Remediation for Clinical Duties In Nursing Education

 Clinical Remediation and Nursing Education

What is Clinical Remediation,Use Remediation in Clinical Learning,Benefits of Remediation In Clinical Area,Impact of Remediation In Clinical Learning,Concerns of Clinical Learning In Nursing Education.

What is Clinical Remediation

    Clinical remediation is the act or process of correcting deficiencies in nursing practice and promoting safe patient care through the implementation of learning strategies to improve critical thinking and clinical performance (Evans & Harder, 2013 Merriam-Webster Dictionary Online). Clinical remediation may result from academic clinical practice, and regulatory deficiencies identified through examination, observation, peer review, or failure to successfully complete the minimum standard of care (Evans & Harder, 2013; Walker Cillo & Harding, 2013).

Use Remediation in Clinical Learning 

    The application of clinical remediation is multifaceted in nursing education. Nursing education does not end with conferring a degree or giving a diploma. Continuing education is a journey that all nurses, regardless of field of practice, travel for successful and safe clinical practice. Remediation plans can be used in academia and clinical practice, as well as for regulatory policies to maintain minimum practice standards.

    Remediation begins with identification of deficiencies that can lead to unsafe practice. Clinical remediation is an organized process comprising objectivity, openness, and transparency. It is essential that the process respects the right to due process when engaging in clinical remediation, remediation can be achieved through student centered remediation that is adaptable to learning needs and deficiencies. 

    Plans should be individualized using supportive strategies, including tutoring, advising counseling, and skill building activities supporting remediation are simulation, case presentation, and incorporation of theoretical and scholarly resources (Evans & Harder, 2013; Gallant, MacDonald, & Smith Higuchi, 2006, Walker Cillo & Harding, 2013).

Benefits of Remediation In Clinical Area 

    Remediation is useful to assist a struggling student to learn and achieve the minimum standards for practice and to successfully complete the academic program. Nurse educators can identify individuals who have performed poorly on actual and simulated clinical encounters and examinations. Once the individual is identified, a structured plan can be developed. This plan is structured to facilitate a positive and supportive learning environment. It should include clearly stated learning objectives, utilize multiple sources of evidence, and give timely feedback (Evans & Harder, 2013, Gallant et al, 2006).

Impact of Remediation In Clinical Learning

    Remediation methods used include close observation, repetition, self-directed learning, structured classes, scenarios, and case studies. Mechanical simulators and standardized patients can be used to bring particular clinical populations to the remediation experience. Regardless of the method, it is important to keep the remediation focused on the individual ( Audétat , Laurin, & Dory, 2013; Evans & Harder, 2013; Klamen & Williams, 2011, Lynn & Twigg, 2011)

    The use of mechanical simulators is an effective method of remediation. Case scenarios allow for repetitive learning with immediate feedback and debriefing. This method allows for identification of weaknesses and strengths of the individual. Case scenarios can also be used with standardized patients who are trained to portray a real patient encounter to simulate a set of symptoms with realistic interaction with the nurse ( Klamen & Williams, 2011) by utilization to or remediation include no utilization of theoretical and conceptual frameworks in the development of the intervention(s), delay in remediation, as well as stress and anxiety. 

    These challenges can be overcome with the use of a well-developed plan and intervention. Early identification of a problem followed by early intervention is the key to remediation success. Mutual respect between the educator and the individual is the foundation for the initiation of any plan, as well as guiding the individual to reflect and discuss progress ( Audetat et al., 2013; Evans & Harder, 2013).

Concerns of Clinical Learning In Nursing Education

    Clinical remediation has been a main stay of nursing education and will remain an integral part of a student's education. Technological advancements, computerization, and simulation will continue to be an important component of the remediation process. Integrating case scenarios with mechanical simulation and the use of standardized patients can lead to proficient actual patient encounters and care. The use of virtual simulation can also be integrated into the remediation plan.

    The cost of the faculty, technology, and resources may have an impact on the future of nursing education and remediation, sharing of resources by various schools can help overall financial viability through the sharing of simulation labs, faculty, and computer resources. Collaboration among health. care professionals are integral to safe patient care. Patient safety, standards of care, and professional development are the ultimate goal of remediation.