Online Video Education: Translation of Knowledge into Practice
Kristin M. Kohls
Clinical Scholarship
University of Oshkosh College of Nursing
Abstract
Nurses of all generations are faced with the challenge of keeping up with a healthcare atmosphere that is fast paced, technologically advancing, and ever evolving while also staying current on skills to provide safe, effective, quality care to their patients. Particularly challenging are skills that are uncommon to everyday practice, such as specialty wound care dressing application and care. Elder et al. (2014) points out that there is a lack of simple education tools on prevention and management of wounds that are targeted at nurses. Evidence demonstrates and milestone reports from the Institute of Medicine (IOM) (2011) highlight that changes in nursing education are needed. Still the nursing workplace is evolving at a much faster rate than new, effective education modalities are being implemented. Using technology is a skill “essential for today’s nurse to be competent in supporting their work and in empowering and supporting patients” (Holland et al., 2012). Video-based education has been shown in several studies and articles to have positive effects education in the medical setting (Brydges, et al., 2009; Holland et al., 2012). Health care organizations must work to seek out and support evidence-based practice (EBP) interventions that promote continued nurse education, particularly in wound care in
Being a student in the UW nursing school, I can not only take advantage of the special classroom settings, but also the advanced technology. With classroom settings designed for active learning, it gives me opportunities to share my thoughts and ideas with other students. Instead of listening passively, we would work as a team to find out the best solution for patients. Besides, the unique state-of-the-art technology allows me to practice and apply my knowledge in a simulated hospital setting. Since every practice is recorded, I can take a look at those videos several times and self-reflect. Thus, I can correct my mistakes and improve.
Evidence based practice (EBP) gives nurses a method to use critical appraised data and scientific evidence that is proven to confirm the delivery of quality health care to a patient population. Pressure ulcer prevention continues to be a major and growing concern among todays patients and healthcare providers. This problem is a concern because prevention of pressure ulcers can be accomplished through good skincare techniques and increased education of nurses. The field of nursing along with the healthcare industry can benefit from simply decreased the
In the article “What Do Nurses Really Do?”, Suzanne Gordon explores what nurses truly do. She concludes that nurses “save lives, prevent complications, prevent suffering, and save money” (Gordon 2006). Nurses provide care for their patients in the physical and emotional sense. Emotionally caring for a patient and being sensitive to his or her needs result from interacting with patients while performing the skills and using the knowledge that nurses learned in school. Nurses grow in their skills, knowledge, and attitudes through practice. Quality and safety education for nursing incorporates competencies that all nurses must use in their practice. These nursing competencies include evidence-based nursing practice, quality improvement, safety, teamwork and collaboration, patient-centered care, and informatics.
Over time the health care industry has become more complex. Health care is rapidly evolving and continuing to complicate our delivery of care, which in turn has the same effect on quality of care. This steady evolution and change results in nursing shortages and an increase in the prevalence of errors being made. In hopes of preventing these errors and creating safe and high quality patient care, with the focus on new and improved ways of thinking, The Quality and Safety Education for Nurses (QSEN) initiative was developed. The QSEN focuses on the following competencies: patient-centered care, quality improvement, safety, and teamwork and collaboration. Their initiatives work to prepare and develop the knowledge, skills, and attitudes that are necessary to make improvements in the quality and safety of health care systems (Qsen.org, 2014).
Over the last century, registered nurses' participation in wound management has actually varied from that of following rigorous dressing routines to autonomous practice (Moore, 1997). In the past, nurse education frequently enhanced the overall results at the time. An adherence to apprenticeship-style learning, where registered nurses frequently had minimal knowledge of the results of the dressing they were putting on a wound, contributed considerably to a theory-practice space or gap of research in wound management. Registered nurses were not actively associated with the decision-making procedure (Madsen, 1999).
According to Shellebarger & Edwards (2012), Nurse Educators help shape the future of nursing by educating future novice nurses. Nurse Educators have a core curriculum to follow to ensure lifelong learning in their role. They help shape critical thinking skills in our future nurses by giving them the knowledge needed to think critically. “ Evidence has found that hospital based nurse educators influence safe patient outcome through contemporary evidence based teaching and their contribution of policy development supports safe practice” (Sayers,2012, p. 45). Nurse Administrators take on the role of patient advocates, by ensuring that patients are receiving the highest level of care (Hamic, Hanson, Tracy, & O’Grady, 2014). Nurse Administrators are an important part of management of nurses , they help develop policies and procedures and are change agents in their fields. The Nurse Educator and the Nurse Administrator should be
Pressure ulcers compromise Quality and Safety Education for Nurses (QSEN) competency patient safety. Critical care patients are at high risk of harm when pressure ulcers develop during their hospital stay. As a result, pressure ulcers cause pain, discomfort, loss of independence and social isolation. One study sampled 102 critical care patients consisting of 52 men and 48 women with ages between 23 to 88 years (He, Tang, Ge, & Zheng, 2016). He et al. (2016) result showed 31.4 percent of pressure ulcers development incidents. Cost estimates to heal a single pressure ulcer vary by severity and population studied from hundreds of dollars for earlier ulcer stages I–II, to $5000–$151,700 for more advanced ulcers (Meddings, Reichert, Rogers,
Professionalism in nursing has advanced greatly over the years. A cornerstone for change includes that of evidence based practice (EBP) as the drive of nursing intervention and patient care. According to the Quality and Safety Education for Nurses (QSEN), Evidence-based practice is described as the combination of the most recent evidence with clinical knowledge that includes the patient’s best interests in mind for greater patient outcomes (QSEN, 2017). The QSEN’s goal is to prepare nurses for improvement in quality and safety of patients (2017). Because of this goal, six competencies, including evidence-based practice, are listed for criteria of improvement in nursing practice (2017). I have been fortunate to have experience with implementing this practice and providing education in certain EBP protocols in my career. One EBP protocol in particular that our unit has been involved in since May of this year includes Enhanced Recovery After Surgery (ERAS) now referred to as Improving Surgical Care and Recovery (ISCR).
The Quality and Safety for Nurses (QSEN) project, developed in 2005 from recommendations made by the Institute of Medicine (IOM), addresses issues pertaining to how to better prepare future nurses with knowledge, skills, and attitudes (KSAs) to continue to improve the safety and quality of care provided by the healthcare organizations in which they work (Billings & Halstead, 2016; QSEN, n.d.). The mission of QSEN emphases the collaboration of all healthcare professionals focusing on education, practice, and scholarship to improve the healthcare system. With the partnerships of national nursing organizations and schools of nursing, QSEN has been developed from IOM reports and integrated into pre-licensure and graduate student’s
It has grown from a non-educated nurse to one that has to be even more educated to keep up with the fast changing times with diverse topics and culture differences. It is a constant challenge for physicians and nurses to do their best in the fast changing nursing field. As nurses, we have to be constantly upgrading our education. We can’t expect anything to always be the same and to never change. Register nurses today work as a team, they work every day with physicians, pharmacists, speech and occupational therapists, just to name a few. Since nurses are primarily responsible for direct patient care and coordination, I believe that they should not be these educated on the health care
How would you like knowing that one simple thing such as educating someone or something as simple as wiping down the counter could save someone’s life? Dena Gray is a twenty-eight year old RN who had that opportunity. Being a nurse, saving someone’s is an everyday challenge. In nursing school students learn that one of the jobs that comes along with being a nurse is also to be an educator, and that’s one of the things that Dena failed to do. When Kelly approached Dena, Kelly had her gloves on. As a nurse that shows this person may need education on how to use the gloves properly and help a safe and clean environment.
Tammy, I would agree there is a major difference between knowing how to perform a specific skill and knowing how to perform that skill effectively. I think it is great that you offer new nurses to your department an extensive orientation and training. Wound vac care can be tedious, depending on the wound, requiring much training and then follow-up training to ensure it is being performed correctly. The surrounding skin appearance of a wound bed is a good indicator of correct wound vac application. Your expertise in wound care with precise skin barrier methods prevented further complications with this already painful wound. When patients get, frustrated or are having a lot of pain related to a treatment or procedure, many times they will refuse
Over the years there have been vast changes in healthcare that require nurses to go above and beyond in their level of expertise in technology and scientific knowledge (Palos, 2014). Nurses have to evolve with those changes, therefore they must utilize educational tools and develop skills to stay current with the advancements that hospitals require for practice (Palos, 2014). Palos (2014) also found that nurses have a responsibility to use their critical thinking skills, make sound clinical judgments, and apply evidence-based nursing
, giving me knowledge which is very helpful in to my research work and my research in wound care more engaging .being a nurse can be challenge sometime ,I see change in me and very helpful to understand learning new ways. This path is about understand and update and continue professional development. Brain based learning is great way and should pay attention to internet visitor. Learning principals help this writer to learn and practice and positive outcome .writer always want to increase self-esteem, job satisfaction, motivated, self-concept, experiences, learning new skills .writer working in long term care through ongoing education programs to reinforce learning related to pressure ulcer, skin care, I search on the internet for reading articles different websites and watching videos to increase my knowledge on related topic, Adult learning theories is a benefit and includes the patients care .from mission ,vision , statements outcomes ,implementation and
As a competent registered nurse, my career goal is to become a healthcare quality improvement leader, a position that would enhance my commitment in promoting patient safety. I not only believe in enhancing the capacity of other care providers, but also in improving the quality of the healing environment for the benefit of both patients and their care providers. This means not only promoting collaboration with the multidisciplinary teams, but also building the necessary healing partnerships with our patients. To enhance the quality of the healing environment, I aspire to continue analyzing researches for evidence based practices and advocating for their actualization. I will continue focusing my time and energy in encouraging other nurses to improve their skills through formal education, so they can empower themselves as advocates of quality improvement for the benefit of their patients and coworkers.