TEAM NURSING CONFERENCE

INTRODUCTION:-

The team nursing conference as a teaching tool offers valuable opportunities for learning . The ability to observe , report and analyze the significant findings, is put to its greatest test as students are confronted with this daily responsibility.

The team idea as applied in the field of nursing is a fairly recent origin , but groups of individuals in a loose pattern of organization with undefined relationship has existed in our hospital wards almost ever since inception. The clinical nursing conference has come to be recognized as a pivotal component of total teaching plan in clinical nursing. Application of the basic concept of clinical nursing conference and the principles of group dynamics is extended to the clinical setting as the student pursue clinical nursing experience with the framework of the nursing team and participate in the nursing team conference.

The most common team activity is problem solving in which, through group process , plan for patient care are developed according to the stated patient goals . Implementation of the plan is examined and evaluated for its effectiveness. The learner is evaluated in terms of his or her participation in the group in reporting observations , making relationship among data, making proposals for actions, and evaluating actions as they are reported.

The composition of the team may vary . Whatever the composition of the team , the process in which it is engaged is essentially the same , i.e., shared managerial decision making . managerial decision may be defined as “decision for therapeutic interventions , or to prevent or to alter disease”-(Feinstein). The learners participation may range from a sharing process to the highly developed skill of collaboration. The nature of the participation is determined by the stated behavioral objective for the experience.TEAM NURSING CONFERENCE:-

Definition Team nursing conference is “a group discussion using problem solving to determine the

ways of providing care for the patients to whom students are assigned as a part of their clinical experience.”

Objectives of team nursing conference:-Team nursing conference ,

Identifies the patient’s nursing care problem Recognizes the ability and limitation of all students Helps to communicate ideas , information related to patient care Utilizes scientific information to influence the patient care Makes generalization from specific information that is factual

Helps to report , interpret , channelize and carry out hospital and health care problem Teaches what is required to help team members fulfill their roles Helps to plan nursing care co- operatively with other team members Brings also maximum creative potential of the team

Purposes of team nursing conference:-1. To guide in teaching 2. To acquire more knowledge3. To discover the interest , needs and problems of the individual student4. To help the student to help himself or herself

Research eviedence:-

Perciful EG, Nester PA.The effect of an innovative clinical teaching method on nursing students' knowledge and critical thinking skills.Journal of Nursing Education. 1996 Jan;35(1):23-8.

The purpose of this quasi-experimental study was to determine the effect of an experimental clinical teaching method on nursing students' knowledge and critical thinking skills during clinical rotations in psychiatric nursing. Ausubel's Assimilation Theory of Learning provided the theoretical framework for this research. The subjects (N = 83) were from the baccalaureate nursing graduating classes of 1992 and 1993 of a medium-sized state university in the mid-atlantic region of the United States. The experimental clinical teaching method used computer-assisted instruction (CAI) throughout and a collaboration model (student-faculty-service) during initial clinical experiences. Knowledge was measured by the score for the psychiatric nursing component of the Mosby Assess Test and two parts of the National League for Nursing's (NLN) Psychiatric Exam (theory and total scores). Critical thinking was measured by two parts of the NLN's Psychiatric Nursing Exam (the score for assess, analyze, and evaluate as one measure and planning and implementation for the other measure). The comparison group scored significantly higher than the control group on assessing, analyzing, and evaluating (t = 2.15; p < .03), as well as planning and implementation (t = 2.33; p < .02), measures for critical thinking skills. However, there was no significant difference between the study groups with respect to knowledge. The findings support the appropriateness of Ausubel's Assimilation Theory with this clinical teaching method. Discussion relevant to the application of the study findings to nursing education and future research is presented.

Principles of team nursing conference:-1. Establishment of a definite purpose and specific issues to be covered2. Adequate preparation by the leader for all conferences expedites fulfillment of

expectations for the conference3. Knowledge of the student

4. Provide sufficient time5. Establish good rapport6. Good listening7. Positive effect8. Recording of data

Team nursing conference (as a method of clinical teaching):-1) It is an opportunity for informal discussion by free exchange of knowledge and

experience on a common problem 2) Sources of problem solving discussion( team nursing conference):

Objectives of clinical nursing programme Patients Students

3) To design a nursing care conference There should be a consultation visit from a clinical nurse practitioner It should be planned around some aspect of patient care or scientific focus

on nursing problem presented by the patient It must be based on the course of an “action discussion” ie assessing the

nursing problem , helping the student to examine the client problem.Major types of team nursing conference:-

1. Team leader direction conference:- Are held at the beginning of the work shift and an hour prior to the ending of the

shift. The purpose is to give and receive pertinent , accurate information concerning the care of patients and to create an atmosphere to encourage collective and cooperative participation

2. Patient centered conference Planned meeting to identify problems and evaluate patient care. These conference

provide means for all the team who are directly contributing to the care of a group of patients who have benefit from the experience of others. The members as a group aim to formulate nursing intervention for one or two patients analyze and the nursing care given. The clinical nurse coordinator and the supervisor are the important members of the patient centered conference.

3. Nursing service management conference It should be a part of the planned scheduled meetings for each unit or section. The supervisor assisted by the clinical coordinator is the leader here. The topics presented may include standards of patient care , policies , procedures, safety measures, infection control, nursing audit evaluation, unit staffing measures and clarification of new personal policies

4. Inter shift and inter departmental conferences Which is necessary to pass on pertinent information from one individual or group to another.

Planning and preparation for team nursing conference:-1) Organizers should prepare well in advance2) Before presenting the content / subject should be planned on objectives3) The student must be aware of the data regarding the case4) Student must be given an opportunity to work in the ward for little time before

presenting the conferenceTechniques of team nursing conference:-

1. The teacher should establish good rapport with the student2. Allow him to talk freely3. Teacher should not show any prejudice, emotional reactions or bias

Technique used to conduct team nursing conference:-1. It should be a consultation tool for solving any problem2. Teacher should be flexible and helps during the discussion3. Teacher involves all the students to solve the problem by questioning , guiding ,

rechannelising, if needed4. The group should be sufficiently small( 10-15 students)5. Provides an ample time to think on a problem so that to draw the potentials of the

students6. The usual duration of the team nursing conference is 30 -45 mts

Phases of team nursing conference:-a) Opening phaseb) Working phasec) Closing phase

Opening phaseIt is defined as the first two minutes of the conference. The task here is to make a

commitment to work on a problem relating to a particular patient. This often sets a tone for the entire session.

Working phaseThe task of this phase is to arrive at a consensus on problem identification and solution.

Once the patient is selected , it is found that a great deal of time during this phase is spent in delineating the problem clearly.

If the group have differences in opinion the solution will be inconsistent or incomplete. It is helpful the if group focus their discussion by asking direct questions ,rephrasing the word

said by the group and summarizing. Sometimes the data the group is incomplete the group try to fill in. if the consultant and the group view the absent data as critical to the solution , time is better spent to get the facts than speculations. Conference time can be used to identify just what is needed.

The problems are identified and the group can often reach its own solutions. Offering concrete solutions to the problem allow the student to feel they are getting something from the group . The teacher should ensure the opinion of the students about the validity of her suggestions.Closing phase

Once the group has worked through problem solving and has decided on the solution , the next phase is closing phase. The main task here is to delegate the responsibility to one or more students for acting on the problems continuously.Practical uses:-

1. Diagnostic and remedial teaching 2. Supplemental teaching

Advantages of team nursing conference:-1. It helps the students to collect information in a creative way, it validates the data

systematically.2. It provides a real practical experiences and involvement to the students 3. It fortifies the thinking of students so that the judgement capacity of the student

increases4. Each member of the conference will actively participate

Research eviedence:-Title;Clinical Nurse Educators' and School Instructors' Teaching Methods for Nursing Students. Ishida Sadayo. Sekine Ryuko . Tsukamoto yasuko etal .( 2001 ) . Annual Report of University of Shizuoka. vol. no 14-2 ; PAGE. 63-74

The aim of this study was to identify the actual conditions of clinical nurse educators' or school instructors' teaching in clinical practice through students' responses. It was also to discuss the effective teaching methods. The study was conducted 94 both two-year and three-year course students by using questionnaires after they completed required clinical practices. In conference, their activities were to approve good points, indicate ground for decision or weak point, advice for problems and pass on their experience or their view of nursing. On the other hand, in care, their activities which discoraged students' leaning will were to assume irritable attitude or disrespected behavior and indicate only students' weak points. In conference, their one-sided points were indicated. Almost all the students were satisfied with their clinical practice, they demanded that school instructor would be a good supporter and proper nurse for the clinical nurse educator should be selected for nursing students. These results suggest that the effective teaching methods to enhance students' learning will are to recognize or support their thinking and encourage.

Disadvantages of team nursing conference:-1. It have little use if the students donot accustom the situation2. Conference hours may be utilized for class room teaching

CONCLUSION:-Team nursing conference helps to provide comprehensive , continuous and coordinated

nursing process to meet the total needs of the patient. It also promote team spirit among the student nurses and the nursing staffs.

BIBLIGRAPHY

1. Barrett Jean. Ward management and teaching. 6th edition. Konark Publishers Pvt Ltd: NewDelhi; 1994

2. Basavanthappa B.T nursing education. 4th edition. Jaypee publication : NewDelhi; 20033. Dev N.V . Hospital Management. 6th edition. Deep & Deep publication: NewDelhi ; 20004. Ellis J.R. Hartley C.L . managing and co- ordinating Nursing Care. 3rd edition.

Lippincott publication : Philadelphia ; 20035. Mathews A. Whalan J. In Charge of the ward. 3rd edition. Blackwell Scientific

Publication : U.S ; 20016. Yalayaswamy N.N. Ward management and supervision & professional adjustments and

trends for nurses in India.Gajanana book publishers & distributors : NewDelhi ; 1990 7. http://www.google.co.in/search?

hl=en&source=hp&q=teamnursing+conference&btnG=Google+Search&meta=&aq=f&oq ( retrieved on 21.02 2010)

8. http://www.ncbi.nlm.nih.gov/pubmed/8926511 ( retrieved on 21.02 2010)9. http://sciencelinks.jp/j-east/article/200118/000020011801A0424555.php ( retrieved on

21.02 2010)10.http://www.u21health.org/meetings/virginia2008/docs/conference/55a.pdf ( retrieved

on 21.02 2010)11.http://fds.oup.com/www.oup.co.uk/pdf/0-19-851072-1.pdf ( retrieved on 21.02 2010)

TEAMNURSING

CONFERENCE

Submitted to:- Submitted by:- Mrs. Philomina Fernandes Ms. Shesly P. Jose Asst. Prof I Year MSc Nursing NUINS NUINS

Submitted on: 26 -02-2010