Module 5 - Bridging The Academic-Practice Gap In Nursing PDF

BRIDGING THE ACADEMIC- PRACTICE GAP IN NURSING At the end of the session, the participants shall be able to; Discuss nursing and nursing practice Understand the components of professional nursing Identify the domains and its significance in nursing theory and practice...

BRIDGING THE ACADEMIC- PRACTICE GAP IN NURSING At the end of the session, the participants shall be able to; Discuss nursing and nursing practice Understand the components of professional nursing Identify the domains and its significance in nursing theory and practice Discuss the challenges of nursing education and practice Explain the ways of narrowing the gap between nursing education and practice  Nursing is a learned humanistic and scientific discipline whereby a nurse assist the patient, sick or well in the performance of those activities contributing to his/her recovery or to a peaceful death. Virginia Henderson  Nursing practice is defined as the range of roles, functions, responsibilities and activities in which registered nurses are educated and authorized to perform. It also encompasses; Analyzing & synthesis of knowledge. Understanding, interpreting & applying nursing theory & research. Developing & advancing nursing knowledge & profession as a whole.  values The art of Nursing Competence Patients Personal Attribute of Commitment Practice Mission  Cognitive= Knowledge Nursing Psychomotor= Practice Practice Affective= Attitude  COGNITION AFFECTION (Critical Thinking) PSYCHOMOTOR (Clinical Judgment) Scientific Knowledge- (Performance) Behavioral attitudes, why, what CRITICAL Skills, body Mechanics, when, where, who, Natural Sciences- values, morals, ethics, THINKING+CLINICAL Care and Handling of Anatomy & Physiology, communication skills, JUDGMENT= instrumentation, Microbiology, Wound motivation, attitudes, COMPETENCE anticipation of needs, Healing, Pharmacology, interpersonal Safety measures, Behavioral Sciences- relationships, feelings, patient care Listening, Interpersonal Legal accountability, stress management What are our expectations of nurses in 21st century? The 21st century nurse should be one that is equipped; not only with the basic requisite knowledge and skill to function in the clinical aspects of health care provision, but must also possess the requisite knowledge and skill to function as a team leader, manager of resources, counsellors and advocate to patients.  Maintaining excellent standard of nurse education. To improve nursing education to keep abreast with rapid changes in health care. Understanding and meeting need of clients. Keeping up with advancement of science and technology. Applying appropriate knowledge-based skills. Sustaining qualified, efficient and excellent nurses.  Technological & medical advancement Graduate nurses are lacking in practical skills despite of nursing knowledge. Less implementation of nursing research into practice Lack of organizational support Lack of resources Less chances of Continue Nursing Education Traditional procedures blocks spread of knowledge Nurses don’t ready to change the behavior. NURSE PRACTITIONERS: Failure to update and apply their knowledge in their daily practice. Don’t follow protocols, procedures. E.g. use of nursing process. Little opportunity to attend continuous nursing education (CNE) sessions. Shortcut becomes habitual. Failure to prioritize the importance of theoretical knowledge in practice. Under-stress- (Stress –Demotivated) NURSE EDUCATORS: Teach outdated knowledge. Busy with academic life and research- not enough time to go for clinical attachment. Lack of commitment on clinical placement to update self. Don’t know latest information on policies, protocols, procedures etc. STUDENTS: Follow instructions but confused with the differences between what were learned and practiced. Failure to link between knowledge and practice.  Getting research into practice. Performance appraisal Evidence based practice to be applied. Clinical placement of students Choose learning activity that is suitable Update knowledge and practice for learner. Leadership role High quality patient centered care Planning for improving practice. Continuing Nursing Education Behavior modification Tertiary education for nurses Matching learning needs of learners Clinical attachment for nurse High-tech high-touch approach educators Collaboration between nurse Application of new technology into practitioners & educators practice  Nursing education Students are coached by supported by clinical clinicians facilitators clinical facilitators are supported by Hospital and University Increase competence and autonomy Improve their critical thinking  Clinical Lectures Tutorials Discussion Simulation Seminar teaching Problem Self- E- directed Field Practice based Role-play learning learning visits skill learning  It helps to apply theory into practice. Communicate effectively. Help to perform safe therapeutic interventions. Exhibits caring behavior. It covers the student’s physical, mental & social well-being.  Opportunities for learning new knowledge. Lifelong learning is an essential part of professionalism. To maintain competencies. To enhance quality of care. For self-advancement  Collaborations between nurse practitioners and educators Co-organize workshops, seminars, conferences & research  At the clinical settings, i.e. hospital, clinic etc. Get updates on the latest policies, procedures and protocols  PERFORMANCE ASSESSMENT To evaluate standard of performance. To assess the nurses competencies. Assess positive relationship between competency and performance.  EXTENDED ROLE OF NURSE Extended role of nurse are: School-health nurse Occupational health nurse Hospice nurse Rehabilitation nurse Home-care nurse Disaster nurse  EXPANDED ROLE OF NURSE Having basic skills and knowledge Team leader Manager Counselor and advocate Nurse as a teacher Nurse as a caregiver Nurse as a health educator Nurse as a collaborator The gap can be narrowed if we Speak one common language Same thinking Same aspirations Same goals towards our profession