Human sexuality and implications for nursing intervention: a format for teaching.
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In summary, we believe that nurse practitioners use the nursing process in giving primary health care to patients, and their skill in using that process must be periodically evaluated as they move through their educational program. Further, we believe that consumers have the right to expect a beginning level of competence from graduates of nursing programs. Based on our experience, we believe that the use of the simulated patient, now used primarily in teaching, should be expanded to be of valuable assistance in clinical performance evaluation.
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Although no formal data collection was done with the students or instructors, attitudes and opinions were solicited. Students, in general, felt positive toward the experience. The student nurses indicated that they had gained a better understanding of the problems faced by the patient with a visual disorder by actually experiencing a temporary loss of vision. The role-playing situations contributed to the student nurses' understanding of how difficult even the simplest task could become. Additionally, the emotional aspects of a vision loss were graphically highlighted. The students also felt that the experience of practicing nursing interventions with another student nurse role-playing the patient with a vision loss would help them in the clinical setting in the future. Their first real experience with a patient of this type would be somewhat easier than if they had not gone through the simulation. The nursing instructors also felt highly positive toward the role-playing simulation. Their students would probably be better able to work with this type of patient, when the first experience occurred. They agreed with the students' attitudes and planned on including the role-playing simulation in the required curriculum for future classes. Interestingly, other nursing instructors not involved in the development of the simulation, but made aware of it through casual discussion among instructors, have indicated interest in incorporating the activity into their curriculum. The simulation described could be easily replicated by other nursing instructors. Basic cost of the materials required is quite low. The role-playing cards can be developed to include activities that student nurses can accomplish in any particular environment.(ABSTRACT TRUNCATED AT 250 WORDS)
Clinical simulation research is active in nursing. This research has yielded certain curricular implications. Simulated experiences are very effective in identifying student strengths and weaknesses, as well as curricular strengths and weaknesses. In addition, simulated nursing experiences provide learning in a controlled environment that increases the student's confidence and enhances patient safety and comfort. In this paper, the simulated test has been discussed in the context of a generic nursing student; however, there are definite possibilities for validating the knowledge of registered nurse students, new graduates in specialty areas, and expert nurses taking certification exams. In conclusion, the author views simulation (whether written, on computer, as a game, or practiced on mannequins) as a means of bringing clinically-related experiences into the school, and as being a more efficient and safer method of providing clinical experiences. It is apparent that many schools of nursing are utilizing simulation teaching and evaluation as a complement to patient contact experiences. Simulation is being used with a variety of subjects and concepts and with a wide range of student abilities and classifications. It has proven to be efficient and effective in these days of tight time schedules, "full" curricula, and crowded clinical facilities.
The importance of exercising effective role-taking skills as a nursing care provider is described. Twenty-six baccalaureate nursing students provided role-taking responses to four real life events. Students also reported whether or not they had ever experienced similar events and to what degree they perceived themselves as similar to the individuals in the events on a number of personal characteristics. Role taking was compared across the situations. Having experienced a similar life event or perceiving similarity to the main character did not appear to enhance role-taking responses. The results suggest that it may not be necessary to have had a life experience or background similar to that of the client's in order to be perceived as a nurse who is caring and understanding. Implications for nursing students are discussed.
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1. Adult children of alcoholics are frequently found within the population of clients on inpatient psychiatric units. The percentage of this population is greater than the occurrence of ACoAs in the general population. 2. Nursing staff can assist these clients in a therapeutic way by becoming familiar with the types of issues these clients present and the behaviors they manifest. These issues should be reflected in treatment planning. 3. Anger, abuse, guilt, and grief form the core issues that ACoAs must deal with in therapeutic ways during psychiatric hospitalization.
1. The diminished mental and emotional resources suffered by those with chronic mental illness (CMI) often lead to impoverished relationships that fail to produce satisfying connections with others. As a result, persons with CMI are frequently chronically lonely. 2. Moreno's sociometric principles and psychodramatic techniques for group therapy provide ways to increase interconnectedness with others by interrupting the self-reinforcing aspects of social isolation. 3. Role reversal, self-presentation, psychodramatic encounter, and sociometric exercises facilitate expanded emotional repertoire, let members know each other, provide relief from emotional distress, and produce information about the group needed to generate interaction.
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Role-playing by students as "family members" and "therapist" in a simulated family situation provides a stimulating learning experience for the participants and the student audience.
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