Facilitate Learning and Assessment in the Clinical Environment - Essay Example

?Facilitate learning and assessment in the clinical environment. Justify Model assessment is crucial in any that seeks out to evaluate the learning process of its student body. In this particular study, a new type of assessment is proposed, which is known as hybrid-problem based learning. This new methodology imposes key concepts of critical thinking that traditional techniques lack in their system. Although this approach is unique and exquisite, it defies the status quo of testing that has plagued the educational system in the United States. This paper will define the key theory usage of rubric that is the focal point in the hybrid-problem based learning system that has tremendous benefits for any academic center and depicts the ideal relationship between the tutor and the tutee. The current model in the nursing field is to design a challenging curriculum, develop courses, teaching and guiding learners, clinical trials, and finally evaluating along with documenting the outcomes. However, research indicates that few attempts have been made to analyze changes in relation to the quality of service and patient recovery in United Kingdom. The current reflective model has several aims for the young nurses to be successful.  The current UK model aims to meet the aspirations of the modern medical healthcare services by increasing the recruitment of nurses. One of the most critical components for these young medical professional is to put them in an environment in which they can enhance their skill base and competences with the hosptial’s development progress. More focus is emphasized on training while increasing the staff morale in midst of adversities. Furthermore, the goal was to escalate the interpersonal communications of these students in order for them to communicate with their patients. It is evident that patients and the hospitals want to have this symbotic relationship in which habits of trust and confidentiality are solidified. In today’s modern world of academics, assessing students is a vital component towards evaluating the students’ performances.  The benchmark of assessment is not standard as it varies all across the academic universities in United States and plays a vital role towards the learning process of the student. While students can be assessed through participation and homework, testing is at times required to evaluate students. English is one of the most complex languages in existence as it contains many grammatical intricacies and multiple-meaning words. The issue of testing is sensitive towards students. Many students feel that some methods of testing are unjust as they fail to measure the competence levels of their language proficiency that extends beyond a traditional “pen and paper based test.” A good test should take both cognitive and verbal proficiency into account in order to assess the learning process. Nursing education has a body of knowledge on which nurse educator is based on teaching, educational strategies, and curricular designs, but most importantly the knowledge base, which is based on experience. A model that should be developed for nursing students should be simple in order to facilitate the process. It should consist of peer collaboration, discussion, research and testing along with shadowing a medical professional. These steps are vital because they solidify the foundation of core competencies along with remedying deficiencies. Education in health begins with the young generations being more involved in mentoring rather than filling in the blanks of a test. This theory is supported by many scholars as more effective as it enables students to gain a better understanding of the overall approach that occurs. The traditional methods that the most classrooms enforce consist of giving mindless repetition of written drills to teach Math, Science, and English.  Many factors affect international student’s ability to acquire these subject matters since the pressure is on them to excel through a letter grade. That poses a huge problem for students, who obtain a letter grade without understanding the critical syntax of this subject matter. A classical illustration of this can be depicted through medical students, who are extremely nervous under pressure to perform. This anxiety can be taken away by mentor by reinforcing the fact that it is essential that the students understand how to conduct a correct procedure with flaws rather than just obtaining a grade. The positive reinforcement by the mentor is critical towards harnessing the growth of the students. A qualitative study that was conducted in UK clearly establishes the legal parameters of recruiting nurses with different personalities. The reputation of nurses continues to be a pivotal point for many medical professionals. The general assessment of nurses that is conducted in the United Kingdom depicts the goals of medical institutions. Medical professionals have to credible, reliable, responsible, and trustworthy all being able to juggle different facets of a student life. Relate issues of reliability and validity to assessment and demonstrate proficiency in the formative and summative assessment of students. Linda Ferguson, author of Evident-based Nursing Education gives a brilliant depiction of the nursing field in which she states, “Nursing education has a body of knowledge on which nurse educators base teaching, educational strategies, and curricular designs, but most of this knowledge is tacit, experiential, and based on practice.” Without a doubt, majority of the emphasis is based on practice. Assessing the field of medical education should be composed of variable factors. Self-assessment is one of the most essential forms that is implemented through the traditional model. The advent of standardized testing has always been utilized by faculty due to its convenience factor. Since testing is one of those elements that is highly standardized, it reduces the faculty time of grading and evaluating which can be time consuming. However, one cannot refute the fact that mentoring and collaboration is also a valid assessment that demonstrates proficiency in the nursing field. For instance, conducting a procedure in a life-threatening situation in a real life scenario is far more beneficial than a “paper and pencil test.” Performance-based assessment is also similar to summative assessment, in which students should try to excel in their clinical studies. From scholar’s perspective, students must excel in working under stress, which extends more than standardized test. Hence, these are the methods in which assessment is evaluated. Conclusive research conducted by Memmer and Worth revealed that academic problems are related to language problems. This is due to the fact that medical students need to be engaged in higher level of interactive communication.  In this particular scenario, medical students had a difficult time comprehending context in their nursing classes. It was vital for medicals students to obtain the CNA certificate to succeed in their workplace. The Cummins Models aims to answer that by explaining that language acquisition is divided into two groups. In the United Kingdom specially, the focus is to enhance the professional development of nurses. The British Journal of Neuroscience Nursing aims to conduct clinical reviews on a daily basis in order to enhance the professional development for these nurses. Furthermore, peer-reviewed primary research is the hallmark for these young medical nurses. When nurses research material relevant to academics, they are often befuddled with the context of this research. Thus, it is more efficient for these medical professionals to research and document their findings which is relevant to their academic education. Again the concept of collaboration is once again essential as the research along with the young professional’s work should be accumulated that should lead to new findings and development. A study that was conducted in University of Norway, describes the perception of nursing students and a comparison of what they learned from what they expected. According to the results, third year nursing students did not acquire as much of information in their last year of study compared to their junior year. Most students insist that practical knowledge is way more critical as represent knowledge should be represented in form. These factors consist of: learner characteristics traits, situational factors, and prior language development and competence as mentioned above. Education for nursing is effective because it cultivates new ideas through theories and pedagogies. This can be brilliantly depicts as a study from Shrewsbury, The Nursing and Midwifery removed standard entry criteria for nursing programs and asked Higher Education Institutions (HEIs) to contemplate the literacy and numeracy skills of prospective students. The question remains; why so much focus on literacy rather than a standardized test? It is evident that education should be harnessed through understanding critical concepts and portraying the qualitative analysis as a benchmark for portfolio for evaluation. Reflective practice Certainly, an abundance of medical terminology is present during conversations. One of the key factors that create a barrier for students to engage them in a social environment is due to limitation of medical terminology exposure they possess. Undoubtedly, Nursing requires extensive amount of terminology, it is critical that the mentor gives his students context clues to refresh their memory. Most medical words have Latin roots which can drastically facilitate the overall process. For international students who are enrolled in the medical field, the task becomes even more vast and complicated. Since English is such a complex language that often has words with multiple-meanings, it is genuinely hard for ESL students to effectively use the correct words to formulate their thoughts into proper speech context. To make matters worse, most international students are unable to distinguish the differences in spelling and vocabulary between British and American English. I myself was a witnessed during a writing session, in which an ESL student spelled “behavior” by spelling as “behaviour.” As a native of Japan, she was clearly unaware of the spelling differences that seem to be prevalent in British and American English. Another key element that poses as a huge problem for foreign students is due to different types of accents present in their speech. International students acknowledge that they possess different dialects and make it their mission to speak as NES speaker. Undoubtedly, many respondents feel that pronunciation played a vital role in their communication problems. Many ESL students also feel that their dialect is the major cause for discrimination in workplace. In addition, many ESL students feel that attitudes towards accents play a critical role towards socials status and promotion. There is nothing wrong with an accent unless it hinders communication. However accent reduction is a goal for those who are unable to communicate effectively. The fear of participation and interaction with mainstream students for international students is even harder when interacting with patients. International students are intimidated as the possibility of mispronouncing or misinterpreting a certain words can be extremely humiliating in front of their patients. Undoubtedly, ESL students feel constrained to communicate effectively in a social environment due to their accents. All these factors accumulate to create a barrier towards developing interpersonal relationships. Thus, reflective practice becomes an essential component for healthcare professionals. Since reflective practice is associated through learning from previous experience, it is crucial towards the development of the younger generation of students. Without a doubt, the medical field continues to evolve at such a rapid pace that continuous medical knowledge is required. Certainly, the constant evolvement of healthcare and the continual growth of medical knowledge has sparked a high level of demand on healthcare professionals' expertise. An interesting thing about nurses in United Kingdom is the fact that other countries such as India, Germany and Philippines have been impressed with the model that is implemented in Great Britain. UK nurses have been called to India in order to implement the same methodology that is currently being practiced in the Great Britain. Barbara Issac, author of the UK to double nursing admissions: Cites number of qualified applicants, writes that, “UK’s chief academic officer, said the increasing in the nursing program is part of a major expansion in the undergraduate population at United Kingdom.” Admission and the standards for nursing is extremely high. However, UK is pushing to change the application deadline as the shortage of the nursing is a continuous trend. The average age of a nurse is 47, which is an alarming rate for both the UK and US. Evaluate strategies to narrow the theory-practice gap Clearly, the transition from methodology to practice is critical in order to narrow theory-practice gap. The theory-practice gap has been one of the most controversial issues of debate as the gap has been a critical component that has hindered development within students. In order to narrow the theory-practice gap, students must be in constantly engaged in “hands-on training.” Education and experience must be accompanied by researching and constant exposure of patients. For nursing, the point of theory is that it must have application in practical situations. The British Medical Association (BMA) has given qualified support to the idea of nurses performing unsupervised surgery after a veteran nurse claimed that she has been experienced in performing more than 200 surgeries. This reflects the fact that nurses must be well-experienced in order to even begin unsupervised surgery. In this particular situation, Gillian Erickson, a 47-year-old operating room nurse at Clatterbridge Hospital, said she has been training hard to excel in procedures to remove lumps from the hand after she received special education under her mentor. Conducive research states that theory is developed from studying with nurses and then gradually taking upon the natural or behavioral science. Regardless of methodology, many nursing students find it critical that the modern curriculum should place heavy emphasis in clinical placement. Clinical placement is essential as it enhances the dynamic collaboration of experienced and inexperienced nurses. When the novice nurses can shadow and collaborate with the seniors, they can implement the learning theories along with embedding their theory in real-life scenarios. With this in mind, a need for this study was driven by the increasing use of high-eccentric human patient simulation in nursing schools across the U.S., Canada, and the United Kingdom. The role for simulation in nursing education is to enhance the use of safety in their procedures. Moreover, simulation is critical as it serves as a visualization agent for students. A second element that attempts to acknowledge and narrow the gap is viewed as tangible. Here, the author insists that learning in a dynamic environment can be controlled as the acquiring education can be difficult. Undoubtedly, failure to take any action to address factors that may contribute to the gap will only serve to increase the size of the gap. In nursing it is believed that in order for the medical students to be able to apply theory in a realistic situation, the theory central to the activity must be first learned from the external world. Karen Ousey, author of The theory–practice relationship in nursing: A debate, elaborates on this subject matter as she states, “The frequent use of the word gap, and its derivatives with a spatial connotation, convey a concrete image of learning...theory is found in resources such as textbooks, journals, lecture notes or the wisdom of others. The student is required to draw upon these resources for future use in practical nursing situations.” If a student fails to depict t the correct application of theory, they should be able to explain it rather than just get a bad grade. Furthermore, Ousey insists that there are other factors that contribute to the gap which consists of: power, common sense, and culture. The hot debate surrounding the theory and practice gap in nursing has been the subject of extensive study and has attracted considerable amount of heat. Practical learning and evaluation of students’ skills are based in the clinical areas that help to develop student’s power and confidence. When students gain confidence, they are more comfortable in their environment. With all these factors accumulating, the question remains- how do nursing students demonstrate their ability to portray their skills in practice setting? First and foremost is through assisting patients with their mentors watching. Since mentoring is a derived form of support, mutual symbiosis between education and the medical students becomes vital. The mentor should share their experience, trials and tribulations, and resources with the mentor in order to facilitate them. Giving the young generation students an opportunity to deliver is also critical form of portraying their skills in this setting. The goal is to apply the mentorship skills such as: confidence, integrity, responsibility, sympathy, and a facilitator. These skills are easily demonstrated through peer shadowing that occurs during the student’s clinical. In order to demonstrate these characteristics, the young professionals should be able to conduct a procedure in a timely manner. In addition, they should be the leaders of their rotational groups for assessment purposes. Giving these young professionals an opportunity during a crisis may also be a good indicator of their ability to remain calm and cool. The ultimate goal of any institution is to be student-centric and use any innovative methods to enhance learning and assessment methods. Choosing and implementing a right assessment technique will encourage students to work hard and excel in their studies .The problem-based learning technique will be a strategy that academic centers should take in account for their evaluation needs, as it stimulated the learning process of the future students. The vision is to produce students that excel not only in medicine but develop strong interpersonal relationship skill sets along with having the confidence to take leadership roles in life-threatening crisis. The role of a nurse will continue to expand as the shortage of doctors and other medical professional will continue to be a critical factor. Yet, the competency factor in UK and US will continue to be high in order to develop the best young medical professionals internationally. Works Cited "Education and Nursing; Studies from Staffordshire University further understanding of education and nursing", 2010, Education Business Weekly, , pp. 80. Leighton, K.L. 2007, Learning needs in the traditional clinical environment and the simulated clinical environment: A survey of undergraduate nursing students, Educational Studies. Hannigan, B. 1999, "Mental health nursing in the community: A United Kingdom perspective", Home Health Care Management & Practice, vol. 11, no. 4, pp. 60-60. Arnold, J., Coombs, C., Wilkinson, A. & Loan-Clarke, J. 2003, "Corporate images of the United Kingdom National Health Service: Implications for the recruitment and retention of nursing and allied health profession staff",Corporate Reputation Review, vol. 6, no. 3, pp. 223-223-238. 3M: 3M Health Care study day looks at boosting hospital bed availability across the United Kingdom; Alternative delivery of infusion therapy can relieve hospital bed pressure and save money 2002, , Normans Media Ltd, United Kingdom, Coventry. UK Government: New measures to better protect clinical trial patients 2004, , Normans Media Ltd, United Kingdom, Coventry. "CORPORATE: ClinTec readying clinical research training plan", 2008, Businessline, , pp. 1. Nursing in prisons: report by the working group considering the development of prison nursing, with particular reference to health care officers, 2000, Great Britain Department of Health. More Pinoy nurses choosing UK over U.S 2010, , United States, New York, N.Y. Herron, B. 2009, "Nurse-led services are vital but in need of clear guidelines", Irish Medical Times, vol. 43, no. 50, pp. 32-32. "Nurses OK'd to do surgery in UK: veteran nurse says she's done 200 minor operations", 1996, Medical Post,vol. 32, no. 29, pp. 33-33. Bonsall, K. & Cheater, F.M. 2008, "What is the impact of advanced primary care nursing roles on patients, nurses and their colleagues? A literature review", International journal of nursing studies, vol. 45, no. 7, pp. 1090-1090-1102. Lipley, N. 2004, "Overseas nurse motives 'misunderstood' in UK", Nursing management, vol. 11, no. 2, pp. 4-4. UK ban order ends nurses dreams 2006, , McClatchy - Tribune Information Services, United States, Washington. UK GOVERNMENT: Year 2000 nurse recruitment campaign launched; Alan Milburn announces significant increases in the number of nurses working in the NHS 2000, , Normans Media Ltd, United Kingdom, Coventry. Francis, B. & Humphreys, J. 1999, "Rationalisation and professionalisation: A comparison of the transfer of registered nurse education to higher education in Australia and the UK", Comparative Education, vol. 35, no. 1, pp. 81-81-96. "Nurses help patients achieve diabetes targets", 2004, Practice Nurse, vol. 27, no. 7, pp. 6-6. Robinson, S. 2007, "Using art in pre-registration nurse education", Health Education, vol. 107, no. 4, pp. 324-324-342. "The Collected Wisdom Of..", 2004, Northern Ontario Business, vol. 24, no. 12, pp. 3-3. Lewis, R.A. 2009, The effect of virtual clinical gaming simulations on student learning outcomes in medical-surgical nursing education courses, Marshall University. Downe-Wamboldt, B. & Tamlyn, D. 1997, "An international survey of death education trends in faculties of nursing and medicine", Death studies, vol. 21, no. 2, pp. 177-177-188. "Education; Study findings from Queen's University, Medical Biology Center provide new insights into education", 2010, Education Letter, , no. 19381840, pp. 240. Stubbings, L. & Scott, J.M. 2004, "NHS workforce issues: implications for future practice", Journal of Health Organization and Management, vol. 18, no. 2, pp. 179-179-94. Read More