Survey Analysis

What did the survey reveal? What was good and bad about your presentation? What did you learn from the survey results? What will you do differently with your next presentation?

 

The results of my survey revealed that the power point presentation was engaging and the content of the presentation was helpful. In regards to second life and screencast, the survey revealed that navigating second life and screen cast was somewhat difficult. The survey revealed that the preferred training method was split between virtual reality and blended method. The respondents agreed that VR and simulation enhanced learning and that using technology to learn a new skill was important. Neither of the respondents were eager in wanting to use second life as a teaching tool. In regards to the respondents comfort level in using technology, the survey revealed that they were comfortable in using technology.

If I were to change anything in my next presentation, I would probably add a short video clip to make it more engaging and maybe add a few multiple choice questions to make the presentation more interactive and I would elaborate more on the content being presented.

Validating the Credibility of Websites

 

Blog Topic: Your neighbor has just been diagnosed with Gastroesophageal reflux disease (GERD). He has a lot of questions regarding the disease and treatment options. He has gone to the following websites (see below) to do some research and now has come to you to ask for your educated opinion. Compare and contrast these sites in regard to the validity and reliability of their information. What credible resources might you advise your neighbor to review? How can you validate the credibly of a website?

www.wikipedia.org

www.webmd.com

www.cdc.gov

 

According to McGonigle & Mastrian (2015) “clinicians should be cautious when recommending websites to patients and families, because not all sites are reliable or valid” (p. 295). It is important for the clinician to know how to identify websites that are credible and to recommend websites that can meet the learning needs of the patient. One such resource that is used to identify credible websites for health information is the Health on the Net (HON), which was created as a platform to distribute quality health information to patients, healthcare providers and the public as well as provide access to the most up to date medical data via the internet (HONcode, 2015).

Comparing and Contrasting Websites

In comparing and contrasting between Wikipedia, WebMD, and the CDC, Wikipedia- is a free encyclopedia that can offer valuable and accurate information, but does not guarantee that the content presented has been reviewed by experts and it cannot guarantee the validity of the information. Wikipedia doesn’t offer any formal peer review of the content, nor does it provide professional advice (Wikipedia, 2015).  WebMD on the other hand, is certified by Honcode, is Urac accredited, and the privacy of information is certified by Truste.  WebMD provides credible, original and timely health information content by well know providers. The contributors to the site are board-certified physicians, award-winning journalists, and trained community moderators. The qualifications of all medical professionals on the site are verified; including health professionals, experts, editorial professionals and contributors with a specialty license (WebMD, 2015). The CDC is a website that offers information that increases the health security of our nation by putting science into action and by providing health information that will protect us against unnecessary and dangerous health threats (CDC, 2014).

Credible Resources

Some common domains used for websites are .edu - education sites, .gov - government sites, .org - organization sites, .com - commercial sites, and .net - network infrastructures (Montecino, 1998).  In recommending a credible website for the neighbor to use to research his condition, I would recommend using government sites that use the domain .gov, such as the U.S. Department of Health and Human Services’ health finder site (www.healthfinder.gov), the National Institutes of Health (http://www.nih.gov) and Medline Plus (www.medlineplus.gov) (McGonigle & Mastrian, 2015, p. 296).

Validating Websites

To validate whether the website is credible, I would direct him to examine the web domain or URL address, and to look for the credentials of the author or organization. According to Lane (2010) “the author or organization should be clearly displayed on the website. If the credentials are missing, consider this a red flag” (p. 12). I would also direct him to determine if the website has been updated regularly and to determine what the websites intent is, such as, is it to inform, instruct, or is it to persuade and does it have advertisements (Lane, 2010, p. 13). Many websites that are considered reliable will have a seal of certification from a trusted accrediting organization such as the Health on the Net Foundation (HON). This seal of certification verifies the websites transparency of information regarding the authority, authorship, confidentiality, funding, and that it is up-to date, and honest about advertising and provides a clear distinction between advertisement and editorial content (HONcode, 2015). Doing these things can help in determining the quality of the information presented as well as help to ensure that the information is credible.  

 

References

About us: What we do for our users. (2015). Retrieved from WebMD: http://www.webmd.com/about-webmd-policies/about-what-we-do-for-our-users

General disclaimer. (2015). Retrieved from Wikipedia: https://en.wikipedia.org/wiki/Wikipedia:General_disclaimer

HONcode. (2015). Retrieved from Health on the net foundation: http://www.hon.ch/HONcode/Patients/Visitor/visitor.html

Lane, R. V. (2010). Stop! Evaluate website before use. Dental Assistant, 79(4), 12-45.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones & Bartlett Learning.

Mission, Role, and Pledge. (2014). Retrieved from Centers for disease control and prevention: http://www.cdc.gov/about/organization/mission.htm

Montecino, V. (1998). Guidelines for critiquing www resources. Retrieved from Education & Technology Resources: http://mason.gmu.edu/~montecin/web-eval-sites.htm

      





MN531 U5 Educational Technology Survey

Surveys



https://www.surveymonkey.com/r/Y6Q6GHL

Web-based surveys are becoming more popular due to their quick, low-cost, flexible way of obtaining the views of a study sample. They are useful in assessing opinions and views in business, commerce and education. There is almost no cost involved in the use of online survey tools and they can be embedded within social media sites, placed into websites and included in emailed links. An example of a web-based survey is the Survey Monkey. Survey Monkey is a very popular and well known survey tool that ranks highly on search engines. The basic package which is free offers the subscriber 10 questions per survey with a maximum number of 100 responses. It also provides examples of survey formats from a pre-installed library (Phillips, 2015).

Survey Monkey is an interactive site that can be used to set up questionnaires that offer a variety of responses using drop down menus and yes/no responses. Tutorials and information sheets are provided for those new to the site and services. This online web survey is also a great tool to use to conduct health research with appropriate ethical approval (Waclawski, 2012).

 

References

Phillips, A. (2015). OH research: How to conduct surveys. Occupational Health, 67(1), 27-30.

Waclawski, E. (2012). How I use it: Survey Monkey. Occupational Medicine (Oxford, England), 62(6), 477. doi:10.1093/occmed/kqs075

MN531 U4 Educational Technologies Screencast

http://www.screencast.com/t/LakqQWSro1x

According to (Hartley, Ludlow, & Duff, 2015) “virtual reality is a computer simulation of the real world in which users engage in actions and/or interact with others in life-like environments…” (p. 21). According to (Cooke-Plagwitz, 2009) (as cited in Hartley, Ludlow, & Duff, 2015, p. 21)  “SL contains the most critical components for successful virtual learning: an immersive environment for situated learning, an avatar that allows active learning, and text and speech interactions with other learners to enable socially constructed learning”.

Pros of VR

The pros to using the technology in Second life includes the following: it engages you visually and simulates reality, it provides “How To” instructions on how to use the different features, it offers the opportunity to interact and engage with other users in different environments or destinations and the option to share content.  According to Rahim (2013) “Second Life provides ample teaching and learning opportunities for learner-centered teaching and learning. It allows the flexibility for students to learn to create 3D objects on their own, supports virtual commerce, communication and interaction in an innovative 3D environment” (p. 2).

Cons of VR

 The cons associated with using Second life is that I found it difficult to navigate the site while using a laptop, it was a little easier to navigate using a desktop. Despite learning how to control the avatar, I still found it confusing as to how I was going to use the site to create a learning environment. The tutorial videos did not peak my interest to want to use the site. I did not find it very helpful. Also I found the site to be slow in uploading or sharing to screencast. Other cons or challenges associated with the site may include resistance to the technology, especially by those who have no experience working with virtual worlds, logistic issues related to transitions between activities (Hartley, Ludlow, & Duff, 2015, p. 23).

 

References

Hartley, M. D., Ludlow, B. L., & Duff, M. C. (2015). Second life®: A 3D virtual immersive environment for teacher preparation courses in a distance education program. Rural Special Education Quarterly, 34(3), 21-25.

Rahim, N. F. (2013). Collaboration and knowledge sharing using 3D virtual world on second life. Education for information, 30(1), 1-40. doi:10.3233/EFI-130928

Cheryl Givens U3 Teaching Strategies EKG

Teaching Strategies for EKG Machine


The following teaching strategies of instruction, illustrations, and demonstration will be used to educate staff about EKG Machines.

Objectives:

At the end of the education teaching, the clinician will be able to

• Understand What an EKG is and Why it is done
• Understand and demonstrate the correct placement of the EKG leads
• Understand and demonstrate how to operate the EKG machine
• Understand how to read a basic EKG strip

What is an EKG

• An electrocardiogram- abbreviated as EKG or ECG- is a test that measures the electrical activity of the heartbeat (http://www.heart.org/HEARTORG/)
• The EKG is used to determine heart rate, heart rhythm, and other information regarding the heart's condition, including diagnosing heart disease (http://practicalclinicalskills.com/what-is-an-ekg.aspx)

Why is an EKG Done

• To measure time intervals in order for the doctor to determine how long it takes for the electrical  wave to pass through the heart
• To determine whether the electrical activity of the heart is normal, slow, fast or irregular
• To determine whether the heart is too large or overworked (http://www.heart.org/HEARTORG/)

Lead Placement

• Maintaining privacy and dignity, the patient should be in a recumbent position that allows access to their chest, legs and arms so the electrodes can be placed accurately (Garner, 2014).

                                                                                                                      (Basic EKG Strips, 2015)
Steps to Operate EKG Machine

• Make sure machine is plugged into a power source
• Verify connection between monitor and EKG machine
• Set the EKG to test mode (this will check the functioning of the machine)
• Enter patient demographics as prompted (this will help to identify patient's results from others)
• Select the leads you want the machine to read (leads come in 3,5,and 12)
• Apply the leads per illustration on machine

https://youtu.be/3ay3m9U8Lfo

                                                                                                      (wingmemorialhospital, 2013)

How to read a basic EKG strip

The first upward of the EKG tracing is the P wave. It indicates atrial contraction

• The QRS complex begins with Q, a small downward deflection, followed by a larger upwards deflection, a peak (R); then a downwards  S wave. The QRS complex indicates ventricular depolarization and contraction
• Finally, the T wave, which is normally a smaller upwards waveform represents ventricular re-polarization  (http://www.practicalclinicalskills.com/what-is-an-ekg.aspx)

                                                                                                         (Basic EKG Strips, 2015)

 

 

 

• It is important to maintain practical clinical skills to a high standard. Monitoring trends forms an important part of individualising patient care plans, allowing provision of the best quality care, and ensuring a good patient experience (Garner, 2014).

 

References

Basic EKG Strips. (2015, November 29). Retrieved from Google Images: https://www.google.com/search?hl=en&site=imghp&tbm=isch&source=hp&biw=1920&bih=985&q=ekg+strips&oq=ekg&gs_l=img.1.4.0l10.3722.4228.0.14772.3.3.0.0.0.0.114.333.0j3.3.0....0...1ac.1.64.img..0.3.329.wNgk1NpLtP8#imgrc=ywYMs8uEwU_MfM%3A

Electrocardiogram (ECG or EKG). (2015). Retrieved from American Heat Association: http://www.heart.org/HEARTORG/Conditions/HeartAttack/SymptomsDiagnosisofHeartAttack/Electrocardiogram-ECG-or-EKG_UCM_309050_Article.jsp#.VlvZyKWFOUk

Garner, S. (2014). Practical skills in primary care part 2. Practice Nurse, 44(2), 18-22.

What is an EKG? (2015). Retrieved from Practical Clinical Skills: http://www.practicalclinicalskills.com/what-is-an-ekg.aspx

WingMemorialHospital (Producer). (2013). MAC 5500 Training Video (Part 1) [YouTube]. Retrieved from https://youtu.be/3ay3m9U8Lfo

Teaching Strategies for Implementing an EHR

 

(EHR Training Images, 2015)



The teaching strategies I plan to use to train staff on a new EHR system will consist of a blended method including the use of multimedia in the format of instructions, demonstrations, video and hands-on directed activity. According to McGonigle & Mastrian (2015) “multimedia refers to a computer-based technology that incorporates traditional forms of communication to create a seamless and interactive learning environment, such as interactive tutorials, streaming video, and problem-solving programs” (p. 371).

Objectives

·         Enhances learning retention

·         Increases motivation

·         Improves higher-order thinking

·         Enhance problem solving skills    (McGonigle & Mastrian, 2015, p. 371)

 

 

According to Furlong (2015) “RNs typically use EHRs to review orders, diagnostic results, dictated notes and consults, and to document care, such as the administration of medications” (p. 21). The objective of the training is to enhance users understanding of the EHR system and how it can be used to improve patient outcomes, improve quality and reduce overall costs. Training will also provide the opportunity to introduce system features and allow users to become familiar with the templates, order sets, documentation, medication management and workflows through the use of instruction, video and interactive learning (Bredfelt, Awad, Joseph, & Snyder, 2013, p. 3).

Patient scenarios will be utilized to allow for practicing documenting of patient information, reviewing orders, navigating work flows, medication management and setting up personal preferences.

Each staff will be required to attend six 5 hour training sessions, where each will be provided access to a computer and will be given a scenario to practice with. The classroom setting will accommodate up to 20 participants and will include me as the nurse informaticists’ instructor and an assistant.

 

                                                                                                   (EHR Training Images, 2015)

 

Comparing and contrasting the different teaching methods

I utilized similar blended teaching strategies for both teaching scenarios that included the use of multimedia in the form of instruction, demonstration, video and hands-on directed activity. The only difference is that illustration was a format I deemed appropriate to use in teaching about EKG lead placement and basic reading of an EKG strip. The hand-on directed activity can be utilized in both situations, especially with the lead placement and practicing using the EKG machine, but it is also appropriate in learning to navigate the new EHR system to become familiar with the different features and learning shortcuts and personal preferences to enhance ease of use and acceptance.

 

 

 

References

Bredfelt, C., Awad, E. B., Joseph, K., & Snyder, M. H. (2013). Training providers: Beyond the basics of electronic health records. BMC Health Services Research, 13(1), 1-14. doi:10.1186/1472-6963-13-503

EHR Training Images. (2015). Retrieved from Goggle Images: https://www.google.com/search?hl=en&site=imghp&tbm=isch&source=hp&biw=1920&bih=985&q=ehr+training&oq=ehr+training&gs_l=img.12..0j0i24l9.3571.13441.0.20215.12.9.0.3.3.0.149.1060.1j8.9.0....0...1ac.1.64.img..0.12.1093.pyNE4907mWQ

Furlong, K. (2015). Learning to use an EHR: Nurse' stories. Canadian Nurse, 111(5), 20-24.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones & Bartlett Learning.