Sunday, June 3, 2012

A work in Progress

     OK, its been awhile since my last post.  Three months to be exact.  Well, if you were wondering, the central line lab went well.  If you weren't wondering, I'm telling you anyway.  The reason why it went so well is because I didn't teach the central line lecture.  Yes I chickened out.  What a disservice to myself.  Once it was over I wish that I had taught the lecture.  Sometimes I just have to force myself to do things.  When I think about it though all the butterflies in my stomach and nervousness wasn't even warranted.  Students just really wanted to learn and some appeard more nervous than I was. 
     So what did I do on March 2nd, I totally had fun.  I participated in the central line lab by demonstrating a cantral line dressing at my station and was able to help students learn aseptic techniques while changing central line dressings.  It was really a fantastic day and I can't wait to do it again.  It's not about teaching, it's about sharing knowedge that will keep patients safe.  Central line infections are a hot issue in healthcare today and I was insturmental in sharing my knowledge so that students will be able to practice safe and prevent central line infections.  This is what its all about, right?  Passing on knowlege based on evidence based practice in order to effect change to ensure optimal healthcare outcomes.  (That sounded god right) I think I am starting to settle in.  I say this now but just wait until I have to facilitate my next lecture.  Stay tuned......................................I'm a work in progress.


Friday, March 2, 2012

Facilitating the Central Line Lab

      Three days left until "D" day.  "D" for doom, disaster, and demise.  These are some words that come to mind along with the butterflies in the pit of my stomach.  Monday will be my first attempt at facilitation at the college level and let me say, "I am a nervous wreck!!!".  It probably won't take more than 20 minutes or so for the lecture with corresponding PowerPoint but just the thought of it makes my stomach turn tricks. Oh yeah and I also have to demonstrate a dressing change.  In my daily activities as a bedside nurse I assess, dress, flush and infuse fluids, medications, and chemotherapy through central lines.  How is it that I am nervous about teaching someone what I already know?  Doesn't that sound silly?  I'm not sure why I get so nervous.  Probably because I am always worried that there will be questions that I cannot answer.  I am human after all right?  How could I know everything especially with the dynamic nature of healthcare?  You see, that's a rational thought but it is quickly replaced by an irrational thought of failure.  "Failure", is such a strong word but appropriate in so many situations such as "Failure to thrive", "Failure to act", "Failure to Launch" (the last one I think is a movie or something).  At any rate we will see what happens.  Oh,  I forgot to say that I am teaching two different groups.  I hope they won't eat me alive.  Hopefully I will be able to settle in and facilitate student learning in an area that is familiar to me.  After all, isn't this why I chose to get a Masters Degree in Nursing with an emphasis in Education?  What was I thinking?  Three days left until "D" day.  Wish me luck.

Words of Wisdom by Robert F. Kennedy (1966)

Wednesday, January 25, 2012

Issues Related to Distance Education in Nursing

Introduction

     There has been an increase in the amount of nursing programs offering distance education.  These programs require discipline, initiative, and knowledge of the technology utilized to deliver and receive information.  With no face to face interaction, educators are tasked with ensuring that meaningful dialogue takes place in a caring environment.  Nurse educators participating in online instruction must employ strategies to assess learning to ensure students understand various concepts.  Also, to ensure positive learning outcomes in the online environment, nurse educators must be adequately prepared to facilitate as well as proficient in online communication.  The purpose of this blog is to discuss issues related to distance education, the significance of these issues as well as strategies to resolve the issues from a nurse educator perspective. 

Issues Related to Distance Education

     The first issue related to distance learning is rooted in the lack of an educator’s preparation and experience.  The increasing need of distance learning is resulting in inexperienced educators facilitating online classes.  This can be problematic as students may not be getting the instruction needed for successful completion of an online course.  It may also discourage students from any future participation in distance learning.  Evidence shows that preparation and experience positively impacts online instruction (Anderson & Robinia, 2010).

     A second issue related to distance learning is the possibility of not meeting the needs of students with mild learning disabilities.  According to the amendment to the Rehabilitation Act by Congress in 1998, it is required that information technology be available for students with disabilities (Nelson, 2007).  To meet this requirement, support services need to be in place for students with disabilities (Dare, Zapata, & Thomas, 2005).  However, in the absence of face to face interaction in the online environment, nurse educators may not know their students thus making it difficult to ensure that specific needs are being met.  Ainsley & Brown (2009), stated that instructional barriers may be present due to technological requirements of online learning in students with mild learning disabilities.

     A third issue related to distance education is the possible lack of caring present in the online environment.  It is difficult to create a caring environment without the physical interaction between facilitator and student.  Unfortunately, the physical aspects are absent in online interaction (Ainsley & Brown, 2009).  As the nursing profession is based on caring, it is important that strategies are employed to promote a caring environment in distance learning.


Significance of Issues Related to Distance Education

     The significance of not being prepared is that the educator has not fulfilled one of the basic competencies prescribed by the National League of Nursing (NLN).  According to the NLN (2005), in order to facilitate learning effectively, educators must implement a variety of teaching strategies to meet students’ needs as well as the desired learner outcomes, content, and context.  Education and experience are prerequisites for educators to facilitate online.  When an educator lacks either of these two characteristics it may affect learning outcomes as it may be difficult to implement proper strategies for delivery, assessment and evaluation of content.

     The significance of nurse educators not getting to know their students may result in overlooking students with mild learning disabilities.  Online education may be difficult for nursing students with mild learning disabilities.  It may be a barrier to learning and essential content may not be learned.  This is significant as students may experience frustration and not be successful in the online environment.  According to Ainsley & Brown (2009), students with learning disabilities are routinely overlooked. 

     The significance of not having a caring online environment is that nursing students may not display a caring attitude into the clinical environment.  According to Leners & Brown (2006), caring must be evident in nursing education and a review of literature and a study of graduate students perceptions revealed that students believed that caring should be evident in nursing education.  It is an expectation both in the traditional classroom as well as in the online environment and again without face to face interaction it may be difficult to meet this requirement.


Strategies to Resolve Issues from Nurse Educator Perspective

     A strategy nurse educators could use to positively impact online learning is preparation.  According to a study by Anderson & Robinia (2010), a positive impact regarding online instruction correlates with the amount of preparation and experience that the educator possesses.  The study found that a prepared nurse educator had taught at least three online classes which correlated to a high self-efficacy.  Along with preparation, computer skills are necessary.  According to Menchaca & Bekele (2008), faculty must be proficient in the technology used for the online course they are facilitating.  Another strategy to ensure a successful learning environment is for faculty to gain technical proficiency prior to teaching an online class.  This will ensure that faculty is prepared, proficient and ready to participate in the distance learning environment.

     It is important that nurse educators assess for technological difficulties a student may have that can hinder success in the online environment.  A strategy nurse educators can employ to assess for learning disabilities is to provide an open, caring dialogue with students to build a trusting relationship.  Educators should encourage students to reveal any difficulties they may be experiencing in the online environment.  Educators should be able to provide information regarding resources that students can utilize to be successful in nursing education whether in the traditional setting or online.  According to Nelson (2007), 30% of distance learners reported that they would use support services.  Faculty must have an open door policy and in the online environment that means providing available times that students can call to discuss any issues that may arise.  By identifying mild learning disabilities and being available during the allotted times faculty can ensure that students have the tools needed to be successful. 

     Nurse educators must also provide a caring environment in distance learningStrategies nurse educators can use to foster a caring environment are; to possess an empathetic perspective toward students; ensure feedback in a timely manner, have a positive attitude, displayed in written communication; and be a positive role model. These characteristics promote a caring environment and students are more likely to model this behavior in their professional nursing practice (Leners & Sitzman, 2006). 


Conclusions

     With the increase in distance learning, faculty and students must be proficient in the use of technology.  It is imperative that nurse educators adequately prepared to teach online.  Faculty should assess student knowledge related to technology needed to be successful in the online environment as well be aware of resources students can utilize for technological assistance.  As well as assessing student needs, the actual online environment should be assessed.  Faculty must find ways to create and maintain a caring environment online.  Communicating with students in a timely manner, having an empathetic perspective, and being a positive role model fosters a caring environment  Online education will continue to evolve to meet the needs of future health care demands and nurse educators must be creative in fostering a positive, caring online environment to facilitate learning.


References

Ainsley, B & Brown, A. (2009). The Impact of Informatics on Nursing Education:  A Review of the Literature.  Retrieved January, 2012 from http://search.proquest.com.library.gcu.edu

Anderson, M. L. & Robinia, K. A. (2010). Online Teaching Efficacy of Nurse Faculty. Journal of Professional Nursing. 26(3) (p168).  Retrieved January, 2012 from http://www.sciencedirect.com.library.gcu.edu

Dare, L. A., Zapata, L. P., & Thomas, A. G. (2005). Assessing the needs of distance learners: A student affairs perspective. Retrieved January, 2012 from http://www.ncsu.edu/student_affairs/desurvey/AssessingNeedsDistanceLearners.pdf

Leners, W. D. & Sitzman, K. (2006). Graduate students’ perceptions: Feeling the passion of CARING online. Nursing Education Perspectives, 27(6), 315-319.

Menchaca, M. P. & Bekele, T. A. (2008). Learner and instructor identified success factors in distance education. Distance Education. 29(3) (pp 231-252).

National League for Nursing. (2005). Core Competencies of Nurse Educators With Task Statements. Retrieved January, 2012 from http://www.nln.org/profdev/corecompetencies.pdf

Nelson, R. (2007). Student support services for distance education students in nursing programs.  Retrieved January, 2012 from http://search.proquest.com.library.gcu.edu