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




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source: https://riversweeps.org/beginners-guide-777-slot-machine/

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Creating the ultimate home for your digital presence: Every customer's journey starts by researching online, and your brand's website must guide potential customers through their journey. You should design it to tell them an engaging story, to highlight a problem, to provide the solution, to call them to action, and to promise a happy ending. In Webzool, the agency of website designers in Los Angeles , we ensure that every client gets a happy ending with their website development by approaching each case with special sensitivity and professionalism.
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You can also bet how much you wish as there exist no limits for online games. This feature adds additional excitement to your gaming experience, other than increasing your winning. You should also know that river sweepstakes software can update and add new games to their rich libraries periodically. Thus, you will not get bored with the same games. You will have access to popular games wherever you want.
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App development is the process of creating and producing unique algorithms or set of commands in the computer which perform predetermined tasks. Application development has become a popular branch of coding with its compatibility with different devices. We all use a wide range of apps for various purposes, namely reading books, listening to music, or gaming. All app development stages start with a brilliant idea and end with launching. The app development cycle is time-consuming and complicated. If you have little to no understanding of the app creation process, it will be better to get expert help. Software development requires consideration of the User Experience. Users should find the software, its navigation panel, and all features comfortable. Sustainable improvement of the service is the key to success in this industry.

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Everyone cares about the question, what are the best casino games for withdrawal in 2019? Everyone wants to win money and to get them as soon as possible. Not so important – the beauty of the slots, their bonuses or convenience. It is essential for players to understand not only pleasure but also real gain while playing the Best Casino Games to win money. The best online casinos understand this very well and therefore try to withdraw money as soon as possible, thereby ensuring themselves a good reputation. More info http://topslotreviews.com/casino-games/best-casino-games-highest-payout-rates/

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Whether for fun or profit, among the perennially most popular games are casino games. Poker, slots, roulette, craps, and many more provide player with all the excitement of the casino, right in their hands. For you, the casino game development , you can put your spin on the design, the action, and especially the extras that your game has. You can monetize it or simply let it be a great way to brand your hotel, restaurant, or casino with a great free game.
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