The Play and Learn Classroom

Providing a consistent curriculum to educate and train more than 2,000 members of a nursing department and over 1000 nursing students in a tertiary care hospital on a complex clinical documentation system can be a challenge to the educator. Training new employees on an ongoing basis and an entire department when periodic system upgrades occur requires that the curriculum and methodology be consistent and made available at any time – day or night. In order to maintain consistency of the curriculum and provide the learner with ample opportunity to “play and learn” we use computer – based training video tutorials that we have created in which an instructor’s voice guides the learner through the clinical documentation functionality. In this format, the learner, plays and views a series of video tutorials accessible from the hospital intranet and then uses the online training pathway to practice documentation exercises. This self – paced teaching format allows us to provide a standardized curriculum to a variety of learners including orientees during Nursing Central Orientation, nursing students throughout the year, and large numbers of incumbent staff 24/7 whenever system upgrades are implemented. The benefit to using this methodology of education and training includes: · Ease of access for self- paced and active learning at any time · Flexibility to use in either a classroom or as independent learning · Implementation of a standardized curriculum · More time for individual support by instructor during classroom session

Evaluation of a Human Trafficking Educational Intervention at Thomas Jefferson University for Public Health Students

The evaluation of educational programs serves as a mechanism to enhance student learning and professional success. Effective evaluation provides value to educators invested in improving their interventions, students invested in receiving high-quality education, future employers searching for well-trained team members. One critical public health topic for students to understand well so it can be better addressed by future public health professionals is human trafficking. Human trafficking not only affects individuals but society in significant ways. Educating public health students on the significant and increasing problem is key to victim identification and intervention. Estimates indicate over 80% of trafficked victims interact with health care professionals at some point in their experience, and these workers need an understanding of the issues involved. This capstone integrative learning experience involved evaluation of a Human Trafficking Self-Guided Education Module (HTSGEM) developed by a Jefferson College of Population Health (JCPH) alumni to educate public health students on human trafficking. The evaluation of this educational intervention involved a pre-test and post-test of student knowledge on human trafficking. Public health students (N=12) had 10 minutes to answer a paper questionnaire with sixteen (16) printed questions for the pre-test. After the pre-test, students watched a thirty (30) minute Human Trafficking Self-Guided Education Module (HTSGEM) and then had 10 minutes for the post-test. Individual scores were analyzed and compared. Pre-test awareness was low, with significant improvement post-test. Described in this report is a comparison of both pre and post-test results and a statement on findings to aid decisions on future evaluations and curriculum implementation

Evidence-Based Skin Champion Program Reduces Pressure Injuries in a Pediatric Hospital

Prevention of pressure injuries (PIs) in pediatric patients is an important nurse-sensitive quality goal. The PI rate at a large urban pediatric hospital triggered a call to action by the Chief Nursing Officer to establish a Hospital Acquired PI (HAPI) Task Force which identified the Skin Champion program as a key improvement strategy. The goals of the Skin Champion program are to lower the rate of HAPIs, empower front line care providers to implement evidence-based care bundles, achieve consistency of practice, and provide resource availability at the point of care. The implementation of the Skin Champion quality improvement program achieved an 85% reduction in severe harm and “reportable HAPI incidence, which is lower than the HAPI national average in pediatric patients (Solutions for Patient Safety, 2018), and an increase in nurse compliance with the HAPI prevention bundle. The HAPI incidence rate has remained near 0.05 per 1000 patient days

Community Nursing: Health Care Behind Closed Doors

Focus of nursing education in the 21st century is to teach students how to work with individuals & families within a community setting & to develop skills in providing nursing care that stresses community as the client. The expectation of the APHA is that BSN students will be educationally prepared to work with & improve the health of individuals, families, & diverse populations within the community.https://jdc.jefferson.edu/nursingposters/1008/thumbnail.jp

Prevalence of Oral Cancer in Adolescents Related to Areca (Betel) Nut Chewing, Using Tobacco and Other Additives in Saipan, Northern Marianas Islands: A Review of Literature

Oral cancer can involve the lip, tongue, mouth and pharynx. It is the sixth most prevalent cancer worldwide. One of the leading causes of Oral Cancerin the Commonwealth of the Northern Mariana Islands (CNMI) is chewing betel nut with tobacco and other additives. The International Agency for Research on Cancer (IARC) linked areca nut, betel quid with tobacco and betel quid without tobacco as carcinogenic to humans. Areca nut, also known as betel nut comes from the areca palm tree. The use of areca nut is common throughout the Pacific, and is widespread in Papua New Guinea, Solomon Islands, Guam, the Federated States of Micronesia, Palau, CNMI and the Marshall Islands. The objective of this review is to gather published data related to oral cancer in adolescents as a result of chewing betel nut, using tobacco and other additives; and whether these studies address prevalence in adolescents in Saipan, CNMI. The literature searches were done electronically on World Health Organization, Journal of Dental Research, Center for Pacific Islands Studies/University of Hawai\u27i, IARC websites and Google search using keywords. A cross-sectional survey study (Oakley at el 2005) of 169 students shows 63.4% use areca nut regularly. It was more prevalent among male (73%) than females (54%). The mean age in starting to chew areca nut was 12.0, while some starting at age 10 or younger. The betel quid mixture included powdered lime and pepper betel leaf. Tobacco use was also widely prevalent among schoolchildren. Oral pathological lesions were noted during screening examinations. Areca (betel) nut chewing with the use of tobacco and other additives is increasingly observed among adolescents in Saipan. Further studies are needed on the prevalence of oral cancer in adolescents related to areca nut chewing, using tobacco and other additives and how to decrease oral cancer risk in this age group