Learning by Doing: Practical Strategies to Integrate Resident Education and Quality Improvement Initiatives

Clemo, Rebecca; Parsons, Andrew S.; Boggan, Joel C.; Shieh, Lisa; Miller, Bahnsen

doi:10.4300/jgme-d-21-00381.1

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…Numerous attempts have been made in different countries to implement and develop active learning models [ 5 – 8 ], particularly learning by doing [ 9 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

'Learning by doing', a model for improving the promotion of healthy lifestyles by student nurses

et al. 2023

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Background 'Learning by doing' is a learning model based on performing actions and gaining experience. The 'nursing process' is a systematic, rational method for providing nursing care. During their university education, nursing students need to acquire the ability to promote healthy lifestyles. Objective To determine the effectiveness of a learning strategy based on learning by doing and grounded in the use of the nursing process, on the lifestyle of nursing students. Methods This quasi-experimental intervention (before-after), performed over 2011–2022, involved 2300 nursing students at a university nursing school in Spain. The risk factors for chronic diseases—being a smoker, being overweight, or having high blood pressure—to which each student was exposed were recorded. Those positive for at least one risk factor selected companion students as 'support nursing students' who became responsible for designing an individualised care plan to reduce the risk(s) faced. To ensure the correct use of the nursing process, teachers approved and monitored the implementation of the care plans. Whether risk-reduction objectives were met was determined three months later. Results The students with risk factors largely improved their lifestyles (targets for reducing smoking/body weight were met) with the help of their supporting peers. Conclusions The learning by doing method demonstrated its effectiveness, improving the lifestyle of at-risk students via the use of the nursing process.

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“…Numerous attempts have been made in different countries to implement and develop active learning models [ 5 – 8 ], particularly learning by doing [ 9 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

'Learning by doing', a model for improving the promotion of healthy lifestyles by student nurses

et al. 2023

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“…The Accreditation Council for Graduate Medication Education recognizes that it is essential to teach physicians in training how to provide safe and high-quality patient care at U.S. teaching hospitals as part of comprehensive graduate medical education (GME) ( 1 ). Current analyses have shown that curricula designed to meet those requirements had variable results ( 2 , 3 ). Although trainees are exposed to some degree of patient safety and quality improvement (PSQI) education, they are not consistently integrated into hospital-wide initiatives, limiting their opportunity for multidisciplinary and interprofessional collaboration ( 2 , 4 ).…”

mentioning

confidence: 99%

“…In addition, the trainees’ clinical workload, availability of faculty expertise mentorship, and support from program leadership determine the effectiveness of any given program’s curriculum ( 5 – 7 ). These barriers contribute to trainees having a limited voice for change in their own clinical environment, despite constituting a significant portion of the workforce and having a unique expertise in workflows ( 3 ). Similarly, this further contributes to the dearth of future PSQI educators and experts who can mentor young physicians.…”

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confidence: 99%

A Leadership Pathway in Patient Safety and Quality Improvement for Trainees

Kenaa,

Ramadan,

Njoku

et al. 2023

ATS Scholar

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Training house staff in patient safety and quality improvement (PSQI) requires multidisciplinary collaboration between program directors, graduate medical education, and hospital safety and quality leadership. A heavy clinical workload and limited protected time hinder trainees from engaging in a meaningful PSQI experience during their years of post-graduate training. This is further exacerbated by the lack of subject experts who are available to mentor young physicians. For pulmonary and critical care trainees who are actively involved in the management and care coordination of high-acuity patients, this lack of experience adds undue burden. The role of house officer for patient safety and quality improvement was implemented to engage those currently in training who have an interest in PSQI. Under the supervision of the hospital PSQI leaders, they are given optimal, purposeful immersion without impacting their primary training specialty. This skill set can then be incorporated into their future careers. In this review, we provide perspective on how this can be accomplished and provide a framework that can be expanded.

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Quality Improvement Projects and Indicators

Fondahn,

McDonnell

2023

Leading an Academic Medical Practice

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Learning by Doing: Practical Strategies to Integrate Resident Education and Quality Improvement Initiatives

Cited by 6 publications

References 20 publications

'Learning by doing', a model for improving the promotion of healthy lifestyles by student nurses

'Learning by doing', a model for improving the promotion of healthy lifestyles by student nurses

A Leadership Pathway in Patient Safety and Quality Improvement for Trainees

Quality Improvement Projects and Indicators

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