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Using the Levels of Sickness Teaching Strategy to Engage Students in Recognizing Clinical Deterioration

Video Author: Diane Toto, RN, MSN
Published on: 11.12.2018
Associated with: Nurse Educator. 43(6):287-288, November/December 2018

Students lack experience in making connections between signs and symptoms and the patient’s acuity level. Many students fail to notice when a patient is deteriorating. The Levels of Sickness Teaching Strategy helps students recognize clinical deterioration in a timely manner by understanding the meaning of a wide range of signs and symptoms. This teaching strategy, referred to as the Sick tool, can be used in the classroom, simulation, and clinical settings. Learn about this strategy by watching this video and reading the article.

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Emily Nguyen
Duration: 6:52
This video and article share best practices for addressing concerns of first-generation and minority students as they begin their nursing program. An interactive, peer-developed, 2-day program was implemented to create a sense of community and relieve students’ anxiety. The program focused on students’ needs and provided engagement, networking, and first-hand experience with resources and methods to reduce cultural dissonance. Participation included critiquing modeling of proper clinical attire, meeting with peer mentors, and locating important campus resources. The program, was conducted by minority students under the supervision and guidance of faculty mentors.
Creator: Gerry Altmiller
Duration: 3:38
Quality and Safety Education for Nurses (QSEN) has been prominent in nursing education for 10 years. Since its inception, faculty have used the QSEN competencies as a framework for developing teaching strategies and tools, but there are few findings available to support this practice. In this video and article, Dr. Altmiller describes the process of developing a QSEN-based clinical evaluation instrument for a prelicensure nursing program and establishing content validation for its items.
Creator: Dr. Ragan Johnson
Duration: 3:04
Clinical site visits are important for evaluating graduate nursing students' clinical performance. This study examined the perceptions of preceptors of FNP students about site visits. Preceptors believe faculty should make at least 1 face-to-face site visit to observe a student during the semester. No preference for telephone or mobile technology for conducting site visits was identified. The study provides important considerations when designing guidelines for faculty site visits.
Creator: Jeri L. Bigbee, PhD, RN
Duration: 3:12
A needs assessment was conducted regarding an interprofessional faculty development program. Nursing and medical faculty and administrators (N = 156) were surveyed. The results indicated strong support for the program, particularly related to teaching/learning strategies, leadership, and scholarship. Nursing faculty rated some topical areas significantly higher than did the medical faculty, including innovative classroom teaching, educational technology, interprofessional education, diversity/inclusion, and mentoring graduate students. After watching this video make sure you read the article to learn more about this interprofessonal faculty development program.
Creator: Dr. Melissa L. Mastorovich and Dr. Susan G. Poorman
Duration: 4:05
Metacognitive wrappers help students examine how they think. Wrappers are brief metacognitive activities that guide students’ learning from lectures, online classes, and readings. Students can use these wrappers to prepare for tests including the NCLEX. Watch this video from the experts in this teaching strategy and follow up by reading the article.
Creator: Brenda Leda Quinn
Duration: 2:27
In this video abstract and article, the author describes an innovative, yet low-technology approach, to using edible curriculum aids to engage students in active learning during a lesson related to foundational pharmacological concepts. The specific concept taught through the use of food as a curriculum aid was drug half-life.
Creator: Mary Benbenek
Duration: 3:01
Determining when advanced practice registered nurse students are safe and competent for beginning-level practice is challenging. In this video Dr. Benbenek describes the development and testing of a capstone objective structured clinical examination designed to evaluate the practice readiness of students enrolled in the family, adult-gerontology, women's health nurse practitioner, and nurse-midwifery tracks. This is a must-read article.
Creator: Debbie Hampton, FACHE
Duration: 2:15
If you are teaching online, make sure you watch this video and read the full article. This study aimed to determine the level of engagement of registered nurse (RN) to Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and Doctor of Nursing Practice (DNP) nursing students enrolled in online nursing degree programs and to understand whether there are generational differences in level of student engagement. Significant differences were noted for engagement level between generations of students, but no significant difference was noted in the engagement level of students from RN to BSN, MSN, or DNP programs.
Creator: Kimberly A. Noble, MBA, BSN, RN
Coleen E. Toronto, PhD, RN, CNE
Duration: 3:50
The author describes a community partnership that includes a writing-for-publication health promotion activity for RN-BS students enrolled in a population health nursing course. The faculty member for the course contacted the Youth Health Connection (YHC) program coordinator to inquire about the possibility for student-authored article submissions in the YHC e-newsletter. This outreach began a unique educational partnership that affords RN-BS nursing students the opportunity to author health promotion articles and has led to other initiatives between the health system and nursing department.
Creator: Jennifer J. Coleman, PhD
Duration: 3:24
Are you struggling with how to prepare prelicensure nursing students with the ethical and moral decision-making skills they will need as nurses? This article describes the use of theater as one approach to teaching nursing ethics. Students perform as actors, directors, and discussion leaders in a series of simulated ethical scenarios designed to encourage individual accountability and responsibility for action.
Creator: Mary Ellen Burke, MS, RN, CNM
Raeann G. Leblanc, DNP, CNP-BC, ANP-BC
Elizabeth A. Henneman, PhD, RN, CCNS, FAAN
Duration: 3:38
Communication skills are essential to providing quality care to patients and families and interacting with nurses and other health care professionals. Nurse educators are responsible for preparing students to appropriately engage in the communication process. The authors describe a simple approach for teaching nursing students the basics (ABCDs) of a professional introduction. You can use these guidelines in a simulation or clinical setting. Watch the video and learn more about the ABCDs of professional introductions by reading the article.
Creator: Julia Ward, PhD, RN
Duration: 3:12
Empathy is at the heart of all nurse-patient interactions. Yet empathy often declines during the student’s nursing program. Julia Ward reports on her mixed-methods study to assess whether an educational intervention using standardized actors could prevent the decline of students’ empathy. Watch this video and be sure to read the full article: her educational intervention holds much potential for improving empathy in nursing students.
Creator: Julie Waldrop, DNP, FAANP
Diane Wink, EdD, FAANP
Duration: 5:43
Twitter is a social networking application that has seen limited evaluation in nursing education. In this project students used Twitter to receive tweets on clinical and professional topics from the instructor throughout the semester: 75% demonstrated willingness to follow the links in the tweets to seek more information, and 87% expressed a desire to receive the tweets even after the semester was over. Watch this video and read the article to learn how you can use Twitter in your courses and get ideas about evaluating its outcomes.
Creator: Gerry Altmiller, EdD, APRN, ACNS-BC
Duration: 3:16
Dr. Altmiller explains the importance of feedback in student learning. She shares best practices and strategies for giving constructive feedback to students. Whether you are a novice or an experienced teacher, you will learn from this video and her article.
Creator: Susan M. Duty, ScD, RN
Jocelyn Loftus, MSN, RN
Ladonna Christian, MSN, RN
Duration: 4:38
Are your students stressed when taking tests in your course? Does that anxiety affect their grades? Watch this video and read the article to learn more about the relationship of test anxiety and academic performance among nursing students. Modest but statistically significant lower examination grade T scores were observed for students with high compared with low levels of cognitive test anxiety. High levels of anxiety were associated with reduced academic performance.
Creator: Britney Besancon Kepler, BSN
Duration: 2:13
Learn more about how faculty used the Hearing Voices That Are Distressing curriculum with prelicensure students. They also studied the outcomes of the simulation on student attitudes toward and self-efficacy related to caring for patients with auditory hallucinations. In their study, 87 students were instructed to complete 3 tasks while wearing headphones delivering distressing voices. Comparing presimulation and postsimulation results, this study suggests that the simulation significantly improved attitudes toward patients with auditory hallucinations; however, self-efficacy related to caring for these patients remained largely unchanged.
Creator: Jodie Gary, PhD, RN
Duration: 3:03
Learn about reverse engineering and how the faculty used it to introduce RN to BSN students to nursing research and evidence-based practice (EBP). Reverse engineering of a nursing practice guideline offered a method for teaching these students an appreciation of research and supporting nursing practice with best evidence.
Creator: Kelly Vowell Johnson, EdD, RN
Duration: 3:17
Many schools of nursing use adjunct and part time nurse educators to teach clinical courses. Dr. Johnson reports on the outcomes of a faculty development workshop to prepare these educators for evaluating their students in the clinical setting. The instructors valued using a student-oriented learning outline, gained knowledge about assessment, and indicated they would engage in activities to increase their knowledge of assessment. Watch this video and read Dr. Johnson’s article to gain some tips for preparing clinical educators in your nursing program.
Creator: Voncella McCleary-Jones, Phd, RN-BC, CNE
Duration: 1:05
Health literacy should be included in prelicensure nursing curricula to prepare the next generation of nurses to care for patients with limited health literacy. Dr. McCleary-Jones has conducted a systematic review of the current literature related to health literacy in nursing education and identifies implications for nursing programs.
Creator: Susan Hendricks, EdD, MSN, RN
Duration: 4:05
Many nurse educators would agree that curriculum development and revision can be stressful and take a long time. In this video (and accompanying article), you will learn how the authors used a series of retreats and consensus building to facilitate curriculum revision. They also describe the curriculum and how they integrated concepts, competencies, and professional development behaviors into the revised curriculum.
Creator: Benjamin Smallheer
Duration: 2:45
The reverse case study is different from a traditional unfolding case, in which a single scenario is presented. A reverse case study incorporates students into the development of the scenario and decisions about details of the case. Learn more about this teaching method and how Dr. Smallheer uses it in his teaching.
Creator: Desiree Hensel
Duration: 2:45
This study compared the drinking patterns of 123 female nursing students with those of 185 female students of other majors enrolled beyond the freshman year at a large public university. High-risk drinking patterns did not vary significantly between the 2 groups, suggesting that students' drinking patterns reflected the norms of their institution. Prevention strategies geared at campus culture and that target students still enrolled in prerequisites may be needed to reduce alcohol abuse in nursing students.
Creator:
Duration: 3:23
Dr. Lonneman describes 6 teaching strategies for raising nursing students? cultural awareness, a key aspect of cultural competence. In the article he also reports on the effectiveness of an educational intervention he developed using these strategies.
Creator: Nagia S. Ali, Kay Hodson-Carlton, & Omar S. Ali
Duration: 4:29
Telehealth care is a fast-growing avenue of providing health care services at a distance. A descriptive study was conducted to identify trends of telehealth education in 43 schools of nursing. Findings reflected inadequate integration of telehealth in classroom content, simulation, and clinical experiences. Interviews with 4 nursing leaders of telehealth provided recommendations on how to integrate telehealth education in nursing curricula.
Creator: Drew Curtis, PhD
Duration: 3:08
This study examined nursing students’ beliefs about indicators of deception and their attitudes toward patient deception. Nursing students (n=58) from various nursing programs completed a Detection of Deception Questionnaire and Attitudes Toward Patient Deception Scale. Nursing students have a number of inaccurate beliefs about deception and possess negative attitudes toward patients who lie. Implications for nursing education are discussed by the author.
Creator: Anne M. Schoening, PhD, RN, CNE
Other Authors: M. Susan Selde, MS
Joely T. Goodman, MSN, RN
Joyce C. Tow, PhD(c), APRN-WHNP-BC
Cindy L. Selig, DNP, APRN, RNC-OB, CPLC
Chris Wichman, PhD
Amy Cosimano, EdD, RN
Duration: 3:39
This study evaluated learning outcomes and student perceptions of collaborative learning in an undergraduate nursing program. Participants in this 3-phase action research study included students enrolled in a traditional and an accelerated nursing program. The number of students who passed the unit examination was not significantly different between the 3 phases. Students had positive and negative perceptions about the use of collaborative learning.
Creator: Peggy A. Bush, PhD, RPh,
Duration: 2:38
Safety education in nursing has traditionally focused at the level of individual nurse-patient interactions. Students and novice clinicians lack clinical experience to create context and understand the complexity of the health care system and safety science. Using the QSEN quality and safety competency as a framework, the objective of this education project was to design comprehensive, engaging, learner-centered, online modules that increase knowledge, skills and attitudes about medication safety.
Creator: Pamela M. Aaltonen, PhD, RN, Karen J. Foli, PhD, RN, Kristen F. Kirby, MSN, RN, FNP-C,
Duration: 6:52
Newly hired teaching assistants (TAs) in schools of nursing have varying levels of experience in academic institutions. Therefore, the orientation of TAs is important at a micro level (student instruction) and macro level (mission of the organization). The authors describe a Lean approach to strengthening TA orientation and reducing waste and inconsistency. Developed solutions and tools through the lens of quality improvement are discussed.
Creator: Amy Miner, MSN, RN
Jennifer Mallow, PhD, FNP-BC
Laurie Ann Theeke, PhD, FNP-BC
Emily Barnes, DNP, FNP-BC
Duration: 3:46
Teaching large numbers of students can be a challenge for both teachers and students. This article presents the impact of using Gagne's 9 events of instruction on student learning and course evaluations over a 3-semester period. Student evaluations indicated enhanced teacher mastery, effectiveness, and enthusiasm.
Creator: Barbara Hooper, DNP, MSN, RN, NE-BC
Duration: 4:26
Simulations are conducted typically with a small group of students. This article describes the process for implementing 6 high-fidelity simulations with a large group of nursing students.
Creator: Aysel Badir, PhD, RN
Duration: 3:33
Using high-fidelity simulations to facilitate student learning is an uncommon practice in Turkish nursing programs. The aim of this study was to understand students’ perceptions of the use of simulation in nursing. This study revealed that high-fidelity simulation is an ideal method of promoting learning by helping students transfer theory into practice, build confidence and teamwork, and raise professional awareness.
Creator: Carol Della Ratta, RN MS CCRN
Duration: 3:48
Learn about using team-based learning within a flipped classroom. Students used classroom time to solve problems while developing professional competencies.
Creator: Kim Genovese and Janet Brown
Duration: 2:14
The number of international applicants to US nursing graduate programs is increasing. The authors discuss admission requirements and process for international students.
Creator: Joan Sistrunk Cranford, EdD, RN, and Theresa Bates, MSN, RN
Duration: 3:29
Education for interprofessional collaboration should begin early in the nursing program with a gradual infusion of interprofessional competencies into the curriculum. The faculty developed a program for students in nursing, physical therapy, nutrition, and respiratory care. Learn more about their program and the process they used to develop it.
Creator: Janet R. Beulow
Duration: 4:27
In their study in the September/October 2014 issue of Nurse Educator, Meghan L. Bell and Janet R. Beulow describe how a patient advocacy service-learning course increased nursing students’ awareness and proficiency in working with the challenges faced by low-income, vulnerable individuals as they attempt to improve their lives and health.
Creator: Deborah M. Price, DNP, RN
Linda Strodtman, PhD, RN
Elizabeth Brough, PhD, RN
Duration: 2:36
Students (N = 134) created a 5-minute narrated digital story using VoiceThread technology. Through the writing and sharing of digital stories, they embraced the personal and complex nature of palliative care.
Creator: Desiree Hensel, PhD, RN
Duration: 3:23
An important outcome of nursing education is the acquisition of an identity consistent with the profession’s core knowledge, skills, values, and attitudes. Hensel and Laux conducted a longitudinal study to describe factors associated with the acquisition of a professional identity over the course of prelicensure education. Learn more about this important study in the September/October 2014 issue of Nurse Educator (39:5).
Creator: Suhasini Kotcherlakota, Ph.D.
Duration: 2:39
The authors developed a learning repository website for sharing exemplar teaching strategies and collaborating among faculty. They demonstrate their website in this video. Read the >article for free.