Engaging the "other"

How we engage our patients in forensic psychiatric nursing is a reflection of how we view ourselves and define our professional roles.     

Integrating the "new" with the "traditional": an innovative education model

In 1998 the Faculty of Pharmacy and Pharmaceutical Sciences at the University of Alberta, Canada, introduced a new elective semester course entitled "The Pain Module" for pharmacy students in their final year of undergraduate training. The aim was to build on the existing theoretical content related to areas such as pharmacology and therapeutics and to generate opportunities for skill and attitude development, including those related to the management of cancer-related pain. Traditional formats such as classroom-based seminars were integrated with innovative methods such as computer-mediated discussions and conferencing (CMC) and academic bus rounds. The CMC component of the course served to provide continuity of discussion between weekly classroom discussions, gave students access to content experts on an ongoing basis and furthered learning initiated in the classroom. Students were given the opportunity to meet palliative care patients being cared for at home and in hospices. A total of 21 students participated in all the course activities. By the end of the course, there appeared to be a greater appreciation for end-of-life care issues. This highlights the need to incorporate end-of-life care into the undergraduate curriculum of disciplines other than medicine and nursing. Evaluation of the course identified several benefits and limitations of CMC. There was increased access to content experts and increased interaction between students. Limitations of CMC included increased time commitments and an open-ended nature that was uncomfortable for some learners. Other benefits and limitations are described further in this article. Future attempts at integrating new instructional technologies should be systematically evaluated.     

Winning the "blame game"

Promoting trust within an organization involves doing away with the culture of blame that surrounds medical errors. When nurses feel safe to report errors and near misses, nurse leaders can identify weak areas and strengthen systems.