Lesson/Training Plan

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.