CLINICAL TEACHING-1.pptx

Clinical teaching ppt

1. CLI CLI NICAL TEACHING PREPARED BY Meena dahre Msc nursing

2. content Definition Purpose Principle Guidelines for selection of teaching methods factor influencing clinical teaching methods Role of clinical instructor Responsibility of clinical instructor

3. Definition A clinical teaching method is individualized or group teaching to the nursing students in the clinical area by the nurse educators, staff nurse and clinical nurse manager. Clinical teaching methods in nursing is a type of group conference in which a patient or patients are observed, studied, discussed, demonstrated and directed towards the improvement and further improvement of nursing care provided by nursing student.

4. PURPOSE To provide individual care in a systematic holistic approach To develop high technical competent skills To practice various procedure To collect and analyze the data To develop communication skills and maintain interpersonal relationship To maintain high standard of nursing practice To develop cognitive, affective and psychomotor skills To learn various diagnostic procedures To learn various skills in giving health education technique to the client To develop proficiency and efficiency in carrying out various

5. PRINCIPLES OF CLINICAL TEACHING Clinical education should reflect the nature of professionals practice Clinical teaching is supported by climate of mutual trust and respect Clinical teaching and learning should focus on essential knowledge, skill and attitude

6. GUIDELINES FOR SELECTION OF TEACHING METHODS   Must be in accordance with availability of resources. Must be in accordance with the capacity of the student. Must be in accordance with principles of learning. Must be appropriate to objectives and desired behavioral changes. Must be in accordance with the teacher’s ability to use it effectively and creatively.

7. FACTORS INFLUENCINIG CLINICAL TEACHING Group interaction skills Clinical supervision skills Clinical competence and professionalism Knowledge and analytical ability Organization and clarity of presentation Enthusiasm and stimulation of interest

8. ROLE OF CLINICAL INSTRUCTOR Supporter Facilitator Challenger Manager Coordinator Observer Evaluator Expert

9. RESPONSIBILITY OF CLINICAL INSTRUCTOR Set objective, standard for practice Develop take permission of the institute Should take permission of the institute Prepare master rotation plan Set up the clinical area in an instead manner Keep ready equipment in working condition to provide nursing care

10. CLINICAL TEACHING METHODS Bedside clinic Nursing rounds Client family centered method Conferences- Group conference Staff conference Individual conference Team conference Nursing care conference Demonstration Nursing Care study

11. Cont..... Process Recording Laboratory method Nursing assignment Field trip Group discussion Ward teaching Ward class Ward clinic Case method Brain storming method Health talks

12. BEDSIDE CLINIC PURPOSES To provide learning experience To improve the problem solving ability To help for nursing observation in systematic way To understand different equipments used on patients To prepare nursing care plan PHASES Introduction phase Patient centered discussion Post clinic evaluation

13. Cont.. ADVANTAGES It puts the student in an active actual situation. Covers limited group of students Develop qualities of observation and decision taking Ensures close contact with reality Permits comparison between reality and theory DISADVANTAGES Sometimes put the patient in a difficult situation Poor standardization Narrow limits of utilization

14. NURSING ROUND

15. Cont… PURPOSES Demonstrate symptoms important in nursing care, clarifies terminology studied Compare patient’s reaction to disease and disease condition. Demonstrate the effects of drugs. Illustrates skillful nursing care Understands methods of meeting nursing needs    

16. Cont.. ADVANTAGES It develops student’s psychomotor skills and inculcate proper attitude among them. Promote team spirit and professionalism Motivated to learn more about nursing management of patients in the ward Discriminate patients risk categories. DISADVANTAGES Require careful planning Only applicable for small group of students. Require careful planning.

17. CLIENT FAMILY CENTERD APPROACH  Staff  Group  Individual  Clinical

18. COFERENCE- GROUP CONFERENCES PURPOSES To set objectives and criteria is for nursing care To plan methods for improving care To solve problems in good nursing care To evaluate the results of efforts To create team building skills in students and to express oneself assertively

19. STAFF CONFERENCES These type of conference will be held in teaching institution e.g. faculty meeting in hospital. E.g. nursing superintendent will conduct conference to all nurses.

20. INDIVIDUAL CONFERENCES

21. INDIVIDUAL CONFERENCES TYPES Unplanned or incidental conference Planned conference PURPOSES To guide in teaching To acquire more knowledge To discover the interests, needs and problems of individual students To help the students to help herself or himself To clarify class knowledge

22. TEAM CONFERENCE Team nursing as started by Miss Dorothy Finkbiner The assignment method should be used which will possible the best nursing care to the staff members giving them interest and challenge and that will keep the unit functioning smoothly and effectively. ADVANTAGES OIF THE NURSING TEAM CONFERENCE It is used to plan for the daily continuity of nursing care that best meets the patients need. As a teaching tool, nursing team conference offers valuable opportunities for learning. It gives an ability to observe report and analyze significant finding input to its greatest test, as students are conference with their daily responsibility.

23. Cont.. Purpose To portray the nursing problems typically associated with a particular disease with such factors as social, age, or ethical background and to picture the related nursing care with specific individual. To learn ways to help clients identify their needs and solve their own problems. To suggest approaches to the patients and planning ways to help himself

24. Cont.. PHASES Opening phase Working phase Closing phase   ADVANTAGES Sharpens the critical thinking Helps the students to know about their progress and boosts their self confidence Develop problem solving skills   DISADVANTAGES Time consuming Conflict of opinion

25. WARD TEACHING METHODS PURPOSES To enable the student to gain a real understanding of different clinical situations To make the students to apply correct scientific principles based on the nursing activity To supplement to integrate and to utilizes classroom instruction To inspire the students for self development

26. DEMONSTRATION

27. Cont.. Demonstration teachers by exhibition & explanation It trains the students in the art of careful observation USES To demonstrate procedures in the classroom and the ward To demonstration experiments and its uses To teach the patient, a procedure or treatment ADVANTAGES Activates sense Opportunity for observation and learning Creates interest by use of illustration Correlates theory and practice DISADVANTAGES Expensive Time consuming

28. NURSING CARE STUDY Method, which focuses on information and facts about patient the disease condition social and personal history and the application of this knowledge in rendering nursing care Students select one patient for intensive study Students are given opportunity to take care of the patients study their treatment modalities until they are discharged.   ADVANTAGES Students learn problem-solving approach Reports acts as reference material for students Evaluate patients progress

29. PROCESS RECORDING DEFINITION • Process recording is an exact written report of the conversation between the nurse and the patient during the time they were together “Hudson”   USES OF THE PROCESS RECORDING As a therapeutic tool As an evaluation tool As a teaching learning tool  

30. Cont… DIFFERENT PHASES IN PROCESS RECORDING   Preparing the student Recording nurse patient interaction Evaluating the interaction by nurse, teacher, and the student GUIDELINES Mention the therapies, which the pt is getting Note important factors in patient’s personality development. Goals for working with assigned patients should be written down before starting PR. Evaluate the PR as a learning experience at the end of adjustment. After completion of PR students should give a feedback. Identify pts needs. The setting and situation should be written before conversation. Time spent with patient should be recorded. Date of PR should be mentioned.

31. LABORATORY METHOD Laboratory is a part of clinical teaching that offers students with the opportunities to apply their theoretical knowledge or previous learning and practice in controlled situation under guidance and supervision where there is no client ADVANTAGES Increase students participation Prepare students for actual situation. Clarify doubts and queries regarding to demonstration. DISADVANTAGES Budget Time consuming Lack of apparatus  

32. NURSING ASSIGNMENT It is the part of learning experience where the students are assigned with patients or other activities concerning to patients in clinical laboratory.   METHODS Functional method Team method Case method   FUNCTIONAL METHOD Nurses are assigned specific functions such as administering medication, monitoring vital signs etc.

33. cont… TEAM METHOD In this method a group of patients are looked after by nursing team, comprised of nursing staff & student nurse. CASE METHOD In this type is the single nurse is assigned the responsibility for the care of each patient admitted to the hospital till the patient is discharge.   ADVANTAGE Time efficient

34. FIELD TRIP

35. PURPOSE To provide real life situations To serve as a preview of a lesson and for gathering instructional materials To verify previous information, class discussion, and conclusion of individual experience   To serve as a mean to develop positive attitudes, values and special skills

36. ORGANIZATION AND PROCEDURE FOR FIELD TRIPS Follow up and evaluation Supervision Preparation of the students Time and transport Objectives Rapport Knowledge Pre-requisites  

37. Cont.. VALUES Breaks monotony of classroom Opportunity for learning attitudes and positive values Opportunity for learning and acquring skills Correlate school life with outside world Arouse interest and motivation   DISADVANTAGES Time consuming Careful planning is required Transportation problem Safety precautions are required Observation difficulty for large group

38. GROUP DISCUSSION

39. Cont…. VALUES It encourages the student to think for her, to develop critical habits of study. Helps her to advance in creative thought It gives the student an opportunity to learn how to adjust to social situations. Gives an opportunity to cooperate with others in the reflective solving of a problem Self activity is increased Leadership skills will be developed

40. Cont.. DISCUSSION TECHNIQUES The individual conference Class group discussion The seminar The clinical conference Role-playing Multiple discussion groups Symposium Panel

41. WARD TEACHING METHODS   PURPOSES   To enable the student to gain a real understanding of different clinical situations To make the students to apply correct scientific principles based on the nursing activity To supplement to integrate and to unities classroom instruction To inspire the students for self development.

42. WARD CLASS A class will be conducted based upon current clinical experience of the student for whom the class is planned

43. WARD CLINIC In this type, a client presented to the group, who illustrates all signs and symptom Permission should be taken from the physician. Instructor should explain before hand, to the client about the purpose of the clinic The student will be able to practice procedure in real situation. Suitable place should be selected.

44. CASE METHOD Used in three forms Case study Case analysis Case incident technique  

45. BRAIN STORMING METHOD Here the intellectual capacities of trainees will be utilized in solving or suggesting solutions to problems and make a group to active and answer the problems among them only  

46. HEALTH TALKS This method will be used when teaching for client and their relation or a mass. it can be used hospital and in community.