Archived case study

PBL based on patient clinical scenarios for acutely ill adult nursing

Location:

Innovation

Module One: Acutely Ill Adult Nursing
The course content has been delivered with a modified problem based learning approach based upon patient clinical scenarios. Students are expected to explore, study and discuss in groups the care of patients presented in scenarios and present their findings, assessment and interventions for each scenario. The complexity of the scenarios increases as the course progresses. The final day is focused upon students presenting cases and receiving real time feedback where the patient deteriorates and they need to make decisions quickly about nursing interventions.

The course is assessed with a seen exam and students are presented with three patient scenarios before the exam but do not know what questions will be asked in the exam. The next stage of development in this course is the use of Certainty Based MCQs and e-Assessment that will test clinical decision making, and the transfer of the details of the patient scenarios into virtual patients.

What prompted innovation?

These innovations have been developed to aid in the translation of theory to practice. These innovations represent an attempt to develop critical decision making and critical evaluation skills using real world problems in the classroom.

What makes innovation different?

The application of real world problems and a focus upon the student’s learning.

Changes in practice

  • There is some indication that the students on the Acutely Ill Adult Nursing course are much more confident in their practice when looking after acutely unwell patients.
  • Changes to the Law and Ethics module are new and therefore difficult to assessment impact at this stage.

Impact

Several students comment upon the positive impact that the Acutely Ill Adult Nursing course has had for them on module evaluation and also in making contact after the course has completed.

Dissemination

Through the teaching champions group within the school.