Simulation is a critical component of nursing and medical education used to teach skills and assess student performance. In March 2020, faculty members—including the authors—at the Grace Center for Innovation in Nursing Education at the Edson College of Nursing and Health Innovation (Edson College) simulation programs at Arizona State University quickly responded to the crisis presented by COVID-19. Within a few days, all nursing simulations were transitioned from a predominately in-person design to fully online. Maintaining simulation activities throughout the first several months of the pandemic allowed students at Edson College to meet clinical assessment objectives. This transition, implemented in 2 phases, included a detailed plan of action for all Doctor of Nursing Practice (DNP) nurse practitioner objective structured clinical exams (OSCEs). The challenges required innovative planning and flexibility while maintaining the integrity of the OSCE and simulation experience. The methods implemented out of necessity are now an important part of the authors’ curricular toolbox, providing options for continued and future educational practice. This paper details the simulations designed and implemented in 2 DNP programs: the family nurse practitioner and acute care pediatric nurse practitioner programs.
Introduction:Palliative care can significantly benefit children managing a life-limiting illness; unfortunately, services are generally reserved for end of life. The aim of this project was to demonstrate how established guidelines coupled with provider education could impact referrals.Methods: Educational sessions developed using information processing theory and outlining referral recommendations were offered to providers in the NICU, PICU, and Center for Cancer and Blood Disorders at a tertiary care facility. Presurveys and postsurveys were administered at the time of the intervention and referral numbers for the organization were collected for two months prior and two months following.Results: Descriptive statistics and paired t-tests were used to compare survey data and referral rates.Discussion: Palliative care is imperative for meeting patient goals and optimizing quality of life.Provider knowledge of referral criteria ensures that patients receive this service early in their disease trajectory and can benefit from its inclusion within their care team.
More than 5 million central venous catheters (CVCs) are placed each year, which results in more than 200 000 nosocomial blood stream infections. Many of these infections are attributed to improper placement or substandard care of the CVC. Limiting the number of infections with proper training will improve a child's quality of life and outcome. Children and their caregivers need education on the strict use of aseptic technique when changing CVC dressings and when accessing the line for medication and TPN administration. Creative educational strategies, such as delivering education by digital video disc (DVD), may increase knowledge while improving satisfaction, increasing compliance, and ultimately improving outcomes. This article will review the development of a DVD intended to educate parents on the care of a CVC in children with short-bowel syndrome. Quantitative and qualitative ratings from 4 experts were compiled. All ratings on the DVD were satisfactory or higher. Qualitative suggestions were made that will greatly enhance further development of this education delivery technique.
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