1.
CLINICAL TEACHING
Definition
Clinical teaching is an individualized or group teaching to the nursing student in the clinical area by
the nurse educators, staff and clinical nurse manager. In preparation of professional practice, the
clinical setting is the place where the students come in contact with patient or consumer for the
purpose of testing theories and learning skill.
• Teaching in clinical setting is a challenge that is different from those encountered in the class room
• Like any other skill based profession, nursing also requires the development of relationship
between theory and practice
Purpose of Clinical Teaching
1. To provide individualized care in a systematic, holistic approach
2. To develop high technical competent skills
3. To practice various procedure
4. To collect and analyse the data
5. To develop communication skills and maintain interpersonal relationship
6. To maintain high standard of nursing practice to become independent enough to practice nursing
7. To develop, cognitive, affective and psychomotor skills
8. To learn various diagnostic procedures
9. To learn various skill in giving health education technique to the client
10. To develop proficiency and efficiency in carrying out various procedure
Principles of Clinical Teaching
• Clinical education should reflect the nature professional practice
• Clinical teaching is supported by climate of mutual trust and respect
• Clinical teaching and learning should focus on essential knowledge, skill and attitude
GUIDELINES FOR SELECTION OF CLINICAL TEACHING METHODS
• Must be appropriate to objectives and desired changes.
• Must be in accordance with the capacity of the student.
• Must be in accordance with availability of resources.
• Must be in accordance with the teacher's ability to use it effectively and creatively.
Models of Clinical Teaching
• Traditional model
• Preceptor model
• Associated / Partnership model
FACTORS INFLUENCING CLINICAL TEACHING
• Group interaction skills
•Clinical supervision skill
•Knowledge and analytical ability.
•Organization and clarity of presentation
Clinical Teaching Method
- Bedside clinic
- Nursing rounds
- Nursing shift reports
- Nursing care conferences
- Demonstration
- Nursing care studies
- Process recording
Laboratory method
- Nursing assignment
- Field trip
A. BEDSIDE CLINIC
Definition
It is a method of clinical teaching which is carried out by either the group visits the patient or the
patient is brought to the conference room in order to study problems associated with a particular
disease or disorder
• Always ensure the presence of the patient.
• Patients with typical diseases are selected
Uses of Bedside Clinic
• To show the sign and symptoms related to a particular condition
• To demonstrate a significant nursing situation
• To show how nursing problem have been solved
Phase
Introduction phase
Patient centered discussion
Post clinic evaluation
Advantages
• It puts the student in an active actual situation
• Develop skills in collecting information from authentic source
• Develop tactfulness diplomacy needed to get information from the patient
• Develop skills in problem solving, decision making an organizing
• Permits comparison between reality and theory
Disadvantages
• Sometimes put patient in a difficult situation
B. NURSING ROUND
Definition
A tour of patient's bedside area made by a small group of staff and students, not more than 7 or 8 for
the purpose of clinical learning and instructional purpose
Uses of Nursing Rounds
• To demonstrate clinical manifestation that needs nursing intervention
• To demonstrate the effect of therapeutic treatment
• To have better understanding of patient's needs in order to provide better care to patient
Advantages
• Puts the students in actual live situation whet patient responds and acts as a stimulus variable
• Students have options to select specific case or problem that interest them and plan proper nursing
care
Disadvantages
• Only applicable for small group of students
• Require careful planning
C. NURSING CARE CONFERENCE
Definition
"Nursing Care Conference is defined as the process in which group discussion is made using
problem solving techniques to determine the ways of providing care for the patients to
whom students are assigned as part of their clinical experience"
Group Conference
• Is a small group teaching method
• Allows student to participate actively, explaining their own experience
• Develop problem solving skills, team building skills and ability to express themselves
Individual conference
• Focuses on the overall development of individual student
• It mainly deals with the student nursing care ability, level of performance achievements and
assignments related to the clinical experience
Advantages
•Sharpens the critical thinking
•Helps the students to know about their progress and hence boosts their self confidence.
• Develop problem solving skills
Disadvantages
• Time consuming
• Conflict of opinion
D. DEMONSTRATION
Definition
• Demonstration teaches by "Exhibition & explanation "
• It trains the students in the art of careful observation
Advantages
• Activates senses
• Opportunity for observation and learning
• Creates interest by use of illustration
• Correlate theory and practice
Disadvantages
• Expensive
• Time consuming