online interactive case studies melanie a kroger-jarvis dnp msn cns aprn assistant professor of...
TRANSCRIPT
![Page 1: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/1.jpg)
Online Interactive Case Studies
Melanie A Kroger-Jarvis DNP MSN CNS APRN
Assistant Professor of Clinical
College of Nursing
University of Cincinnati
![Page 2: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/2.jpg)
Literature Review
• Online education increasing in popularity.• Challenges exist: engagement, reflective
and critical thinking (Johnson, 2008).• Principles for good practice in online
teaching (Chickering and Ehrman, 1996).
![Page 3: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/3.jpg)
Literature Review
• Discussion Boards promote learning and interaction between faculty and peers (Smith, Passmore, & Faught, 2009).
![Page 4: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/4.jpg)
Literature Review
• Clinical scenarios using a computerized model were found to promote critical thinking and problem solving (Feingold, Calaluce, & Kallen 2004).
• Case studies foster critical thinking and an avenue for assessment (Smith, Heindel & Torres-Ayala, 2008).
![Page 5: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/5.jpg)
Background Information
• Two case studies were created by a colleague(Amanda Zemmer MSN CNS) and myself teaching the other section of the course.
• Gerontology Nursing Course• Pain and Legal Ethical Issues were
chosen as the topics.
![Page 6: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/6.jpg)
Background Information
• Case Studies were in word developed and created in animation by instructional design and a graphic artist.
![Page 7: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/7.jpg)
Hypothesis
• Students will demonstrate learning, reflection, engagement, and critical thinking after completing the case studies.
![Page 8: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/8.jpg)
Method
• IRB Approval • Convenience sample of RN to BSN
students in two sections of Spring 13 Gerontology Course.
• 45 students viewed case studies and answered 3 questions on each case study on discussion board.
![Page 9: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/9.jpg)
Questions
1. What did you learn form this case study?
2. How did your answers compare to the Nurse Practitioner's response?
3. How can you apply what you learned to your nursing practice?
![Page 12: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/12.jpg)
Results
Legal Ethical Issues/ Safety Yes No
Learn from the Case Study 40 5Similar to Nurse
Practitioner's Response 35 10Able to Apply What You
Learned to Practice 25 20
![Page 13: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/13.jpg)
Results cont.
Pain Case Study Yes No
Learn from the Case Study 36 9Similar to Nurse
Practitioner's Response 37 8Able to Apply What You
Learned to Practice 22 23
![Page 14: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/14.jpg)
Student Comments
• “ I am surprised that some of my answers were so different that what theirs were.”
• “I was thinking differently than the nurse practitioner as well .”
• “Some of my answers didn’t reflect the big picture of the case study”.
![Page 15: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/15.jpg)
Student Comments
• “I can now apply this knowledge to my nursing practice”.
• “I can apply this knowledge to help me understand the need to take into account the patient’s health history”.
• “I learned that we should look at the entire patient as well as their health surgical history”.
![Page 16: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/16.jpg)
Professor Observations
• “Students were engaged and wrote more and reflected on the case studies”.
• “Students used other resources to reflect on what they learned in the case studies and cited the sources”.
![Page 17: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/17.jpg)
Discussion
• Convenience sample with no randomization.
• Study is not generalizable
• Research suggests use of case studies and reflection promotes critical thinking.
![Page 18: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/18.jpg)
Discussion
• More research is needed to assess the use of case studies and reflection in the online environment.
![Page 19: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/19.jpg)
Limitations
• Limited Time Frame
• Convenience Sample
• Only Qualitative Data
![Page 20: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/20.jpg)
• Jonathon Zemmer
• Amanda Zemmer
![Page 21: Online Interactive Case Studies Melanie A Kroger-Jarvis DNP MSN CNS APRN Assistant Professor of Clinical College of Nursing University of Cincinnati](https://reader035.vdocument.in/reader035/viewer/2022062308/56649e0e5503460f94af77d4/html5/thumbnails/21.jpg)
References• Chickering, A. & Ehrmann S.C.(1996). Implementing the seven principles:
technology as lever. AAHE Bulletin, 10, 3-6.• Feingold, C.E., Calaluce, M. & Kallen M.A. (2004). Computerized patient model
and simulated clinical experiences: evaluation with baccalaureate nursing
students.Journal of Nursing Education, 43(4),156-63.• Johnson, A. (2008). A nursing faculty’s transition to teaching online. Nursing
EducationPerspectives., 29 (1), 17-22.• Smith, G.G. Heindel, A.J., & Torres-Ayala, A.T. (2008). E-learning commodity or
Community: Disciplinary differences between online courses. Internet
and Higher Education, 11 , 152-159.doi: http://dx.doi.org/10.1016/
j.iheduc.2008.06.008