Nutritional risk assessment at admission can predict subsequent muscle loss in critically ill patients

The study was supported with National University Health System Clinician Grant 2013

"I didn't sign up for this" The experience of Disillusionment in Medical Education

AME

Emergency medicine staff’s perception of SimWars: A Singapore view

Background: SimWars is an onstage competition among teams of health care providers in front of an audience. Participants demonstrate communication, teamwork, clinical management, and problem-solving skills. Upon completion, judges debrief participants’ clinical actions and team dynamics. Purpose: The Society for Emergency Medicine in Singapore hosted the inaugural SimWars in 2014. This study investigated whether SimWars was effective in teaching emergency medicine staff, explored how the competitive nature of SimWars affected the performance and learning of participants, and identified strategies to implement SimWars effectively in Singapore. Methods: A descriptive qualitative design was selected owing to the exploratory nature of the questions. Thirteen SimWars participants, six audiences, and three judges participated in the study. Results: (1) Twenty-one out of 22 considered SimWars useful for learning; (2) 14 out of 19 agreed that SimWars closely resemble clinical practice compared to clinical practice; (3) 16 out of 19 agreed that competition induced stress from participants and enhanced performance; (4) 16 out of 22 said SimWars was psychologically safe; (5) 18 said the team worked well together; (6) 19 said that debriefing helped them to improve through clarification, discussion, and reflection; debriefing should be personalized, longer, more structured, more detailed, and in a more private manner; (7) 13 said their knowledge and skills on the content areas will change; 21 said what they learned will be transferred to clinical practice; (8) the useful parts of SimWars included practicing under stress, debriefing, teamwork, and critical thinking; and (9) future improvements included avoiding technical problems and providing clear guidelines. Conclusion: Our responders perceived SimWars to be effective for professional development

Factors influencing nursing students' acceptance of electronic health records for nursing education (EHRNE) software program

The Institute of Medicine (IOM) and the Health Information Technology Act (2009) in America had recommended that electronic health records (EHRs) should be fully adopted by 2014. This has urged educational institutions to prepare healthcare professionals to be competent in using electronic health records (EHRs) while they are in schools. To equip nursing students with competency in using EHRs, an electronic health record for nursing education (EHRNE) has been developed and integrated it into nursing curricula. The purposes of the study were to investigate the factors influencing nursing students' acceptance of the EHRs in nursing education using the extended Technology Acceptance Model with self-efficacy as a conceptual framework. The study is a descriptive study design using self-reported questionnaires with 212 student participants. The IBM SPSS and AMOS 22.0 were used to analyze the data. The results showed that attitude toward using the EHRNE was the most influential factor on students' acceptance. The preliminary findings suggested that to enhance the students' acceptance of the EHRNE, cultivation of a positive attitude toward using this EHR as well as increasing the perceived usefulness is very important. Also, the study's framework could be used in guiding learning health informatics and be applied to nursing students

Simulated Electronic Health documentation using Integrated Nursing Education System: Nursing students’ perceptions, attitudes and intention to use

This study aims to examine the nursing students’ perceptions, attitudes, intention to use a simulated, web-application iNES for electronic health documentation and factors influencing their intention to use. Study guided by Technology Acceptance Model hopes to generate insights which would influence the future move of integrating educational, simulated electronic health documentation into the nursing curricular locally. A cross-sectional study design using self-administered questionnaire is adopted. A convenience sampling of 133 undergraduate nursing students in their year 2 to year 4 of study from one of the local public universities were recruited. Students were asked to access the iNES as part of the teaching-learning activities during the semester. Questionnaires were administered to the students at the end of one academic semester. Regression estimates indicate that both attitude toward using and perceived usefulness had significant effect on their intention to use iNES. Together they explained about 39% of the variation, with perceived usefulness displayed a greater extent of influence ((=0.475; p<0.001). Perceived usefulness is statistically significant in its influence on attitude toward using (=0.370, p<0.001). Students’ perceived ease of use did predict a positive significant influence on their perceived usefulness (=0.857, p<0.001). Educators in the faculty would do well to focus on explaining the usefulness of educational web-application to keep students motivated before assigning them to actually access it to practice simulated electronic documentation. Having an application which is user friendly and with adequate access to technological support are important to influence students’ intention to navigate the application for their learning

Simulated electronic health documentation : A cross-sectional exploration of factors influencing nursing students’ intention to use

The aim of this study was to investigate factors influencing nursing students’ intention to use a simulated web application ‘Integrated Nursing Education System’ for practicing electronic health documentation. The cross sectional study was conducted at a Malaysian University that provides undergraduate nursing degree program. A total of 133 undergraduate nursing students in their year 2 to year 4 of the program were recruited. They had accessed the simulated web-application as part of the teaching-learning activities during the academic year 2016/2017. Technology Acceptance Model was used to guide the study. Validated questionnaires were used to measure the students’ perceived ease of use, perceived usefulness, attitudes and intention to use the application. Data collection was done at the end of the semester. Data analysis was done using SPSS (19.0) and AMOS (23.0). Perceived usefulness was the most influential factor of the students’ intention to use the simulated webapplication. Perceived ease of use influenced their perceived usefulness significantly. Nurse educators should explain the usefulness of the simulated web-application before assigning students to access it to practice electronic health documentation. The availability of a stable internet access and IT support is important to influence students’ perceived ease of use and intention to use the application