Author: Shannon S. Polson, MSN, MSW, RN, CNL, NEA-BC, CWCN, LICSW, PIP
Institution: University of Alabama at Birmingham School of Nursing
Coauthors: Cori Johnson, DNP, CRNP, AGNP-C, Nanci Claus, DNP, CRNP NP-C; Sylvia E. Britt, PHD, RN
Evidence-Based Practice, Safety
Continuing Education, New Graduates/Transition to Practice, Pre-Licensure ADN/Diploma, Pre-Licensure BSN, RN to BSN, Staff Development
Clinical Setting, Skills or Simulation Laboratories
Knowledge: After exposure to an evidence-based teaching strategy bundle, students will return demonstrate skills operationalizing best clinical practice (Safety) (EBP)
Skills: Learner will analyze the performance of routine, yet potentially harmful, clinical skills and will demonstrate competency in the skill using evidence-based practice to improve the process of care. (EBP) Use bedside teaching bundle to reduce reliance on memory. (Safety)
Attitudes: Value the need of continuous improvement in clinical practice (EBP) Appreciate the need for diversity of learning styles and strategies in order to overcome the cognitive limits of human performance. (EBP) (Safety)
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The Ten Minute Tip teaching strategy innovates the use of bundling to combine effective teaching strategies that may be applied to diverse content successfully at the bedside. Essential bundle components include: that the teaching is time-limited (under four minutes), concept specific, incorporates use of metaphor, provides learners with evidence-based resources, and a return demonstration. The final bundle essential is that the teaching incorporates all learning styles. Kinesthetic learning styles are engaged through aforementioned return demonstration. Auditory learners are accommodated through the use of rhyme, assonance, alliteration or consonance and visual learners are accommodated by the production of a pocket card that can be viewed during the demonstration and kept for later reference. Four minutes is allowed for teaching, another four for return demonstration and the final time is utilized for questions and clarification allowing the evidence-based practice to translate into useful strategies, tips, and tricks to satisfy the interests and needs of the bedside nurse. (Please see four exemplars of content adapted to cover Medical Adhesive Related Skin Injury, IV Starts, Sacral barrier placement, and application and removal of barrier creams.)
Below is a link to four recorded demonstrations of the teaching bundle applied to four areas of content:
These are the original videos with credits.
MARCI – http://www.kaltura.com/tiny/6zhks
Border Sacrum Mepilex Application – http://www.kaltura.com/tiny/fwcl1
IV starts – http://www.kaltura.com/tiny/88jvo
Barrier Cream – http://www.kaltura.com/tiny/he3t5
Embedded in the innovative teaching bundle is a teach teach-back (return demonstration) evaluation method.