26 Sep Case Study Having recently completed her master’
Case Study Having recently completed her master’s degree in nursing, Sharon has accepted a new role as clinical nurse educator for three adult medicine units in the medical center where she has been employed as a staff nurse for the past six years. Eager to put her education to practice in a manner that would benefit both patients and staff, Sharon meets with the nurse managers of the three units to learn what they view as priority issues on which she should focus. All three managers agree that their primary concern is teaching their staff how to better prepare patients with type 2 diabetes to care for themselves after they are discharged home. One of the managers comments, “Half of my nurses are new graduates. I’m not even certain that they know much about type 2 diabetes—how on earth can they teach the patients?” The other managers agree with the first, and chime in: “The patients aren’t being taught what they need to know, they don’t believe what they’re hearing or they don’t understand what they’re hearing. As a result, I’m being told by ambulatory service nurses that our discharged patients aren’t taking their medications, aren’t making any changes in diet or lifestyle, and seem unconcerned about their hyperglycemia.” You next meet with Eric, the certified diabetes educator at your hospital, and he reminds you that all nurses are mandated to annually review the patient and family education program for patients with type 2 diabetes and complete the cognitive posttest. Describe the type of evaluation is being conducted every year when the nurses review the program and complete the cognitive test. Assess the type(s) of evaluation that would be most relevant to the nurse manager’s concerns. Putting yourself into Sharon’s place, describe in detail an evaluation that you would conduct with the patients as a primary audience. If evaluation is so crucial to healthcare education, explain some of the reasons why evaluation seems often an afterthought or is even overlooked entirely by the educator.
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