Published April 16, 2020
Nursing is the hands-on, face-to-face interaction between healthcare professionals
and patients. Nursing students learn the practices and procedures of patient care
during 鈥渃linicals鈥� 鈥� the hours they work in hospitals and healthcare facilities.
PHOTO: An instructor in the Kitty DeGree School of Nursing works with a student measuring
medication. The nursing school is utilizing an advanced software program to simulate
clinical settings.
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When COVID-19 halted student nurses from joining professional nurses on the job, the
Kitty DeGree School of Nursing found an innovative solution to meet the clinical requirements
of coursework.
Wendy Bailes, Ph.D., RN, Director of the School of Nursing, said when she realized
the nursing classes would be going online, she met with faculty to determine the best
course of action, and to avoid any expense to the students.
The answer was the purchase of interactive software, Shadow Health. Faculty quickly
learned the program and adapted it to their specific courses by creating PowerPoints,
voiceover instructions, and incorporating case studies. Classes and individual groups
are meeting via Zoom.
鈥淏oth faculty and students have embraced this new way of learning. It is not ideal;
we miss not being in the hospitals and helping at this time. But, we are continuing
to ensure that our students progress and graduate, as they meet competencies. For
those students who lacked an ability to go online due to not having a device, we provided
an iPad to get them through these next few weeks,鈥� Bailes said.
Katie Daigle, MSN, RN, Assistant Professor of Nursing, teaches Nursing Synthesis and
describes Shadow Health as 鈥渁 critical resource in moving the clinical component of
our course to the online platform.鈥�
Assignments and case studies teach students critical thinking and essential concepts,
said Daigle, 鈥淗owever, Shadow Health is the next best thing to real patient interaction.
It is a simulated online program that students use to assess and interview patients.
They speak or type their questions to the patient, and the patient responds based
on what the student said. They even get experience dealing with patients who are less
compliant.鈥�
The software instruction includes patient education and proper administration of medication.
The student鈥檚 performance is graded, and feedback is provided. The student and the
instructor can access the student鈥檚 work for their grades and see where the student
is proficient. Students also complete weekly self-evaluations.
鈥淭he feedback from students has been great. This is what one student had to say, 鈥業
personally love Shadow Health. Although the scenarios are online, the patient-nurse
interactions are so realistic. Practicing the flow of conversation and assessment
is helping me to become a more proficient nurse. I like having the ability to redo
these assignments because I can see what needs improvement when I review,鈥欌�� Daigle
said.
Assistant Professor Marcie Young, MSN, RN, teaches Nursing Management to students
in their final semester. During this last step of their nursing school journey, the
students are applying all they have learned. The management strategies range from
prioritization to communication skills.
鈥淭he Shadow Health module Nursing Leadership provides students with simulated scenarios
utilizing delegation, conflict resolution, patient interviewing skills, critical thinking
scenarios, and the ability to review and document in an electronic health record,鈥�
Young said.
She also uses Swift River software.
鈥淭he Swift River modules simulate emergency room leadership through triage processes,
prioritization, and safe medication administration,鈥� Young said.
Movies, discussion board forums, and self-reflection journals have also been incorporated
into the course.
鈥淚 believe that students are being exposed to critical leadership skills that are
not always presented to them in the traditional clinical setting. Since most of the
traditional students are from the millennial generation, they have been very comfortable
with the technology and have received extensive feedback through the simulation programs
and instructors,鈥� she said.
