Comments on: Does Best-Practice or Student Feedback Most Influence Your Teaching?

By: nursebarbara1982

nursebarbara1982 — Fri, 24 May 2019 07:01:19 +0000

Hello, I am NOT a Nursing Instructor; I am an RN getting closer to retirement now, after 37 years! However, in supporting a Nursing Student at this time, what I am seeing is: more emphasis on “Read the textbook in order to learn how to make a quality Nursing Care Plan.” This is in an accelerated RN program. Where I have concerns: my Nursing Instructors spent at least 8 hours of classroom instruction on Nursing Care Plans. I felt like they were asking me to learn the Polish language! After hours spent in a collaborative classroom environment with students suggesting what should go into a care plan, the QUALITY Instructors helped us to put those nascent thoughts into the proper (and Universal) form! Thus I learned how to think critically and be able to respond when my Patient either did not respond or when they had a change in status. I don’t see that happening in this particular instance; written Instructor feedback has been “This is not correct, you need to improve on this if you want to pass this class.” Therefore, I encouraged this student to attend tutoring and study with others who are receiving good feedback from the Instructor, all of which she has done. Latest feedback from Instructor? “I want to see this Patient come alive on paper.” I feel for this Student, who has harvested tissue, worked in the Lab, interned in the Coroner’s office, managed a team of Techs in a Residential setting. She has the desire and the willingness, she simply needs an Instructor who can teach what a Care Plan is and why it is a building block to help create good Nursing Judgment with Critical Thinking Skills. I hope that all Instructors are offering good examples and helping a Student’s tweak their initial assessment and collection of data into a proper Nursing Care Plan. I believe THAT is why some Students feel they need stories; that is a request to learn what, why, where, when, how and the result in Nursing language! Thank you for letting me share this very frustrating situation!! P.S. I don’t have the degrees to be an Instructor; what I have instead is the desire and the patience to help first-year Nursing students take a deep breath and systematically perform a head to toe assessment on another student, so they can gain enough confidence to do so calmly on a Patient during Clinical Days and be able to gather the history and data to turn that into a Nursing Care Plan. Dynamic Process that should yield an “Aha!” Reaction.

By: Keith Rischer

Keith Rischer — Wed, 17 Oct 2018 22:52:04 +0000

In reply to Connie L Schultz. Thanks Connie for your comment and I agree that this is a dilemma. To resolve this dilemma nursing administration needs to have a perspective that supports nursing faculty who are preparing students for practice, not merely another degree. This requires a higher bar of active learning and using knowledge in the classroom and in all aspects of the program. Instead of supporting the students who are resisting what they need, administration needs to send them straight back to nursing faculty to share with care and respect why learning must be active and the consequences and possible loss of life when a nurse fails to rescue when a patient status changes.

By: Connie L Schultz

Connie L Schultz — Sat, 06 Oct 2018 13:23:21 +0000

I strongly support the concept for instruction. I continue to do just that. I do find some resistance with students who complain to administration. They receive more support out of fear of legal action then I receive as the instructor. The use of evidence based education and the concepts from Benner are found in our mission for education. I stand behind my means of instruction. I have continued to receive negative statements in reviews by a minority of students. These are frequently referred to by administration in discussions about change in our manner of instruction. I have a dilemma in how to meet the expectations of both. I believe I need to have more insight into how to meet this need. My class is the first class in Nursing, therefore they have no idea what to expect. Convincing students they want to be the best nurse not just average doesn’t work. Some do not understand.