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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

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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...
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Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

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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.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
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Preclinical Development: Overview01:28

Preclinical Development: Overview

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Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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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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Clinical Trials01:16

Clinical Trials

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Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
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Related Experiment Video

Updated: Jul 31, 2025

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

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How Do Postgraduate Trainees Prepare for New Clinical Learning Environments.

Kimberly A Gifford1, Kelly A Kieffer2, Eunjung Choi3

  • 1is Clinical Associate Professor of Pediatrics, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University.

Journal of Graduate Medical Education
|May 4, 2023
PubMed
Summary

Postgraduate trainees preparing for new clinical learning environments (CLEs) primarily focus on task-oriented "what" aspects. More emphasis is needed on understanding the system, learning goals, and other crucial preparation categories for a successful transition.

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Area of Science:

  • Medical Education
  • Clinical Training
  • Graduate Medical Education

Background:

  • Transitioning to a new clinical learning environment (CLE) involves acquiring new skills, roles, teams, workflows, and understanding the culture.
  • Existing literature offers limited insight into how learners proactively prepare for such transitions.
  • Prior work identified key orientation activities and questions categorized as who, what, where, when, why, and how.

Purpose of the Study:

  • To describe the preparation strategies employed by postgraduate trainees for clinical rotations.
  • To analyze narrative responses from a simulated orientation experience to understand learner preparation.

Main Methods:

  • Qualitative content analysis of narrative responses from incoming residents and fellows.
  • Responses were collected via an online simulated orientation in June 2018.
  • Directed and open coding were used to analyze responses based on prior orientation categories and identify emergent themes.

Main Results:

  • The majority of trainees (46%) focused on 'what' preparations (tasks within the CLE).
  • Preparations related to 'who,' 'where,' 'when,' 'why,' and 'how' were significantly less frequent.
  • Commonly mentioned preparation activities included content reading (40%), seeking advice (28%), and self-care (12%).

Conclusions:

  • Trainees predominantly focus on task-specific ('what') preparations when entering a new CLE.
  • There is a tendency to overlook systemic understanding and learning objectives ('who,' 'where,' 'when,' 'why,' 'how').
  • This highlights a potential gap in comprehensive preparation for clinical learning environment transitions.