Sunday, October 30, 2016

Survey Results

Survey results of Movenote on Simulation with teaching a new EMR system.

50% responded extremely effective presentation, 50% responded effective presentation.

50 % responded extremely knowledgeable about the subject

50% responded knowledgeable about the subject

100 % responded that the presenter had clarity

100% responded that the presenter was well-organized

50% responded that the information was extremely relevant for use in practice

50 % responded that the information was relevant for use in practice

50% responded that simulation with mannequins was their preferred method of education

50% responded that web based simulation was their preferred method of education

Comments included that the presentation was well done, that hyperlinks in power point were

an addition to the presentation and that this was an informative presentation.

This was a good experience in being evaluated and evaluating classmates.


Friday, October 28, 2016

Credible Medical Websites

Hi everyone,
Most individuals search the web for answers to everyday questions, but especially health questions.  It is important to guide individuals, but especially patients to websites that are credible.  What are some of the important features of credible websites.  When you are providing credible websites for patients, make sure that you have reviewed them before recommending.  Most health organizations associated with a chronic condition, such as the American Heart Association, The National MS Society, etc. have credible, informative websites, but make sure that you are familiar and know where you are referring patients.  You begin with understanding if the author of the web information has some authority in the field they are providing informabion on, has peer reviewed publications, is there evidence of author bias and does the author have clear connections to professional research, sources, etc.?  retrieved from (http://mason.gmu.edu/-montecin/webcritique.htm. 

Reddy (2012) described indicators of reliable quality obtained from websites and how to evaluate data.  There is support in understanding that when peer reviewed authors are presenting information, there has already been a vetting process that should withstand critiquing.  Evaluating references and scrutinizing the authors credibility will help prevent uncredible information from being used.

Abilock (2012) recommends websites for patients that tend to not be invested in a specific drug, but rather ones with scientific research such as the cdc.gov.

In the case study, when I looked up GERD in the listed websites.  Wikipedia was thorough and had references which were credible.  Visual descriptions were accurate and again, references were legitimate.  Web MD did not have references, so this would not be a recommended site.  CDC.Gov is reputable and has reliable information and resources. Typically, .edu, .org, .gov, .health net, are considered reliable, but the author and references have to be evaluated.

Image result for picture of trying to figure out credible websites



References

Abilock, D.  (2012).  True--or Not?.  Educational Leadership, 69(6), 70.

Reddy, S.  (2015).  Help patients find credible information online.  Family Practice Management,
 22(6), 40.

Reliable medical websites. Retrieved from http://www.cdc.gov.

Credible Medical Websites

Hi everyone,
Most individuals search the web for answers to everyday questions, but especially health questions.  It is important to guide individuals, but especially patients to websites that are credible.  What are some of the important features of credible websites.  When you are providing credible websites for patients, make sure that you have reviewed them before recommending.  Most health organizations associated with a chronic condition, such as the American Heart Association, The National MS Society, etc. have credible, informative websites, but make sure that you are familiar and know where you are referring patients.  You begin with understanding if the author of the web information has some authority in the field they are providing informabion on, has peer reviewed publications, is there evidence of author bias and does the author have clear connections to professional research, sources, etc.?  retrieved from (http://mason.gmu.edu/-montecin/webcritique.htm. 

Reddy (2012) described indicators of reliable quality obtained from websites and how to evaluate data.  There is support in understanding that when peer reviewed authors are presenting information, there has already been a vetting process that should withstand critiquing.  Evaluating references and scrutinizing the authors credibility will help prevent uncredible information from being used.

Abilock (2012) recommends websites for patients that tend to not be invested in a specific drug, but rather ones with scientific research such as the cdc.gov.

In the case study, when I looked up GERD in the listed websites.  Wikipedia was thorough and had references which were credible.  Visual descriptions were accurate and again, references were legitimate.  Web MD did not have references, so this would not be a recommended site.  CDC.Gov is reputable and has reliable information and resources. Typically, .edu, .org, .gov, .health net, are considered reliable, but the author and references have to be evaluated.

Image result for picture of trying to figure out credible websites



References

Abilock, D.  (2012).  True--or Not?.  Educational Leadership, 69(6), 70.

Reddy, S.  (2015).  Help patients find credible information online.  Family Practice Management,
 22(6), 40.

Reliable medical websites. Retrieved from http://www.cdc.gov.

Wednesday, October 26, 2016

Surveys

How many times at the end of a lecture or meetings are you asked to complete a survey and you just don't want to complete another form?  That is the beauty of using electronic surveys to capture fresh and meaningful feedback at the leisure of the participant.  One tool for creating and linking an electronic survey is through Survey Monkey.  This is easy, free to use and convenient.

Image result for survey monkeySurvey MonkeyImage result for picture of paper and pen versus electronic surveys  Pen and Paper

Greenberg & Weiner (20140 reported on the validity of surveys when using for research.  The findings suggested that when random sampling is used in combination with accurate data analysis, there is a benefit.  McPeake, Bateson & O'Neill (2014) discussed the advantages of using electronic surveys over a paper form that might be mailed or handed out.  Increases in the volume of data is easier to manage electronically, cost is decreased, and there tends to be less bias in an electronic survey.

Tong & Chow (2013) evaluated the importance of evaluation participation in electronic class and instructor surveys.  When changes to curriculum occurred as a result of survey responses, students were more inclined to participate and complete surveys.

So put aside the pen and paper and use electronic surveying methods for your future survey needs!

Reference

Greenbery, M.  R., & Weiner, M.  D.  (2014). Keeing surveys valid:  Reliable and useful:  A tutorial.  Risk Analysis, An International Journal, 34(8), 1362-1375.  doi: 10.1111/risa.12250.

McPeake, J., Bateson, M., & O'Neill, A.  (2014).  Electronic surveys:  How to maximise success.  Nurse Researcher, 21(3), 24-26.

Tong, V.  H., & Chow, D.  L.  (2013).  A study of student participation and nonparticipation in prelecture electronic suveys.  British Journal Of Educational Technology, 44(5), 869-880.



.

How many times at the end of a lecture or meetings are you asked to complete a survey and you just don't want to complete another form?  That is the beauty of using electronic surveys to capture fresh and meaningful feedback at the leisure of the participant.  One tool for creating and linking an electronic survey is through Survey Monkey.  This is easy, free to use and convenient.

Image result for survey monkeySurvey MonkeyImage result for picture of paper and pen versus electronic surveys  Pen and Paper

Greenberg & Weiner (20140 reported on the validity of surveys when using for research.  The findings suggested that when random sampling is used in combination with accurate data analysis, there is a benefit.  McPeake, Bateson & O'Neill (2014) discussed the advantages of using electronic surveys over a paper form that might be mailed or handed out.  Increases in the volume of data is easier to manage electronically, cost is decreased, and there tends to be less bias in an electronic survey.

Tong & Chow (2013) evaluated the importance of evaluation participation in electronic class and instructor surveys.  When changes to curriculum occurred as a result of survey responses, students were more inclined to participate and complete surveys.

So put aside the pen and paper and use electronic surveying methods for your future survey needs!

Reference

Greenbery, M.  R., & Weiner, M.  D.  (2014). Keeing surveys valid:  Reliable and useful:  A tutorial.  Risk Analysis, An International Journal, 34(8), 1362-1375.  doi: 10.1111/risa.12250.

McPeake, J., Bateson, M., & O'Neill, A.  (2014).  Electronic surveys:  How to maximise success.  Nurse Researcher, 21(3), 24-26.

Tong, V.  H., & Chow, D.  L.  (2013).  A study of student participation and nonparticipation in prelecture electronic suveys.  British Journal Of Educational Technology, 44(5), 869-880.



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Tuesday, October 25, 2016

Friday, October 14, 2016

Using Simulation in Healthcare Training


What Is Simulation And How Does It Work?

Learning is achieved by different individuals in a variety of ways.  Active learning provides an environment for safe and instructional training.  Simulation is a method of active learning that enables the student hands on learning prior to performing on live adults.  Manequins don't feel pain when the needle doesn't go in the right location and giving an incorrect drug will not cause permanent harm.  There is an opportunity to correct wrong decisions without devastating consequences.   Simulation can be conducted in a live setting or via websites such as http://ssih.org/ or
http://www.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html#.  http://simman.org.

Causer, Barach, & Williams (2014) discussed advantages of using simulation training to increase proficiency and experience in healthcare in a safe and controlled environment.  Teamwork is improved and learning goals are achieved.  Wehn simulation is achieved through a reputable healthcare website, advantages are found in learning at a convenient time for the student.  Haugen (2012) discussed using simulation for EMR training.  This provides physicians and nurses an opportunity in a non stressed environment to have hands on learning and time to identify areas that need improvement for their specific practice.

McGonigle & Mastrian (2015) explored potential negative aspects of simulation.  Cost can be prohibitive and staff who are not as technologically advanced may be hesitant to participate.

Image result for pictures of healthcare simulation mannequins

Give Simulation a try!!

References

Causer, J., Barach, P., & Williams, A.  M.  (2014).  Expertise in medicine:  using the expert performance approach to improve simulation training.  Medical education, 48(2), 115-123.  doi: 10.1111/medu.12306.

Haugen, H.  (2012).  The advantages of simulation training:  How to improve EMR adoption.  Health Management Technology, 33(4), 10-11.

McGonigle, D., & Mastrian, K.  G.  (2015).  Nurisng informatics and the foundation of knowledge, (3rd ed.). Bartlett & Jones Learning.

Monday, October 10, 2016

Teaching Strategies and Methodologies

Part of the challenge of teaching something new is knowing your audience and how to best engage them.  As a nurse educator in charge of training staff to use mobile apps in the clinical setting and EHR, there is a need to select the most applicable teaching strategy.

Attitude is important for accepting new challenges and training.


https://blogelt.files.wordpress.com/2013/11/images-1.jpg

Understanding the demographics and technological knowledge of the staff stipulates that only a few have little technological experience. A power point presentation will describe the new technology, followed by simulation, which will be an underlying method of instruction. Technology needs to be experienced and practiced.  Peers proficient in each of the technologies will assist others in learning.  An evaluation will follow the educational sessions.

Rutherford-Hemming (2012) recognized the importance of simulation as a strong method of learning with technology.  There is a focus on ensuring that adult learners achieve the desired learning outcomes with this method.

Engage the staff in understanding challenges of new technology and reassure that IT assistance will be available in an ongoing time frame.  Usability will be evaluated and steps taken for improvements when possible.  The methods for educating for both indications will be the same.

Reference

Rutherford-Hemming, T.  (2012).  Simulation methodology in nursing education and adult learning theory.  Adult Learning, 23(3), 129-137.

Change Theory

There is much debate centered around the most effective way for effecting change.  What is the decision process for deciding the best method?  

Lippitt's Change Theory

Mitchell (2013) described Lippitt's theory as a democratic type of leadership, which is divided into phases. 

Phase 1 - begins with the primary focus of diagnosing the problem and providing the framework
for a suggested change.

Phase 2- Assessment of willingness and ability for change is completed.  Resistance is recognized and factors towards alleviating concerns are addressed. 

Phase 3- Evaluation of the change agent's motivation is recognized along with a realization that the change agent is possibly being a team member and not necessarily a manager,

Phase 4- The change plan is defined and approved with staff contributions incorporated into the process.  

Phase 5- The exact role of the change agent is defined.

Phase 6- The Implementation stage where motivation, education, ongoing maintenance and training is designed.

Phase 7-  The final phase involves evaluation and satisfaction with the change process and removal of the change agent follows.
Image result for pictures of technological changes
https://media.licdn.com/mpr/mpr/shrinknp_800_800/AAEAAQAAAAAAAAKCAAAAJDQyY2MwN2JkLTVmNzQtNDQ3OS1iZWJmLTlmNDgwMGYwZjgzNQ.jpg


In this world of technological advances, take a little time to interact with those around you. 

Reference

Mitchell, G.  (2013).  Selecting the best theory to implement planned change.  Nursing Mangement-UK, 20(1), 32-37.