401011 Research Principles for Nursing and Midwifery : Learning Proces
Answer:
Introduction
Nursing is a concept, which has been nourished to look after the health of a person. To take care of this, a nurse needs to keep in mind certain basic strategies. In the 21st century, new technologies have arrived in different clinical institutions and they are being used to train the nurses properly. The educators have the responsibilities to take proper care while imparting lessons to the trainees. However Nursing in Malaysia and still in some other parts of the world, the problems are faced by students in the field of cost to study nursing course, limited degrees. Proper scrutiny of papers is not done and the absence of inadequate resources of government and not- governmental organizations to provide students with minimum requirements. Therefore, proper guidance commanded by proper methodologies and rules should be regulated to take care of the clinical institutions and medical colleges.
Discussion
Nursing as a concept existed at the early development of culture, shaped in the present and is yet to develop in the future. In the context of Malaysia, the nursing education system to match up with the education style of the western world the concept of TNHE (Translational higher education) has been introduced (Arunasalam, 2016). The TNHE concept is relatively new in Malaysia and the impact is not yet clearly outlined in clinical settings. The inclusion of this kind of post registration courses is intended to bridge the gap between the Malaysian nursing style and western style to match up with the expectation (Hill, 2014). The factors that need focus for development of the nursing education are culture and its influence, professional development through continuous learning, more practical exposure than theoretical knowledge and the ability of personnel to cope up with news techniques of learning (Caruana, 2016).
According to the nursing community in Malaysia, the TNHE program provides short teaching time and with no practice component. The program is incapable of providing appropriate knowledge transfer to nurses that fit into Malaysian clinical settings and nursing culture. The practice to theory gap in nursing is a prevalent problem worldwide and not only confined to Malaysia (Cicolini, Comparcini & Simonetti, 2014). The short teaching time frame of TNHE programs restrict the Malaysian nurses to adapt to the fast-paced style of UK and Australian teaching and learning process (Arunasalam, 2016). Another strong trend that can be observed is that the education providers and the nurses are focused on the degree rather than putting the knowledge acquired in a clinical scenario. Some of the solutions that can be incorporated in the Malaysian nursing education system to overcome the current problems is discussed. Prior to TNHE programs the academics, need to undertake the host country’s cultural values. Lectures in Malaysian country should visit TNHE provider country to learn the method of delivery (Saha, 2015). Development of induction module needs to be announced before commencement of the course. The continuous evaluation system should be incorporated in teaching for gaining feedback about the course (Crisp, & Chen, 2014).
Recently the trends that are been followed in the nursing education in Malaysia and other parts of the world are:
- Transition in health-care system: Preventive approach is gaining preference than curative approach for illness. Specialized care for illness rather than primary health-care, evidence-based approached rather than trial error basis and lastly focus should be on quality rather than on cost (Oermann & Gaberson, 2016).
- Transition in the Workplace:High technological machines are implanted to replace humanistic approach, proper mentorship the organizational approach has changed from decentralized to hierarchical approach (Zerwekh & Garneau, 2014).
- Multidimensional approach:Preference is been given to update the existing knowledge of nursing personnel and how to take better client care. Special clinical learning courses are available on the internet as well as centers providing vocational training will uplift the nursing domain (Cherry & Jacob, 2016).
In spite of technological advancement in the nursing field, major issues faced are:
- Student’s selection: Proper scrutiny mechanism is lacking for enrollment of the student (Kajander et al., 2014).
- Institutional inadequacy: Unavailability of proper resources at the governmental or non-governmental organization leads to poor education. Less amount of stipend is paid towards nursing students. Student’s also faces transport problem (Oermann, & Gaberson, 2016).
- Higher education:Lack of promotional activities, for teaching in colleges. Very few number of M.Sc. courses related to nursing courses, lesser funding from the governmental institution. Most of the institute lack Ph.D. program to uplift the research wing. Currently, there is a dearth of qualified teachers (Yoder-Wise, 2014).
- Cost: Most of the nursing colleges do not own hospitals for proper exposure to students pursuing the course. It is very costly to set up an in-house facility. Less number of students enrolls in the courses due to the poor condition of hostels and library condition (Crisp & Chen, 2014).
Strategies in Teaching Methodology
Teaching is a process of using appropriate methods to nurture the students through the mode of Education. Education helps the students to develop their thinking abilities, gain proper knowledge and make them self-sufficient in different fields of life. Nursing is a skill to understand the patients; it is a strategy to emancipate the psychology of the patients in a complex and diverse environment. A way to thinking in a more critical way nourishes the thinking power of a medically competent person in the field of nursing. In the course of nursing, clinical experience is the oxygen for nursing education. The educators in the field of nursing have the responsibilities to provide the best learning during the course of nursing to the students (Billings & Halstead, 2015). A teacher- student relation needs to be identified as a practical one. It is the duty of the educators to deliver the basic knowledge to the trainees or students and make them update with the clinical ambiance. The latter must have the ability to grasp the teachings properly and implement them accordingly.
The Nurse educators must carry the obligations to create a learning environment that provides the base for the capability to think critically. The students should understand the features of the teaching methods and learn them accordingly. In Nursing, the creativity is most important, which is needed to develop the understanding of the critical medical environment (Ismail et al., 2014) Different modern nursing methodologies should be applied properly. The application of such methods in any health care institutions, not only improve the system of education but also strengthen the administration and stimulate the effort to attain the objectives of the human development for the country. Such methodologies of teaching include the use of web designing, creating portfolios, case studies to give new life to the version of a nursing education. It is important to overcome the predominant didactic method of teaching and with the utilization of these methodologies; the learning environment becomes more effective (Cicolini & Simonetti, 2014).
Nursing
Various teaching methodologies are followed in Clinical institutions, such as lectures, demonstrations, seminar, panel discussions, problem-based learning (PBL), workshops, clinical teaching, role playing, field works, games and much more. In spite of these methods, these strategies get successful ratings, when a teacher carries the capability to innovate them with the instructional strategies and must make sure whether the students are implementing what they learned properly or not. A teacher must observe the class that
- How relevant the selection of new approaches
- Providing inspirations to develop positive mindset and behaviors.
- Techniques to boost up unmotivated students
- Learning strategies need to be project based.
- Working with the students in laboratory and wards.
- Empowering students to think critically. (Censu, Guyatt & Cilisca, 2014)
Nursing includes the fusion of theoretical and practical work. The following more education strategies would highlight the growth of the communication skills of the students.
Stimulation: It is a strategy applied in a clinical institution in the form of role-play, models, manikins and in many ways. Stimulators practice the nursing students in an interactive way. Here the educators organize an interactive session for the students and try to reach their problems authentically by solving them.
Telecommunication: It is an online model of education where the trainee directly communicates with the teacher.
Blackboard or web-based education: It is designed to give support to online courses, where face- to face interaction takes place. This type of education enriches the learning experience.
Education and Multimedia: In a problem-based environment, usage of multimedia encourages students to prepare them for any skill tests.
Problem-based learning
It is a teaching style based on the methods of active learning for the students in the nursing field. PBL is an instructional method supports active learning skill to help the students to develop the critical thinking. It also applies the accumulation of knowledge to approach the clinical problems, motivating the students to learn, develop the ideas to solve the problems with clinical reasoning. The entire process enhances the self- motivated education of nursing. The students need to be encouraged to become self-motivated. By solving the critical problems, the student gathers experiences, which in turn in the later stage would help them to understand the sphere of nursing. In PBL students, need to define their own learning objectives. Therefore, they become self- independent and implement their acquired knowledge in the practical field. The researchers say, 94% respondents, believed that Problem Based Learning help the students to understand the topic (Kong et al., 2014)
Activities of Role Model in nursing
Role Modeling is described as a teaching with examples and learning with imitation. A skill role model has the capacity to unearth the valuable knowledge encapsulated in clinical practices. The trainees or the students need to observe the role model thoroughly as the latter’s activities would reflect the workings that the former needs to learn in a more practical way. Role models need to encourage students to learn the clinical environment. They need to educate the vital lessons in the form of thinking skills and researchers and which in future, would enable the learners to integrate the practical and theoretical learning in the development of the student nurses. However, the professional nurses, acting as a role model must also teach the students that how to develop a professional character while handling the patients (Masters, 2015).
Case study
It is a practical way of teaching and motivating students to develop a rationale and critical thinking process at the spur of the moment. It helps to develop and facilitate the active learning procedures. By using case studies while teaching can assist the nurse educators to promote the process of active learning and rationale thinking. Furthermore, the development of critical thinking out of learning case studies would enable the students to learn more about the clinical environment through the usage of proper technologies and methods (Prosavac, 2015). Case studies galvanized knowledge and helps students to witness problems in professional life. It is a way of a learning process and this is carried out in a group of a few members in the form of question and answers format. Case studies are also a part of problem-based learning, this help the students to develop their critical thinking ability and strengthen their communication abilities (Forsgren, Christensen & Hedemalm, 2014).
Information technology as teaching aid
According to trend analysis of nursing education and considering the issues facing it, information technology might play a pivotal role in the transformation of the education system. Currently in health-care, the system there is a surge in demand of ICT (Information and Communication Technologies) (Ismail et al., 2014). The introduction of internet access in teaching environment provides an accelerated interest with help of visual aids. To make the study more engaging VLE (Virtual Learning Environment) can act as a mediator for bridging the gap between the theoretical knowledge gained and how it will be applied in the real clinical settings. The VLE mode of education optimizes the classroom for better utilization of knowledge framework, making it much easier to the students to grasp the concepts rather than only reading about the process. Visual aids are the most preferred way of education nowadays than the classical paradigm of education. For example, the process of peripheral venipuncture (PVP) using ICT technology can be simulated (Pucer, Trobec & Žvanut, 2014). However, it might not give the student the real work experience but they will be much clearer of the process and will be able to perform it better.
Conclusion
On a concluding note, this report discussed the current trends and issues faced by nursing education. To elaborate the underlying issues the Malaysian nursing education system has been compared with western education systems. The practice to the theoretical gap in knowledge can be bridged with the introduction of appropriate teaching strategies. Problem-based learning, case study, and role model can induce critical thinking approach for problem solving in the real clinical setting. The introduction of ICT technology and simulation based projections will deliver the concepts in a much lucid manner than theoretical knowledge and makes it more interesting for the nursing students to grasp the concept.
References
Arunasalam, N. (2016). Malaysian nurses' evaluation of transnational higher education courses. British Journal of Nursing, 25(6).
Arunasalam, N. (2016). Technology-enhanced learning in transnational higher education. British Journal of Nursing, 25(21).
Arunasalam, N. D. (2016). Impact of UK and Australian Transnational Higher Education in Malaysia. Journal of Studies in International Education, 20(3), 242-259.
Billings, D. M., & Halstead, J. A. (2015). Teaching in nursing: A guide for faculty. Elsevier Health Sciences.
Caruana, V. (2016). Researching the transnational higher education policy landscape: Exploring network power and dissensus in a globalizing system. London Review of Education, 14(1), 56-69.
Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management. Elsevier Health Sciences.
Cicolini, G., Comparcini, D., & Simonetti, V. (2014). Workplace empowerment and nurses' job satisfaction: A systematic literature review. Journal of Nursing Management, 22(7), 855-871.
Crisp, N., & Chen, L. (2014). Global supply of health professionals. New England Journal of Medicine, 370(10), 950-957.
DiCenso, A., Guyatt, G., & Ciliska, D. (2014). Evidence-based nursing: A guide to clinical practice. Elsevier Health Sciences.
Forsgren, S., Christensen, T., & Hedemalm, A. (2014). Evaluation of the case method in nursing education. Nurse Education in Practice, 14(2), 164-169.
Hill, C., Cheong, K. C., Leong, Y. C., & Fernandez-Chung, R. (2014). TNE–Trans-national education or tensions between national and external? A case study of Malaysia. Studies in Higher Education, 39(6), 952-966.
Ismail, S., Rahman, N. I. A., Mohamad, N., Jusoh, N. M., Hood, A. I. B., Arif, L. A. B., ... & Haque, M. (2014). Preference of teaching and learning methods in a new medical school of Malaysia.
Kajander-Unkuri, S., Meretoja, R., Katajisto, J., Saarikoski, M., Salminen, L., Suhonen, R., & Leino-Kilpi, H. (2014). Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Education Today, 34(5), 795-801.
Kong, L. N., Qin, B., Zhou, Y. Q., Mou, S. Y., & Gao, H. M. (2014). The effectiveness of problem-based learning on development of nursing students’ critical thinking: A systematic review and meta-analysis. International Journal of Nursing Studies, 51(3), 458-469.
Masters, K. (2015). Role development in professional nursing practice. Jones & Bartlett Publishers.
Oermann, M. H., & Gaberson, K. B. (2016). Evaluation and testing in nursing education. Springer Publishing Company.
Posavac, E. (2015). Program evaluation: Methods and case studies. Routledge.
Pucer, P., Trobec, I., & Žvanut, B. (2014). An information communication technology based approach for the acquisition of critical thinking skills. Nurse education today, 34(6), 964-970.
Saha, N. (2015). Higher Education Regionalization in Asia Pacific: Implications for Governance, Citizenship and University Transformation. In FIRE: Forum for International Research in Education (Vol. 1, No. 3, p. 4).
Yoder-Wise, P. S. (2014). Leading and managing in nursing. Elsevier Health Sciences.
Zerwekh, J., & Garneau, A. Z. (2014). Nursing today: Transition and trends. Elsevier Health Sciences.
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