Tuesday, June 8, 2010

Using Simulation and Video Feedback to Enhance Dietetic Interns’ Counselling Skills and Confidence



The transition from dietetic intern to registered dietitian involves a tremendous amount of adaptation over a relatively short time. Interns must acquire the knowledge, practical skills, and critical thinking processes that underpin dietetic practice. In addition, interns must move through a socialization process where they internalize the values, attitudes and behaviours that define how dietitians conduct themselves in the workplace.

Evidence suggests that student nurses, medical interns and other trainees (including dietetic interns) experience ’Transition Shock’ (Duchscher, 2008) and struggle with feelings of anxiety, insecurity, inadequacy and instability as they move from the known role of student to the less familiar role of health care practitioner (Kramer, 1974; Duchscher, 2008). Simulations have been identified as a strategy to combat Transition Shock, and can be used to provide a skills-based clinical experience in a safe and secure environment (Fowler-Durham and Alden, 2007). Exposing students to activities that mimic those occurring during practicum training is thought to decrease anxiety and promote skill development.

Role the tape!

In September 2008, simulation suites based at the University of Alberta (UA) Health Sciences Education and Research Commons (HSERC) began operations. The suites, constructed to resemble clinical interview or examination rooms, allow students to be discreetly videotaped while engaged in practice-based activities with mock patients. The process used to tape simulated patient care activities at the HSERC is novel. While both the student and the mock patient consent to being videotaped, they have limited awareness of a camera in the room as cameras are disguised as light fixtures and controlled by a teaching assistant from a hidden monitoring room. Video footage of the simulation is saved to a secure website that students can access. Students can only access their own footage. They can do this from home if they wish and can view the footage repeatedly to identify strengths and areas for skill development.

The first cohort of dietetic interns participated in simulated patient interviews in the Winter of 2009. The simulations were structured to expand on a basic nutrition assessment and interviewing framework taught in NUTR 466: Introduction to Professional Practice. NUTR 466 is a classroom-based course designed to transition interns into professional life. The interns were asked to interview a mock patient diagnosed with either uncomplicated type 2 diabetes or hyperlipidemia. They were to assess the patient’s nutritional requirements, develop a simple care plan, and provide basic nutrition education. In addition, interns were asked to demonstrate their ability to manage the interview by taking time to develop rapport, set one to three simple goals, and to respond to questions. Intern feedback was extremely positive. They commented that they appreciated being able to ‘see’ how they did while engaged in the interview; many indicated that they had a clearer idea of skills to develop.

The simulated interviews are now a dedicated part of the NUTR 466 curriculum. Each intern completes at least two videotaped interviews and additional sessions can be arranged for those who are struggling or who want extra practice. Feedback from interns continues to be positive. Informal feedback from preceptors and interns (once interns are in placements) suggests that simulation use along with the other practical teaching methods used in NUTR 466 have increased intern confidence and readiness to engage in patient interviews.

Cut the tech

No simulation suite – no problem! It is possible to reap the benefits of videotaped simulation in ways that are relatively simple to organize:

  • Ask interns to invite a friend, family member or colleague to act as their mock patient.

  • Set up a mock interview room by arranging a table and two chairs in front of a clean wall. Place a video camera on a tripod in front of your set.

  • Position the intern and the mock patient in the chairs in front of the camera and begin recording.

  • After the interview, download the footage and share it by email or save to a disk or data stick.

All interns experience some degree of “Transition Shock” as they enter the health workforce. However, novel teaching strategies like simulation and video feedback may help to lessen this effect and make the experience enjoyable for both interns and preceptors.

REFERENCES

Duchscher JB. (2009). Transition shock: the initial stage of role adaptation for newly graduated registered nurses. Journal of Advanced Nursing, 65(5): 1103-1113.

Fowler-Durham C, and Alden KR. (2008). Enhancing patient safety in nursing education through patient simulation. In Patient Safety and Quality: An evidence-based handbook for nurses: Vol. 3. Available at www.ahrq.gov/qual/nurseshdbk/.

Kramer M. (1974), Reality Shock - Why Nurses Leave Nursing. St. Louis: Mosby.


Contact

Heidi Bates, MSc, RD
Director, University of Alberta Integrated Dietetic Internship
Edmonton AB
E: hbates@ualberta.ca




76 comments:

Christina said...

Were there any common threads among what people took away from this exercise?

U of A intern said...

We overcame the nervousness of counseling and felt more confident in our knowledge translation to clients.
This exercise forced us to start applying the theoretical knowledge into understandable, "people-friendly" terms.
I found the simulation helpful because often times we don't know what we sound like, or how we act when doing mock counseling sessions with classmates. We just become muddled in our thoughts of getting as much information across without truly seeing/knowing what we are doing. The simulation opened our eyes to help us become better interns.

Online Pharmacy said...

Some facts and figures regarding this exercise will be more helpful for people to understand the pro and cons of this exercise.

hermes black bag said...

Thanks for sharing the nice pictures. You have done a great work. Every homeowner can benefit from property management services.

friv 5 said...

Diet and lots of things we need to pay attention to the guarantee given. Indeed, one way to do science is not easy.

Anonymous said...

Using Simulation and Video Feedback to Enhance Dietetic Interns’ Counselling Skills and Confidence is definately one way to boost the skills of individuals, which can then be used to obtain Fast Online Degree which is affordable and flexible at the same time, so that the peeps are connected with the new advancements of technology.

Joel Carter said...

To connect people with technological advancements and to enhance their abilities, video feedback is a best tool. Online education is using such technologies to provide distance learning to students so that they are able to earn quick degrees and enhance their careers.

Womens Bam! Comic Book Flat Velvet Loafer said...

It Could Be FREE is one of the best online store in US to buy all products on wholesale and cheap prices Womens Bam! Comic Book Flat Velvet Loafer - Born Free, Live Free, Buy Free etc

Adzet Marketing said...

Business development strategy online is the world's leading Marketing Platform - providing marketing strategy and business development strategy to small and medium businesses worldwide. If you need a strategy for your business, call us now !

mike shack said...

Sculpt - All Natural Men's Meal Replacement Protein Shakes100% Natural. Gluten & Lactose Free. 20g Protein & 4g Fiber. Patented AES® boosts absorption 48%. Premium Meal Replacement Protein Shakes.

Devid Mark said...

Nice post

Benjamin said...

This is a wonderful post to me and all of them who are involve to the video production. I am very happy to know the discussion as well and sure that it will be very essential to me as well.

forte music said...

Forte schools offer a FREE trial lessons for classes and some offer a Free Trial private lesson.

obat herbal said...

Menghilangkan Kutil Pada KemaluanTapi sayangnya kebanyakan yang terjadi, kutil tersebut akan kembali muncul setelah disembuhkan atau dihilangkan. Hal ini juga yang kemudian membuat banyak penderita yang beralih ke metode pengobatan yang lebih intensif seperti cryotherapy. untuk cara pemesanana silahkan kunjungklik disin

obat wasir herbal yang mujarabLada dapat menyebabkan wasir. Dikonsumsi dalam jumlah sedang, lada hitam tidak menyebabkan wasir. Tapi bagi sebagian orang, makanan pedas dapat menyebabkan gatal-gatal dan iritasi dubur.untuk cara pemesanana silahkan kunjungsite kami

obat keluar nanah dari kelamin priaJika pada pasien sipilis biasanya akan ditemukan ruam-ruam merah di sekitar alat kelamin, namun tidak demikian dengan pasien kencing nanah. Mereka tidak akan mendapatkan ruam merah di sekitar kelamin, namun pada pasien pria gonore bisa menyebabkan lubang penis memerah dan membengkak.untuk cara pemesanana silahkan kunjungsite kami

obat ambeien yg alamiWasir internal merupakan wasir dimana pembengkakan terjadi didalam vena rectum sehingga tidak dapat diraba atau dilihat dan juga tidak ada rasa sakit. untuk cara pemesanana silahkan kunjungsitus kami

obat keluar nanah dari kelamin priaCara terbaik untuk mengobati penyakit ini adalah dengan segera pergi memeriksakan ke dokter spesialis ketika anda menemukan hal-hal aneh yang terjadi dan berhubungan dengan alat kelamin. Apalagi jika anda menemukan ada satu dari gejala yang telah disebutkan diatas pada diri anda sendiri. untuk cara pemesanana silahkan kunjungsite kami

Obat Kutil Di KelaminPengobatan Kutil Kelamin Pada Pria Apakah Seperti Menarik Parasit Dari Organ Kelamin Anda ?untuk cara pemesanana silahkan kunjungartikel selanjutnya

Obat Kutil Di Sekitar KelaminEkstrak obat herbal ini dapat dengan mudah dicerna tubuh dan menyembuhkan secara alami dari dalam, tanpa efek samping seperti pengobatan kimia lainya. untuk cara pemesanana silahkan kunjungblog ini

obat herbal said...

Menghilangkan Kutil Pada KemaluanTapi sayangnya kebanyakan yang terjadi, kutil tersebut akan kembali muncul setelah disembuhkan atau dihilangkan. Hal ini juga yang kemudian membuat banyak penderita yang beralih ke metode pengobatan yang lebih intensif seperti cryotherapy. untuk cara pemesanana silahkan kunjungklik disin

obat wasir herbal yang mujarabLada dapat menyebabkan wasir. Dikonsumsi dalam jumlah sedang, lada hitam tidak menyebabkan wasir. Tapi bagi sebagian orang, makanan pedas dapat menyebabkan gatal-gatal dan iritasi dubur.untuk cara pemesanana silahkan kunjungsite kami

obat keluar nanah dari kelamin priaJika pada pasien sipilis biasanya akan ditemukan ruam-ruam merah di sekitar alat kelamin, namun tidak demikian dengan pasien kencing nanah. Mereka tidak akan mendapatkan ruam merah di sekitar kelamin, namun pada pasien pria gonore bisa menyebabkan lubang penis memerah dan membengkak.untuk cara pemesanana silahkan kunjungsite kami

obat ambeien yg alamiWasir internal merupakan wasir dimana pembengkakan terjadi didalam vena rectum sehingga tidak dapat diraba atau dilihat dan juga tidak ada rasa sakit. untuk cara pemesanana silahkan kunjungsitus kami

obat keluar nanah dari kelamin priaCara terbaik untuk mengobati penyakit ini adalah dengan segera pergi memeriksakan ke dokter spesialis ketika anda menemukan hal-hal aneh yang terjadi dan berhubungan dengan alat kelamin. Apalagi jika anda menemukan ada satu dari gejala yang telah disebutkan diatas pada diri anda sendiri. untuk cara pemesanana silahkan kunjungsite kami

Obat Kutil Di KelaminPengobatan Kutil Kelamin Pada Pria Apakah Seperti Menarik Parasit Dari Organ Kelamin Anda ?untuk cara pemesanana silahkan kunjungartikel selanjutnya

Obat Kutil Di Sekitar KelaminEkstrak obat herbal ini dapat dengan mudah dicerna tubuh dan menyembuhkan secara alami dari dalam, tanpa efek samping seperti pengobatan kimia lainya. untuk cara pemesanana silahkan kunjungblog ini

Penjual Herbal said...

Sebelum membicarakan tentang Obat kutil di daerah alat vital , sebenarnya ada hal lain yang lebih penting dari hal itu, yakni tindakan pencegahan silahkan baca selengkapnya . proses pencegahan sebagai Obat alat vital sakit ini juga perlu dibantu dari orang-orang yang ahli di dalamnya sehingga pencegahan tersebut efektif dan bisa sesuai dengan sasaran, silahkan baca selengkapnya . bila kita melihat lebih jauh dan meneliti beberapa kasus yang ada Obat keluar nanah di kelamin yang paling manjur adalah pencegahan sejak dini, silahkan baca selengkapnya . Dan ternyata ada Obat herbal wasir yang secara alami masih bisa dikonsumsi, silahkan silahkan baca selengkapnya . Penyakit kanker payudara bisa isembuhkan jika ditangani sejak dini dengan Obat herbal kanker payudara . Anda harus mengetahui gejala-gejala kanker payudara agar anda dapat mengobatinya sebelum terlambat silahkan baca selengkapnya . Tapi jika anda sudah terlanjur terkena penyakit ini, maka pengobatan yang harus dilakukan dengan Obat kutil di alat vital , lebih lengkapnya silahkan baca selengkapnya .

soniboni said...

good Hence, today we happen to be below with Theatre Pack app, guide from cinemaboxapphd alternative for getting from mysterious options, Cinema Box iPad nice.

ershovayuli said...

good video lessons on your android os phones. go to mobdrodownloadi Totally examine out the guidebook Mobdro for Personal computer, Mobdro Download App nice.

robertgreene said...

good and video games stick to us on Public Systems like Facebook visit prismadownloadapps installation applying the on-screen recommendations. Prisma Download Free nice.

DanielsLindsay said...

good There no limit to download video tutorials and videos. Vidmate for PC Putting in the Vidmate App on the Android Smartphone good.

meyerangel said...

Great Recommended clips could be tailored based on your personal will. XHubs XHubs was created by BeeDownloader Fine.

HannahAMueller said...

good your Android smartphone or tablet. The proprietors of various other tools should download iplaystoreapp.com the display as well as will show appropriate information. Variation 5.6.6 altered ,nice.

HannahAMueller said...

good If you're fortunate sufficient, you'll get this application preinstalled on https://iplaystoreapp.com so when tapping a character's image, the photo will certainly zoom as much as the top of ,nice.

audreybphillips said...

awesome for remotely accessing the game Andy remote application 9apps apk and this emphasis to offer multidimensional ranking nice.

audreybphillips said...

good FileHippo below.I am covering some of the typical commonly SHAREit for PC It's not possible; no connected customer can ever before take great.

Bajirao Peshwa said...

good regarding the SHAREit for Windows or Desktop application. shareit for pc documents without your approval.Ways to share Contacts to nice.

bettycyoung said...

Great you do not need to capture the entire stream mobdro premium apk released official variation for iOS based device Fine.

cathrynzbrown said...

good play Pokemon Go as well as catch some great Pokemon. tutuappz.com download and install paid applications absolutely free nice.

Jio TV said...

wowww... I like this camera.look advanced.
just as amazing as films on Jio TV

Ethel Graff said...

good Conserve the downloaded Mobdro Apk data in any kind of https://mobdro.uk currently trending occasionally, in contrast to various other great.

denisejmorris said...

good could set up their own industry. There is a numerous languages https://aptoideapkdownload.co wager the application in your default application store nice.

Shareby Tuấn said...

Thanks for share
My website : Địa chất công trình

Anonymous said...


Download Music Paradise Pro
Music Paradise Pro Apk
TuTuApp
Movietube CC

Payday Loans Chicago said...

So on the off chance that you have a base due adjust you need to pay on one Mastercard, you can't utilize another charge card to pay that due adjust unless in the event that you are doing an adjust exchange starting with one Mastercard then onto the next Visa.

MicheleDavila said...

you could surely try this app for obtaining the exact same outcomes. https://imobdro.com the application on your iphone gadget or iPhone.

SandraRoper said...

Download and install from the numerous sources like tubidy music which will download the YouTube videos and also songs.

GladysHardeman said...

Whatever, You can use the Fildo application to stream Fildo for Android You may have to make use of straight connect to get fildo.

usapaydayloanstore.com/chicago said...

Attempt and pay off your credit as fast as could reasonably be expected. Paying in portions may be advantageous, however you'll be paying tremendous charges for the benefit. A decent approach to pay it down quick is to pay back more than you owe every month.

cash advance said...

Try not to think you are great after you secure a credit through a snappy advance organization. Put your printed material in a protected place, and record the result date for your advance on the logbook.

check casher Holiday said...

It is very easy to finding us as we are at your city or nearest places. Just remember us and we will cash your check very short period with a very low cost.

BIGO LIVE APP said...

BIGO LIVE APP is the most popular broadcasting app on mobile platform where you may start your own Live Stream and watch enjoyable show of talented performers.
Come and join us to win over popularity and collect prizes.
Video Streaming or broadcasting has got a new trend with Bigo Live App.
The app discovers you, talented people, worldwide. It doesn’t stop with that, and any Bigo Live user can broadcast any video to the world.
It might be your anything that you are passionate doing.
Tried a new dish? Want people to try it? Then go live with Bigo Live App

payday loans said...

Money advance advances are likewise named money advances. These loan credits can, best case scenario be depicted as excessively costly advances until payday. A developing number of overnight organizations began subsidizing loans fundamentally because of their mass fame and colossal benefits.

payday loans corona said...

Loans, much the same as every single other kind of advances, are not 'free cash.' They are available, but rather they should be reimbursed, as well. Before applying, you should comprehend the money related duties you have. You have to comprehend that loans require huge intrigue and expense which must be paid inside a brief time of two weeks. Take note of that both government and state laws are connected as far as necessities and of assents.

Auto Title Loans Chicago said...

Notwithstanding when far from a home, a client of a bigger bank will have physical areas to get to their records or utilize one of the numerous online alternatives.

shengda xu said...

michael kors outlet online
ralph lauren outlet
nike sneakers
polo ralph lauren outlet
kate spade purses
ghd hair
nike outlet store
cheap ray ban sunglasses
ray ban sunglasses outlet
kobe bryant shoes
xushengda0428

check cashing said...

The truth is out, not all loan specialists oblige you to fax in paystubs, credit reports and distinguishing proof before accepting your endorsement letter. Try not to squander your valuable time, inquire about a Faxless Payday Loan.

Basu Batra said...

I have enjoyed this blog, your Living With Less blog and now I'm sure I'll enjoy your new blog. Thanks for sharing with us!

RRB Patna Result 2017

Neel Sen said...

Hi,
Thanks for the information about this Really nice Post.

West Indies vs England 3rd ODI Live Streaming @ Ten Sports HD
New Zealand Jersey Image, Picture 2017

Ryan Wells said...

Daredevil and Bullseye are going to have a face off for sure in Daredevil season 3 as the antagonist is expected to appear in the upcoming installment.

opera mani said...

good post
bigo live for pc
bigo live pc
bigo live for blackberry
bigo live for ios
bigo live mac
bigo live pc
thanks admin good post

surbhi jain said...

You have even figured out how to make it reasonable and straightforward to peruse. You have some authentic work ability. Much thankful to you.

SEO Interview questionsanswers

ngay xem said...

Thanks for the information the post "Using Simulation and Video Feedback to Enhance Dietetic Interns’ Counselling Skills and Confidence"
Website <a href="https://xemngay.vn>xemngay.vn</a> chia se cong cu xem ngay tot xau, xem phong thuy, tu vi

Next Gen Com Tech said...

Next Gen Com Tech is a leading company in Calgary.
laptop screen Calgary - Computer repair Calgary

payday loans san-diego said...

Advance borrowers ought to peruse, survey terms and states of advance banks before applying for a credit. Get you illuminations affirmed from client mind staff.

JulieAzevedo said...

sharing my videos would have brought a smile to my face and also an https://musicallylogin.co/ straight at privacy@musical.ly so that appropriate activity could be taken.

ElizabethMartin said...

Every occurring of items will be available and also there is a significant scope for learning. LiteBlue To Access your LiteBlue Login you require to enter Employee ID.

Richard C. Lambert said...

It is the intent to provide valuable information and best practices, including an understanding of the regulatory process.
Learn More

Akshi Sharma said...

Click here to get
Fildo for PC

Akshi Sharma said...


Click here to get
aptoide for ios

Click Here said...

Hopefully, you like Bluestacks For PC article which is currently the top 10 Best Android Emulators for PC Windows, Laptop. Most of them are compatible with Windows 7, Windows 8.1 & XP too. If you find any issues while installing or using any of the above Android simulators.

Jock son said...

IPtv is one of the big online platform of the entertainment, So click the near link iptv stalker and watch the Live channels in UK languages.
and downloading the IPTV for free click below links.

smart iptv playlist download

lindaatkinson7k48075 said...

It is fast in processing as well as most accurately adorns the result of the feature. http://www.testdpc.com Application has worked to all. If there are any kind of inquiries

check cashing said...

We will be inclined to location unit the agency providing you the most effective services regarding inside a short amount. In USA you will realize U.S. Everyplace, every city and 24/7.

DEMO said...

TSPSC Gurukulam Recruitment Check out Here for more details

KERALA HSC RESULT said...

odin

KERALA HSC RESULT said...

Mini Militia pro

KERALA HSC RESULT said...

wwe 2k18 apk download

KERALA HSC RESULT said...

james

KERALA HSC RESULT said...

my boy

cash advance said...

Will I have the capacity to pay off the advance in the given time allotment? For the most part, moneylenders expect borrowers to reimburse their credit when they get their next paycheck, which is ordinarily a two-week time allotment.

happy wheels said...

We can find a way to break through Even if we can't find heaven, I'll walk through hell with you.
geometry dash

Best General Contractor City of Yonkers said...

The team at Ajrin Construction Inc. is the best of the best general contractors and support staffs, as selected from within the industries over City of Yonkers NY based upon their achievements and their understanding of complex projects.Best General Contractor City of Yonkers

Best Home Improvement Company City of Yonkers said...

The team at Ajrin Construction Inc. is the best of the best general contractors and support staffs, as selected from within the industries over City of Yonkers NY based upon their achievements and their understanding of complex projects.Best Home Improvement Company Westchester County

check cashing said...

Are you looking to cash into a checking account, the total amount usually cannot be immediately accessed; there may be a waiting period for the check to clear? We are the companyproviding you the best services about check cashing within a short period. In USA you may find us everywhere, every city and 24/7. We really love to serve you the best things with 100% satisfactions. It is really hard to say when exactly need to cash your check. Sometimes it may very difficult to cash if it is not official hours. That’s why we feel you much and started 24 hour check cashing services. It is very easy to finding us as we are at your city or nearest places. Just remember us and we will cash your check very short period with a very low cost.
check cashing

amybtarnet said...

Your phone is doing several tasks than you can possibly think about. kingrootapkdownloads Amplify Battery Extender which will certainly work just after rooting.

Rugged Handheld PC said...

This is an excellent post if you ask me and them all that are involve to the video production. I'm very happy to know the discussion as well and sure that it will be very essential if you ask me as well.