Related Experiment Video
Updated: Jun 29, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Changing education to improve patient care.
1Accreditation Council for Graduate Medical Education, Chicago, IL 60610, USA. dcl@acgme.org
Postgraduate Medical Journal
|October 4, 2008
Summary
Health professionals require improvement skills for better patient care. A new competency-based model from the Accreditation Council for Graduate Medical Education (ACGME) aims to equip residents with these essential skills.
Area of Science:
- Healthcare professional development
- Medical education reform
- Patient care quality improvement
Background:
- Systematic training in improvement skills is lacking in US resident medical education programs.
- The Accreditation Council for Graduate Medical Education (ACGME) has introduced a competency-based accreditation model.
- This model has the potential to foster improvement skills among approximately 100,000 residents.
Purpose of the Study:
- To explore barriers to practice change in healthcare.
- To propose an educational model for enhancing management skills.
- To base skill development on trainees' self-analysis of their work.
Main Methods:
- Analysis of patterns inhibiting practice change.
- Development of an educational model for management skill enhancement.
- Utilizing trainees' self-reflection on their clinical work.
Main Results:
- Identified key barriers to implementing practice changes in healthcare settings.
- Proposed a novel educational framework for skill development.
- Emphasized the role of self-analysis in improving management competencies.
Conclusions:
- The ACGME competency-based model offers a pathway to integrate improvement skills into resident education.
- Addressing practice change barriers and promoting self-analysis are crucial for effective skill development.
- The proposed educational model can be adapted for various healthcare professions to enhance patient care quality.
Related Concept Videos
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:20Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about insulin...
01:30Current Trends in Nursing II
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
01:18Guidelines and Strategies for Safe Computer Charting
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security: