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RSS Lindseybrady

Reward Points:6
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1 point

Heather- you mentioned that when a patient comes into the hospital they sign a consent to treatment and that is simply it. I think it is easy for someone in the healthcare field to clump QI under the same umbrella but I do not believe patients have that same understanding. If a patient needs a procedure or a blood transfusion that is not covered under the same consent as the consent they sign for treatment and I do not believe EBQI should be clump under that same consent as well. Patients have a right to know that data will be collected based on their treatment and the only ethical way to complete this is to provided informed consent.

1 point

I also see your point when you are describing the difference between research and using patient's data for EBQI. However, the issue of not receiving informed consent comes into play with publishing the data that was found. For example "the intent or actual fact of publication in peer-reviewed journals as the major defining characteristics of research, so that any quality improvement activity that included either the intent to publish or actual fact of publication at some later point should be subject to ethics committee review and perhaps requirements for written informed consent by participants" (Nerenz, 2009). So with that being said, wouldn't it be better to just have the informed consent signed prior to collecting the data in case it would be used in some time of publication?

Reference:

Nerenz, D R. "Ethical issues in using data from quality management programs." European Spine Journal, vol. 18, no. 3, 2009, pp. 321-30, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899322/. Accessed 10 Dec. 2017.

1 point

I understand your point that EBQI should be a part of routine clinical practice to improve healthcare delivery. However, if you are using patient's data from their chart, it is only right to let them know. "Informed consent is not only required for clinical trials but is an essential prerequisite before enrolling each and every participant in any type of research involving human subjects including; diagnostic, therapeutic, interventional, bioequivalence, social and behavioral studies and for all research conducted..." (Nijhawn et al., 2013). Also, patient's health records are protected under HIPAA and someone who is simply collecting data to improve healthcare delivery would not be assigned to provide care to the patient, therefore, should not be in their medical record. As a patient, I would want to know that someone was looking in my medical record to collect data, wouldn't you? Informed consent is the only ethical way to protect patients in this situation.

Reference:

Nijawan, L. P., Janodia, M. D., Muddukrishna, B. S., Bhat, K. M., Bairy, K. L., Udupa, N., & Musmade, P. B. (2013). Informed consent: Issues and challenges. Journal of Advanced Pharmaceutical Technology and Research`, 4(3), 134-140. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777303/

1 point

Yes. Informed consent should be mandated for EBQI. Individuals have the right to decide what happened to their body and their health under the ethical principle of autonomy. Research is viewed as voluntary therefore, individuals should have the right to decide if they would like to participate once they are provided with if all pertain risks and benefits of participating (Melynk & Fineout-Overholt, 2015).

Informed consent for EBQI is utilized “to protect patients, both from harm and from was they might not be respected as persons” (Melynk & Fineout-Overholt, 2015, pg. 526). Informed consent about EBQI is important in addition to informed consent to care for the patients because when a patient seeks medical care they do not think they will be part of a study. This is why it is important to obtain informed consent for EBQI in addition to informed consent for care.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-Based Practice in Nursing & Healthcare (3rd ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

1 point

While I agree that nursing schools do spend too much time on teaching theory and not enough time preparing students for clinical, I disagree with you when you stated that there was no need for a new learning theory. Incorporating a new learning theory, such as problem-based learning (PBL), would be beneficial to students because it combines theory and clinical skills to provide real-life scenarios to students. PBL helps to promote critical thinking skills which ultimately better prepares students for the clinical setting (Farid & Ali, 2012).

I believe the assessment of learning styles does enhance clinical and academic education. It is suggested that learning styles improve student’s outcomes in both clinical and academic settings (Sinnerton, Leonard & Rogers, 2014). Although you mentioned that all students learn differently therefore this is not beneficial, I believe it is the educators’ responsibility to identify how their students learn best and incorporate multiple learning styles into their teaching.

References:

Farid, F. N., & Ali, S. F. (2012). Problem Based Learning in Clinical Nursing Education. International Journal of Nursing Education, 4(2), 14-16.

Sinnerton, T., Leonard, L., & Rogers, K. (2014). Using Learning Style Preferences to Enhance the Education and Training of Allied Health Professionals. The Internet Journal of Allied Health Sciences and Practice, 12(1), 1-5.

2 points

Yes, I do think there is a need for a new learning theory to effectively teach nursing. In most nursing schools, lecture material and nursing skills are introduced at different times throughout the semester. This traditional way does not provide students with a real-life experience. It would be beneficially for all nursing schools to utilize a new theory that is currently being introduced called problem-based learning (PBL). PBL integrates theory and clinical together. PBL “involves real life cases and scenarios that are very effective in developing confidence in students” (Farid & Ali, pg.15, 2012). It provides students with opportunities to develop teamwork and critical thinking skills (Farid & Ali, 2012). PBL provides students with a more realistic approach to nursing and provides and more educational experience ultimately enhancing their learning.

Yes, I do think that assessment of learning style enhances clinical and academic education. Every student learns differently and it is important for educators to assess their student’s learning styles and provide material in different ways in order to benefit all students. Although there is not a best way to teach, it has been shown that teachers who incorporate the different needs of students into their teaching have increased learning. With that being said, most students have not identified their learning style which leads to poor learning and studying practices (Sinnerton, Leonard & Rogers, 2014). It is important, as educators, we aide our students in identifying their own preference in learning so that teaching can be effective and learning can be achieved (Cannon & Boswell, 2016).

References:

Cannon, S., & Boswell, C. (2016). Evidence-Based Teaching in Nursing (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

Farid, F. N., & Ali, S. F. (2012). Problem Based Learning in Clinical Nursing Education. International Journal of Nursing Education, 4(2), 14-16.

Sinnerton, T., Leonard, L., & Rogers, K. (2014). Using Learning Style Preferences to Enhance the Education and Training of Allied Health Professionals. The Internet Journal of Allied Health Sciences and Practice, 12(1), 1-5.

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