Select a scenario to teach a group about a legal or ethical issue related to nursing or nursing education
Clinical Education Issues
You are the lead instructor for the medical/surgical nursing course taught to second year students in an ADN program. Your responsibilities include team teaching the classroom content with a part time instructor, coordinating the clinical on the medical surgical hospital units, and supervising the clinical instructors. The students have two clinical rotations during the semester long class: one on a surgical unit, and one on a medical unit. They receive a pass/fail grade for each clinical and a letter grade for the theory class. It is a requirement for students to pass each clinical in order to pass the class and receive the letter grade. One of the students, Sharon W., is doing very well in the theory portion of the class, and at the half way point she has an A. She has not done well in the surgical clinical, and despite directions from the clinical instructor, she has not improved. The clinical instructor believes Sharon is unsafe and will fail her for the clinical. You were not aware of the concerns with the student until now. Sharon is very upset when she talks with you. She says that she only had feedback once from the clinical instructor during the five weeks that have been completed in the six-week rotation, and she thought she had corrected the concern. She tells you that if she fails the course she will appeal. You advise her you will consult with the clinical instructor and determine a plan for her going into the medical unit clinical.
After discussing the situation with the program director and consulting with the instructor (who agrees that she should have provided Sharon with feedback more regularly), a plan is devised for you to spend the last week in the clinical with the student and add your observations. The program director also asks that you provide further direction to the medical/surgical clinical instructors on evaluating students in the clinical area.
Ethical issues scoring guide
Describe a legal or ethical issue that requires changes in staff faculty or student behaviors and details the necessary changes in ways that smoothly segue into the chosen change management approach.
2) Synthesizes resources information needed to evoke a change in the described situation and identifies areas of uncertainly or knowledge gaps.
3) Create a teaching presentation on a legal or ethical issue designed to evoke change in staff, faculty or a student group and incorporate elements that might facilitate ways to measure that change
4)Identifies culturally sensitive issues and how they should be addressed in the change process and grounds the identification in evidence based research.
5) Develops specific realistic action plans for continuous learning about a legal or ethical issue and identifies areas where additional information is needed for better understanding