APA format 3 references please use 2 from discussion references and 1 from walden university library and 1 and half pages  Due 9/28/19 at 10 am EST

Hybrid learning environments are gradually infiltrating face-to-face teaching environments. Wolpert-Gowron states it plainly, “It is not a question of if; it is a question of how” (2011, para. 3). Blending online and face-to-face content can satisfy the need for flexibility and self-direction, yet also includes the facilitative relationship of the student and instructor (Bradshaw & Hultquist, 2017). The two modalities, if carefully structured, can complement each other.

            In the associate degree nursing skills laboratory environment, students show up for a six-hour block of didactic and hand-on learning. The students are often fatigued by the need to be active learners for that amount of time. Indeed, the design of the nursing laboratory is intended to emphasize the application of skills rather than acquiring new knowledge. This environment seems ideal for blended classroom methods. Bradshaw and Hultquist (2017) warn that adequate planning is essential for blended classrooms to be successful. In particular, there is a tendency to expect more work from the students compared with traditional face-to-face learning. In my view, blended environments demand that the instructor be well prepared and very clear with their expectations with the students.  The increased work needed by the instructor has been a barrier to implementing blended classroom methods in my institution.

            The nursing skills laboratory is where students accomplish psychomotor learning of their nursing skills. The way instructors teach in this environment is not guided by evidence because there is not much research on the topic. Staykova, Stewart, and Staykov (2017) compared traditional methods (PowerPoint lecture, hands-on practice with checklists, and quizzes) against innovative methods in the nursing skills laboratory environment.  The innovative strategies included the use of admission tickets (ATs) to class. ATs require home pre-learning to include online or textbook reading and a brief online assignment.  Staykova, Stewart, and Staykov (2017) found that active learning is achieved through a combination of traditional and innovative approaches.  The use of ATs is particularly intriguing to me in order to make sure all learners arrive with the same necessary information and to help create an engaged learning environment when they are present in class. I hope to use this blended teaching strategy in the future.

References

Bradshaw, M. J., & Hultquist, B. L.  (2017). Innovative teaching strategies in nursing and

            related health professions (7th ed.). Burlington, MA: Jones and Bartlett.

Educause Learning Initiative. (2012). Things you should know about flipped classrooms.

 Retrieved from https://library.educause.edu/-/media/files/library/2012/2/eli7081-pdf.pdf

Staykova, M. P., Stewart, D. V., & Staykov, D. I. (2017). Back to the Basics and Beyond:

Comparing Traditional and Innovative Strategies for Teaching in Nursing Skills Laboratories. Teaching and Learning in Nursing, 12(2), 152–157. https://doi-org.ezp.waldenulibrary.org/10.1016/j.teln.2016.12.001

Wolpert-Gawron, H. (2011, April 28). Blended learning combining face-to-face and online

education. Retrieved January 21, 2015 from https://www.edutopia.org/blog/blended-online-learning-heather-wolpert-gawron

My initial post:

End of Life

The advancement of elderly case has been determined to encompass assistance that is able and informed on the diseases prone to such age groups. It is crucial to determine the challenges and expectations required to efficiently perform those duties. This can only be properly accomplished with the right set of information accompanying the act and practice itself. It creates the need for research to accurately as possible find out what proper care can be applied. 

This can be accomplished by integration of the evidence obtained throughout all the sectors and levels concerned with that healthcare plan. This will allow seamless treatment and end of life care as it has properly seen and enforced expected conditions. This will lead to the development of newer methods that may be deemed efficient to handle such circumstances. This will lead to the promotion of the best quality practices across the dimensions and will include the assessment of physical, psychological, spiritual and interpersonal practices. It will ensure the use of the best to provide care.

In regard to decision making, the use of evidence based ethical practices will be used to avoid mistreatment of certain elderly patients. As such research ought to indicate their best interests in ensuring which manner of care being used is deemed ethical or respectable to the senior citizens. Support decision making is also encouraged to ensure their participation in whatever decision that they may come across.

In light of ethics, a measure of best practices should be placed to show quality and effectiveness of the care being provided and whether family is involved in treatment and decision making. It should also indicate the satisfaction rate of the patients, their families in the use of healthcare amenities to provide proper end-of-line care. Such research should be given the maximum support by the various stakeholders and beneficiaries of such programs for proper utilization. 

References:

Floyd J. & Buckle J., (1987), Nursing Care of The Elderly Journal of Gerontological Nursing Vol. 13, No. 2, 20-25 accessed at: https://doi.org/10.3928/0098-9134-19870201-07

PROFESSOR QUESTION

Can you give us an example of a case when evidence base practice and establish end of life ethics helped your team to solve an end of life issue?

Thank you

Note for the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi or retrieved point, Refer to your APA manual, include the doi or retrieved from ..