CMU Nursing Students Use of Electronic and Social Media Questions

I’m working on a health & medical question and need the explanation and answer to help me learn.

1. What is your position on assigning grades based on a curve (a relative scale)? Explain and defend your position.

2. Clinical performance evaluation is subjective and involves the judgments of the evaluator. It is filtered by the evaluator’s perspective, values, and biases. With this in mind, select three clinical evaluation strategies that you believe are fair and accurate in order to measure student learning, and determine their competency and safety in the clinical setting. Explain your rationale for why you selected each of the strategies, and how they align with your personal philosophy of teaching. Make sure the strategies that you selected include ways to evaluate students cognitive, psychomotor, and affective domains of learning.

3. Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s found on page 84 in your Butts and Rich textbook to further explain the situation and the possible mitigation strategies. please read below.  

Moral distress is a critical, frequently ignored, problem in health care work environments. Unaddressed it restricts nurses’ ability to provide optimal patient care and to find job satisfaction. AACN asserts that every nurse and every employer are responsible for implementing programs to address and mitigate the harmful effects of moral distress in the pursuit of creating a healthy work environment. (p. 1)

Four years earlier the AACN ethics work group developed a call-to-action plan titled The Four A’s to Rise Above Moral Distress (2004). Nurses use the Four A’s plan as a guide to identify and analyze moral distress:

  • Ask appropriate questions to become aware that moral distress is present.
  • Affirm your distress and commitment to take care of yourself and address moral distress.
  • Assess sources of your moral distress to prepare for an action plan.
  • Act to implement strategies for changes to preserve your integrity and authenticity.

Preventing moral distress requires nurses to recognize the at-risk dynamics and issues. An environment of good communication and respect for others is essential for decreasing the likelihood of experiencing moral distress.

4. Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?  

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CMU Nursing Students Use of Electronic and Social Media Questions

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Introduction: As a medical professor, my role involves designing assignments and assessments for medical college students, conducting lectures, evaluating student performance, and providing feedback. In this response, I will address each question separately to provide a comprehensive explanation and answer to the content.

1. Position on assigning grades based on a curve (relative scale):
I believe that assigning grades based on a curve (relative scale) can have both advantages and disadvantages. On one hand, it can provide a fair representation of students’ performance in relation to their peers. It allows for differentiation among students based on their relative achievement levels, which can be helpful in identifying top performers and highlighting areas of improvement for others. This approach can also motivate students to work harder and strive for excellence.

However, assigning grades on a curve may not always accurately reflect students’ mastery of the material. It can create a competitive environment where students might focus on outperforming their peers rather than on individual learning and growth. Furthermore, assigning grades based solely on a curve may overlook the absolute mastery of the subject matter by some students, leading to potential discouragement and a lack of recognition for their efforts.

Therefore, while I acknowledge the potential benefits of assigning grades on a curve, I lean towards an approach that combines both relative and absolute grading. This would involve considering individual performance and mastery of the material alongside comparison to peers, promoting a balanced evaluation system that accounts for both relative and absolute achievements.

2. Three fair and accurate clinical evaluation strategies:
a) Direct Observation: This strategy involves directly observing students during clinical practice, allowing for comprehensive assessment of their cognitive, psychomotor, and affective domains of learning. This approach provides an opportunity to evaluate students’ clinical competence, professionalism, communication skills, critical thinking abilities, and patient interaction. Direct observation ensures an accurate assessment by directly witnessing students’ performance and behavior in real-life scenarios.

b) Objective Structured Clinical Examination (OSCE): OSCE is a standardized evaluation method that consists of multiple stations, each simulating specific clinical scenarios. This strategy assesses students’ abilities to apply theoretical knowledge, perform clinical skills, and demonstrate effective communication and patient-centered care. OSCEs are designed to eliminate evaluator biases and provide a fair and consistent evaluation across multiple students.

c) Case Studies and Reflections: This strategy requires students to analyze complex clinical cases and reflect on their decision-making processes, ethical considerations, and lessons learned. Case studies encourage critical thinking and application of knowledge to solve clinical problems. Reflective assignments provide insight into students’ affective domain, allowing them to describe their emotional responses, ethical dilemmas encountered, and strategies for addressing moral distress. This aligns with my teaching philosophy of promoting holistic learning and self-reflection in future healthcare professionals.

3. Clinical situation involving moral distress:
A registered nurse may encounter moral distress in a situation where they witness a patient being denied potentially life-saving treatment due to limited resources. The AACN’s Four A’s framework can be applied to further explain and mitigate the moral distress experienced:

– Ask appropriate questions: The nurse should inquire about the reasons behind the treatment denial, explore available alternatives, and understand the impact on the patient’s health and well-being. This step helps raise awareness of moral distress and its implications.

– Affirm distress and commitment: The nurse recognizes their distress and reinforces their commitment to advocate for the patient’s best interests. This involves acknowledging the ethical conflict and acknowledging and prioritizing self-care to better address the moral distress.

– Assess sources of moral distress: The nurse examines the root causes and dynamics contributing to the moral distress, such as structural issues, resource allocation policies, and societal factors. Understanding these sources allows for developing an action plan to address the distress.

– Act to implement strategies: The nurse actively seeks strategies to effect change by collaborating with the healthcare team, promoting ethical dialogue, advocating for patient rights, and participating in efforts to improve resource allocation and healthcare policies. Implementing such strategies aims to preserve the nurse’s integrity and authenticity while addressing the moral distress and striving for positive change.

4. Ethical considerations of social media use in nursing:
Social media use in nursing can potentially violate ethical practices in several ways. These include breaching patient confidentiality by sharing patient information or images without proper consent, engaging in unprofessional or derogatory discussions about colleagues or patients, and providing medical advice without proper qualifications or authorization. Such violations can compromise patient trust, confidentiality, and professional integrity.

On the other hand, ethical social media use can be beneficial to healthcare professionals and their patients. It can facilitate professional networking, knowledge sharing, and interdisciplinary collaboration. By engaging in online communities and platforms, healthcare professionals can access the latest research, exchange evidence-based practices, and contribute to the advancement of medical knowledge. Ethical social media use allows healthcare professionals to educate and disseminate accurate health information to the public, thereby promoting health literacy and patient empowerment. However, it is crucial for healthcare professionals to adhere to ethical guidelines, maintain patient privacy, and separate personal and professional identities online to ensure responsible and beneficial use of social media.

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