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The nurse educator plays a pivotal role in the education and stability of the nursing corps. Their combination of clinical expertise and desire to be educators is paramount in strengthening the professional nursing workforce. A nurse educator is a registered nurse with advanced education that teaches and prepares students pursuing the field of nursing for entry into the practice. They also teach in various healthcare settings providing continuing education to licensed nursing staff.
There are many professional titles nurse educators serve in. From clinical faculty in a hospital setting to the dean of a college of nursing, nurse educators prepare and mentor the current and future generation of nurses. In academic settings, nurse educators
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Specifically, in the academic settings, nurse educators experienced in the use of medical simulation can enhance “student’s nursing education with interactive practice sessions (Aebersold & Tschannen, 2013).” As a teaching methodology, “a clinical simulation experience is an active event for students to be immersed in realistic clinical environments or situations. Students must incorporate critical thinking and decision-making skills using the nursing process. (Virginia State Simulation Alliance, 2013).” To understand the importance of skilled clinical nurse educator’s role, a case study will be presented using a simulation lab experience conducted with a student nurse. This simplified simulation case study will identify and define the steps of the nursing process and the student’s progression through them. Also, it will identify the value of a nurse educator and the responsibilities undertaken in strengthening the competencies of the student involved.
Nursing Process Simulation Scenario
The simulation lab nurse educator pre-briefs the nursing student concerning verbalizing use of the nursing process model for a post-surgical appendectomy patient. Using the MetiMan human patient simulator, the nursing student will interact with the patient and verbalize in real time steps in the nursing process.
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The student states to the nurse educator, “Outcomes for this patient will be pain control as evidenced by report of pain relief, blood pressure decrease, and comfort and positioning techniques that will alleviate pain.”
Planning
In the planning phase, a plan of care is developed that will prescribe strategies and interventions to attain expected outcomes. The student states, “In this step, reassessment and reduction of pain from 7/10 to 3/10 or lower within 30 minutes after medication administration, repositioning of the patient, comfort measures provided, and a decrease in blood pressure will be seen.”
Implementation
Next, implementation of the interventions must be completed that were identified in the plan. After checking the orders for pain medication, the student provides the patient with prescribed analgesics. Also, she states, “I will assess pain level every 2 hours or as reported by the patient.” She repositions the patient in a semi-fowlers position by elevating the head of the bed 45 degrees, provides ice chips, and reassesses vital signs.
Nursing is constantly evolving and changing, in order to be more efficient in providing care than in the past. The nursing profession includes professionals who are not only caregivers but support systems as well as educators. All these factors help to provide optimal care for patients and to also better serve their families and the community. All nurses are encouraged to break down the simplistic notion society has about the nursing profession because nursing is a multi-faceted profession encompassing many different factors that are beneficial to overall human development and health.
Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier University. Taylor, C. (2011). The 'Standard'. Introduction to Nursing -.
To provide the best care for their elderly patients, nurses must incorporate pain assessment into their daily care of patients. Pain assessment is a key aspect of the nurse’s role. There are many factors to consider when assessing patients’ pain such as if they are verbal or non-verbal, what language they speak, their age and their cultural background. There are many tools that a nurse can use to assess a patient’s pain but one of the most common tools is the 0-10 scale. This tool can be asked verbally by asking what their pain level is on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain they have ever had. You may also use this tool in a visual manner with faces that correlate to the numbers. 0 being a happy face and 10 being a very sad face. Elderly patients from diverse cultural backgrounds are increasing in long term care facilities so it is important to have a 0 – 10 pain scale written in their native language. Some patients are stoic and do not express their pain as much as other people so it is important to understand that a 0 – 10 pain scale might not always be sufficient and could be combined with observing any physical signs that the patient might be in pain such as facial expressions and guarding. Nurses must have a good base of knowledge and attitude towards pain and always take what the patient reports their pain scale to be as truth. If the patient does report pain it would be important to treat the pain or if it is a new occurrence to follow this assessment up with another val...
Nurse Molly, who is continuing the care in the Medical Surgical Unit noted that Toby-Finn and his brother, Toto are anxious. She initiated a therapeutic communication, and encouraged both of the patient and the brother to verbalize their feelings and concerns. Toby-Finn then stated that he is worried that the pain will never go away. Nurse Molly is aware that pain is an unpleasant sensory and emotional sensation associated with actual and potential tissue damage (Porth, 2011). To her best knowledge, Nurse Molly explained about acute and chronic pain.
Provision seven refers to nurse advancement of the profession through contributions of practice, education, administration, and knowledge development. Nurses serve by participation in the profession as mentors, on board of professional committees, and active leadership roles within their organization. While nurse educators promote the advancement of nursing through fostering professionalism and civic values; nurse managers and administrators are responsible for providing and environment which promotes ethical integrity and professionalism (ANA,
Through this essential, I have been able to integrate biophysical, psychosocial, analytical, and organizational sciences into my area of practice as an educator. I learned to improve my advocacy and mentoring skills providing my students a non-judgmental learning environment. The clinical rotations often bring forth ethical dilemmas and through debriefing the students and this writer are able to advocate for the patient. Organizational and Systems Leadership for Quality Improvement and System Thinking are critical for improving quality patient outcome. The DNP program prepares the graduate to evaluate practice approaches based on scientific research findings. Because, I education student nurses; I have the responsibility to keep up with new best practices in healthcare, and transfer this knowledge to the students. Clinical Scholarship and Analytical methods for Evidence-based Practice, I have been able to develop a PIOCT question and review the literature of the value of simulation labs. However, my question may have to be reframed for there were few studies that demonstrate to the percentage of time spent in simulation versus transitional clinical rotation. Information system/technology and Patient Care Technology and patient Care Technology for the Improvement and Transformation of
Across the nation many nursing programs are facing clinical site shortages for their students. The hardest hit population is the license vocational nursing (LVN) students. Many hospitals are trending toward achieving “Magnet Status” for their institutions. Therefore, LVN students are no longer allowed to complete their clinical training in several hospitals. This action forces many nursing programs to seek alternative methods of clinical instruction. In years past simulation training was used as an aid to facilitate learning. Today, for many nursing programs scenario based simulation is the only option for learning patient care.
The nurse in today's society provides different services to the healthcare community. Taylor (2011) lists the common roles of the nurse as follows: communicators, educators, researchers, advocates, collaborators, and caregivers. The communicator role of a nurse involves “effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings” (Taylor, 2011, pg 11). Patients look to nurses for information and communicate better with them because they are the most hands on role in the healthcare setting. As an educator, the nurse is responsible for assessing and evaluating individualized teaching plans for patients and their families (pg
Education for registered nurses provides significant benefits to the nursing career and therefore, it is imperative. As a registered nurse, education has influenced my practice at the hospital considerably. One of the major areas influenced by education is caring for patients. As a nurse, caring for patients is one of their primary responsibilities. Education for nurses emphasizes the need to show care and empathize with the patient besides providing competencies and knowledge for the nurse clinician (American Associations of Colleges of Nursing, 2014). While care is something intrinsic, educators strategize on learning situations and teaching designs
...es mentioned above provide the skills and proficiencies of a novice nurse educator. In my journey as an educator, I feel that developing complete competencies in all areas is a life long process, and I will work to substantiate excellence in these competencies.
On the other hand, I learned new concepts and terms. Simulation repeats some essential aspects of patient situation so that the situation may be understood and managed when it occurs in real clinical practice. Students in the school of nursing use the simulation learning center to learn and get experience in the field. The simulation is an educational process that requires the learner to demonstrate procedural techniques, decision making, and critical thinking. I learned that a simulation experience allows students to critically analyze their own actions and reflect on their own skill set. As a nursing student, I learned you have to complete clinical hours and practice in the simulation learning center. To become a certified nurse there are many training courses, exams to pass, and in the field experience to complete. Health professionals such as a nurse,
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
Simulated based education is a method that can be used within the field of nursing to accomplish this goal. Forms of Simulated Nursing Education Simulated based education is training and an educational method that can use many different types of simulators. Dr. Broussard said, “A wide range of simulators are available to nurse educators. Models range from equipment that is used to teach a simple, single skill such as intravenous access to very advanced, realistic equipment that can be used to simulate reality-based scenarios in a clinical setting such as an intensive care unit.” (Broussard, L. 2009)
It prepares a novice to be able to perform basic skills throughout their career. Learning is related in the classroom by simulation labs and clinical instructors. Educators consider nursing education to be serious. Their role in preparing nursing students is to convey safe practice for patients. They focus on educating students to learn the knowledge of essential care for different patients. New graduates who learn the sufficient knowledge and skills will be able to understand aspects to protect and design for the nurse and patient. Students are taught to recognize safety threats and will understand the significance of reporting errors for future prevention.
Nursing is one of the oldest professions. It isn’t a static occupation, as it has changed frequently over time. Its development and evolution has changed differently depending on the historical influences. As of today the nursing profession is changing and becoming larger and greater. Nursing has gone from being a career that did not require an education, to being one that is very respected and demands a high education.