Test 2
virtual learning environments
- Facilitate learning - Provide tracking capability - Provide email, chat, and discussion capability - Blended learning - At least as effective as other methods - Introduction of technology into education - Provides a tool for distance education - Available 24 hours a day - Used to help develop procedural skills, however not intended for learning skills that need hands-on practicing (giving injections, starting IVs) - Next best option to performing the skill on a real person - Provides a "safe" environment
advantages of virtual learning environment
- Improved reading habits - Convenience - Reduced learning time - Increased retention - 24 hr access - Consistent instruction in a safe environment - Flexibility of faculty schedules
simulator devices
- Partial task trainers, such as an IV insertion arm - Screen-based simulations, including simulated EHRs - Simulated environments replicating a realistic patient care area - Complex computer-driven human patient simulation manikins
Components of EHR
- health information and data -results management -order entry management - decision support - electronic communication and connectivity -patient support - administrative processes - reporting and population health management
disadvantages of simulation
-Initial cost -Instructor training
electronic mailing lists
-Use email to communicate and to collaborate. -Electronic discussion groups that use email to communicate - Promote communication and collaboration with others interested in a particular field
disadvantages of VLE
-reduced interaction with instructor and peers -lack of feedback -possibility for poor design and lack of intellectual stimulation
e-learning
delivery of content and stimulation of learning primarily through the use of online telecommunication technologies such as blogs, podcasts, video, e-mail, bulletin board systems, electronic whiteboards, inter-relay chat, videoconferencing, and the World Wide Web
simulator
A mechanical or electronic device that provides an environment in which a situation can occur. Some of these may be quite large.
Virtual Learning Environment
Any system that uses the Internet to assist the educator in developing, managing, and administering educational materials for students
simulations help
Develop cognition (learning-to-know skills), ethics and roles (learning-to-be skills), and application capabilities (learning-to-do skills)
online delivery
either asynchronous or synchronous
HIPPA
Health Insurance Portability and Accountability Act
health information and data
Includes medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results
asynchronous online delivery
It is learning anywhere at anytime using the internet. This is a great benefit as students can do assignments when it is convenient for them. Great for a working student. Example is the RN to BSN program, these are working nurses who are able to stay in their own environment and receive advanced education NOT IN REAL TIME
simulation
an imitation of a real-life event/circumstance
E-sign
ensures that the electronic form of Internet and e-mail agreements will not make them unenforceable because of the statute of frauds.
HITECH
Privacy laws related to electronic transmission of health information
Advantages of Simulation
Standardized student learning opportunities Safe learning environment Unusual or high-risk clinical situations Mastery of skills Stimulate critical thinking and teamwork
Order Entry Management
The ability for a clinician to enter medication and other care orders directly into a computer - Laboratory, microbiology, pathology, radiology, nursing, and supply orders - Ancillary services - Consultations
results management
The ability to manage results of all types electronically including laboratory and radiology procedure reports, both current and historical (IOM, 2003).
pre-briefing
The student receives the simulation information, goal, and educational outcomes expected. The simulation scenario will be explained to the student. Students should know before hand how to prepare for the activity and be told what is expected of them
debriefing
This is a student centered discussion with the instructor during which the participants reflect on their performance during the scenario and make recommendations for future practice. The activity is broken down to see where there are areas of improvement and growth
virtual learning enviroments may include
blogs, podcasts & vodcasts, wikis, and youtube
Hybrid (or blended) course
both face to face and online components
The State Boards of Nursing recognize simulation as
clinical hours
reporting and population health management
data collection tools to support public/private reporting requirements - § Data represented in a standardized terminology and machine-readable format o Data about vaccines o Making the public aware of dangerous outbreaks § Zika § Eboli
Barriers to adoption of EHRs
cost slow systems technical difficulties caregiver resistance security concerns workflow
synchronous delivery
in real time at the same time, such as a classroom
web enhanced instruction allows
institutions to participate in the technology revolution without huge costs and addresses a preference by some faculty for a way to include innovation and technology in classes without giving up traditional classroom engagement
mHealth
mobile health - the use of mobile computing and communication technologies in healthcare and public health - smart phones, tablets, computers
face-to-face delivery
most wido widely used teaching method and statistically has the least amount of retention rate compared to demonstration, discussion groups, practice activities and peer teaching.
webinars
o Allows educators to share information o web-based seminars that use web conferencing software that allows educators to share their computer screen and files and interact with their students. Recordings linked to the Web that the user downloads to an MP3 player or computer to listen to or view
portals
o Allows personalization of website. Organize information, bookmark: o Allow personalization of a specific website o Organize information form webpages into simple menus so that uses may choose what they want to view and how they want to view it o WebMD is a popular portal, allowing users to create accounts, bookmark info, and sign up for email notifications o They require an internet connection and a free subscription to allow users to log in. When users register, portals are able to collect information from them to personalize features for each individual user.
Benefits of EHR Systems
o Increases data integrity and quality o Increases productivity o Increases satisfaction for caregivers o Decreases redundant data collection o Allows data comparison from prior visits o Ongoing record o Decision support o Better/faster data access o Supports research o Improved documentation o Prompts to ensure administration of treatments and medications o Supports trending o Supports automation of critical pathways o Improved efficiency
webcasts
o Stream video over the internet as a live presentation. o can stream video over the internet as a live presentation and allow students and faculty to engage both information and each other globally, limited or no interactivity. Broadcasting over the internet.
electronic communication and connectivity
o The online communication among healthcare team members, their care partners, and patients, including; § Email and web messaging § An integrated health record within and across settings, institutions, and telemedicine
decision support
o a clinician can tailor view of patient information that shows the most recent labs, vital signs, current medication on one screen. o Also can have built in prompts. For example if a physician orders an x-ray on a woman that is child-bearing age, he/she can receive a prompt asking if they want a pregnancy test ordered. o Built in prompts, reminders, can have access to normal/abnormal lab values, side effects of medications, doesn't diagnose but helps physician by having access to all patient information. o Decision support doesn't interpret results, but makes them available for reference. o Preventative health reminders
podcasts
o audio recording linked to the Web, listener can access recording o is an audio recording linked to the Web that is then downloaded to an MP3 player, smartphone, or a computer where the listener can access the recording. Podcasting can exercise not just basic technology skills, but also writing, editing, and speaking skills o Audiopod describes traditional, or audio-based, podcasts.
wikis
o simple online database, uses can edit and add content. Not reliable o the simplest online databases are websites or hypertext document collections that allow users to edit and add content in an open-ended forum. Wikipedia, an example. is a free online encyclopedia, created and edited by volunteers around the world. However does not make this a reliable source because you don't have to have the credentials to supply information.
patient support
patient education and home monitoring by patients using electronic devices
4 components of simulation
pre-briefing enactment debriefing assessment
MIPPA
provided financial incentives for practitioners who use e-prescribing. If not using e-prescribing by 2011, Medicare can reduce payments to physicians to encourage them to get this technology.
simulations
recreate real-life conditions or events with as much fidelity as possible
simulation in nursing education
replication of a clinical scenario developed to provide an opportunity for practice in a mock situation
type of simulation
role play, online resources, manikens (latex-based simulation), or virtual simulation
assessment
students should be given an explanation of how they will be assessed and graded. This should be done in pre-briefing. If students are not being graded, showed be an self-assessment to they know how to evaluate their own performance. The instructor may have a checklist evaluating students also and provide feedback for improvement.
enactment
the student enacts the role assigned and completes the assigned activities within the timeframe
ARRA
· "Stimulus" law. Enacted t stimulate the U.S. economy during the severe recession we were having.