Mentoring Student Nurses in Theatre Essay

The Operating theater is an foreign environment for pupils and may be deemed hostile and uninviting. The function of wise mans in such a specialized environment is to promote interaction instead than passiveness and utilise every acquisition chance that exists. Students should be encouraged to reflect on those experiences in a structured mode. to help in their development of meaningful contemplation. which is a valuable tool for throughout their calling ( Quinn 2000 ) .

The purpose of this assignment is to critically analyze and reflect upon an invention. that relates to larning and measuring in the pattern environment of theaters. The larning outcomes 1. 2 and 4 will be the focal point for this assignment because I feel they are the most relevant for reflecting on my invention as they cover the Importance of the pupil and wise man relationship in relation to their learning experience. the chances and restrictions to acquisition in pattern and the rating of larning theories and learning schemes to ease the integrating of theory and pattern.

The invention was a learning bundle titled ‘Airway equipment & A ; techniques in the theater setting” . The battalion was designed to be a basic insite into the different pieces of equipment and the techniques used and was presented to a 2nd twelvemonth pupil nurse. as portion of a instruction session. Bruner ( 1961 ) explains that when showing new information to pupils. the manner the stuff is structured is of import to overall acquisition. He believed that if pupils understand the basic construction of a topic they will happen out much of the finer item themselves.

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Spouse ( 2001 ) recognised that observation can help in increased apprehension. whilst pattern can increase competency. provided the necessary cognition is in topographic point. in order to ease comprehension. I believe that understanding the rudimentss of airway direction is a valuable and movable accomplishment that the pupil can use in any clinical scene. Quinn ( 2000 ) who formulated a student-centrered attack to larning. visualizing the wise man as a assistant and facilitator for and providing of. resources for larning. being person who portions feelings every bit good as cognition with their pupils.

Before presenting some of the techniques and equipment used in airway direction. i knew it was of import to discourse with the pupil their degree of cognition and experience. Airway direction may be an country that they believe is alone to the theater environment. In treatment with the pupil prior to the instruction session. I explained that in every clinical country there is an exigency resusitation streetcar. consisting of a defibrillator. exigency drugs and one of the indispensable constituents on each one is an airway tray. each incorporating the equipment that is described in my invention.

During our conversation it was established that during their old arrangements. no facets of airway direction had been covered. On old arrangements they had been shown where the exigency streetcar was kept. but there had non been any formal instruction to familiarize them with the constituents. Airway direction and equipment was hence non something they felt they understood really good. despite this they showed a acute involvement in larning more about the them. admiting that although specialized. airway direction accomplishments are extremely movable to any scene.

Welsh and Swann ( 2002 ) believe it is indispensable to measure a pupils prior knowledge as this establishes a baseline for development and is a requirement for be aftering future larning. By doing the clip to discourse the pupils old larning experiences at the beginning of their arrangement. it gives an chance for the wise man and pupil to develop the acquisition outcomes that need to be achieved and discourse how they wish to accomplish them. Learning. harmonizing to Rogers ( 1983 ) is based on three cardinal factors that exist in the relationship between wise mans and pupils.

The first factor being genuineness. were the wise man should come across as a ‘real person’ . hence able to develop a normal relationship with their pupil. I feel that by welcoming my pupil to theaters I achieved this. Trust and credence. being that the wise man should see and accept their pupil as an person. that is worthy of their attention and regard. Finally. the empathatic apprehension by the wise man. by being able to see things from the pupils perspective and act suitably in response to this.

Smith ( 1992 ) supports that pupil nurses feel better able to care for patients when they feel cared for by their wise man and clinical staff. After the instruction session the pupil kept the larning battalion to utilize as a beginning of mention. for throughout their arrangement. when detecting the equipment being used in mundane pattern. To measure the effectivity of the invention the pupil was asked to finish a questionnaire. to measure what they had learned from being provided with the battalion. every bit good as an rating signifier to assist me understand how the pupil felt about the instruction session.

I felt comfy throughout the instruction session and the pupil asked inquiries openly. which I encouraged them to make. Allen ( 2005 ) stated that a good wise man should be unfastened and honest every bit good as be able to take advice and unfavorable judgment. Harmonizing to Neary ( 1997 ) and Gray and Smith ( 2000 ) . most pupils believe that a successful appraisal result depends on holding a good working relationship with the wise man.

A wise man should back up the current version of the Nursing and Midwifery Council ( NMC ) criterions ( 2008b ) and note that there are several grounds for back uping acquisition in pattern: ‘to provide support and counsel to the pupil when larning new accomplishments. using new cognition and reassigning bing cognition and competency to a new context of practice’ ( pg 36 ) ; to move as a resource ; to pull off the acquisition ; and to detect the pattern to guarantee results and competences are met ( as defined by the NMC ) .

Whilst these criterions are chiefly aimed at pupil nurses the term ‘student’ could be applied to those larning. even when they are registered nurses as they are take parting in womb-to-tomb acquisition. Students experiencing welcome and valued when they arrive will help with their acquisition throughout the arrangement. Harmonizing to Quinn ( 2000 ) placing the larning demands of the pupil is best approached at the beginning of the arrangement. How pupils interact with the acquisition environment is of import. peculiarly in the context of life long acquisition and go oning professional development.

As in all specialized countries there are processs that need to be understood and learned as the pupil progresses along the professional curve. ( Radford and Hunt 1999 ) . As a wise man in the theater puting. I have learned to place countries that could be improved for pupil larning. such as Techniques that are ‘every day’ to the staff as professionals and the slang that they use. can be seen as eccentric and apparently hard to larn for the pupil.

The thought was to bring forth an oculus catching invention. A visually attractive and an unsophisticated manner of instruction was applied. utilizing indexs for farther survey for future. current or past theater arrangement pupils. This was to promote autonomous acquisition ( Ghazi & A ; Henshaw 1998 ) and avoid over-whelming the pupil with excessively much information which may make anxiousness and fright. An of import facet of cut downing anxiousness for pupils is their debut to the placement country.

This is something that every registered nurse can associate to because we can all retrieve being student nurses ourselves and can all remember our ‘good’ and ‘bad’ arrangements easy. the ‘bad’ frequently being when everything still felt unfamiliar sometimes hebdomads into a placement country. Swann ( 2005 ) identified that an indispensable constituent of the mentor/mentored relationship is communicating. Hutchinson ( 2003 ) supports this by saying that an environment is non merely the physical country but besides the attitudes of staff.

The pupil nurse on arrangement in theaters was introduced to firstly their wise man. who after a friendly debut took the pupil to the cabinet room to demo them where they could go forth their properties and acquire changed. Once changed into theatre gowns they were taken through the section and in each country they were introduced to the staff and the allocated wise mans for that country. The wellness and safety facets of the section and the fire process was besides explained.

In theaters pupils have often commented on their initial anxiousnesss when coming for a arrangement. Sampson ( 2006 ) carried out a survey to place why there was a deficit of student’s choosing theaters for a clinical arrangement. Findingss suggest that there has been a dramatic autumn in the figure of pupils coming to work in theaters and pupils are non taking this country due to fear and anxiety about this specialized. unknown environment. When anxiousness is high. an person is immobilised. perceptual experiences are narrowed and larning is impeded ( Meisenhelder. 1987 )

Positive ways to actuate and promote acquisition is described by Sampson ( 2006 ) as doing larning interesting. guaranting relevancy to learners’ demands. reenforcing positive non negative facets and giving pupils duty for larning. By supplying the pupil with the larning battalion. it allowed them to take some duty for their acquisition. Silen-Lipponen et Al ( 2004 ) identified that pupils have troubles uniting theoretical and clinical cognition in the acquisition procedure. but the perioperative environment can heighten pupil instruction by incorporating theory. and pattern and developing accomplishments in contemplation.

These cognition and accomplishments are required by the NMC ( 2008 ) criterions of proficiency for pre-registration nurses which province that ; safe and effectual pattern requires a sound underpinning of the theoretical cognition. which informs pattern. and must therefore reflect comprehensiveness of pattern and acquisition. Much grounds exists which suggests that the perioperative clinical country is an priceless acquisition environment and it is indispensable that pupil nurses are cognizant of the acquisition chances available within this diverse clinical country ( .

Silen-Lipponen et al 2004 ) Factors that may suppress larning for pupils can be described as internal or external in nature. The most common barriers have been identified by many writers ( AshCroft. Foreman-peck 1994. Reece and Walker ( 2000 ) and Quinn ( 2000 ) . they include force per unit area of clip and work load. deficiency of support from the administration and household. The larning battalion was innovated and planned to help myself in learning and to supply the pupil with the most appropriate instruction for their degree of acquisition.

Before get downing the instruction session. I encouraged the pupil to openly inquire inquiries. as the instruction session was based on explicating the contents of the instruction battalion. which they would be utilizing throughout their allotment. Scouse ( 2001 ) recognised that observation can help increased apprehension. whilst pattern can increase competency. provided the necessary cognition is in topographic point to ease comprehension. Reece and Walker ( 2002 ) identified that our perceptual experience of acquisition will impact how we teach. Therefore before we explore how to learn. we must understand how people learn.

Learning is a comparatively lasting alteration. normally brought about deliberately. Jarvis ( 1983 ) highlighted three spheres of acquisition that are of import for any healthcare professional. Cognitive. affectional and psychomotor show that larning can happen from learning. survey or the assimilation of information and accomplishments as a consequence of experience. The clinical environment offers a challenge in relation to the picks of scheme available to ease acquisition. Oliver and Endersby ( 1994 ) suggest that most instruction in pattern countries deal with accomplishments. including interpersonal and direction accomplishments.

The elements of the educational taxonomy considers that any acquisition subject has robe considered from three positions in relation to what a pupil has to larn. To use these utilizing a constituent of the invention and given to a pupil nurse. with something such as learning a pupil how to use an O mask to a patient. the psychomotor accomplishment would be for the pupil to be able to choose and open the face mask. right assemble and so link it to the O beginning. so papers suitably.

It is non plenty merely to be able to piece the mask and administer O. for cognitive accomplishments. the pupil should should besides be able to understand why they are giving the patient O. it’s effects and the right observations. It should non be forgotten that having the O is a patient. To be competent with affectional accomplishments the pupil must expose the appropriate communicating and interpersonal accomplishments. Quinn ( 2000 ) stated that wise mans can frequently be given to utilize schemes they find utile but must be witting of the preferable learning manner of the pupil.

There are three chief theories of larning. behaviorism. cognitivism and humanitarianism. Each looks at larning from a different position. Along with larning theories it is critical to see the mentor/student relationship and the acquisition environment. as these can assist or impede acquisition ( Gray and Smith 2000 ) . Behaviorism is the response gained from behavior. Cognitive theory focuses on psychological procedures that are involved in the acquisition. administration and usage of cognition ( knowles 1990 ) . Austell ( 1987 ) advocated the construct of an ‘advanced organiser’ .

This is a scheme introduced in progress of new stuff for illustration. learning theory before rehearsing a accomplishment. The pupil was taught the importance of cognizing the right airway direction of the unconscious patient in the recovery room. this aided their apprehension of which airway equipment or technique was used and why. The learning bundle and learning session combined with a perfect acquisition environment within the theater and recovery scenes. allowed the pupil the chance to use theory to pattern.

Fretwell ( 1985 ) stated that an ideal acquisition environment is seen as one in which the educational demands of the pupil are met. Along with cognition of the acquisition domains. it besides utile to see the acquisition manners of the pupils. One of the most frequently cited theoretical account is that of Honey and Mumford cited in Howard. 1999. p 110 ) of the militant. pragmatist. theoretician and reflector. Admiting these facets. along with the usage of different learning schemes. Howard ( 1999 ) suggested enabling the acquisition to be adult-centred instead than following a instructor driven docket.

Noone ( 2009 ) . on discoursing a nursing course of study. suggests that it should incorporate three facets: the cognitive/intellectual ; the skills-base ; and the ethical comportment/behavioural one. Whilst the one-off session about airway direction can’t be compared to a full programme of instruction. it does. never-the-less. integrate each of these facets. There is cognition of the anatomy and physiology. the usage of air passage adjuncts and the regard for self-respect. by using good communicating accomplishments are all evident.

By accounting for larning theories. the acquisition environment. schemes for learning and learning manners. I have been able to reflect on this experience and discovered countries I can do betterments or alteration. Theories of acquisition helped me to admit the relevancy of behaviors. cognition. comprehension and feelings while learning pupils. I will utilize this cognition to farther develop my accomplishments in learning. The fact that contemplation takes topographic point is of import as it contributes to the go oning development of a practician and facilitates the development of effectual pattern ( johns 2000 ) .

To reflect on my invention I will follow the model of Gibbs’ ( 1998 ) brooding rhythm. which I believe is thorough and logical. I developed a learning bundle for pupil nurses to larn. understand and develop cognition in the accomplishments required for the different ways to pull off a patients airway. within the theatre scene. The battalion consisted of airway direction equipment and techniques runing from the most basic to progress. I presented it to a 2nd twelvemonth pupil that was on arrangement in theaters.

My purpose was that the pupil would larn the rudimentss of airway direction. some of which they would be able to set into pattern in the recovery room under supervising. such as remotion of a patients laryngeal mask. Whilst I was developing the instruction program and the invention. I refreshed my ain cognition. doing me experience more confident to show the session. The rating signifier that was completed by the pupil was really positive. I will therefore feel less discerning the following clip I do a instruction session. The learning battalion helped the pupil to go familiar with the air passage equipment and techniques easy.

Feedback from the pupil showed that the images and brief descriptions. provided adequate information to enable them to remember that information. whilst detecting the equipment and techniques being used in pattern. This type of larning manner could be associated with Dunn ( 1984 ) who describes the Visual. auditory. kinesthetic ( VAK ) theoretical account. When a pupil nurse has a arrangement in theater. the unfamiliar environment and uniforms can be rather dashing. Many things can can be done to advance a good acquisition environment that meets the demands of the scholars.

There is a demand to assist the pupils understand the acquisition chances available to them and give them support. The pupil was introduced to the theater squad. on the first twenty-four hours of their arrangement and I explained about the different modus operandis compare with their cognition of the ward placements they had been to. The pupil was ab initio really nervous. but by supplying reassurances and familiarizing them with the layout and modus operandi for theater. they shortly settled into their arrangement and became portion of our squad.

I asked the pupil following the learning session to finish an rating signifier. I believe my instruction attack worked good and the pupil achieved all of their acquisition aims. I am certain that during the pupils arrangement I maintained a professional but accessible attitude and encouraged them to inquire inquiries when they felt they needed to. Overall I feel that I have learned that the foundation for being a good wise man is in constructing a good working relationship with the pupil. Achieving this will underpin every other facet of being their wise man.

Time spent working with the pupil should be utilised good with plentifulness of chance for treatments. Once a resonance has developed. as a wise man I should expose penetration into the pupils needs which will demo a grade of empathatic apprehension. which will do them more at easiness. I now understand the significance of a contributing acquisition environment so that the pupil Feels comfortable in the unfamiliar scene and feels supported. The theoretical cognition of larning theories and learning schemes that I have gained will enable me to run into the demands of each single pupil demands.


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