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Teaching Renal Failure in a Pathophysiology Course with the use of clickers Camille N. Scronce Duke University School of Nursing N545: Integrating Technology into Nursing Education August 7, 2013

Teaching Renal Failure in a Pathophysiology Course with the use of clickers Camille N. Scronce Duke University School of Nursing N545: Integrating Technology

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  • Teaching Renal Failure in a Pathophysiology Course with the use of clickers Camille N. Scronce Duke University School of Nursing N545: Integrating Technology into Nursing Education August 7, 2013
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  • Student Contextual Realities
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  • Upon completion of the course, the student will be able to: 1.Compare and contrast normal function of body systems compared to alterations in function. 2.Identify maladaptive responses in states of altered function and explore the health conditions that can precipitate these alterations in function. 3.Demonstrate an understanding of symptoms associated with specific health alterations as they relate to the identified pathology. General Course Objectives
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  • 4.Identify relevant diagnostics that are indicative of specified pathological alterations and deficits. 5.Discuss assessment characteristics representative of normal physiological parameters and specific pathological-health deviations. 6.Identify nursing systems, resources and interventions that may assist the client/family in meeting self-care demands in managing specific health conditions 7.Discuss the implications of current research and health care practices related to specific health deviations that influence clinical nursing practice. General Course Objectives
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  • 1.Review the anatomy and physiology of the kidneys 2.Define renal failure and discuss its pathophysiological changes 3.Describe the categories of acute and chronic renal failure and associated etiologies 4.Recognize and understand the clinical manifestations of acute and chronic renal failure Learning Objectives
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  • 5.Describe the acid-base abnormalities of acute and chronic renal failure 6.Describe the effect of chronic renal failure on water balance, potassium balance, sodium and volume regulation 7.Explain the assessment and diagnostic findings associated with acute and chronic renal failure. 8.Describe the medical management and examples of nursing interventions of patients with acute and chronic renal failure. Learning Objectives
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  • Communicate Expectations Guide Learning Connect Content and Assessment Why Learning Objectives Are Important?
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  • PowerPoint Lecture with the use of clickers
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  • Advantages of Lectures Teacher controls topic, content, sequence and rate Can easily be updated or revised Facilitate large class sizes Students are used to this teaching strategy PowerPoint Lectures with the use of clickers
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  • Disadvantages of Lecture Passive learning Difficulty maintaining student interest Information forgotten easily Teaching to one specific learning style/preference Encourage student dependence on the instructor PowerPoint Lectures with the use of clickers
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  • Matthews Story PowerPoint Lecture with the use of clickers
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  • Why is it important? Enhance student learning Enhance student engagement Increase retention of content Provide multiple strategies that target multiple learning styles/preferences Utilizing Multiple Teaching Strategies
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  • Incorporating Case Studies into Pathophysiology Teaching Pathophysiology
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  • A 73 year old female diabetic patient with a history of high blood pressure develops an infection of her right foot. For over one week the patient has had chills, inflammation and swelling of her right leg and foot. The patient has been taking Motrin for pain. For four days she has had low urine output. The patient was admitted to the hospital with a BP of 82/60; temperature of 102; and a pulse of 88. The patient is confused and has been diagnosed with severe cellulitis of her right leg and foot. Her BUN is 126 and her creatinine is 6.6. She is treated with IV fluids, antibiotics and dialysis. How do we know that this patient is in renal failure? What are the possible etiologies of this patients renal failure? What are the pathophysiologic mechanisms that cause this patients renal failure? How can you use the knowledge of the mechanisms for diagnosis and treatment of this patient? Case Studies in Pathophysiology
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  • Aligning the use of Clickers with Pathophysiology Aligning the use of Clickers with Student Contextual Realities Aligning the use of Clickers with Course Objectives Aligning the use of Clickers with Learning Objectives PowerPoint Lecture with the use of clickers
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  • Affordances of Technology Enhance student engagement Increase student interaction Gauge level of understanding Immediate Feedback Reinforce learning Anonymity Constraints of Technology Associated costs Investment of time Instructor planning Instructor adaptability Overuse of technology
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  • Student Assessment Instructor Assessment Formative Assessment Summative Assessment Assessment Strategy
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  • There can be infinite uses of the computer and of new age technology, but if teachers themselves are not able to bring it into the classroom and make it work, then it fails --Nancy Kassebaum Technology itself is not transformative. Its the facilitation of student learning that is transformative. Final Thoughts
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  • American Association of Colleges of Nursing (2013). New AACN data show an enrollment surge in baccalaureate and graduate programs amid calls for more highly educated nurses. Retrieved August, 1, 2013, from http://www.aacn.nche.edu/news/articles/2012/enrollment-data Berry, J. (2009). Technology support in nursing education: Clickers in the classroom. Nursing Education Perspectives, 30(5), 295-298. Carnegie Mellon Eberly Center for Teaching Excellence (2007) A Teaching with Technology White Paper: Classroom Response Systems. Retrieved July 30, 2013, from http://www.cmu.edu/teaching/resources/PublicationsArchives/StudiesWhitepapers/ ClassroomResponse_Nov07.pdf References
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  • Carnegie Mellon Eberly Center for Teaching Excellence (n.d.) Integrating clickers into your teaching. Retrieved August 1, 2013, from http://www.cmu.edu/teaching/technology/clickers/pdfs/clickers- pedagogicalvalue.pdf Carnegie Mellon Eberly Center for Teaching Excellence (n.d.) The Educational Value of Course-level Learning Objectives/Outcomes. Retrieved July 1, 2013, from http://www.cmu.edu/teaching/resources/Teaching/CourseDesign/Objectives/Course LearningObjectivesValue.pdf Crossgrove, K. & Curran, K.L. (2008). Using clickers in nonmajors-and majors-level biology courses: Student opinion, learning and long-term retention of course material. CBE Life Sciences Education, 7(1), 146-154. doi: 10.1187/cbe.07-08-0060 References
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  • Day, L. (2011). Using unfolding case studies in a subject-centered classroom. Journal of Nursing Education, 50(8), 447-452. Educational Development Centre (n.d.). What are clickers. Retrieved August 1, 2013, from http://www1.carleton.ca/edc/educational-technology/clickers/ Gauci, S.A., Dantas, A.M., Williams, D.A. & Kemm, R.E. (2009). Promoting student- centered active learning in lectures with a personal response system. Advances in Physiology Education, 33, 60-71. doi:10.1152/advan.00109.2007 Harris, J., & Hofer, M. (2009). Instructional planning activity types as vehicles for curriculum-based TPACK development. In C. D. Maddux, (Ed.). Research highlights in technology and teacher education 2009 (pp. 99-108). Chesapeake, VA: Society for Information Technology in Teacher Education (SITE). References
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  • Hoffman, C. & Goodwin, S. (2006). A clicker for your thoughts: Technology for active learning. New Library World, 107(10), 422-433. Levesque, A.A. (2011). Using clickers to facilitate development of problem-solving skills. CBE Life Sciences Education, 10(4), 406-417. doi: 10.1187/cbe.11-03-0024 Lom, B. (2012). Classroom activities: Simple strategies to incorporate student- centered activities within undergraduate science lectures, The Journal of Undergraduate Neuroscience Education, 11(1), 64-71. Lombardi, M.M. (2007). Authentic learning for the 21 st century: An overview. Retrieved July 31, 2013, from http://net.educause.edu/ir/library/pdf/ELI3009.pdf References
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  • Moravec, M., Williams, A., Aguilar-Roca, N. & ODowd, D.K. (2010). Learn before lecture: A strategy that improves learning outcomes in a large introductory biology class. CBE Life Sciences Education, 9(4), 473-481. doi: 10.1187/cbe.10-04-0063. National Education Association (2012). Clickers and Classroom Dynamics. Retrieved August 1, 2013, from http://www.nea.org/home/34690.htm National League for Nursing (2013). Annual Survey of Schools of Nursing, Fall 2012. Retrieved August 3, 2013, from http://www.nln.org/researchgrants/slides/pdf/AS1112_F29.pdf Preszler, R.W., Dawe, A., Shuster, C.B. & Shuster, M. (2007). Assessment of the effects of student response systems on student learning and attitudes over a broad range of biology courses. CBE Life Sciences Education, 6(1), 29-41. References
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  • Siemens, G. & Tittenberger (2009). Handbook of Emerging Technologies for Learning. Retrieved July 17, 2013, from http://elearnspace.org/Articles/HETL.pdf University of Michigan Center for Research on Learning and Teaching. (2012). Teaching with Clickers: Recommendations for using clickers. Retrieved July 30, 2013, from http://www.crlt.umich.edu/inst/clickerrecommendations University of Minnesota Center for Teaching and Learning. (2008). Active Learning: The Potential of PowerPoint. Retrieved, July 30, 2013, from http://www1.umn.edu/ohr/teachlearn/tutorials/powerpoint/lecturing/index.html Vanderbilt University Center for Teaching. (2013). Classroom Response Systems (Clickers). Retrieved July 31, 2013, from http://cft.vanderbilt.edu/teaching- guides/technology/clickers/ References
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  • Vietz, K. & Grinnell, S. (2004). Does pathophysiology have to be boring? Nurse Educator, 29(3), 93-94. Vonderstrasse, A.A. & Zychowicz, M.E. (2012). Case studies for an accelerated Bachelor of Science in Nursing pathophysiology course. Journal of Nursing Education, 51(6), 358. doi: 10.3928/01484834-20120522-02 Weimer, M. (2012). Five characteristics of learner-centered teaching. Retrieved July 1, 2013, from http://www.facultyfocus.com/articles/effective-teaching- strategies/five-characteristics-of-learner-centered-teaching/ Weimer, M. (2012). The ideal professor vs. the typical professor. Faculty Focus [Online], Retrieved July 1, 2013, from http://www.facultyfocus.com/articles/teaching- professor-blog/the-ideal-professor-vs-the-typical-professor/ References