Clinical Teaching Methods

Methods

Nursing (Bedside) Clinic Nursing Rounds Nursing Care Conference Group Conference

Nursing (Bedside) Clinic

Organized clinical instruction in the presence of the patient. Bedside clinic can be medical, nursing or combined. This is a teacher centered method Meant for a small group of students Pre information is required

Contd..

Prior permission should be taken from the patient or relatives Clinic can be conducted at the bedside or in the nearby clinical teaching room. Patient selected should have typical signs and symptoms rather than unusual or confusing symptoms

The usual duration is 30 to 45 minutes students have to gather around the patient in an informal way in order to avoid tension to him Patient should be taken into confidence and nothing should be done or told throughout the clinic which may humiliate or embarrass him. If patients condition permits, it is better to motivate him to give a brief description regarding his condition.

The learning experience is essentially discussion with a focus on *The total care of the patient, *Specific nursing care, *Observations and recorded data and their implications, the patient reactions, response to care and progress. *The medical and surgical treatment and consequences *Nature of nursing care

Nursing Rounds

Nursing rounds is intended to discuss briefly the nursing management of all patents in the ward by sparing few minutes for each patient The ideal duration of nursing rounds in a ward is 45 minutes and this time is sufficient to know about 20 to 25 patients

For successful nursing rounds, students have to know all patients in the ward. The patents dignity has to be preserved throughout the rounds The time of the rounds should be informed to the students if there is no stipulated time for daily rounds.

Demonstration of nursing care by senior members during the nursing the nursing rounds will help students to develop psychomotor skills and inculcate proper attitude among them

By attending nursing rounds, students are motivated to learn more about the nursing management of patient in the ward by referring related literature and though discussion with experts. Moreover, interaction with senior members promotes team spirit and professionalism.

Nursing Care Conference

Nursing care conference has all the characteristics of the bedside clinic except the presences of the patient. When the teacher as well as the students are well acquainted with the patients features this is the preferred method.

Group Conference

A subject of common interest related to the clinical area is discussed by the students under the guidance of the nurse educator. This is a small group teaching method.

Subjects selected for group conference should have a clinical orientation and enrich the clinical skills of students. Discussion should be based on relevant information and directed towards achieving some desirable ends.

Subjects like * Nursing management of patients with a particular disease, * Common errors likely to be committed by students in the clinical area, * Any deficiencies noted in the nursing care delivery by students, updating of procedures, * Patient care implications while administrating drugs, * Cost-effective use of supplies and equipments, * Infection control,

* proper waste disposal, * ward routines, * interpersonal relationship with patients, * interpersonal relationship with other health team members, * ethical and legal issues related to nursing care and other genuine topics or issues identified by students or teacher can be discussed in the group conference.

Discussion should be based on relevant information and directed towards achieving some desirable ends. Students are allowed to participate actively in the discussion, preferably by explaining their own experiences in the clinical area. Nursing teacher has to encourage the students to express their viewpoints and guide them as needed.

Group conference helps the students to develop problem solving skills, team building skills and the ability to express oneself assertively. By providing an opportunity to express the innovative ideas and to refine clinical skills, group conferences make the clinical area a more interesting place for teaching and learning.