizing and using

evidenced based practice (EBP). Role- Pediatric nurse: teaching of children and

families. http://www.safekids.org/ Delivery- Health fairs, PTA’s Evaluation- group rubric Was information Evidenced Based

Immersion learning

Kinderfrogs Child study center

ABA therapy Evaluation – reflective summary

Your turn Please take a few minutes to discuss

experiential learning in your clinical environments.

Please write down your experiences.

Opportunity for sharing Now share your bucket list! Please write

down your name & email address on your piece of paper and drop it in our buckets. I will go through and compile a list of your ideas and distribute to all of us via email.

Thank you for your time and attention and enjoy the rest of your conference.