Clinical Teaching Purposes of Clinical Laboratory: ST ND

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CLINICAL TEACHING

-is the teaching of nursing students in the hospital or clinical setting

PURPOSES OF CLINICAL LABORATORY

 Clinical setting offers the students the opportunity to apply the theoretical
concepts, rationales, procedures and propositions they have learned in the
classroom.
 Skills learned in the nursing laboratory are perfected in the clinical
area
 Skills of observation, problem solving and decision making are refined
and honed in clinical setting
 Students are aided by the clinical instructor on how to organize all the data
that they are able compile,as well as the intellectual and psychomotor
skills they must perform.
 Cultural competence which is the ability to interact meaningfully ,
properly comfortably and effectively with culturally diverse patient will
be developed.
 Learn the skills of socialization, which behaviors and values are
acceptable or unacceptable , and where responsibility and accountability
for one’s actions is demanded and expected.

MODELS OF CLINICAL TEACHING

One clinical instructor is in in charge of 8-12 students in a clinical area based


on the requirements set by CHED as follows:
The ratio of student to clientele depends upon the objectives and the
capacity of the student . The ratio of student to clientele is :
LEVEL 1st Sem 2nd Sem
II 1:1 1:2
III 1:2-3 1:3-4
IV 1:5 1:6

The prescribed faculty student ratio is:

LEVEL 1st Sem 2nd Sem


II 1:8 1:8
III 1:10-12 1:10-12
IV 1:12-15 1:12-15

Students are retained in the nursing skills laboratory room until they are
proficient in the skills required by a certain nursing procedure
A clinical nursing course to be conducted in the classroom area before
students are sent to the clinical area
PREPARATION FOR CLINICAL INSTRUCTION
1. Choosing clinical and community agency sites
2. Staff who can serve as a good role models for students and partners of
clinical instructors who are aware of their role as members of a teaching
hospital or facility
3. Accessibility and safety of the site
4. Drawing up a contract between school and the agency

 After all these arrangements have been made, the instructor may now
proceed with the final preparations for clinical instruction which involves
the following:
 Student Orientation
Includes an overview of the basic policies and procedures , physical set up,
and facilities and the administrative staff done through a guided tour and
group orientation conference with the Chief Nurse
Group orientation activity should include the specific objectives, course
requirements, accepted student behavior and decorum and other
expectations . The instructor should be guided by a CLINICAL
TEACHING PLAN , handouts or written guidelines .

CONTENT/FORMAT OF A TEACHING PLAN

Description of learners
Focus of Clinical Experience
Setting
Briefing or Orientation (learning objectives, requirements, specific
activities,nature of evaluation and grading system)
Schedule of Activities ( weekly)
Activities

Ward orientation is given to the students in the form of a short assignment


where he/she will be assigned to a patient to do initial assessment ,
familiarization of routine activities , used of the bedside records, and
getting to know the staff members
 Student Assessment - in terms of what they know, their strengths and
limitations, barriers to learning and positive influences, and the students
perception of the teaching-learning situation
 Daily Activities
Making the students assignments ( individual/dual, alternative assignment )
Preceptorship-a preceptor is a “tutor”, and in nursing this is a formal
arrangement that pairs a student ( novice) and a staff member
( experienced nurse) who serve as a mentor .
Posting these assignments in a predetermined location
Helping students to learn
CONDUCTING A CLINICAL LABORATORY SESSION
Teacher activities include:
PRECONFERENCE -working with the student during preparation of the
clinical experience ; one format includes a combined use of the case
study method and the nursing care plan .

Basic Information that is needed in relation to the client are :


Definition of diagnosis and its related pathophysiology
Past or planned surgical procedure
Treatments require and identifying related nursing responsibilities
Describing medication (action,desired effects,dosage range,side effects,
major implications)
Describing each diagnostic test ( normal values,what is being tested,existing
variations, and related nursing responsibilities )
PRACTICE SESSIONS -working with the students at the time of actual patient
care ; the teacher must be able to provide support and supervision yet
allow the student enough freedom to practice the skills and decision
making abilities
 Working with the student during follow-up activities which include:

Post conferences--provides an ideal time to point out application of theory to


practice group problem solving and evaluating nursing care; one or two
students will share their experiences with the members
Log and Diaries- students use the reflection process to think about their
experiences and communicate with their instructors
Nursing Care Plans
Nursing or walking rounds -before entering the patient’s room the assigned
student already informs the group about the patient and his diagnosis . The
student interacts with the patient and the others observe ; instructor point
out certain equipment and procedure( the rest of the discussion is
conducted in the corridor or in a postconference , never inside the patient’s
room
SHIFT REPORT-student nurse listens or maybe asked to give an account of
what happened during the shift.
 Evaluation of student learning and performance in the clinical setting
-teacher give feedbacks and suggestions about their performance

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