An unfolding case is one that evolves over time in a manner that is unpredictable to the learner. NLM 1. In long term care, she secretly hoped she would be able to return home, she thought, if she worked hard enough. An unfolding case is one that evolves over time in a manner that is unpredictable to the learner. Still, they are not open-ended and provide a multiple-choice framework to unfold, which replicates a multiple-choice te… Kellie J. Glendon MSN, RNC; Deborah L. Ulrich Ph.D, RN; This workbook contains a compilation of case studies that explore issues spanning across the nursing curriculum. Unfolding case studies mimic real-world practical experiences, where nurses act with limited data (Johnson and Flagler, 2013, Reese, 2011, Yousey, 2013), and can be used by nurse educators in an effort to narrow the gap between nursing education and practice ().Unlike a traditional case study, where all information is available for the student, an unfolding case is purposefully … 1. Underline the words in the case study that stands out for you as important. Nurse Educ. New situations develop and are revealed with each encounter. A CT scan revealed cancer had metastasized (spread) to her brain. Email:, Competency Category(s) Utilizing this text, students will be challenged to apply health assessment concepts and develop important critical-thinking skills. ... (PDAs) allow nursing students to rapidly access current evidence-based resources at the “point of care” (POC) during the actual patient encounter. Unfolding Case Studies: Experiencing the Realities of Clinical Nursing Practice. Praise for: Unfolding Health Assessment Case Studies for the Student Nurse “This book is a must-have resource for health assessment educators and their students. Students are asked to reflect on steps they might have taken to accommodate patient preferences (patient-centered care) in the case study. Describe the value of seeing healthcare through the patient’s eyes. It is impossible to ignore the emerging growth and rapid expansion of technology in the healthcare field and in the classroom environment. In unfolding case studies, students are asked to use clinical forethought to predict what could happen next. Although unfolding case studies are excellent strategies to use to promote clinical imagination, nursing education students must understand this strategy as … 3. She was not concerned about the cost of seeing a doctor as she had excellent health care coverage under her deceased husband’s insurance. New situations develop and are revealed with each encounter. Patient safety and quality: An evidence-based handbook for nurses. NEW 2015!! Reflect on your answers to part I of the case study. Experienced nurses faced with limited context for a patient’s situation use clinical forethought (based on past experiences) to predict possible complications. J Prof Nurs. One evening, after her visitors had left, Jean placed her call light on for assistance to use the restroom. Did Jean’s desire for independence stand out to you as important? Tanner, C.A. Therefore, the purpose of this pilot study was to compare course examination scores earned by nursing students who were taught using traditional case studies to scores obtained by nursing students who completed unfolding case studies. e-Books, avatars in virtual worlds, remote telehealth robotics, and ev… Benner, P., Hughes, R.G., & Sutphen, M., (2008). The National League for Nursing Advancing Care Excellence for Veterans (ACE.V) developed an unfolding case study of a preg-nant veteran with posttraumatic stress disorder to train nursing students in a simulation laboratory. Jean was a strong independent woman, as she had to be after becoming a widow at such a young age. Nurse educators are challenged to incorporate evidence-based practice initiatives into content-laden curricula in a manner that supports learner-centered teaching environments. MEDICAL NURSING CASE STUDY ANSWERS Determining the order to see the clients The first client to be seen by the nurse should be the client who has unexpected or abnormal data. How is the ability to perform activities of daily living (ADL’s) related to safety? Thinking like a nurse: A research-based model of clinical judgment in nursing. How can nurses have an impact on the lives of patients like Jean? The Table describes a framework for unfolding case studies that was designed for 96 junior-level baccalaureate nursing students enrolled in a fundamentals nursing … One day she developed mild abdominal pain. Int J Nurs Educ Scholarsh. According to Azzarello and Wood (2006), situation-based case studies provide students with all of the Jean is an 88-year-old widow with four grown sons and numerous grandchildren. (Knowledge) To address this gap, we created an unfolding case study for the nursing lab that provides context and supports students to use assessment and theory to guide skill performance in practice. This three-part unfolding case study focuses on assessment, communication, and protection related to COVID-19. She had enjoyed being at home and continued to take care of herself and her home. The pilot study took place at a moderate-sized comprehensive university in Wisconsin. 2014 Feb;53(2):108-11. doi: 10.3928/01484834-20140122-03. 2. However, there is a distinct difference between case studies and unfolding case studies. Nursing education is … For both clinical and classroom settings, each stage is presented on one slide or on an individual piece of paper at incremental intervals beginning with Stage I and ending with Stage III. Answers are written in the Learning Management System used by your college, on paper, or on a notecard and turned in after each stage. 1.1. 4. Small student groups used creative collaboration to create well-planned, complex case study scenarios that unfolded in surprising, realistic ways. Although Jean was a very independent woman who wanted to go home, she would not be allowed to return home, but instead, the social worker arranged for her to be admitted to a long-term care facility. NIH If the staff knew Jean valued her independence, how could they have used this information to promote safety? Epub 2014 Jan 22. Case studies are based on problem-based learning, and students must be self-motivated to explore and understand the outcomes to the case (Day, 2011). The case study emphasizes the need to recognize, interpret, intervene, and evaluate information and actions alongside other members of the health care team in rapidly evolving, complex care situations. The authors found this framework to be a successful and effective strategy for undergraduate novice nursing students. Preventing information overload: cognitive load theory as an instructional framework for teaching pharmacology. View Case Studies Divide students into groups of 3-5 This site needs JavaScript to work properly. Novice student nurses, limited by lack of experience, tend to focus more on the physical aspects of the patient and less on patient preferences and values. is one way to better prepare nursing students to enter clinical practice. Case Study 1: Newborn ; Case Study 2: Infant; Case Study 3: Toddler; Case Study 4: Preschooler; Case Study 5: School-Age Child; Case Study 6: Adolescent West C(1), Usher K, Delaney LJ. Clinical forethought can be introduced using unfolding case studies that encourage students to make a patient’s values, preferences and beliefs an important factor in their care. PMID: … Unfortunately, she was too weak and dizzy and fell on the carpeted floor. In unfolding case studies, students are asked to use clinical forethought to predict what could happen next. Every ACE unfolding case uses the highly regarded unfolding case model developed for Advancing Care Excellence for Seniors (ACE.S) . Using Multiple-Client Unfolding Case Studies to Improve Critical Thinking and Prioritization Skills in Nursing Students. It is described by Patricia Benner (2008) as a “habit of thought and action” that involves “future think.” The predictions and actions involved in clinical forethought are obvious to the experienced nurse and unfamiliar to novice students as they lack professional experience. Lack of clinical judgment poses a risk to patients and can lead to negative patient outcomes. She was living alone, caring for her own home for the past 35 years since her husband died. The advantage of unfolding case studies is that they reveal information incrementally, which mirrors nursing practice. Patient-Centered Care, Safety, Learner Level(s) Why or why not? What aspects of health are included in part I? Author information: (1)School of Nursing, Midwifery & Nutrition, James Cook University, Cairns, QLD, Australia. What interventions protect patients from falling in the long-term care setting? Author: Brenda Moench, RN, MS, CNE Virtual Pediatric Hospital University of Utah University of Hawaii – a boat load of case studies! Please enable it to take advantage of the complete set of features! The author has used unfolding case studies to illustrate principles of patient-centered care and safety in a Health and Illness course in a concept-based curriculum. Hi- Im looking for some good case studies (book or online, but prefer book with instructors version) for my LPN clinical students. First semester students develop knowledge, skills, and attitudes about patient-centered care as they identify salient features in the case study that are opportunities to intervene with patient-centered care.  |  Instructions: This strategy can be used with individual students or with groups of students. (Attitudes). Unfolding case studies provide students . Th case studies will help nursing students understand population health and SDOH and the need for interprofessional and cross-sectoral approaches to improve the health of the public across the continuum of care and diverse settings. Students cannot change their answers to previous stages. Teaching feminist group process within a nursing curriculum. Students get a glimpse of the power of informed prediction to prevent adverse outcomes. Open-ended responses required: no multiple-choice selections. Successful case studies provide sequential snapshots of the patient’s illness trajectory in the context of their lived experience. After students’ complete parts of the unfolding case study, they have an opportunity to reflect on the impact nurses have on their patients. Author information: (1)By Heather Englund, PhD, RN, Assistant Professor, University of Wisconsin Oshkosh College of Nursing, It is designed as an unfolding case study, which can be used with undergraduate nursing students to enhance learning by mimicking real‐life clinical situations. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. This article describes a technique for using unfolding case studies to include such initiatives in the teaching of novice n … Unfolding case studies as a formative teaching methodology for novice nursing students J Nurs Educ. These case study types include Quickies, Preclass, Interspersed, Continuing and Unfolding (Herrman, 2016). In your opinion, did Jean receive patient-centered-care? She was worried she would be incontinent and soil her underclothing, so she got up on her own. (Skills and Attitudes). • Unfolding Case Scenarios will help you discover a way of teaching and learning that reveals new information over time. Pre-Licensure ADN/Diploma, Pre-Licensure BSN, The student will describe patient-centered care as applied to the home and long-term care settings. Using Unfolding Case Studies to Develop Clinical Forethought in Novice Nursing Students Unfolding case studies as a teaching strategy are ideal for novice learners in a pre-licensure nursing program.
2020 unfolding case studies for nursing students