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




1,037 comments:

«Oldest   ‹Older   1001 – 1037 of 1037
Ndure Shoes said...

Buy Latest fashion sports bra Pakistan online from Ndure. Fast Shipping at your doorstep.

Ndure Shoes said...

From Ndure buy the best quality shorts for men online. Fast Shipping.

arnavharper said...

You can connect Roku to Wi-Fi without a remote by setting up a mobile hotspot and using the Roku app for more details click here Roku Not Connecting To Wifi.

Edwin Mosley said...

Being healthy and fit isn’t a fad or a trend, it’s a lifestyle. Helping people lead healthy and happy lives through design.

Source: ULTRACORE SUPPLEMENTS
More on: RUFOX

Jane said...

It's great to see that this article has received a lot of positive feedback recently - we're thrilled to have been able to help out so many people who were in a bind with getting their sites back to where they wanted them. We really appreciate the kind words we've heard on the matter and are glad that we could offer some useful advice! brand identity

Beautiful Places said...

This is a great article thanks for sharing this informative information. I will visit your blog regularly for some latest post. Free Mockup

Unknown said...

Kenstone capital will help you to maintain your civil score at a good level
https://www.kenstonecapital.in/cibil-credit-score-repair/

nayantech said...

Bdtechsupport

Ai Paraphrase Tool

Domain Authority Checker

Temp Mail

Biolink Maker

Mitchel Cruze said...

Very nice post, i certainly love this website, keep on it

Hikingproject
Website
Klik Disini

Menjual Seragam Drumband said...

Colorful life. Color the world with positive things and bring benefits to others.
Keep the spirit




Produk Drumband
Produk Asesoris Drumband
Produk Marchingband
Semi Marchingband
Seragam Drumband

Alat Marchingband SD
Alat Marchingband SMP
Alat Marchingband SMA

Technologie said...

Die Technologie entwickelt sich schneller denn je und schneller als Sie denken. Diese aufkommende Technologie wird unsere Lebensweise verändern.

123bet said...

It's a very interesting website. Came here to read the information shared. 123 casino

Haris said...

Valuable and also a great post, thanks for the share, if you are looking to law dissertation Service then just visit our site and get up to 7O off.

Website Development Company said...

Nice information . best WordPress development company in delhi

نانا الطيب said...



شركه عزل فوم بالرياض


تركيب حجر فرعني


شركه عزل فوم بالدمام

شركه عزل فوم بالقطيف

شركه عزل فوم بالاحساء

شركه عزل فوم بالجبيل

vé máy bay từ canada về việt nam said...

Mua vé máy bay tại Aivivu, tham khảo

Vé máy bay đi Mỹ

vé từ mỹ về việt nam

các chuyến bay từ đức về việt nam hôm nay

vé máy bay nhật về việt nam

Lịch bay từ Seoul đến Hà Nội

giá vé máy bay từ canada về Việt Nam

vé máy bay cho chuyên gia nước ngoài

Anonymous said...

Enjoyed reading the article above , really explains everything in detail,the article is very interesting and effective.Thank you and good luck for the upcoming articles

Telugu News - this site also provide most trending and latest articles

Legal Translation Company in Dubai said...

Excellent article. It is Very interesting to read. I really love to read such a nice article. Thanks! keep rocking.

document translation services
document translation dubai
Translation Services Dubai
Management Translation Dubai

Real Jackets said...

Hello, thank you for sharing your article with us; I value your information, which I greatly value, and I would return to your website
Pelle Pelle Red jacket

Real Jackets said...

But she still went shopping with you, and later, picked up some lattes. You had a vision in mind, complete with red lipstick and rock 'n roll vibes.
Pelle Pelle jacket

Net Worth said...

Hi there, You've done an excellent job. I'll definitely digg it and personally recommend

Download GBWhatsapp APK said...

Thanks for the detailed article on this topic. I would like to see more such awesome articles from you.

Faraji Sibongile said...

I just wanted to say that I love every time visiting your wonderful post! Very powerful and have true and fresh information. Thanks for the post and effort! Please keep sharing more such a blog.
Net worth

Anonymous said...

informative article , thank you for the post everyone is looking for this type article brisk logic best web development agency digital transformation

Anonymous said...

beverly hills movers

The Genuine Leather said...

Goodness! Much obliged to you! I constantly needed to compose on my site something to that effect. Would I be able to incorporate a part of your post to my site? Mens Aviator Jacket

Nulls Clash Apk said...

Excellent blog, I loved it so much that I came back here to give feedback. Thanks though.

Love said...

Newspostalk - Global News Platform
Newspostalk covers all global news & provide quality news in a various niche like Continents News, World News, Business News, Sports News, Entertainment News, Health News, technology News, Science News.
Continents News, World News, Business News, Sports News, Entertainment News, Health News, technology News, Science News
https://www.newspostalk.com/

Love said...

How to Make Money Blogging
Are you fascinated about how to make money blogging? The first step will be to unlearn what you have learned to date from the ‘Experts.’
how to Make Money Blogging, how to start a blog and make money
https://www.newspostalk.com/money-making-ideas/how-to-make-money-blogging/

Love said...

How to Make Money on YouTube: A platform that can give you high profits
Thinking about how to make money on YouTube? YouTube is no longer restricted to huge influencers or musicians. It has a good number of opportunities for everyday people.
how to earn money from youtube, how to make money on youtube
https://www.newspostalk.com/people-choice/how-to-earn-money-from-youtube/

Love said...

How to Start a Blog: Easy Guide to Make $302k One Year
In this article, we will talk about how to start a blog. Seven easy steps will help you in creating your Blog. People have earned massive amounts with their blogs. They have made $1 million in a brief period.
how to create a blog, how to make a blog, How to Start a Blog, how to start writing a blog
https://www.newspostalk.com/people-choice/how-to-start-a-blog-easy-guide-to-make-302k-one-year/

sourabh said...

Nice one
Visit -> https://sportsgeeks.net/famous-indian-badminton-players/

The Genuine Leather said...

Normally, I don't comment on articles, but yours is so compelling that I can't help but Real Leather Jackets womens say something. Keep it up, Man. You're doing a fantastic job.leather jackets for men

very sad alone status said...

nice appreciated work. Keep going

love status said...

great posting. I have visited almost 10-15 website and finally come to your blog and it solved my issue. thanks

igoal88 said...

Nice article I'm very happy to know, I really appreciate your efforts.
ทางเข้า igoal

Anonymous said...

After read blog topic’s related post now I feel my research is almost completed. happy to see that.
Thanks to share this brilliant matter.
SEO Evrima Chicago

«Oldest ‹Older   1001 – 1037 of 1037   Newer› Newest»