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Related Concept Videos

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

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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,...
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Documentation in Long-Term and Home Healthcare Setting01:29

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

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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.
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Critical Thinking I01:24

Critical Thinking I

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Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
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Nursing Evaluation01:15

Nursing Evaluation

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Related Experiment Video

Updated: Aug 8, 2025

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Improving the resident assessment process: application of App-based e-training platform and lean thinking.

Wenqing Yuan1, Zhengqian Li2, Jiangli Han3

  • 1Department of Education, Peking University Third Hospital, 100191, Beijing, China.

BMC Medical Education
|March 1, 2023
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Summary

Integrating lean thinking with an app-based platform streamlined resident assessments, reducing delays and improving satisfaction. This approach optimizes medical training by minimizing waste in the assessment process.

Keywords:
Lean thinkingOnline assessmentProcess improvementStandardized resident training

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Process Improvement

Background:

  • Standardized resident training assessment is vital but complex and challenging, exacerbated by the COVID-19 pandemic.
  • Existing assessment systems generate waste and inefficiencies, hindering the development of competent physicians.
  • Lean thinking and digital platforms offer potential solutions to streamline complex medical training assessments.

Purpose of the Study:

  • To integrate lean thinking with an app-based e-training platform to optimize resident assessment processes.
  • To identify and address root causes of waste and inefficiency in resident training assessments using the Define-Measure-Analyze-Improve-Control (DMAIC) framework.
  • To evaluate the impact of the integrated approach on assessment delays, satisfaction, and time efficiency.

Main Methods:

  • Conducted online surveys and panels (2021-2022) to identify key issues and root causes of waste in resident assessment.
  • Developed and implemented an app-based e-training platform to improve assessment activities.
  • Utilized brainstorming and online surveys to refine the app and assess user satisfaction and time savings.

Main Results:

  • Identified unplanned delays/cancellations as the primary issue, with 11 root causes accounting for 87.5% of problems.
  • The app significantly reduced the median rate of unplanned delays/cancellations (5% vs 0%, P < 0.001).
  • App implementation led to increased satisfaction (P < 0.001) and saved a median of 60 minutes per assessment.

Conclusions:

  • Lean thinking combined with an app-based platform effectively optimizes resident assessment processes.
  • This integrated approach successfully reduces waste and enhances the efficiency of medical training.
  • The findings suggest a scalable model for improving teaching and learning in medical education through technology and process improvement.