Week 3 full discussion board Case Study Part II

Week 3 full discussion board Case Study Part II This is a graded discussion: 0 points possible due Mar 23 Week 3: Case Study Part II 54 67 Search entries or author This topic was locked Mar 23 at 11:59pm. Part II: Organizational Policy Now, focus on the Skills Policy of the organization. You can use many resources to find some examples of Skills Policy on the Internet. Focus on the second part of the case study by asking the following questions: Questions for Part II: Does the policy describe the number of times that a student may repeat a skills test? Does the policy describe any remediation needed prior to a repeat of the skills testing? Does the policy describe the consequences of failing the skills testing? Does the policy describe how the skills testing will be evaluated (graded, pass/fail, points assigned). Unread    Subscribed (https:// Anna Hines (hps:// Mar 20, 2019  Dr Brewer and Class  4/4/2019 Topic: Week 3: Case Study Part II I reviewed several nursing skills lab policies on the internet. My initial nurses training was a diploma school that is no longer operating.My reply is a combination of several school's policies. Does the policy describe the number of times a student may repeat a skills test? Of the schools I reviewed ,a student may attempt to test 2 to 3 times for each competency.One school required a student to write a self reflection on the unsuccessful attempt with an explanation on the impact the skill has on patient safety prior to retesting.The student has skills lab to join the knowing and the doing (Herrmann-Werner , et al, 2013).Skills lab should be a safe place to make those mistakes and build confidence. Does the policy describe and remediation needed prior to repeating the skills testing? One school had a mandatory 1 hour minimum practice of the skill with a repeat testing in 3 days.Most have lab referrals where the student may practice independently,with a group, with a student lab assistant, or with lab manager. A required remediation was initiated after the first fail for the student to practice with a staff member prior to retesting. Having a structured and immediate feedback should help the student be successful.Skills lab has a proven track record not only for the novice but for expert (Herrman-Werner, et al,2013). The majority of the schools had highly recommended practice time prior to a repeat of a skill test. A personal example is that I am an ACLS instructor, but I must practice the skills to maintain proficiency. It has been found that theory is retained longer than a skill (Herrman- Werner, et al ,2013),therefore training and practice is necessary for retention. Does the policy describe the consequences of failing the skills test? Skills reflect the expectation of the nursing role and performance of those skills to ensure the safety of the patient (Bengtsson,M.,Dahlquist,B.,Carlson,E.,2016).An unsatisfactory score generally reflects on failing the course. The fear of failing may add to the anxiety the student has at testing time.The student has been made aware on consequences on the course objectives and syllabus. Opportunities for practice through independent sessions,with groups, with student lab assistance and with instructors gives time to build confidence in the skill sets. Does the policy describe how the skills testing will be evaluated? Check-off evaluation was common place for skills assessment. The testing was done with the student alone with the instructor .If retesting was needed, either a new instructor or two instructors were utilized.Another option was the satisfactory/unsatisfactory grade for skills evaluation.  4/4/2019 Topic: Week 3: Case Study Part II All schools stressed that independent practice time was encouraged.While there was mandatory lab hours, the student was expected to either in groups or independently practice skills by using the open lab hours. Anna Hines Resources Bengtsson,M.,Dahlquist,B.,Carlson,E.(2016).Expectations of nursing students prior to a skills-based exam performed in clinical practice.Journal of Nursing Education and Practice 6(8).22-29. doi:10.5430/jnep.v6n8p22 Finger Lakes Community College (2018) Herrmann-Werner,A.,Nikendaie,C.,Keifenheim,K.,Bosse,H.,Lund,F.,et al (2013)."Best practice"skills lab training vs.a "see one,do one" approach in undergraduate medical education: An RCT on students' :long term ability to perform procedural clinical skills.PLoS One 8(9).doi: 10.1371/. Health Careers Institute (2017). North Western Michigan College (2018). Ocean County College of Nursing (2014). Palm Beach State College (2013). University of Massachusetts Lowell (2015). (http Kathleen Brewer (Instructor) Mar 21, 2019  Dear Anna:  4/4/2019 Topic: Week 3: Case Study Part II Thanks for sharing this information. You did a nice job of presenting these policies. I like the school that requires remediation of students who fail prior to retaking the exam. Did any of the schools you previewed dismiss the student(s) from the program who fail? Just curious. Thanks for the discussion. Regards, Kathleen (http Anna Hines (hps:// Mar 21, 2019  Dr Brewer In the US 50 % of nursing students leave before completion of the program. 28% of annual admissions had an academic failure (Lewis, et al,2018) This impacts the student with higher education costs by having to take classes again. Some students take a leave and fail to complete their nursing program.The emotional turmoil this causes the student, their family and faculty adds more drama on a already stressful program. These students who are not able to complete the requirements early on may not be able to meet the rigors of the more advanced theory. Tutoring and mentoring may help a faltering student more than issuing a failure for the class.Instructors will be in more of a role of guidance, and coaching along with being educators to aid in retention.Students will have to wait out the the year until the class cycle returns to the level they need to repeat as classes need to be taken in order. Northwestern Michigan students must complete the nursing program within 5 years.Any portion of a 2.5 GPA or Unsatisfactory must be retaken . Because information and technology changes rapidly along with evidence based practice,it is felt that to stay current all classes must be completed in the 5 year time span. Mercy College of Ohio gives a failing grade,but dismissal from program is not mentioned. Health Career Institute offers the student a withdraw if they fail the skills lab course.Again,there is no mention that they cannot be in the program. Anna Hines