Tuesday, June 15, 2010

Modue 3 Teaching with Technology

What sort of teaching is done in your nursing role?
Although the physician tells the patient which medication they will receive, it is the nurse that teaches the patient what that medication is, how long it will take, what are the pre-medications, what are the side effects, what we can do to manage those side effects, how long they will feel yucky for, what to do if they have problems, etc. It isn't just the patient who asks for education from the nurse, it is oftentimes family members who want to be able to help. As nurses, we use our experience to make the process better, even with something as easy as administering an injection. Patients are taught to stand on the opposite leg, relax, massage the site after injection (sometimes), how long it will hurt for, and when they should start to feel better.
I love to share my knowledge and experience, especially if it can then make a difference in how they feel and empower them to do things to help themselves. The ah-ha moments are priceless, and when brought to my attention, make my day.
I cannot think of any nursing role that does not involve teaching in some form or another.

Monday, June 7, 2010

Module 2

To date, I have used an electronic index (PubMed), a guideline index (National Guidelines Clearinghouse(NGC), and a web search engine (Google) to retrieve information on the reasons for noncompliance in diabetics.
First, I accessed PubMed and typed in a search for 'diabetes', which returned 353,844 results. I then limited the search to education and (lack of compliance). Yes, the parenthesis allow for phrases to be searched for, rather than the single words:) With these limits, the results were 74. Adding full text to the mix, the results were now 15. Although most of the articles were related to diabetes, only one really pertained to my search.
I next accessed NGC and typed in diabetes mellitus and education and (lack of compliance). The topic was too narrow, which resulted in zero results. I then tried diabetes and education, which resulted in 75. I then added noncompliance, which brought the result to 5. Although this was a rather specific search, again the results didn't help me to answer the original question.
Next, I tried a search with my old friend, Google, which found 1,650,000 results. The results(I only looked at the first page)seemed more relevant to my question.
Perhaps some practice composing great questions might come in handy?! Using some of the results titles from Google, I next tried 'improvement in compliance and education and diabetes' back at the PubMed site, which finally brought up articles applicable to my question.
Lesson learned: I can start a search on the Google site, it may help me formulate a question and get a feeling for what is out there. From there, I could go to PubMed to search for articles, or I could go to the NGC site to access guidelines and clinical trials. The differences seem to be quality of information.