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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Getac is a global leader in the production of magnesium alloy rugged industrial computers. Our knowledge of how to make the casing itself gives us valuable insight into how to make them better.

Mariya Sabri said...

If you're looking for the best-ruggedized tablet, you probably have a specific mission in mind. Maybe you'll be doing a lot of outside work or working in an environment where a regular tablet can be easily destroyed. In difficult environments, the ruggedized tablet works admirably.

Mariya Sabri said...

The Toughbook’s from Panasonic are semi-rugged and sturdy, whether at your desk or on the go. These formidable machines are perfect for group meetings with the latest hardware for running some of the most in-demand graphic software applications. These laptops provide high-resolution widescreen with best-in-class graphic output.

Mariya Sabri said...

The Panasonic ToughPads are rugged Windows tablets designed to withstand the harsh environments, but it still performs as well as the best tablet PCs on the market. The durable Windows tablet is designed to withstand the worst but performs as well as the best tablet PCs on the market.

Mariya Sabri said...

Getac rugged laptops have one of the industry's lowest loss rates. For over 30 years, Getac rugged notebooks have continually produced market firsts in rugged hardware innovation.

Mariya Sabri said...

Panasonic has disclosed the new Panasonic Rugged handheld series with a smooth 5-inch Android-powered phone and handheld personal computer intended for on-ground laborers in a range of positions including retail, neighborliness, development, transportation, and enterprises.

Mariya Sabri said...

the B360 Pro fully rugged laptop was purpose-built to operate in challenging tactical environments. This computing powerhouse delivers lightning-fast response through 10th Generation Intel® Core™ processor and Intel® UHD graphics. Your environment is physically demanding on your gear. Lightweight, portable and MIL certified, the B360 Pro is ruggedized to support critical missions.

Mariya Sabri said...

The Panasonic Toughpad FZ-G1 is built to withstand significant hazards such as heavy downpours and merciless dust storms, as well as more everyday challenges such as falls, crashes, shakes, and bashes.

There are a myriad of ways to destroy a regular PC when you need it the most, but the Panasonic Toughpad FZ-G1 steps up to scrutiny and performs every time.

Mariya Sabri said...

The Getac B300 is a powerful computer that provides full protection in a compact package, as well as an indoor/outdoor view, hot-swappable batteries, and the highest warranty in the industry. In India, the Getac B300 is priced at Rs.212400 per chip.

Mariya Sabri said...

The Panasonic Toughbook CF 20 has the familiar Toughbook look and feel. The rugged magnesium alloy chassis is coated in silver-effect plastic on the back of the tablet and the wrist-rest portion of the keyboard panel, with tough black 'bumper car' edging to soften any blows, and house a generous assortment of ports, slots, and connectors that are all comfortably behind lockable covers

Mariya Sabri said...

Getac computers notebooks and tablets are innately tough worked starting from the earliest stage to perform in every single climate condition, and can without much of a stretch withstand drops up to six feet.

Mariya Sabri said...

The Panasonic Toughpad is fitted with thick elastomer bumpers on both outer borders and a rugged metal port that cover the openings and humidity.

These special design elements allow Panasonic Toughpad FZ G1 to be a reliable performer against shock, drop, spray, heat, cold and overall abuse. The Panasonic Toughpad FZ G1 is built to withstand significant hazards such as heavy downpours and merciless dust storms, as well as more everyday challenges such as falls, crashes, shakes, and bashes.

Mariya Sabri said...

When you need computer systems that can survive the harsh and unsafe working conditions of manufacturing industries, rugged industrial computers have the reliability, longevity, and versatility that help to keep processes functioning optimally while offering greater flexibility and a lower overall cost of maintenance.

Mariya Sabri said...

Rugged industrial computers are becoming increasingly popular because of their ultra-reliable performance in even the most demanding lines of work.

Mariya Sabri said...

Much like gaming and versatile productivity tablets, Getac rugged tablets are pricey and expensive. This is justifiable as the Getac rugged tablets are built with a particular business sector in mind. And when in that sector the efficiency is unmatched and phenomenal in terms of reliability.

Mariya Sabri said...

The Getac B300 is a rugged unit that includes an indoor/outdoor touchscreen, hot-swappable batteries, and the finest warranty in a convenient form factor. In India, the Getac B300 costs Rs.212400 per unit. The Getac B300 comes with a QuadraClear® touch display with 1400 NITs. Our QuadraClear technology combines proprietary image brightness and anti-reflectivity technology to provide a seven-fold higher effective pixel density than most displays while maintaining power consumption in the field.

Mariya Sabri said...

Getac rugged laptops have one of the lowest failure rates in the market. Getac rugged notebooks have consistently delivered industry firsts in innovative rugged hardware development for over 30 years.

Visit Us:- Getac Rugged Laptop

Mariya Sabri said...

Panasonic’s Rugged Handheld is an Android-based device with a 5-inch display and an IP68 rating, combining the best of handhelds and mobile phones.
Visit Us:- Panasonic Toughpads

Buy Getac x500 Rugged Laptop said...

Buy a Getac x500 rugged laptop if you require a bigger 15.6-inch display, a high-definition screen, or the flexibility to connect PCI or PCIe cards.

Visit Us:- Buy Getac x500 Rugged Laptop

Getac Laptop Price said...

Getac rugged laptops provide a level of versatility and threat security that consumer-grade laptops can’t match. Getac rugged laptops can withstand drops from six feet and work in hazardous conditions, keeping factory floors, public safety, and field service operations running smoothly.

Visit Us:- Getac Laptop Price

Mariya Sabri said...

As the first truly rugged detachable laptop, the Panasonic Toughbook CF-20 offers unrivaled flexibility and versatility for handheld business computing. The Toughbook can be used in six different modes to satisfy any company need, giving mobile jobs the best of all worlds. The Panasonic Toughbook CF-20 is an unmatched rugged device that serves as a platform for on-the-go mobile businesses with its glove-enabled touchscreen, up to 20-hour hot-swappable battery life, and purpose-built Vehicle Mount and Desktop Port Replicator.
Visit Us:- Panasonic Toughbook CF 20

Panasonic Toughpad said...

Generally, electronic instruments are sophisticated and fragile to treat, but Panasonic Toughpad is a hard computer. Panasonic Toughpad is a tablet that can resist a high degree of tension like a chemically corrosive condition where the temperature is high and humid etc. This machine is ideally suited for use in fields like aviation, building, power plants, field sales, etc.

Visit Us:- Panasonic Toughpad

Getac computers notebooks and tablets said...

Getac computers notebooks and tablets are the most affordable and lightweight semi-rugged laptops are. In 2014, Getac also launched the 11.6-inch F110 tablet computer, which is fully-rugged. Because of its Intel iSeries processor, multi-touch interface, and sunlight-readable screen, the F110 is a class master. Getac notebooks, computers, and tablets are low-cost, semi-rugged laptops with low downtime and reliable performance.

Apartment said...

Finding an apartment can be an overwhelming job particularly if you don’t know what you’re looking for or how much you can realistically invest and still have juice for other potential commitments. It can also be a little frightening especially if this is your first apartment.

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Property said...

Finding a decent real estate investment property, particularly for first-time property owners, appears to be an uphill journey. But if you have a basic idea of how real estate works might help you secure a good deal.

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ruggedized tablet said...

These ruggedized tablets are built with one intention in mind and that is to endure in every imaginable circumstance and to provide reliable assistance to people who work in such tough environments

rugged industrial computers said...

Rugged industrial computers have some key benefits over consumer-grade computer electronics, making them ideal for use in harsh industrial environments. The level of dependability is extraordinary. Ruggedized PC computers are built with modules and protected enclosures to ensure superior uptime in the face of extreme heat and cold, shock and vibration, as well as dust, mud, and water spray encountered in manufacturing environments.

Panasonic rugged handhelds said...

At one charge, the Panasonic rugged handheld will have a battery backup of "as long as 12 hours of nonstop use". Panasonic has achieved a significant achievement with its Panasonic robust handheld series cameras.

Panasonic Toughpad said...

Panasonic Toughpad although are a robust piece of hardware with industry-grade applications it comes at a price point that any business can afford. The Panasonic Toughpad are great for long use and are made to take a beating.

Buy Getac X500 rugged laptop said...

Buy the Getac X500 rugged laptop for high performance promised by Intel® CoreTM i5-7740HQ vProTM or i7-7820HQ vProTM processors, RAM expandable to 64GB and 500GB, and an SSD hard drive option that can theoretically take system performance to a whole new level.

Panasonic Toughbook said...

The Panasonic Toughbook series detachable laptop has a magnesium alloy casing and is MIL-STD-810G and IP65 approved, so it can tolerate the physical demands of any construction site.

Rugged Industrial Computers said...

Rugged industrial computers have the efficiency, durability, and utility that help to maintain processes running smoothly while providing greater functionality and lower total cost of ownership when you need computing equipment that can withstand the harsh and dangerous environments of industrial settings.

Panasonic ToughBook for Sale said...

Consolidate six generations of conveying rough execution in addition to 18 years of reliable docking similarity, the Panasonic Toughbook has the ability to take care of business with you whenever no questions asked.

Buy Panasonic rugged laptop said...

Panasonic rugged laptops provide that level of technology and ensure that there is no downtime due to the failure of equipment. These laptops are built to take a beating and if you looking to buy a rugged laptop for a highly demanding work environment then look no further then the Panasonic rugged laptop.

Panasonic Toughbook CF 33 said...

The Panasonic Toughbook CF 33 is a rugged handheld from the house of Panasonic. This machine is a feature-rich device that is designed to work in any work conditions and is 5 times more reliable than any other business laptop.

Panasonic rugged handhelds said...

Panasonic has announced the release of its next generation of rugged handheld devices. The Panasonic rugged handhelds are based on Android devices and feature an integrated barcode scanner along with a wide range of functionality and accessories.

Buy panasonic rugged laptop in Dubai said...

A substantial section of the Panasonic Toughbook base is made up of slots that can take a staggering number of modules everything from RFID scanners to Blu-ray burners. Just pop them out to swap them with a different module. Panasonic's rugged handheld is built to withstand the hardships of manual labor. The Panasonic rugged handheld is well-suited to and thrives in tough working environments.

Panasonic ToughBook CF 20 said...

The Panasonic Toughbook CF 20 is mostly built up of slots that can accommodate a wide range of modules, from RFID readers to Blu-ray discs. Simply detach and replace them with a new module. The front edge of the laptop has a carrying handle. The Toughbook CF 20 is somewhat hefty, weighing in at over 4 pounds, yet it's manageable to carry by the handle.

Getac Rugged Tablet said...

The Getac rugged tablets are completely robust Android tablets that are just the perfect size and are compact and powerful. It's the ideal answer for increased mobile productivity, with a thin and light, ergonomic design that's comfortable to carry in one hand.

Getac Computer Notebooks and Tablets said...

Getac computer notebooks and tablets are designed to assist individuals employed in the harshest environments. However, to meet all diverse manufacturing uses, certain restrictions are added to the mainstream platforms. GETAC provides a specialist customization tool to help customers overcome this challenge.

Panasonic Toughpads said...

The Panasonic Toughpads aren't really made for consumers, and they're only accessible via Panasonic's reseller network, so whether you're operating on a crowded basement level, in a car or garbage truck, or serving in Kandahar, you need a versatile PC that can cope with the best while still enduring the worst.


Buy Getac x500 rugged laptop said...

To this day, the Getac X500 ultra rugged computer is the company's flagship product. Buy the Getac X500 as a powerful ultra-rugged laptop that ever came out of the Getac house by integrating powerful Intel 7th generation Quad-Core processors with a genius 15.6 inch full HD display and limitless expansion.

Ruggedized Tablet said...

If you are already in the market and looking for the best-ruggedized tablets, you already have a specific need in mind. Especially if you are a professional working in tough conditions and are tired of unreliable performance offered by normal laptops, then ruggedized laptops are your best bet.


New Homes said...

House hunting is similar to every other shopping trip. You will zoom in on the new home you want at the right price if you know just what you want and do some testing. These eight-pointers will assist you in making an informed home purchase.

1 Bhk Flat said...

Our in-house experts have compiled this list of tips to help you make the most of your one-bedroom apartment. Even with the limited space, these tweaks and modifications will help you configure your home to your lifestyle.

Builder and Developer said...

Residential housing in India will see rapid growth in 2021 as well as over the next decade. This can be attributed to the fact that there has been sustained demand for sustained living in safe environments and strong government support behind India's residential construction sector.

2 BHK flat said...

To get a bed style with the room, you may also build a hidden storage space below to hold extra sheets, bedspreads, and rarely-used coats. This can help in efficiently utilizing the space in your 2BHK flat.

Real Estate said...

Your real estate investment niche is the road map that will lead you to your desired destination. While this could seem to be a simple task, one of the most difficult aspects of real estate investment is the sheer amount of options or niches available.

Houses for purchase said...

Purchasing a house is a highly emotional experience. You can fall victim to a variety of pitfalls when buying a house if you let your emotions get the best of you. Since house ownership has such far-reaching consequences, it’s important to keep your feelings in control and make the most informed decision possible.

Flat for sale said...

To begin, look at your home from the outside and ask yourself if it is inviting. Are you able to read your address? Is it time to repaint your home? Is your front yard overgrown with bushes? Have you ever found that your light fixture is broken?

Houses for purchase said...

Purchasing a house is a highly emotional experience. You can fall victim to a variety of pitfalls when buying a house if you let your emotions get the best of you. Since house ownership has such far-reaching consequences, it’s important to keep your feelings in control and make the most informed decision possible.

Panvelkar Group said...

The Panvelkar group exemplifies “workplace enthusiasm” in its entirety. Creating world-class quality and workmanship. Having developed their goodwill over two and a half decades the Panvelkar Group now owns and operates Banquet Halls, Luxury Resorts, Water Parks, Excavations, City Clubs, and other properties in addition to homes. The company is ensuring that everyone has the right to a lovely home and that it is a dream come true for many.

Property Dealer said...

Like too many Real Estate Companies popping up, finding a trustworthy property broker becomes a difficult challenge. Despite the fact that the Internet is an informational platform, people are suspicious of the info given online.

Rugged Industrial Computer said...

To begin with, many manufacturers advertise their products as being extremely sturdy and durable. However, determining which devices are capable of operating in your unique environment and meeting your unique criteria is not always straightforward.

Panasonic Toughbook CF 20 said...

Panasonic is marketing the rugged ToughBook CF-20 as a device that combines the versatility of a convertible tablet with the kind of sturdy build quality that has been known with Panasonic's ToughBook family of gadgets. Some highlighted features that have been the talk of the town are as follows.

Panasonic Toughbook for Sale said...

Panasonic Toughbook’s were introduced in India with a battery life of up to 40 hours that may be extended. Panasonic's rugged PCs are aimed at professionals in the automotive, federal/public safety, utilities, defense, and pharmaceutical industries.

Ruggedized Tablets said...

Truly rugged tablets are built from the ground up to perform in severe temperatures and other challenging environments. They're made to withstand drops, shocks, and vibrations while remaining dust- and water-resistant. A tablet has no moving components and uses a solid-state hard drive (SSD).

Panasonic Toughpad FZ-G1 said...

There is a myriad of ways to destroy a regular PC when you need it the most, but the Panasonic Toughpad FZ-G1 steps up to scrutiny and performs every time.

Getac rugged tablet said...

The Getac rugged tablets use innovative computing technologies such as an 8th generation Intel® CoreTM i7 CPU, enhanced graphics, and numerous protective options for enhanced mobility. Getac rugged tablets provide increased flexibility and adaptability to on-the-go professionals in a number of sectors. Consumer-grade laptops can't match the mobility and threat security of Getac rugged tablets.

Getac rugged laptop said...

● Getac rugged laptops meet Mil-STD Vibration, Temperature, and Stock Specifications. Windows 7 Professional 32-Bit Operating System (64-Bit System can be included at no charge - must make this request before payment is made)

Panasonic Toughbook CF 20 said...

The Panasonic Toughbook CF 20 isn't designed for customers, and it's only available via Panasonic's reseller network, so if you're working on a busy basement floor, in an automobile or garbage truck, or serving in Kandahar, you need a flexible PC that can compete with the best while still surviving the very worst.

Toughbook Laptop Price said...

Many of the testing’s Panasonic Toughbook computers go through are quite similar, whether it's NEMA and IP ratings or MIL-STD-810 certifications. The following are a few examples:

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property said...

Several areas, both inside and outside of #Mumbai, are hotspots for #real estate and #property #investments.

apartment said...

Here are #some #recommendations to help you avoid some of the most common #apartment #shopping #mistakes.

Builders and Developer said...

#new #Builders and #Developers #enter the #market, promising "only the #greatest #houses for you.

flat for sale said...

#Consult a #real #estate #evaluator, with his knowledge, he can evaluate your #flat for #sale to others.

Mariya Sabri said...

Getac rugged tablets, #laptops, and #handhelds are used all over the world in extreme #conditions.

Mariya Sabri said...

The Panasonic Toughbook CF 20 is being marketed as a #device that combines the #adaptability of a convertible #tablet with the type of tough build #quality.

Mariya Sabri said...

There is a #good range of rugged industrial computer out there, although the things are generally labeled with a #couple of #common #classifications.

Mariya Sabri said...
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Mariya Sabri said...

Buy Panasonic rugged laptop in Dubaii for extra convenience of using #wide range of #compatible #vehicle mounts.

Mariya Sabri said...

#Panasonic Toughbook laptop pricebegins at INR 1,17,882.58. It also include Long #Battery Life, which #guarantees that there is sufficient #energy.

Mariya Sabri said...

The Panasonic Toughpads may take a stroke, despite its #thinness. The #silver magnesium alloy chassis comes with a covering of elastomer and corner #bumpers.

Mariya Sabri said...

#Military and Marine Panel PCsprovide Panel #PC solutions that are tailored to strict limits and adhere to stringent #protection standards.

Mariya Sabri said...

It is up to them to #conduct due diligence prior to #purchasing. We'll show you how to #choose the #proper builders and developers

Mariya Sabri said...

The #demand for 2bhk flats in good neighborhoods is on the rise. The #popularity of 2bhk flats as an #investment option has #increased significantly post #Covid.

Mariya Sabri said...

#Sales of residential units surged #sequentially by 17 percent, while new #launches grew by 27 percent across the 7 #important markets in question.

Mariya Sabri said...

Property dealers would like to sell #inventories at the earliest opportunity. You will most #likely have an excellent #bargain if you can make an #advance #payment.

Mariya Sabri said...

Marine Panel PCs provide #rugged #industrial #solutions adapted to rigorous #restrictions and comply with high #requirements of #protection.

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