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RSS SueannM

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1 point

Each person has a unique way of learning with different styles and techniques. There are seven identified learning styles listed below. Everyone has some mixture of these styles. There are certain people that have discovered they have a dominant style. There are also different scenarios where learning styles are changed for that episode.

Traditionally schools have mainly used linguistic and logical styles of teaching. Recently evaluation the use of multiple learning styles. There are many professors evaluating changes in this approach to teaching. The standardized tests and textbook teaching do not seem to be the most perfect teaching route. Learning is an individual skill that one must develop for themselves and recognize what work best for your individualized learning. By recognizing and understanding your own learning styles, you can use techniques better suited to you. This improves the speed and quality of your learning

Visual (spatial): You prefer using pictures, images, and spatial understanding.

Aural (auditory-musical): You prefer using sound and music.

Verbal (linguistic): You prefer using words, both in speech and writing.

Physical (kinesthetic): You prefer using your body, hands and sense of touch.

Logical (mathematical): You prefer using logic, reasoning and systems.

Social (interpersonal): You prefer to learn in groups or with other people.

Solitary (intrapersonal): You prefer to work alone and use self-study.

Theories of learning styles suggest that individuals think and learn best in different ways. These are not differences of ability but rather preferences for processing certain types of information or for processing information in certain types of way.

McCrow, Yevchak and Lewis described how surveying your nursing staff for individual learning styles and identifying those styles will provide invaluable information. This information can be used to make informed choices about modification and development of professional hospital-based educational programs. This article also said ‘balanced’ learning style preferences may potentially yield additional preferred learning style information for other health-related disciplines.

References

Kolb, A. Y., & Kolb, D. A. (2017, November 30). Learning Styles and Learning Spaces: Enhancing Experiential Learning in Higher Education., 4(2). https://doi.org/10.5465/amle.2005.17268566

Mccrow, Yevchak, & Lewis. (2014). A prospective cohort study examining the preferred learning styles of acute care registered nurses. Nurse Education in Practice, 14(2), 170-175.

Willingham, D. T., Hughes, E. M., & Dobolyi, D. G. (2015, June 17). The Scientific Status of Learning Styles Theories. Teaching of Psychology, 42(3), 266-271. https://doi.org/10.1177/0098628315589505

Urick, Michael. (2017). Adapting Training to Meet the Preferred Learning Styles of Different Generations. International Journal of Training and Development, 21(1), 53-59.

1 point

When we identify situations in which there is known practice variation, that is, where different practitioners recommend different treatments, patients should be informed of this and, if there is a study to test the different treatments against one another, patients should be told of that as well. Otherwise, their consent is not informed, and their participation in research is not voluntary. They start to resemble other populations who have been exploited in the past because their situation and vulnerability make them convenient for researchers.

Shepherd, L. (2017). Informed Consent for Comparative Effectiveness Research Should Include Risks of Standard Care...22nd Annual Thomas A. Pitts Memorial Lectureship, April 7-8, 2016, Charleston, South Carolina. Journal Of Law, Medicine & Ethics, 45(3), 352-364. doi:10.1177/1073110517737535

1 point

Informed consent is important, and informed consent is only valid if accurate information is given to a patient. If treatments and information are misleadingly this contributes to the risks to our patient population. The study being performed creates the impression that no risks are involved by participating in the study. Then patients are misled in to false beliefs that no harm can be done since there was never an informed consent. A choice cannot be informed if it is based on misinformation. Thus, understanding which risks are properly attributed to treatment and which to research is essential for valid informed consent for either. Misinformation about the relative risks of treatment and research undermine autonomy.

Lantos, J. D. (2017). Informed Consent for Comparative Effectiveness Research Should Not Consider the Risks of the Standard Therapies That Are Being Studied as Risks of the Research...22nd Annual Thomas A. Pitts Memorial Lectureship, April 7-8, 2016, Charleston, South Carolina. Journal of Law, Medicine & Ethics, 45(3), 365-374. doi:10.1177/1073110517737537

1 point

Is informed consent necessary within EBQI?

EBP and EBQI should be mandated to have the same regulatory and ethical requirements as a research project within an institution. EBP/EBQI and research both involve human subjects, use the same data collection procedures and the same data analysis methods to process data. To have individuals argue the point that they are very different, and one would require consent and the other does not is unethical. Having research optional for patients and then allowing EBP/EBQI contain all patients involved in an intervention is not giving patients a chance to deny or agree to the care they would be receiving.

While we understand that EBP/EBQI is systematic, evidence based activity designed to immediately improve health care delivery in specific settings there is no reason that we cannot offer these patients informed consent. The principles of justice and autonomy are being violated if the patient’s consent is not obtained

There is an ethical commitment that health care workers have for their patients, they are to do good (beneficence) and in conjunction do no harm (nonmaleficence) Even though risks with EBQI are usually very low there are still risks involved and patients should be informed. EBP/EBQI focuses implementing evidence in practice so why not step back and take a little extra time to make sure everyone is informed.

Informed consent weather for research participation of for treatment, is a foundational component of clinical and research ethics.

Research:

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare (3rd Ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

1 point

According to the American Nurses Association, “Nurses use research to provide evidence-based care that promotes quality health outcomes for individuals, families, communities and health care systems.” (Quigley, n.d., para. 1)

The both sides of this debate have given several view-points of whether nursing theory has a place in healthcare today. The ever-changing world of healthcare has sustained the use of nursing theory since the beginning with Florence Nightingale. The use of theoretical advantages for completing tasks in a certain way were the cornerstone of how nursing began. This is a great basis of why we, as nurses do certain procedures the way we do them. The knowledge has evolved into a more science base practice rather than a theory based practice. Evidence based practice (EBP) has real attainable goals with specific measurements on how these goals are to be achieved. EBP has been proven effective time and again by scientists throughout the globe. This way of measurement has been adopted as the gold standard for healthcare procedures. There was once a time for nursing theory but we must now scientifically prove the theories once thought to be the only way to practice. Evidence based practice trials can be that bridge to prove differences between hearsay and scientific proof.

Healthcare has changed dramatically since the early days of Florence Nightingale we as nurses must change to meet the needs of our patients in the best way possible. EBP is our future and is changing the outlook of care provided. “The intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care, which is known to produce unpredictable health outcomes.” (Stevens, 2013, para. 4)

In closing I want to say that nursing theory does have a critical element in our nursing foundation but with the regulations placed on reimbursement and nurses striving to provide the best, highest quality of care, we must focus our efforts into Evidenced based practice.

References

McEwen, M., & Wills, E. M. (2014). Theoretical Basis for Nursing (4th ed.). Wolters Kluwer Health/ Lippincott Williams & Wilkins.

Quigley, P. (n.d.). Nursing Research. Retrieved March 17, 2017, from http://www.nursingworld.org/EspeciallyForYou/Nurse-Researchers

Stevens, K. (2013, May 31). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. The Online Journals of Issues in Nursing, 18(2). http://dx.doi.org/10.3912/OJIN.Vol18No02Man04

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