Cultural Norms of Clinical Simulation in Undergraduate Nursing Education

Simulated practice of clinical skills has occurred in skills laboratories for generations, and there is strong evidence to support high-fidelity clinical simulation as an effective tool for learning performance-based skills. What are less known are the processes within clinical simulation environments that facilitate the learning of socially bound and integrated components of nursing practice. Our purpose in this study was to ethnographically describe the situated learning within a simulation laboratory for baccalaureate nursing students within the western United States. We gathered and analyzed data from observations of simulation sessions as well as interviews with students and faculty to produce a rich contextualization of the relationships, beliefs, practices, environmental factors, and theoretical underpinnings encoded in cultural norms of the students’ situated practice within simulation. Our findings add to the evidence linking learning in simulation to the development of broad practice-based skills and clinical reasoning for undergraduate nursing students

Evaluating students' perspective of the value of work placements and simulation-based learning as assets for vocational higher education

Abstract The challenges confronting students in higher education in today’s competitive environments have highlighted the importance for graduating students to feel competent and prepared for practice. In vocational disciplines such as nursing and engineering, the significance of student work placement experience together with other elements of ‘real-world’ practice built into the courses are especially crucial in terms of achieving readiness of the new graduates for employment. This paper is based on the authors’ experiences in two separate scholarship funded international projects beyond the context of the United Kingdom in nursing and engineering. The aim of the paper is to explain the significance of the nature and quality of student work placements and simulation-based learning as on-course practical activities in the two disciplines, demonstrating how the innovative implementation of active learning methods affect student motivation. Using student focus group discussion, the first author collected data in Singapore in the period between July 2012 and October 2013; and the second author collected data in Australia, North America and Continental Europe from September 2012 to January 2013. Work placements, albeit in different parts of the world and in very different disciplines; health and engineering, are regarded as important by students as a vital platform for linking theory to practice. While work placement environments are important for developing students’ confidence and organisational skills and hence motivation to learn, effective learning occurred best when they were complemented by appropriate on course pedagogies, and placements were supervised by individuals with good disciplinary knowledge and at the same time, proficient pedagogic skills to guide student

Transition, Decoding and Heutagogy; A strategy for improving undergraduate learning in sport, health and exercise.

Heutagogy, an established concept in educational literature, puts an emphasis on the development of a student’s ability to understand how they learn certain skills and abilities. To gain a clearer understanding on the implementation of heutagogy within the higher education environment, the present study considered the adoption of heutagogical approaches with students at University. A review of the literature was conducted to understand the use of pedagogy and andragogy in higher education and how a heutagogical approach could create a self-directed learning experience. Contemporary research has evidenced that the implementation of heutagogy at higher education encourages students to develop highly employable skills such as determination and initiative. In contrast, it has been discovered that students find heutagogy to be challenging, therefore a progressive development from pedagogy to andragogy to heutagogy is required. Nevertheless, the beneficial outcomes are apparent to educators and students, and increase employability rates. The beneficial learning outcomes of heutagogical learning such as employability and self-directed learning is discussed

Nanoinformatics: developing new computing applications for nanomedicine

Nanoinformatics has recently emerged to address the need of computing applications at the nano level. In this regard, the authors have participated in various initiatives to identify its concepts, foundations and challenges. While nanomaterials open up the possibility for developing new devices in many industrial and scientific areas, they also offer breakthrough perspectives for the prevention, diagnosis and treatment of diseases. In this paper, we analyze the different aspects of nanoinformatics and suggest five research topics to help catalyze new research and development in the area, particularly focused on nanomedicine. We also encompass the use of informatics to further the biological and clinical applications of basic research in nanoscience and nanotechnology, and the related concept of an extended ?nanotype? to coalesce information related to nanoparticles. We suggest how nanoinformatics could accelerate developments in nanomedicine, similarly to what happened with the Human Genome and other -omics projects, on issues like exchanging modeling and simulation methods and tools, linking toxicity information to clinical and personal databases or developing new approaches for scientific ontologies, among many others

Actions speak louder than words: designing transdisciplinary approaches to enact solutions

Sustainability science uses a transdisciplinary research process in which academic and non-academic partners collaborate to identify a common problem and co-produce knowledge to develop more sustainable solutions. Sustainability scientists have advanced the theory and practice of facilitating collaborative efforts such that the knowledge created is usable. There has been less emphasis, however, on the last step of the transdisciplinary process: enacting solutions. We analyzed a case study of a transdisciplinary research effort in which co-produced policy simulation information shaped the creation of a new policy mechanism. More specifically, by studying the development of a mechanism for conserving vernal pool ecosystems, we found that four factors helped overcome common challenges to acting upon new information: creating a culture of learning, co-producing policy simulations that acted as boundary objects, integrating research into solution development, and employing an adaptive management approach. With an increased focus on these four factors that enable action, we can better develop the same level of nuanced theoretical concepts currently characterizing the earlier phases of transdisciplinary research, and the practical advice for deliberately designing these efforts

Modeling Bacterial DNA: Simulation of Self-avoiding Supercoiled Worm-Like Chains Including Structural Transitions of the Helix

Under supercoiling constraints, naked DNA, such as a large part of bacterial DNA, folds into braided structures called plectonemes. The double-helix can also undergo local structural transitions, leading to the formation of denaturation bubbles and other alternative structures. Various polymer models have been developed to capture these properties, with Monte-Carlo (MC) approaches dedicated to the inference of thermodynamic properties. In this chapter, we explain how to perform such Monte-Carlo simulations, following two objectives. On one hand, we present the self-avoiding supercoiled Worm-Like Chain (ssWLC) model, which is known to capture the folding properties of supercoiled DNA, and provide a detailed explanation of a standard MC simulation method. On the other hand, we explain how to extend this ssWLC model to include structural transitions of the helix.Comment: Book chapter to appear in The Bacterial Nucleoid, Methods and Protocols, Springer serie

On the Implementation of AM/AM AM/PM Behavioral Models in System Level Simulation

The use of nonlinear device behavioral models offers an economical way of simulating the performance of complex communication systems. A concrete method for implementing the AM/AM AM/PM behavioral model in system level simulation using ADS is developed. This method seamlessly tansfers the data from the circuit level simulation to system level simulation, where the AM/AM AM/PM model is automatically built. The methodology is extendible for use in other software packages or between different software packages

Conserved Linking in Single- and Double-Stranded Polymers

We demonstrate a variant of the Bond Fluctuation lattice Monte Carlo model in which moves through cis conformations are forbidden. Ring polymers in this model have a conserved quantity that amounts to a topological linking number. Increased linking number reduces the radius of gyration mildly. A linking number of order 0.2 per bond leads to an eight-percent reduction of the radius for 128-bond chains. This percentage appears to rise with increasing chain length, contrary to expectation. For ring chains evolving without the conservation of linking number, we demonstrate a substantial anti-correlation between the twist and writhe variables whose sum yields the linking number. We raise the possibility that our observed anti-correlations may have counterparts in the most important practical polymer that conserves linking number, DNA.Comment: Revised title, minor changes, updated references. 36 pages, including 14 figures. More formats available at http://rainbow.uchicago.edu/~plewa/webpaper