Case Studies in Virtual Clinical Environment

Clinical practicum is a major component in nursing education. Students are able to apply their classroom learning to the actual care setting. The clinical practicum setting must provide an authentic environment where students can maximize learning opportunities and demonstrate knowledge, skills, and attitude in caring for patients. Herein lies the challenge. The real world setting and timing may not be enough for students to learn the many complex tasks demanded as course outcomes and expected competencies. The purpose of this study was to describe the usefulness of using multimedia case study courseware in facilitating learning among students. The Virtual Clinical Environment multimedia courseware was structured around five case studies featuring major health concerns among adults, namely : chronic heart failure, stroke, breast cancer, chronic obstructive pulmonary disease, and dementia. Students were asked to use case studies in developing nursing care plans which facilitated authentic learning and encouraged active and reflective learning. Students were also encouraged to critically think and effectively solve problems. The case studies in the courseware helped in demonstrating the scope and processes of the clinical practicum, illustrating the setting, and stimulating critical thinking and decision-making in doing patient assessment and care

Openness and quality in Asian distance education : sub-project 5; development and evaluation of use of distance education technologies for enriching clinical practicum in nursing in the Philippines

Annex 4 of the Final technical reportThe Virtual Clinical Experience Courseware was distributed to all Master of Arts in Nursing (MAN) students enrolled in their first clinical course entitled Advanced Adult Health Nursing. In terms of cognitive strategies, the use of the courseware helped students integrate the concepts in practice and use critical thinking in making clinical decisions. The courseware, (with resource guidelines shown in the Appendices), also fostered positive attitudes and helped the students appreciate the subject matter better. Wider dissemination and testing of the courseware is needed to determine its impact on learning and behaviour outcomes and professional competencies

Children with special needs and their access to rehabilitation services in the Philippines: A Q methodology study on perceived barriers by family members

Abstract Background Childhood disability remains a lowly prioritized and funded international health concern in the world today. Exacerbated by poverty, a lack of bureaucratic support, and societal discrimination, rehabilitation services are not readily accessible for Filipino families who happen to have a child with disability. This article intends to determine the perceived barriers of Filipino service users when it comes to accessing rehabilitation services for children with special needs in Cagayan de Oro City and to propose suggestions to improve the access to rehabilitation services from an international health perspective. Methods The study utilized the four‐phased Q methodology, a mixed‐method research design with an exploratory sequential approach: (1) creating and validating the Q‐sort statements, (2) Q‐sorting administration, (3) factor analysis, and (4) interpreting factors. Results After going through the four phases of Q methodology, the following factors, called “viewpoints” emerged: systemic discrimination based on differences in culture and ethnicity (Viewpoint 1), socioeconomic factors such as affordability and accessibility (Viewpoint 2), and predisposed health beliefs and lack of trust to health professionals (Viewpoint 3). Discussion Barriers to accessing rehabilitation services in the Philippines go beyond the lack of individual resources. These perceived barriers can be mitigated by employing participatory and collaborative approaches in developing rehabilitation programs for children and their families, viable strategies such as integrating telehealth in the rehabilitation process, and cultural competence in recognizing folkloric beliefs as a way to build trust toward health‐care professionals. Conclusion This article determined contextualized barriers when accessing health and rehabilitation services based on service users themselves, which in turn hopes to promote inclusive, justice‐oriented, and culturally focused rehabilitation services underpinned by international health principles

In-service training programme for health and social care workers in the Philippines to strengthen interprofessional collaboration in caring for older adults: a mixed-methods study

Abstract Background A growing number of older adults require complex care, but coordination among professionals to provide comprehensive and high-quality care is perceived to be inadequate. Opportunities to gain the knowledge and skills important for interprofessional collaboration in the context of geriatric care are limited, particularly for those already in the workforce. A short-term training programme in interprofessional collaboration for health and social care workers in the Philippines was designed and pilot tested. The programme was devised following a review of the literature about geriatric care education and group interviews about training needs. The objectives of this paper are to introduce the training programme and to evaluate its influence on attitudes and readiness to collaborate among participants using both quantitative and qualitative methodologies. Methods A total of 42 community health workers and 40 health institution workers participated in the training in July 2019. Quantitative indicators were used to evaluate attitudes towards and readiness for collaboration before and after the training. Content analysis was performed of responses to open-ended questions asking participants to evaluate the training. A convergent parallel mixed-methods design was applied to determine the patterns of similarities or differences between the quantitative and qualitative data. Results Significant improvements were seen in scores on the Attitudes Towards Health Care Teams Scale among community health (P < 0.001) and health institution (P < 0.001) staff after the training. Scenario-based case studies allowed participants to work in groups to practise collaboration across professional and institutional boundaries; the case studies fostered greater collaboration and continuity of care. Exposure to other professionals during the training led to a deeper understanding of current practices among health and social care workers. Use of the scenario-based case studies followed by task-based discussion in groups was successful in engaging care professionals to provide patient-centred care. Conclusions This pilot test of in-service training in interprofessional collaboration in geriatric care improved community and health institution workers’ attitudes towards such collaboration. A 3-day training attended by health and social care workers from diverse healthcare settings resulted in recommendations to enhance collaboration when caring for older adults in their current work settings

Salutogenesis and COVID-19 pandemic impacting nursing education across SEANERN affiliated universities: a multi-national study

Background: The COVID-19 pandemic has disrupted the lives of many. Particularly, nursing students experience greater stress as their normal curriculum is interrupted and some of them face the risk of being infected as frontline workers. Nursing faculty members may face similar struggles, in addition to developing teaching materials for online learning. Thus, it is important to examine the faculty members' and students' views on their ability to adapt during the pandemic to obtain a holistic view of how learning and training has been affected. Design: The descriptive cross-sectional quantitative design was used. Settings: Data were collected from Southeast and East Asian Nursing Education and Research Network (SEANERN) affiliated nursing institutions from January 2021 to August 2021. Participants: A total of 1897 nursing students and 395 faculty members from SEANERN-affiliated nursing institutions in Cambodia, Hong Kong, Indonesia, Japan, Laos, Malaysia, Philippines, Singapore, Thailand and Vietnam were recruited for this study. Methods: Quantitative surveys were used to explore the satisfaction levels in education modalities, confidence levels, psychosocial well-being, sense of coherence and stress levels of nursing students and faculty members during the COVID-19 pandemic. Results: Participants were mostly satisfied with the new education modalities, although most students felt that their education was compromised. Both groups showed positive levels of psychosocial well-being, despite scoring low to medium on the sense of coherence scale and experiencing great stress. The participants' sense of coherence was positively correlated with their psychosocial well-being and negatively correlated with stress levels. Conclusions: While the COVID-19 pandemic had negatively impacted the lives of nursing students and faculty members, most of them had a healthy level of psychosocial well-being. Having a strong sense of coherence was associated with better psychosocial health and lower stress levels. As such, it may be helpful to develop interventions aimed at improving the sense of coherence of nursing students and staff to help them manage stressors better

How far is America from here? Selected proceedings of the First World Congress of the International American Studies Association, 22-24 May 2003 /

How Far is America From Here? approaches American nations and cultures from a comparative and interdisciplinary perspective. It is very much at the heart of this comparative agenda that “America” be considered as a hemispheric and global matter. It discusses American identities relationally, whether the relations under discussion operate within the borders of the United States, throughout the Americas, and/or worldwide. The various articles here gathered interrogate the very notion of “America”: which, whose America, when, why now, how? What is meant by “far”—distance, discursive formations, ideals and ideologies, foundational narratives, political conformities, aberrations, inconsistencies? Where is here—positionality, geographies, spatial compressions, hegemonic and subaltern loci, disciplinary formations, reflexes and reflexivities? These questions are addressed with regard to the multiple Americas within the USA and the bi-continental western hemisphere, as part of and beyond inter-American cultural relations, ethnicities across the national and cultural plurality of America, mutual constructions of North and South, borderlands, issues of migration and diaspora. The larger contexts of globalization and America's role within this process are also discussed, alongside issues of geographical exploration, capital expansion, integration, transculturalism, transnationalism and global flows, pre-Columbian and contemporary Native American cultures, the Atlantic slave trade, the environmental crisis, U.S. literature in relation to Canadian or Latin American literature, religious conflict both within the Americas and between the Americas and the rest of the world, with such issues as American Zionism, American exceptionalism, and the discourse of/on terror and terrorism... Back cover.Acknowledgements / Theo D'haen, Paul Giles, Djelal Kadir and Lois Parkinson Zamora; AMERICAN STUDIES FROM AN INTERNATIONAL AMERICAN STUDIES PERSPECTIVE. Defending America against Its Devotees / Djelal Kadir; The Tenacious Grasp of American Exceptionalism: A Response to Djelal Kadir, "Defending America against Its Devotees" / Amy Kaplan; Resisting Terror, Resisting Empire: The Evolving Ethos of American Studies / Kousar J. Azam; How far from America is America? / Werner Sollors; INTERNATIONAL, TRANSNATIONAL, HEMISPHERIC AMERICA. Through the Fun House Mirror: The Fulbright Teaching Experience in Germany / Janice L. Reiff; American Diplomats in South Africa and the Emergence of Apartheid, 1948-1953 / J. P. Brits; The Quest for Cultural Identity in the African Diaspora in the Americas and Europe in the Early Twentieth Century / Allison Blakely; Notes on Border(land)s and Transculturation in the ‘Damp and Hungry Interstices' of the Americas / Roland Walter; Antropofagismo and the ‘Cannibal Logic' of Hemispheric American Studies / Justin Read;AMERICAN SOCIAL, ETHICAL, AND RELIGIOUS MENTALITIES. Is Truth Defunct? / Kathleen Haney; True Ethics: American Morality in (Post-)Modern Times / Bernd Klähn; "In All People I See Myself": The New American Sprituality and the Paradoxes of Cultural Pluralism / Mary Kupiec Cayton; COMPARATIVE PERSPECTIVES, LITERARY COUNTERPOINTS. The End of History? Contemporary World Fiction and the Testing of American Ideologemes / Jerry A. Varsava; Excentric Positionalities: Mimicry and Changing Constructions of the Center in the Americas / Amaryll Chanady; Approaches to Margaret Atwood's The Edible Woman / Amporn Srisermbhok; How Far is Modernity From Here? Brazil, Portugal: Two Novels in Portuguese / Helena Carvalhão Buescu; How Far is T. S. Eliot From Here? The Young Poet's Imagined World of Polynesian Matahiva / Tatsushi Narita; Cities in Ruins: The Recuperation of the Baroque in T. S. Eliot and Octavio Paz / Cecilia Enjuto Rangel; An ‘American Venture': Self-Representation and Self-Orientalization in Turkish-American Selma Ekrem's Unveiled / Gönül Pultar; Damnosa Hereditas: Sorting the National Will in Fuentes' 'La Muerte de Artemio Cruz, and Pynchon's 'The Crying of Lot 49' / Pedro García-Caro; American Culture Meets Post-Colonial Insight: Visions of the United tates in Salman Rushdie's Fury / Rodney Stephens;AMERICAN IDENTITIES. Juan de Velasco's (S.J.) Natural History: Differentiating the Kingdom of Quito / Silvia Navia Méndez-Bonito; Creole Identity in Eighteenth-Century Peru: Race and Ethnicity / Jerry M. Williams; Locating the American Voice: Space Relation as Self-Identification in henry David Thoreau's Vision / Albena Bakratcheva; Home away from Home: The Construction of Germany and America in Elsie Singmaster's The Lèse-Majesté of Hans Heckendorn (1905) / Carmen Birkle; The In-between Space: Ekphrasis and Translation in the Poems "Objetos y apariciones" by Octavio Paz and "Objects & Apparitions" by Elizabeth Bishop / Irene Artigas Albarelli; Reconfiguring Female Characters of the American West: Marilynne Robinson's Housekeeping / Corina Anghel; Homing In? The Critical/creative Transformation of a Genre / Helen M. Dennis; Multilingual Narrative and the Refusal of Translation: Theresa Hak Kyung Cha's Dictee and R. Zamora Linmark's Rolling the R's / Joshua L. Miller; Ty Pak: Korean American Literature as ‘Guilt Payment' / Kirsten Twelbeck; ‘Buried Alive in the Blues': Janis Joplin and the Souls of White Folk / Gavin James Campbell; How Far is the Canadian Border from America?: A Case Study in Racial Profiling / Helen McClure;SPACE AND PLACE IN AMERICAN STUDIES. Space and Place in Geography and American Studies / Sheila Hones, Julia Leyda, Khadija Fritsch-El Alaoui; Innocents Abroad? The U.S. and the World in National Geographic / Anders Olsson; ‘Is it down on any map?' Space Symbols and American Ideology in Melville's Typee / Cinzia Schiavini; Willa Cather's Deep Southwest / Rosario Faraudo; The Transitional in the American Cities: Introduction / Dorothea Löbbermann; Schizopolis: Border Cinema and the Global City (of Angels) / Camilla Fojas; All the World's in L.A.: Public Concerts in the Global City / Marina Peterson; New York City as America: Examples from Auster and DeLillo / Markku Salmela; Transient Figures in New York: Tourists and Street People / Dorothea Löbbermann; Notes on Contributors.How Far is America From Here? approaches American nations and cultures from a comparative and interdisciplinary perspective. It is very much at the heart of this comparative agenda that “America” be considered as a hemispheric and global matter. It discusses American identities relationally, whether the relations under discussion operate within the borders of the United States, throughout the Americas, and/or worldwide. The various articles here gathered interrogate the very notion of “America”: which, whose America, when, why now, how? What is meant by “far”—distance, discursive formations, ideals and ideologies, foundational narratives, political conformities, aberrations, inconsistencies? Where is here—positionality, geographies, spatial compressions, hegemonic and subaltern loci, disciplinary formations, reflexes and reflexivities? These questions are addressed with regard to the multiple Americas within the USA and the bi-continental western hemisphere, as part of and beyond inter-American cultural relations, ethnicities across the national and cultural plurality of America, mutual constructions of North and South, borderlands, issues of migration and diaspora. The larger contexts of globalization and America's role within this process are also discussed, alongside issues of geographical exploration, capital expansion, integration, transculturalism, transnationalism and global flows, pre-Columbian and contemporary Native American cultures, the Atlantic slave trade, the environmental crisis, U.S. literature in relation to Canadian or Latin American literature, religious conflict both within the Americas and between the Americas and the rest of the world, with such issues as American Zionism, American exceptionalism, and the discourse of/on terror and terrorism... Back cover