Professional Documents
Culture Documents
,IJ. ~
4468_FM_i-xvi 04/03/15 1:44 PM Page vii
Acknowledgments
Whenever a task comes to a close, one considers all those who helped
make the project happen. For this initiative the list is long! I would like to
thank Joanne DaCunha and those at F. A. Davis for their support and guid-
ance. I would like to offer sincere thanks to my talented colleagues who
inspired many of the strategies in this text. Years of teaching classes and
working with creative and energetic nurses and nurse educators have
offered many potential innovative teaching methods and a created a sincere
desire to connect with students. This book reflects the talent and dedication
inherent of nursing educators both in academic and practice settings.
Finally, I would like to extend the greatest level of appreciation to my husband,
my three sons, my three daughters-in-law, my three grandchildren, my parents,
my friends, and my family. Their devotion, support, and love will continue to
add meaning to my life and motivate me to continue to grow in my personal
and professional endeavors.
vii
4468_FM_i-xvi 04/03/15 1:44 PM Page viii
4468_FM_i-xvi 04/03/15 1:44 PM Page ix
Contents
x Contents
Contents xi
xii Contents
Contents xiii
Challenges 247
Ideas 248
Market Research—Cookies, Candy, and the Research
Process 248
How Do You Pick Your Shampoo? 249
Issues in Measurement 251
Reliability and Validity Darts 252
Mock Studies 252
Group Research Critique 254
Clinical Application of Findings to Case Studies 255
Research Moments in Every Class 257
Research Corners—Electronic or Bulletin Board 258
Film Clips in Nursing Research 259
Clinical Area Questioning—Research at Work 260
Paper Towel Ideas 261
Faculty Research Sharing 262
Poster Sessions 262
Research Concept Maps 263
Campus or Unit Research and Nurse Interviews 264
In the Know 265
Bring on the Evidence 267
Author Guidelines 268
xiv Contents
Ideas 278
Case Management Case Studies 278
Incident Report Exercise 279
Delegation Exercise 280
Nurse Practice Act Write to Learn 281
“Call Bell” Examination Questions 282
Safety and Infection Control 284
Ideas 284
What Not to Do or Find the Error 284
Health Promotion and Maintenance 286
Ideas 287
Basics of Maternity Case Study 287
End of Life Case Studies—Documents
to Help 288
Psychosocial Integrity 290
Ideas 291
Psychosocial Case Studies 291
Reduction of Risk Potential 293
Ideas 294
Perioperative Care Case Study 294
Pharmacology and Parenterals 295
Ideas 296
Pharmacology Field Trip 296
Pharmacology Critical Thinking Exercises 297
Basic Care and Comfort 298
Ideas 298
Pain Continuing Case Study 298
Physiological Integrity 299
Ideas 299
Two Truths and a Lie 299
What’s the Big Deal and How Is It Treated? 299
NCLEX® Integrated Processes 301
Ideas to Reinforce QSEN Principles 303
Patient/Family-Centered Care 303
Teamwork and Collaboration
Safety 305
Quality Improvement (QI) 306
Evidence-based Practices (EBP) 306
Informatics 307
Conclusion: A Charge to Nurse Educators 309
4468_FM_i-xvi 04/03/15 1:44 PM Page xv
Contents xv
10 Conclusion 323
“Teaching was the hardest work I have ever done, and it remains
the hardest work I have done to date.” —Ann Richards
General Hints for Using Creative Strategies 324
Making Learning Fun 325
Advantages and Disadvantages of Creative
Strategies 326
Finding the Teaching Fuel 326
Guidelines for PowerPoint 327
4468_FM_i-xvi 04/03/15 1:44 PM Page xvi
xvi Contents
Index 355
4468_Ch01_001-014 04/03/15 1:23 PM Page 1
Chapter 1
“The art of
teaching is the
art of assisting
discovery.”—Mark
Van Doran
1
4468_Ch01_001-014 04/03/15 1:23 PM Page 2
WHAT IS AN INNOVATION?
Out on a Limb
Another, more subtle, barrier is self-confidence. Creative teaching strate-
gies include an element of risk. Instructors may need to step out of their
usual role, or perhaps convey a different image than usual. Some strate-
gies may “crash and burn,” not meeting the students’ needs, not working
well with a particular group, or failing in some other way.
Don’t worry––you can mold creative strategies to your specific
teaching style and comfort level. You may need to stretch outside your
usual classroom techniques, but you should never feel uncomfortable
or awkward. A good rule of thumb is that if you feel uncomfortable,
the students will too, negating the value of the teaching strategy. You’ll
need to prepare in advance and be comfortable with your strategy; it
should flow smoothly, fit well with the class objectives, and not inter-
rupt learning.
A key point: you, the instructor, must understand and feel comfortable
with the material. You need clinical experience with the content, familiar-
ity with your lecture material, and a clear idea of your learning objectives
and teaching goals for the session. The first time you teach a topic, use
only one or two creative strategies to drive home points––holding back a
little will ensure that you deliver the content. As you start covering the
same material repeatedly or in greater depth, you can get more creative
with your strategies and feel more confident that the information is get-
ting across. It’s especially important to remember that in today’s teaching
environment, faculty must frequently teach varied topics, may teach out-
side their own skills or specialty, and be given the opportunity to teach on
a repetitive basis.
instructors may need to confront this issue and teach in the way they
believe will best serve the students. Teaching cultures are clearly changing.
By developing individual teaching styles, instructors can support institu-
tions as they begin to embrace innovation.
We could go on brainstorming to find more barriers, but instead,
let’s focus on the reasons you can and should use innovations in your
teaching.
in which instructors and students can combine their personal styles with
creative teaching strategies for the best possible result.
Sensory Learning
Also important are the categories of learning styles: visual, auditory, and
kinesthetic. Do your students learn predominantly by sight, hearing, or
feeling and touching? Different learning styles warrant varying teaching
strategies. In the general population, 80 percent of learners are thought to
be visual, 10 percent auditory, and 10 percent kinesthetic.
Many contend that nurses have a greater propensity toward kines-
thetic learning, or learning by feel, demonstration, or manipulation.
This idea is no surprise to teachers of psychomotor skills, in which
demonstrating, touching, practicing, and proving competency are the
most effective ways to achieve mastery. Learners who can identify their
style may also discover the study methods that will best enhance their
learning.
Innovative strategies that allow for the greatest sensory stimulation
may be the most effective. Several of these strategies capture more than
one sense, allowing divergent learners to assimilate information on their
own personal level. For example, showing a film clip in class may appeal
to visual and auditory learners, whereas using dime-store prizes appro-
priate to content may help kinesthetic and visual learners remember
material.
Hemisphere Dominance
Other authors have recommended analyzing brain dominance in the
learner to evaluate learning styles. Left-brain dominant people are analyt-
ical and detail oriented; right-brain dominant people are more global and
creative in their learning styles. The need to adapt teaching styles to both
left- and right-brain dominant individuals is a key responsibility of teach-
ers. The left-brain learner may be resistant to creative teaching strategies,
seeing them as trivial. The right-brain learner may need focus on objec-
tives to ensure that the teaching strategy is valuable and goal directed,
rather than merely fun.
Remembering that each of us uses both brain hemispheres is essen-
tial to the enhancement of learning. Assessing your class for a predom-
inant “brain side” may help you create effective, well-received class
strategies.
4468_Ch01_001-014 04/03/15 1:23 PM Page 10
The Veterans
Traditionalists, or “Veterans,” born between 1922 and 1945, tend to be
attentive, respectful, and passive learners. They respond to more tradi-
tional lecture methods and usually are motivated to learn and work.
According to Hobbs,7 the Veterans build on previous wisdom, respect
wisdom in others, and learn best when respected for their current levels of
knowledge and experience.
This group tends to find creative strategies the most unpleasant. They
want to stay in their comfort zone, the lecture format, and their ideals of
traditional teacher-student roles. They also may resist group work. In con-
trast, they tend to follow orders or directives in the classroom. This ten-
dency may result in their cooperation, albeit reluctant, with creative
strategies.
Generation X
Those born between 1965 and 1980, sometimes known as “Generation
X-ers,” respond well to creativity in learning and teaching methods. This
group finds the innovations associated with technology and health care
intriguing and a challenge, rather than an obstacle. They are a group who
enjoy learning but for whom learning needs to be enjoyable. This gener-
ation does not remember life without a television and were adolescents
during the onset of the computer age. They see education as a necessary
step toward another goal, and they work toward achieving a balance
between work and play.
Generation Why?
The final group, termed “Millennials,” or “Generation Why?”, are the
“twenty-somethings.” They represent the bulk of nursing students and
nurses just entering the workforce, who require orientation and intensive
educational interventions. This group learns at a rapid pace, is comfort-
able with innovation, expects learning to have a creative side, and advo-
cates for their own learning needs. Generation Why? learns and lives at
one with technology and generally embraces group work because of
indoctrination in group methods throughout their education.
You can use this book in any way you choose. Whether you use an iso-
lated creative strategy in your teaching repertoire or decide to create a
more substantial revision in your teaching style, this book is here to help
you. That being said, here are a few suggestions to assist you in using it:
• Feel free to use your own creativity and teaching needs to mold
the teaching strategies. Your own style and content may dictate
adaptation. For example, you may need to change a strategy to fit
the room setup. Or, as you “read” your class, you may sense that
a strategy as planned will not work with this group. Mold each
strategy as you find necessary.
• Strategies in specific chapters may easily be transferred to other
teaching venues. For instance, a strategy discussed in the clinical
teaching chapter may be revised for use in a large or small class-
room. The strategies in this text were chosen on the basis of their
previous success; it’s up to you to determine their usefulness else-
where and modify them as you need to.
• To avoid “creativity fatigue,” make sure you use creative teaching
strategies appropriately and in small doses. Suddenly incorporat-
ing 20 strategies in an hour-long class will not only exhaust and
frustrate the class, thereby hampering learning, but will also steer
you away from your objectives. Instead, use one or two strategies
per class to emphasize key points, provide transition, or break up
difficult material.
• Remember that these strategies are designed to be interspersed
with your customary teaching styles and methods. They are not
intended to replace current methods or to demand a total over-
haul of your teaching.
• Staff development educators probably need no reminder that nurs-
es are tired and overworked. Creative strategies that are fun and
contribute to a collaborative learning atmosphere will help the
students pay attention and remember the material. Generational
differences may be even more pronounced in the workplace than
in academic settings, increasing your need to attend to a variety of
learning styles and customs.
Nurses who work long hours feel pulled from their client care
priorities and demand incentives to pay attention to new con-
cepts. In addition, nurses may perceive educational days in the
practice setting as time off. Innovative teaching strategies may
help center nurses on class priorities and provide an incentive for
learning and application to practice.
4468_Ch01_001-014 04/03/15 1:23 PM Page 13
References
1. Schell, K: The process of innovative teaching in the generic baccalaureate
nursing classroom: A cross-case analysis. Unpublished doctoral dissertation,
Widener University, 2001.
2. Tanner, CA: Innovations in nursing education. Journal of Nursing Education
36(6): 243, 1997.
3. Oermann, MH: Using active learning in lecture: Best of “both worlds.”
International Journal of Nursing Education Scholarship 1(1): 1–9, 2004.
4. Woodring, BC: Lecture is not a four-letter word! In Fuszard, B: Innovative
Teaching Strategies in Nursing. Aspen, Gaithersburg, MD, 1995.
5. Chester, E: A Quick Look at Generation Why. Accessed on January 10, 2007
from www.generationwhy.com.
6. Hopkins, M, and Merilatt, J: Bridging the generation gap. ModRN, pp 56–60,
Fall, 2006.
7. Hobbs, J: Generations: A walk through the past, present, and future of nurs-
ing. Public presentation, Sigma Theta Tau International Convention,
Indianapolis, 2005.
4468_Ch01_001-014 04/03/15 1:23 PM Page 14
4468_Ch02_015-048 04/03/15 2:02 PM Page 15
Chapter 2
Challenges
• Classes in which the students don’t know each
other may take on an impersonal quality.
• If you don’t know the students, they may be
difficult to teach, lacking a sense of community
“In the first min- and mutual learning.
utes, you set the • If the students don’t know you, the class may
stage . . . you lack the level of trust required to allow creative
teaching strategies to flourish.
orchestrate how
• You as the instructor have the responsibility to
they talk to each set the stage for learning—it’s efficient to sim-
other.” —Michele ply jump in, but you may miss a great opportu-
Deck nity for team building and creating an active
learning environment.
• Creative teaching strategies may surprise
some learners and therefore may be met
with resistance.
• Participants may enter a class with disparate
expectations and motivations for learning.
• Participants may be reluctant to talk within a
class.
• Whether a class is a one-time event or an
ongoing experience, students may be less com-
fortable in a formal learning environment.
Effective, entertaining icebreakers may warm
them up.
• You may need to “read” the dynamic of your
class to determine their responsiveness to inter-
active or more personal types of icebreakers.
15
4468_Ch02_015-048 04/03/15 2:02 PM Page 16
Using introductions and icebreakers helps set the tone for the class and
provides a forum for the creative teaching focus. You’re getting the class
on the right wavelength for innovative teaching and learning methods.
These strategies also give you an opportunity to quickly assess the stu-
dents; you can discover their levels of motivation, backgrounds, objectives
for the class, and openness to innovative teaching strategies. Icebreakers
may initiate conversation, allowing for future participation and group dis-
cussion. Most important, they provide a means for the instructor to build
a rapport with the class and to ensure that both you and the students are
comfortable and ready for learning.
IDEAS
ICEBREAKER EXAMPLE:
Which shape best describes you as a nurse?
Team building...
Fig. 2–1. Which shape best describes you as a nurse?
The instructor should “read” the class to determine whether this dis-
closure would encourage group dynamics.
Ideas for Use
• This strategy provides unique insights into the group, individual
personalities, and how each individual relates and contributes to
group functioning.
• Simply by knowing the group better, students may become more
comfortable and ready to participate.
• Shapes Define Your Personality may provoke some self-exploration
into priorities, thoughts, and abilities.
• This strategy makes a good team-building exercise. After students
select their shapes, the class can discuss how the shapes may be
used to diagnose group strengths and weaknesses. A group of
4468_Ch02_015-048 04/03/15 2:02 PM Page 18
Get In Line
General Description This strategy is great for the first day of class or
for a 1-day class. It’s especially useful for classes in which students will be
asked to participate actively or to work in groups, or when students
appear rooted in their seats and not engaged in the learning process. The
strategy is limited to a group of approximately 10 to 20, although larger
groups may be divided.
In this exercise, students line up according to age, birth month, num-
ber of years in a position or with an agency, or alphabetically by first or
last name. The fun in this exercise is that the students are forbidden to
talk or write. They must use nonverbal communication, such as lip
synching, hand gestures, and facial expressions, to determine the correct
order.
Preparation and Equipment No preparation or equipment is required.
The efficacy of this exercise may be limited by the size of the room.
Example of the Strategy at Work At the beginning of the semester I
have used this exercise to get students up, active, and acquainted with
each other. Quiet or nonparticipative students may become more com-
fortable after having this opportunity to interact with others.
Ideas for Use
• If the class is large enough to divide into several groups, each
group may try to finish the task first, adding the element of
competition.
• This strategy exemplifies the value of nonverbal communication,
the frustration of being unable to talk, and the difficulties of
being unable to understand the dominant language spoken in a
particular setting.
• The group finishing first may be offered a prize.
• Classes may be asked to develop their own ideas for the order of
the line.
Another random document with
no related content on Scribd:
DANCE ON STILTS AT THE GIRLS’ UNYAGO, NIUCHI
I see increasing reason to believe that the view formed some time
back as to the origin of the Makonde bush is the correct one. I have
no doubt that it is not a natural product, but the result of human
occupation. Those parts of the high country where man—as a very
slight amount of practice enables the eye to perceive at once—has not
yet penetrated with axe and hoe, are still occupied by a splendid
timber forest quite able to sustain a comparison with our mixed
forests in Germany. But wherever man has once built his hut or tilled
his field, this horrible bush springs up. Every phase of this process
may be seen in the course of a couple of hours’ walk along the main
road. From the bush to right or left, one hears the sound of the axe—
not from one spot only, but from several directions at once. A few
steps further on, we can see what is taking place. The brush has been
cut down and piled up in heaps to the height of a yard or more,
between which the trunks of the large trees stand up like the last
pillars of a magnificent ruined building. These, too, present a
melancholy spectacle: the destructive Makonde have ringed them—
cut a broad strip of bark all round to ensure their dying off—and also
piled up pyramids of brush round them. Father and son, mother and
son-in-law, are chopping away perseveringly in the background—too
busy, almost, to look round at the white stranger, who usually excites
so much interest. If you pass by the same place a week later, the piles
of brushwood have disappeared and a thick layer of ashes has taken
the place of the green forest. The large trees stretch their
smouldering trunks and branches in dumb accusation to heaven—if
they have not already fallen and been more or less reduced to ashes,
perhaps only showing as a white stripe on the dark ground.
This work of destruction is carried out by the Makonde alike on the
virgin forest and on the bush which has sprung up on sites already
cultivated and deserted. In the second case they are saved the trouble
of burning the large trees, these being entirely absent in the
secondary bush.
After burning this piece of forest ground and loosening it with the
hoe, the native sows his corn and plants his vegetables. All over the
country, he goes in for bed-culture, which requires, and, in fact,
receives, the most careful attention. Weeds are nowhere tolerated in
the south of German East Africa. The crops may fail on the plains,
where droughts are frequent, but never on the plateau with its
abundant rains and heavy dews. Its fortunate inhabitants even have
the satisfaction of seeing the proud Wayao and Wamakua working
for them as labourers, driven by hunger to serve where they were
accustomed to rule.
But the light, sandy soil is soon exhausted, and would yield no
harvest the second year if cultivated twice running. This fact has
been familiar to the native for ages; consequently he provides in
time, and, while his crop is growing, prepares the next plot with axe
and firebrand. Next year he plants this with his various crops and
lets the first piece lie fallow. For a short time it remains waste and
desolate; then nature steps in to repair the destruction wrought by
man; a thousand new growths spring out of the exhausted soil, and
even the old stumps put forth fresh shoots. Next year the new growth
is up to one’s knees, and in a few years more it is that terrible,
impenetrable bush, which maintains its position till the black
occupier of the land has made the round of all the available sites and
come back to his starting point.
The Makonde are, body and soul, so to speak, one with this bush.
According to my Yao informants, indeed, their name means nothing
else but “bush people.” Their own tradition says that they have been
settled up here for a very long time, but to my surprise they laid great
stress on an original immigration. Their old homes were in the
south-east, near Mikindani and the mouth of the Rovuma, whence
their peaceful forefathers were driven by the continual raids of the
Sakalavas from Madagascar and the warlike Shirazis[47] of the coast,
to take refuge on the almost inaccessible plateau. I have studied
African ethnology for twenty years, but the fact that changes of
population in this apparently quiet and peaceable corner of the earth
could have been occasioned by outside enterprises taking place on
the high seas, was completely new to me. It is, no doubt, however,
correct.
The charming tribal legend of the Makonde—besides informing us
of other interesting matters—explains why they have to live in the
thickest of the bush and a long way from the edge of the plateau,
instead of making their permanent homes beside the purling brooks
and springs of the low country.
“The place where the tribe originated is Mahuta, on the southern
side of the plateau towards the Rovuma, where of old time there was
nothing but thick bush. Out of this bush came a man who never
washed himself or shaved his head, and who ate and drank but little.
He went out and made a human figure from the wood of a tree
growing in the open country, which he took home to his abode in the
bush and there set it upright. In the night this image came to life and
was a woman. The man and woman went down together to the
Rovuma to wash themselves. Here the woman gave birth to a still-
born child. They left that place and passed over the high land into the
valley of the Mbemkuru, where the woman had another child, which
was also born dead. Then they returned to the high bush country of
Mahuta, where the third child was born, which lived and grew up. In
course of time, the couple had many more children, and called
themselves Wamatanda. These were the ancestral stock of the
Makonde, also called Wamakonde,[48] i.e., aborigines. Their
forefather, the man from the bush, gave his children the command to
bury their dead upright, in memory of the mother of their race who
was cut out of wood and awoke to life when standing upright. He also
warned them against settling in the valleys and near large streams,
for sickness and death dwelt there. They were to make it a rule to
have their huts at least an hour’s walk from the nearest watering-
place; then their children would thrive and escape illness.”
The explanation of the name Makonde given by my informants is
somewhat different from that contained in the above legend, which I
extract from a little book (small, but packed with information), by
Pater Adams, entitled Lindi und sein Hinterland. Otherwise, my
results agree exactly with the statements of the legend. Washing?
Hapana—there is no such thing. Why should they do so? As it is, the
supply of water scarcely suffices for cooking and drinking; other
people do not wash, so why should the Makonde distinguish himself
by such needless eccentricity? As for shaving the head, the short,
woolly crop scarcely needs it,[49] so the second ancestral precept is
likewise easy enough to follow. Beyond this, however, there is
nothing ridiculous in the ancestor’s advice. I have obtained from
various local artists a fairly large number of figures carved in wood,
ranging from fifteen to twenty-three inches in height, and
representing women belonging to the great group of the Mavia,
Makonde, and Matambwe tribes. The carving is remarkably well
done and renders the female type with great accuracy, especially the
keloid ornamentation, to be described later on. As to the object and
meaning of their works the sculptors either could or (more probably)
would tell me nothing, and I was forced to content myself with the
scanty information vouchsafed by one man, who said that the figures
were merely intended to represent the nembo—the artificial
deformations of pelele, ear-discs, and keloids. The legend recorded
by Pater Adams places these figures in a new light. They must surely
be more than mere dolls; and we may even venture to assume that
they are—though the majority of present-day Makonde are probably
unaware of the fact—representations of the tribal ancestress.
The references in the legend to the descent from Mahuta to the
Rovuma, and to a journey across the highlands into the Mbekuru
valley, undoubtedly indicate the previous history of the tribe, the
travels of the ancestral pair typifying the migrations of their
descendants. The descent to the neighbouring Rovuma valley, with
its extraordinary fertility and great abundance of game, is intelligible
at a glance—but the crossing of the Lukuledi depression, the ascent
to the Rondo Plateau and the descent to the Mbemkuru, also lie
within the bounds of probability, for all these districts have exactly
the same character as the extreme south. Now, however, comes a
point of especial interest for our bacteriological age. The primitive
Makonde did not enjoy their lives in the marshy river-valleys.
Disease raged among them, and many died. It was only after they
had returned to their original home near Mahuta, that the health
conditions of these people improved. We are very apt to think of the
African as a stupid person whose ignorance of nature is only equalled
by his fear of it, and who looks on all mishaps as caused by evil
spirits and malignant natural powers. It is much more correct to
assume in this case that the people very early learnt to distinguish
districts infested with malaria from those where it is absent.
This knowledge is crystallized in the
ancestral warning against settling in the
valleys and near the great waters, the
dwelling-places of disease and death. At the
same time, for security against the hostile
Mavia south of the Rovuma, it was enacted
that every settlement must be not less than a
certain distance from the southern edge of the
plateau. Such in fact is their mode of life at the
present day. It is not such a bad one, and
certainly they are both safer and more
comfortable than the Makua, the recent
intruders from the south, who have made USUAL METHOD OF
good their footing on the western edge of the CLOSING HUT-DOOR
plateau, extending over a fairly wide belt of
country. Neither Makua nor Makonde show in their dwellings
anything of the size and comeliness of the Yao houses in the plain,
especially at Masasi, Chingulungulu and Zuza’s. Jumbe Chauro, a
Makonde hamlet not far from Newala, on the road to Mahuta, is the
most important settlement of the tribe I have yet seen, and has fairly
spacious huts. But how slovenly is their construction compared with
the palatial residences of the elephant-hunters living in the plain.
The roofs are still more untidy than in the general run of huts during
the dry season, the walls show here and there the scanty beginnings
or the lamentable remains of the mud plastering, and the interior is a
veritable dog-kennel; dirt, dust and disorder everywhere. A few huts
only show any attempt at division into rooms, and this consists
merely of very roughly-made bamboo partitions. In one point alone
have I noticed any indication of progress—in the method of fastening
the door. Houses all over the south are secured in a simple but
ingenious manner. The door consists of a set of stout pieces of wood
or bamboo, tied with bark-string to two cross-pieces, and moving in
two grooves round one of the door-posts, so as to open inwards. If
the owner wishes to leave home, he takes two logs as thick as a man’s
upper arm and about a yard long. One of these is placed obliquely
against the middle of the door from the inside, so as to form an angle
of from 60° to 75° with the ground. He then places the second piece
horizontally across the first, pressing it downward with all his might.
It is kept in place by two strong posts planted in the ground a few
inches inside the door. This fastening is absolutely safe, but of course
cannot be applied to both doors at once, otherwise how could the
owner leave or enter his house? I have not yet succeeded in finding
out how the back door is fastened.