1.
Title of the lesson/training:
Renal nutrition for nursing teammates -This
training is a voluntary 8 week online class provided by a Registered Dietitian
for Registered Nurses interested in expanding their knowledge of the renal diet
for Stage IV chronic kidney disease.
2.
Target audience:
Registered
nurses working in hemodialysis. Each class will have a maximum of 5 students.
3.
Learning/Training objective:
Participants will identify nutritional
concerns based and provide the appropriate nutrition education material based
on information provided by the patient.
4.
Materials needed:
Education handouts that cover the following
topics will be reviewed and utilized during class
·
Protein
·
Phosphorus
·
Potassium
·
Fluid
·
Sodium
5.
Instruction procedure/learning procedure/class
outline and methods:
Week 1-Introduction to class with syllabus
posted online. Instructor will post a weekly update starting with week one to
review updates and projects for the upcoming week. Updates and announcements
will occur on Monday. This week, participants will review a Wiki tutorial on
how to use a Wiki page. Assigned readings: Education pieces will be posted to
class website for review (protein and phosphorus).
Week 2- Please refer to Wiki #1 which will
include a case study provided by instructor. Please utilize the Wiki to solve
problems and find solutions collaboratively (West & West, 2009). See rubric
in syllabus for discussing case study. Discussion post is due by Wednesday at 12:00
am. Assigned readings: Education piece
will be posted to class website for review (potassium).
Week 3-Please refer to Wiki # 2 for case
analysis of the case study in Wiki # 1. Please refer to rubric in syllabus for comments
on building a case solution. After
reviewing the case study, please respond with recommendations for providing
patient education. Assigned
readings: Education pieces will be
posted to the class website for review (fluid and sodium).
Week 4 and 5-Each participant will be
assigned one topic to research for Wiki page. For example, one participant will
be assigned the topic “protein”. Each topic should include artifacts, analysis
aids, and useful links. See rubric research
expectations.
Week 6-Each class participant to review all
of the research Wikis by Wednesday at 12:00. Please refer to Wiki #3 which will
include a case study based on the research provided in the individual Wikis.
Each participant will be assigned to one of two groups to debate two possible
solutions to the clinical case study. See Rubric for debate expectations.
Week 7-Each class participant will use the
research from their individual Wiki and create a 1-page patient education
handout on that topic (i.e. protein, phosphorus, etc.). Please post individual
education handout to discussion board by Wednesday at 12:00. Please review each
education handout and post comments of constructive criticism to the message
board for each education piece by Sunday at midnight. See Rubric in syllabus
education handout expectations.
Week 8-Zoom meeting for 1 hour to wrap up
our class findings from critical thinking exercises. Participants are encouraged
to print a copy of each education handout to utilize in the clinic setting. Each
class participant will receive a zoomerang to provide feedback for instructor.
6.
Suggested Learning Activities/practices:
Critical thinking skills encourage participants
to thoroughly evaluate and carefully determine a solution for nutritional
issues in the dialysis facility (West & West, 2009). Critical thinking skills
will be challenged and enhanced by using case studies, debates (via discussion
board) and online critique.
As noted in the Snodgrass (2011) study, “the
opportunity for students to revise content through interaction with their
mentor, and the need for students to respond to questions from peers outside
their group facilitated a stepped learning process (p. 578). Case studies on a
Wiki mimic clinical interaction with a patient, where a healthcare provider
must critically reflect on information obtained from a patient assessment. The
Wiki provides an opportunity to critically reflect and problem solve in a
stress-free atmosphere.
This class includes case studies that encourage
problem solving and a collaborative approach to finding solutions (West &
West, 2009). Debates will be used to
review opposing arguments and create an argument based on literature. Debating
a case study will increase enhance familiarity with class content and allow for
critical reflection of differing sides of an issue.
Scaffolding will be utilized by the
instructor to provide a basis for case study discussion. The instructor will
provide a “temporary starting or starting point support structure to be used by
learners until they self-organize and construct or modify their own knowledge”
(West & West, 2009, p. 37).
7.
A basic rubric will be used to assist with
expectations of class. Since this is a voluntary class provided for supplemental
RN training, no grades will be assigned. It is expected that most participants
will be self-directed, motivated learners since they chose to sign up for this
optional education session. Feedback will be provided by the instructor on the
discussion board and in individual emails throughout the class.
8.
References:
West J.A., & West, M.L. (2009) Using
wikis for online collaboration. San Fransisco, CA: Jossey Bass
Snodgrass, S. (2011). Wiki
activities in blended learning for health professional students: Enhancing
critical thinking and clinical reasoning skills. Australasian Journal of
Educational Technology, 27(4), 563-580.
9.
This class utilizes Wiki pages to discuss a case
study, debate a case study, build research, and develop education materials. This class benefits from a collaborative
approach to critical thinking and problem solving. This online atmosphere
mimics the conversations that occur in a clinic where clinical teammates discuss
similar issues.