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Enhancing clinical teaching with information technologies: what can we do right now?

Effective small-group clinical teaching requires recognizing the challenges posed by clinical settings, mastering certain teaching skills, and responding to the needs of what is often a diverse group of learners. Information technologies can enhance clinical teaching by increasing the amount of relevant clinical information available to learners, allowing for the rapid integration of needed information into the teaching encounter, facilitating information processing within small groups, and helping to compensate for the many discontinuities inherent in today's clinical teaching environment. However, as many clinical teachers look toward future implementations of advanced, totally integrated medical information systems, they often overlook information technologies they have at hand right now--e.g., CD-ROM textbooks--that can measurably enhance their teaching. The author describes the "real-world" use of several available technologies (for example, "bookmarking" MEDLINE access points) and offers suggestions for how they might be used by faculty in clinical settings.

Clinical Clerkship↗

Implementing Essentials of Critical Care Orientation: one hospital's experience with an online critical care course.

Critical care is a specialty area that requires a significant investment of time and money for clinical and classroom learning. One solution for learning that is flexible and cost-effective is the American Association of Critical Care Nurses' Essentials of Critical Care Orientation (ECCO). ECCO lays the theoretical groundwork for nurses to practice safely in critical care. Utilization of ECCO in one community hospital has been a 3-year process, which is continually refined by the critical care education team. Advantages to using ECCO include that it is self-paced, maintained by the American Association of Critical Care Nurses, and allows learners to flex their time and location for learning. Obstacles encountered include difficulties associated with computer learning, lack of hard copy notes, lack of face-to-face time interaction between orientees and education staff, increased work load for one education staff member, and keeping learners on track with their time and orientation. This article describes one hospital's experience with implementation of ECCO as the classroom portion of orientation to several critical care units.

Attitude of Health Personnel↗

Nursing information systems: applications in nursing curricula.

America's healthcare system is being transformed to meet a new set of priorities: cost-effectiveness, quality, and access. To meet these priorities, health practitioners of the 21st century will rely heavily on computer information systems to provide complete, easily accessed patient data. Incorporation of this technology in nursing programs will enhance the quality of the graduates who will then strengthen the availability of a qualified work force to employers.

Computer User Training↗

Educational technology and the faculty role: what you don't know can hurt you.

The proliferation of teaching strategies using the Internet and other educational technology innovations has created new employment issues in higher education. The authors discuss forces influencing the increasing use of on-line instruction, factors to consider before venturing into the virtual academy, and the faculty role in shaping policy related to distributed education in their institutions and academia in general.

Computer User Training↗

A model nursing computer resource center.

Nursing graduates are required to demonstrate computer technology skills and critical reflective thinking skills in the workplace. The authors discuss a model computer resource center that enhances the acquisition of these requisite skills by students in both an associate degree and vocational nursing program. The computer resource center maximizes student learning and promotes faculty effectiveness and efficiency by a "full-service" approach to computerized testing, information technology instruction, online research, and interactive computer program practice.

Computer User Training↗