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Simulating Health Promotion in an Online Environment

Simulating Health Promotion in an Online Environment. Elizabeth M. Rash PhD, ARNP, FNP-C Assistant Professor School of Nursing. Problem. Assessing student application of learning can be a challenge in an Online environment. Setting.

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Simulating Health Promotion in an Online Environment

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  1. Simulating Health Promotion in an Online Environment Elizabeth M. Rash PhD, ARNP, FNP-C Assistant Professor School of Nursing

  2. Problem • Assessing student application of learning can be a challenge in an Online environment

  3. Setting • Graduate level fully web based Nursing Health Promotion course • 35-45 students per semester • Offered all semesters • Mix of student program tracks: • NPs • Ned • CNS

  4. Objective • At the completion of this course students will increase their ability to assist clients with healthy lifestyle behavior changes

  5. Traditional Online Tools • Student led topical discussion boards • Quizzes and Exams • Written independent and group assignments

  6. Innovational Tool • Use of the online chat room for application of interpersonal communication skills • Motivational Interviewing

  7. Motivational interviewing (MI) • Developed by Miller and Rollnick (2002) for addictions counseling behavior change • Now emerging as a primary care skill for health promotion

  8. MI • Spirit • Patient centered • Empathetic and caring • Skills • Reflective listening • Development of discrepancy • Guidance beyond ambivalence • Rolling with resistance

  9. MI • Case Examples

  10. Chat Room MI Exercise • Students self-select small groups of 3 • Students sign up for 3 (min. 30 minute) chat room sessions with their group members • Students role play and rotate roles • Patient • Health care provider • Peer reviewer

  11. Chat Room MI Exercise • Students submit self-reflections of sessions and peer review forms • Students are assessed on their completion of the assignment and their application of MI techniques and/or awareness of MI technique deficits

  12. Outcome • Students commented that this was one of the most meaningful assignments they had during their program • They relayed examples of using MI outside of the classroom with their patients and also with their family members • They expressed a sense that they had greater confidence in their abilities to assist patients with behavior changes

  13. Recommendations • Students recommended that the sessions be longer • Students recommended that an option for this exercise to be face to face be offered

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