Michelle Aebersold PhD, RN Cindy Fenske RN, MS, CNE
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1 Using a Virtual Community to Facilitate the Integration of the KSA s of Patient Centered Care Michelle Aebersold PhD, RN Cindy Fenske RN, MS, CNE
2 Virtual Communities Virtual being on or simulated on a computer Occurring or existing primarily on-line Community An interacting population of various types of individuals merriam-webster.com
3 Virtual Communities Mirror Lake (OSU) 165 characters 62 households Medical center Retirement center (Curran, Elfrin, & Mays, 2009) The Neighborhood Pearson Education
4 Why Use a Virtual Community? Provides a contextual learning environment. Enhances student engagement. Adds complexity and richness to exemplars. Allows students to see situations unfold over time. Provides diversity in ethnicity and disease. Allows for enhanced application of information.
5 Disclosure Both presenters work as faculty advocates for Pearson Education
6 Welcome to the Neighborhood! The Neighborhood: Virtual Experiential Learning
7 The Neighborhood An unfolding story of a community and the characters that live there. Story contains 45 episodes that can be released in a variety of ways. 42 Featured Characters 36 household characters 6 nurse characters that work in health care agencies Community Newspaper
8 Household Characters 36 characters who live in 11 households within The Neighborhood. Characters are diverse. Character stories reflect health-related situations based on incidence and prevalence. Stories reflect individual and family responses to health-related problems over time. Stories told from the perspective of the character.
9 Nurse Characters Six featured nurse characters that work in 4 health-care agencies 3 Hospital Nurses, School Nurse, Midwife, Geriatric Nurse in senior center Stories reflect contemporary issues in nursing practice and issues within the local community. Stories of household characters interwoven into nurse stories as applicable.
10 The Neighborhood: Biographical Information Each character has biographical information that serves as an introduction. Updated each season to reflect story in previous season.
11 The Neighborhood: Unfolding Storyline Each character has a regular story update. Stories can unfold over 3 academic semesters or can vary in release.
12 The Neighborhood: Additional Effects: Stories are extended with photos, and video clips as applicable.
13 Medical Records Abbreviated medical records included to provide an understanding of health care.
14 Newspaper The newspaper links individual characters to the community Is reflective of contemporary social, ethical, and health related issues.
15 Allen BPH, depression, alcohol abuse, grief. Down s syndrome
16 QSEN-Patient Centered Care Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient s preferences, values and needs. (Cronenwett et al., 2007)
17 Respect for Patients Values, Preferences, and Expressed Needs Video clip Simulation activity Students role play how they would handle the situation from where the video leaves off. Class debate Have the class take the different sides of this issue and debate from the character s point of view.
18 Comprehensive understanding of pain and suffering Develop a plan of care based on EBP guidelines, that will care for Pam Allen as she undergoes chemotherapy and radiation treatment. Concept map of all problems and strengths Plan of care related specifically to symptom management
19 Coordination and Integration of care Have students assume the role of case manager or home care nurse after Pam has her surgery and colostomy Determine her learning needs. Make a plan of care, coordinating the various aspects of her treatments and the various health care places.
20 Nursing Care Video Clip Ocampos in the hospital. Kate trying to provide excellent care. What is excellent care. Have students discuss aspects of care that make it excellent.
21 Information, Communication, and Education Group Activity ~ Class Presentation In an assigned group of 4 students, pick a character who needs patient education regarding disease process/disorder. Design a patient education plan utilizing the principles of Health Promotion.
22 Emotional Support As Clifford is struggling with Pam s illness. He resorts to alcohol and withdraws from Pam and Gary. In small groups, examine the barriers Clifford is experiencing that are preventing him from being involved with his family. Assess his level of decisional conflict and discuss appropriate resources to assist him.
23 Reflection assignment In The Neighborhood, Pam Allen dies from cancer. Reflect on how you felt when you read this ending to her story. Identify and discuss the emotions that you experienced. Have you had a patient you knew or cared for that died? If so, how did you react or respond? What do you think will happen to Clifford and Gary? How do you feel about it? (Fenske, 2010)
24 6. Involvement of Family and Friends Think about Gary in this situation. How do you think Gary is dealing with the illness of his mother and the depression of his father? What resources does he have that provide him with support? How could you help facilitate the use of family and friends to reunite this family? Develop a plan of care around this issue basing it on family/individual strengths rather than problems.
25 Questions
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