Carola is an experienced Nurse Educator at Alfred Health. She has completed a Master of Nursing Scinece in Healthcare Leadership and Management and a Postgraduate Diploma in Advanced Nursing (Clinical Nursing Eduaction) from La Trobe Univeristy.
This project consisted of an education program delivered to nurses in the neurological rehabilitation unit, and a pre- and three-week post-education group evaluation to measure effectiveness of the program, nurses’ confidence, and practice change. Confidence was evaluated in regards to patient-centred goal formulation, the nurses’ role within the interdisciplinary team, discussion of rehabilitation goals with patients, and goal implementation into daily nursing practice. Application to practice was rated in relation to successful formulation of patient-centred rehabilitation goals in nurses’ everyday work, successful discussion of goals with patients, as well as successful goal implementation into daily nursing practice. Additional free-text responses regarding the program’s key learnings and implication to clinical practice, as well as future education topic recommendations, and further comments were collected. The Program consisted of presentation and workshop activities. The formulation of patient-centred goals ustilising the SMART acronym was practiced using case studies, followed by role play and discussion how to incorporate goals into daily practice and how to discuss goals with patients and families. Staff satisfaction in relation to the program’s relevance was overall rated positive. The overall percentage scores acquired for ‘strongly agree’ responses increased in all areas of the post-education evaluation, with the greatest change in the areas of nurses’ confidence about their role within the interdisciplinary team, and confidence in discussing rehabilitation goals with patients. Questions with a pre-education ‘disagree’ response across several areas were diminished in post-education evaluation. Themes for key learnings and their application included communication, documentation, goal setting and incorporating goals into daily practice. Future education recommendation included advanced communication skills and goal setting process.
HSIU-CHUAN WU has completed her master master degree from National Taipei University of Nursing and Health Sciences . She is a nursing supervisor at SHIN KONG WO HO-SU memorial hospital. Her major is critical nursing care developement, and nursing education planned , include Clinical Ladder Systems for Nurses program, teacher education program and New personnel Training Course and so on.
High fidelity simulation allows multiple learning objectives to be conducted in a realistic clinical environment safe and harmless to the patients. Students are introduced to realistic situations which take place in either a community or a hospital and need to combine comprehensively their assessment and decision making with discussion, teamwork and joint effort in order to achieve the best management for the simulated patients (Wilford & Doyle,2006). The use of simulation in the nursing education for critical care has been progressively accepted across Taiwan in the past years. The Nursing Department of Shin-Kong Wu Ho-Su Memorial Hospital in Taipei designed a simulation curriculum in the education for critical nursing care and has been applying it from 2012 through 2016. The simulation teachers developed many different pathways to lead the young nurses to practice and acquire decision-making skills through realistic situations in which group communication, discussion, and teamwork were mandatory to manage properly complex situations such as ethical dilemmas, patient's safety issues, AMI, CVA with rt-PA treatment, acute intoxication, hyperkalemia in hemodialysis patients, and accidental extubation. The instructors led the nurses to discuss their clinical problems and different opinions before a debriefing in the workshop. Approximately 80 nurses participated in each session of the curriculum in the above- mentioned period of time and the satisfaction of the trainees was as high as 91%. High fidelity simulation can consolidate the nursing practice, improve the critical care skills, professional competence, and ultimately, self-confidence of the nursing staff.