I have been working as a senior nurse in the department of Cornea replacement surgery in a reputed Health Care institution for the last 10 years. The aim of this current report is to prepare teaching portfolio, for the nurse who will be working in the same department clinic of cornea transplant. With the help of the experience that I have gained over the years, have helped me in the development process and gaining the skills that are needed to deal with the complication of the cornea transplant clinic.
The portfolio will be prepared with the help of the experience that I have gained over the years in the respective department. The effectiveness of the teaching plan will be mentioned along with the effectiveness of the teaching theory that is implemented in the respective nursing portfolio. Proper data collected will be collected with the help of the survey, which will help me in the process of deciding upon the strategies that will be used in the process of dealing with that of the process of teaching strategy that is needed for the nurses of the department of cornea transplant.
The quality of the teaching portfolio of a nurse profile depends upon the effectiveness of the teaching policies implemented in respective course. The effectiveness of the teaching method that I have used in the teaching portfolio as help to deal with the challenge that are related with most of the parts related with the skills that are needed with that of the treatment that are provided to the medical practioners of the cornea transplant department. One of the effective characters of a teacher working in the nursing department is to ensure that all the students get proper exposure to the nursing plan. From the survey that I have conducted, it is evident that high level of dedication and the ability to translate critical knowledge are few of the essential skills that are needed to deal with that of the teaching plan. The high level of delicacy that is involved in the case of dealing with the patients of the cornea replacement can be overcome with the help of the effective teaching skills.
As a dedicated teacher, it is one of my duties to ensure that proper compassionate are being shown to every students, which can help in the matters of providing full mental support. It is also essential in this context to display the skills that are needed to deal with practical patient of cornea replacement surgery. It can be also possible with high level of knowledge to deal with the challenge of helping out the inexperienced nurses to deal with the psychological and mental challenge. It is also possible to deal with the challenge of most of the important matters related with that of the lack of knowledge among the students.
In order to establish myself as reputed teacher within the nursing department it is essential for me to understand the perspective of the nursing students. This can be achieved with the help of high level of dedication and commitment towards the nursing students. It is also one of the characteristics of an effective teacher to understand the challenge encountered by the student while acquiring the high level of skills that is needed for the cornea replacement department. With high level of challenge that is encountered by the students, it can easily be a source of discouragement.
At the initial stage, it is essential to fix up on the nursing plan, which is needed to deal with the challenges encountered by the medical practitioners in the cornea replacement department. Proper level of awareness one of the important responsibility of a teacher which can help to ensure all the necessary skills are being transferred to the students.
The planning of the nursing portfolio teaching session is done according to the requirements how the cornea replacement department. It is one of the essential parts of the training program, to understand the requirement of the training program.
There are special teaching program for clinical education, which is aimed to improve upon the training program that is needed to improving up on the challenge encountered by inexperienced nurses. As an effective teacher, it is my duty to ensure that proper learning resources are being used in accessing the materials that are needed for the teaching program.
The plan of the training program should be based upon the requirement of the audience group. This can help to deal with the structural framework of the overall teaching plan. It is essential for learners to use all their experience and. training skills. It is also essential to mention that the needs of the learning skills as usually from different groups. I also have the skill to apply critical thinking during the time of crisis that encountered by the nursing students the cornea replacement department.
In the secondary steps, it is it essential to assess the requirement of the nursing teaching plan. It will involve the process of identifying the target areas and also that of the process that is needed to assist the inexperienced workers. Design of the clinical learning activity is also one of the essential steps which can help to decide upon the program that is needed for supervision and monitoring of the progress (Willmarth-Stec & Beery, 2015).
The planning process needs to ensure that all the resources available to the learners and properly utilized which can be an essential component of the portfolio. The final stage of the Planning involves evaluation of the outcomes of the nursing plan. This can be achieved with the help of most of the essential activities related with the nursing program. It is also essential for me as a nurse to ensure that all the students in the nursing degree program take equal participation in understanding and display equal level of enthusiasm. I also need to take special initiatives that can help to improve upon the techquies related to practical teachings procedures that is needed among the nursing students. This is also among the special initiatives that are done to encourage the nursing workers to improve upon the skills that can be used in the future of all types of crisis situations.
I have also used special strategy in order to evaluate the clinical setting that is a part of the cornea replacement department. Evaluation is done based upon the performance rating that I have obtained for my career of Nursing. The rating is essential in the context due to the fact that it can help me to understand my exact area of weakness.
There is special rating scale that I have initiated which can help to properly evaluate and rate up on my teaching ability. Predefined descriptors are used as the measurement of the rating scales which is used as a parameter to improve upon my teacher teaching skills. The overall capability of the portfolio can also be evaluated with the help of the rating scale (Capan et al., 2013).
It is also one of the essential parts of the teaching program to properly understand the strength and weakness of individual students. It is relevant to mention in the context that due to the high level of technology that are being introduced in the medical science it is now possible to easily deal with the challenge of delicate medical treatments like cornea replacement surgery. Nevertheless, it is essential for me as a nurse to understand the importance and operational purpose of the Medical Technology that can be a significant part of the teaching portfolio. It is also one of my duties to ensure that level of awareness of all the nursing staff within the hospital is increased that can help them to easily operate all the latest equipments of cornea replacement surgery.
The skill development program can be enhanced with the help of the special training programs that are implemented that can be done with the help of the skill development program. It is important for me as a nurse to regularly improve upon my skills depending upon every types of situation that I go through and thereby able to improve upon my experience and nursing teaching skills. This can also help to deal with the challenges of dealing that is related with that of the important skills of the inexperienced nursing students.
It is essential to mention in the contexts that there is separate evaluation techniques that can be implemented to deal with the challenge of critical task associated with nursing practice.
I need to evaluate my overall effectiveness of the nursing portfolio by determining the characteristics of the new range of category that I have introduced as a part of the nursing portfolio. One of the major advantages of this strategy making process is to understand the importance of the critical behavior that is displayed by the nurses in Crisis situations. It is also possible to estimate all performance level of mine as an effective nursing teacher. I also need to take proper advice from the supervisors before implementing the portfolio in practice that can be achieved with the help of the overall rating scale.
This type of learning style is one of the three learning styles that have been popularized by Neil. D. In this type of learning, the education is taken up by the students carrying out physical activities rather than watching demonstration or listening to a lecture. The type of education takes place by hand on experience. Jenny is a new nurse in the corneal transplant clinic. There are nursing interventions to prevent the detrimental effects post-corneal transplant surgery. Nurses contributions are there that can reduce the graft rejection rates due to the corneal transplants. Nursing assistance is required to ensure a proper corneal transplant. The nurses have to perform the enucleation of the eyeball. For this they have to be technically qualified. Jenny has attended the demonstration and the lecture given by me regarding the cornea transplants and the graft rejection. Most of the knowledge has been gained by the performing skills. They have got sufficient amount of train and have performed the procedure in hand. In the last session Jenny had actively participated in the e-nucleation procedure.
I have been able to complete the quiz on my perspective on the quality of a good student. In order to carry out effective teaching, it is necessary that a professional interpersonal relationship is establishes between the student and the teacher in order to ensure an efficient teaching procedure (Boctor, 2013).
An efficient clinical teacher should be able clinically competent, should possess a vivid knowledge about the cornea transplant. I simply agree to the fact that a clinical teacher should be able to build in the rapport with the student and will be able to impart proper knowledge to the student (Boctor, 2013). As per the teacher’s perspective, a clinical teacher should be responsible, dedicated, motivated, receptive, and flexible. From the student’s point of view, a teacher should be hardworking, responsible, participative, enthusiastic and interactive.
Application of Andragogy in Patient education
I have conducted session with patients who will be having a cornea transplant under the supervision of a specialized nurse in the ophthalmologic department. I have tried to administer the andragogical concept of teaching to the patient. According to Stomberg there is a 5 step process to deliver patient education that has been used in my session with patient Mr. Joseph.
Assessment of the learner: Mr. Joseph requires specific education regarding the cornea transplants and its pro and cons and he is an adult learner.
Identification of Mr Joseph’s learning barriers: Mr. Joseph is an adult. Therefore it was a bit difficult for him to accept the new changes and discard the conventional education.
Planning: A nurse assisted Mr. Joseph to understand the learning goals and develop a teaching plan that is patient centered. We have tried to impart education about what is graft rejection. We have tried to educate him about the different medical and the pharmaceutical diagnosis and the treatments.
Implementation: I have selected appropriate teaching materials to provide knowledge about graft rejection to the patients. I have also described him about the consequences about graft withdrawal.
Evaluation: finally I have recorded the feedback of Mr. Joseph.
It has to be noted that after the application of the in service session regarding the transplantation of Cornea and graft acceptance and rejection. The patients have become more apprehensive in accepting the modes of the treatment and have understood better about their treatment regimen and the necessity of the treatments procedures.
There are many instructional materials that can be effective in imparting knowledge to the patient. One such is PowerPoint presentations. It can incorporate pictures, videos and animations to create a clear knowledge of the subject to the patient (Zokaee, Zaferanieh & Naseri, 2012). I have organized a PowerPoint presentation on eye problems faced by the critical care patients such as the paralysis of the muscles. I have prepared presentations regarding complications like the lagopthalmos, chemosis. Such helped to provide knowledge to the patients regarding the critical condition of the eye. The aim was to prevent corneal infection.
The teaching strategies in nursing education:
I have tried to use the 10 strategies to provide information to the patient. They are as follows-
Lecture- A lecture can provide education to a large number of people, and it can produce complex topics to a large number of people. The disadvantage of a lecture is that student remains in a passive role (Zokaee, Zaferanieh & Naseri, 2012).
Stimulation: This methodology is costly, but it can provide a realistic scenario that is similar to actual condition of the patient and it provide scope for the direct application of the theoretical knowledge to practice. It helps to provide a hand on experience the learners (Billings & Halstead, 2015). This can be done by using original case studies or mannequins.
Online course: Online courses are suitable for learning. This kind of a study is cost effective and is extremely flexible and useful in providing education to the patient. Online courses are available even when the student cannot attend the classes. The scope of learning becomes expanded in this case (Billings & Halstead, 2015).
Games: The games and the quizzes related to teaching are effective in providing knowledge to the patient, especially the elderly patients, as the elder persons are not very supportive of any kinds of changes, games and quizzes helps them to be a part of the changes.
Role play: Role play is extremely useful in practicing the communication skills in a clinical environment. Role play is again an excellent option in providing education to the learner (Billings & Halstead, 2015).
Jigsaw classroom: A jigsaw class room organized by me has been successful in build cooperative learning in the students.
Case study always helps one to bridge the gap between the theory and the practice. The case study provides by me has been able to develop analytical skills in the student. I have tried to provide hypothetical situations to patients so that they can self assess the situations.
According to me, the factors that are responsible for providing a clinical learning experience are Autonomy, role clarity, recognition, peer support, quality supervision and the opportunities provided for the learning. It will help the learners to practice their skills on the patients or the mannequins. I try to impart practical knowledge to the students regarding the management of the cornea transplants.
Further, they become acquainted with the experiences of working with the doctors, which help them to learn about teamwork and communication (Billings & Halstead, 2015).
In order to facilitate a successful teaching, a well chalked out plan is necessary. The clinical teaching environment should be teaching friendly. I am supposed to have the ability to assess the patients. My planning is able to provide patient specific knowledge.
There are certain incivilities in the class rooms which have to be avoided, such as the use of the cell phones in the classroom, use of technologies without any valid reasons, sarcastic student remarks, and inattentiveness in class (Billings & Halstead, 2015). Other incivilities that can be found are the academic dishonesty, bullying, rude and hostile behavior with the professors. Loss of patience, incompetence is the other factors that should be avoided at the highest priority. In my teaching, I have tried and will try that the following incivilities have been avoided.
For practicing nursing skills in clinical practice, it is extremely important, if knowledge can be provided by using documentaries and videos (Billings & Halstead, 2015). Direct visualization of the problems can help the nursing students in identifying the areas for the further improvement. I have understood that sometimes, while talking to the patients and the families we are not aware of the non verbal cues. The educators can self record their works and provide it to the students. As an educator, I would definitely like to self record my teaching sessions in order to point out my flaws. Feedback should always be taken from the students, as seeking feedbacks from my peers would be a biased one.
Further contribution that can bring about a good teaching is setting up quizzes, showing you tube tapes to my students, maintaining my journal entry (Billings & Halstead, 2015).
All these will definitely cater to the nursing teaching process and will help to increase my knowledge as well as the student’s knowledge.
Reference
Billings, D. M., & Halstead, J. A. (2015). Teaching in Nursing-E-Book: A Guide for Faculty. Elsevier Health Sciences.
Boctor, L. (2013). Active-learning strategies: the use of a game to reinforce learning in nursing education. A case study. Nurse education in practice, 13(2), 96-100.
Capan, M. L., Ambrose, H. L., Burkett, M., Evangelista, T. R., Flook, D. M., & Straka, K. L. (2013). Nursing Portfolio Study: The Use in Annual Performance Reviews. Journal for nurses in professional development, 29(4), 182-185.
Willmarth-Stec, M., & Beery, T. (2015). Operationalizing the student electronic portfolio for doctoral nursing education. Nurse educator, 40(5), 263-265.
Yoder-Wise, P. S. (2014). Leading and Managing in Nursing-E-Book. Elsevier Health Sciences.
Zokaee, S., Zaferanieh, E., & Naseri, M. (2012). On the impacts of perceptual learning style and gender on Iranian undergraduate EFL learners’ choice of vocabulary learning strategies. English Language Teaching, 5(9), 138.
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