In preparation of professional practice, the clinical setting
is the place where the students come in contact with patient or consumer for the purpose of testing theories and learning skill DEFINITION “Clinical teaching is an individualized or group teaching to the nursing student in the clinical area by the nurse educators, staff and clinical nurse manager."
“ Clinical teaching is vehicle that provides students with opportunity to translate
basic theoretical knowledge into learning of variety of intellectual and psychomotor skills needed to provide patient – centered quality nursing care.” - Schweer • Teaching in clinical setting is a challenge that is different from those encountered in the class room • Like any other skill based profession, nursing also requires the development of relationship between theory and practice PURPOSE OF CLINICAL TEACHING 1.To develop communication skills and maintain interpersonal relationship 2. To maintain high standard of nursing practice to become independent enough to practice nursing 3.To develop, cognitive, affective and psychomotor skills
4.To provide individualized care in a systematic, holistic approach
5.To develop high technical competent skills 6.To practice various procedure 7.To collect and analyze the data CONTD …. 8. To learn various diagnostic procedures 9. To learn various skill in giving health education technique to the client 10.To develop proficiency and efficiency in carrying out various procedure PRINCIPLES OF CLINICAL TEACHING • Clinical education should reflect the nature of professional practice • Clinical teaching is supported by climate of mutual trust and respect • Clinical teaching and learning should focus on essential knowledge, skill and attitude GUIDELINES FOR SELECTION OF CLINICAL TEACHING METHODS
• Must be appropriate to objectives and
desired behavioral changes. • Must be in accordance with principles of learning. • Must be in accordance with the capacity of the student. CONTD. • Must be in accordance with availability of resources. • Must be in accordance with the teacher’s ability to use it effectively and creatively. DIFFERENCE BETWEEN CLASS ROOM AND CLINICAL TEACHING CLASS ROOM CLINICAL TEACHING TEACHING •Small group •Large group •Focus on patient •No focus on patient •Application of •Knowledge knowledge •Theoretical framework •Clinical reasoning •Teacher/students ratio •Teacher / students is large ratio is small •Passive students •Active students •Less interactive •More interactive FACTORS INFLUENCING CLINICAL TEACHING • Group interaction skills •Clinical supervision skill •Clinical competence and professionalism •Knowledge and analytical ability. •Organization and clarity of presentation •Enthusiasm and stimulation of interest CLINICAL TEACHING METHOD Bedside clinic Nursing rounds Nursing shift reports Nursing care conferences Demonstration Nursing care studies
Process recording Laboratory method Nursing assignment Field trip BEDSIDE CLINIC DEFINITION
It is a method of clinical teaching which is carried
out by either the group visits the patient or the patient is brought to the conference room in order to study problems associated with a particular disease or disorder • Always ensure the presence of the patient. • Patients with typical diseases are selected. USES OF BEDSIDE CLINIC • To show the sign and symptoms related to a particular condition • To demonstrate a significant nursing situation • To show how nursing problem have been solved PHASE
Introduction phase
Patient centered discussion
Post clinic evaluation
ADVANTAGES • It puts the student in an active actual situation • Develop skills in collecting information from authentic source • Develop tactfulness diplomacy needed to get information from the patient • Develop skills in problem solving, decision making an organizing • Permits comparison between reality and theory DISADVANTAG ES • Sometimes put patient in a difficult situation NURSING ROUND DEFINITIO N A tour of patient’s bedside area made by a small group of staff and students, not more than 7 or 8 for the purpose of clinical learning and instructional purpose TYPE S
Instructional Information giving
Round round USES OF NURSING ROUNDS • To demonstrate clinical manifestation that needs nursing intervention • To study patient’s response to disease conditions • To demonstrate the effect of therapeutic treatment CONTD .. • To illustrate skillful nursing care • To have better understanding of patient’ s needs in order to provide better care to patient ADVANTAGES • Puts the students in actual live situation where patient responds and acts as a stimulus variable • Students have options to select specific case or problem that interest them and plan proper nursing care CONTD .. • It provides opportunity to reinforce the theoretical knowledge through its application in a real patient • Increases learning ability DISADVANTAG ES • Only applicable for small group of students • Require careful planning