Slide 1: A Teaching Plan for BS Students: Assessing and treating hospitalized patients with Delirium, Dementia or both conditions
BRENT DONMOYER NURS 597A 22 APR 09
Slide 2: Outline
Overview of conditions Theories of Translation Essential Competencies to be addressed Lesson Plan Overview Practice Model of Implementation Innovative teaching strategy Learner Evaluation Educator Course Evaluation Conclusion
Slide 3: Overview
Delirium (Fick et al., 2009) Dementia ( Moyle et al., 2008) Comorbid disease (Fick et al., 2009)
Slide 4: Theory of Translation
Self Regulated Learning Theory (Kuiper & Pesut, 2004). Why this Theory?
Slide 5: AACN: The Essentials of Baccalaureate Education for Professional Nursing Practice
Essential II: Basic Organizational and Systems
Leadership for Quality Care and Patient Safety
Essential III: Scholarship for Evidence Based Practice Essential IX: Baccalaureate Generalist Nursing Practice
Slide 6: Lesson Plan
Practice model for teaching implementation Stetler Model (Estabrooks et al., 2006)
Student focus is to learn, seeking knowledge like a sponge Facilitated by an APN
Readiness to Change Model (Estabrooks et al., 2006)
Today’s students desire to know the best, most effective treatments. Even if they need to challenge the “Status Quo”. I.E. they are motivated to make change in the best interest of their patient.
Objective B.S. Students gain current Evidenced Based Clinical Knowledge on Delirium and Dementia in the Geriatric Population
Slide 7: Lesson Plan
Content Outline Method of instruction Lecture - Part I (1 hour)
Review each disease presentation Present chart comparison of both conditions
Slide 8: Lesson Plan
Method of instruction cont. Movie clips - Part II (1 hour)
Show clips from “The Notebook” Have students assess the patient (Bradshaw & Lowenstein, 2007, Ch 16 & 17 and Hyde & Fife, 2005)
Lecture and discussion - Part III (1 Hour)
Nursing Diagnosis Nursing Treatments Review each students symptom lists from the movie clips
Slide 9: Lesson Plan
Learner Evaluation P – opulation
B.S. level students
I – ntervention
Pre-reading – articles & web sites 3 hour block of instruction / discussion / videos
C – omparison
Knowledge taught vs. knowledge learned / applied Individual case study write up assessing student knowledge and aplication
O – utcome
Slide 10: Student Evaluation
Evaluation Rubric for Case Study (max points =20)
1 APA Format At least 3 Current References Numerous mistakes No references utilized 2 10-20 mistakes 1-2 references from nonschol. sources Difficult to understand Incomplete assessment; leading to wrong DX and treatments 3 6-10 mistakes 3 articles from nonschol. sources 4 Few mistakes 3-5 Mix of 3 schol. and non-schol. sources Decent flow of ideas Good assessment, nurse DX and Treatments 5 No Mistakes At min. 3 schol. articles
Content, wording flow of document Patient assessment, nurse DX and treatments
No logical flow of ideas Did not assess patient correctly
Reasonably understood Missed a few key points in assessment, DX, and treatments
Great flow of ideas Very complete assessment, nurse DX, and treatments
Slide 11: Educator Evaluation
Brief Instructor Rating Scale (BIRS) Three levels of scoring Assesses three elements
Lecturer Lecture: Overall
(Leamon & Fields, 2005)
Slide 12: References
American Association of Colleges of Nursing. The Essentials of Baccalaureate Education
for Professional Nursing Practice, published October 20, 2008. Barstable, S. B. (2008). Nurse as Educator: Principles of Teaching and Learning for Nursing Practice 3rd Edition. Jones and Bartlett Publishers, Sudbury, Massachusetts. Borbasi, S., Jones, J., Lockwood, C., & Emden, C. (2006) Health Professionals’ Perspectives of Providing Care to People with Dementia in the Acute Setting: Toward Better Practice Geriatric Nursing, 27(5), 300-308. Bradshaw, M. J. & Lowenstein, A. J. (2007). Innovative Teaching Strategies in Nursing; and Related Health Professionals, 4th Edition. Jones and Bartlett Publishers, Sudbury, Massachusetts. Estabrooks, C., A., Thompson, D., S., Lovely, J., J., E., & Hofmeyer, A. (2006). A Guide to Knowledge Translation Theory. The Journal of Continuing Education in the Health Professions, 26, 25–36. Fick, D., M., Kolanowski, A., Beattie, E., & McCrow, J. (2009) Delirium in Early-Stage Alzheimer’s Disease: Enhancing Cognitive Reserve as a Possible Preventive Measure Journal of Gerontological Nursing, 35(3), 30-38. Hanley, C. (2004). Delirium in the Acute Care Setting. MEDSURG Nursing, 13(4), 217-225.
Slide 13: References
Kuiper, R. A. & Pesut, D. J. (2004). Promoting cognitive and metacognitive reflective reasoning skills in nursing practice: self-regulated learning theory. Issues and Innovations in Nursing Education, 45(4), 381–391. Law, E. (2008) Delirium and dementia in acute hospitals: assessing the impact of RMN input. Nursing Older People, 20(9), 35-39. Leamon, M. H. & Fields, L. (2005) Measuring Teaching Effectiveness in a Pre-Clinical MultiInstructor Course: A Case Study in the Development and Application of a Brief Instructor Rating Scale. Teaching and Learning in Medicine, 17(2), 119–129. Levin, R. F. & Feldman, H. R. (2006). Teaching Evidence-Based Practice in Nursing . Springer Publishing Company, New York. Moyle, W., Olorenshaw, R., Wallis, M. & Borbasi, S. (2008). Best practice for the management of older people with dementia in the acute care setting: a review of the literature. International Journal of Older People Nursing, 3, 121–130. Philippe Voyer, Martin G. Cole, Jane McCusker and Éric Belzile. (2006). Prevalence and Symptoms of Delirium Superimposed on Dementia. Clinical Nursing Research, 15, 46-66. Prochaska,J., O. & Velicer, W., F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48. Stetler CB. (2001). Updating the Stetler model of research utilization to facilitate evidence-based practice. Nursing Outlook, 49, 272–279.
Slide 14: Web References
1) University of Toronto
www.ktp.utoronto.ca/whatisktp/definition/ 2) Canadian Health Services Research Foundation www.chsrf.ca/keys/glossary_e.php 3) UK Office of Science and Technology www.ots.gov.uk 4) I Health Tube http://www.ihealthtube.com/aspx/search.aspx?s=dementia 5) MedLine Plus (dementia) http://www.nlm.nih.gov/medlineplus/dementia.html 6) Alzheimer's Association (for professional Care Providers) http://www.alz.org/professionals_and_researchers_professional_care_
