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.