Health & Human Services

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A Proposal to Use Human Patient Simulators to Acquire General Clinical Skills with an Emphasis on Critical Thinking to Reduce the Number of Hours at Clinical Agencies for Pre-Professional Baccalaureate Nursing Students in Michigan. Jodi L. Orm, Lake Superior State University, School of Nursing

Michigan's nursing education programs are bottlenecked in their ability to admit, educate and graduate all qualified applicants. Part of the bottleneck is in obtaining clinical facilities and faculty of adequate quality and quantity to support student learning in patient care settings to develop critical thinking skills required for professional nursing practice. This review of the literature asks whether supplementation or replacement of some student clinical time with other experiences, specifically learning experiences involving human patient simulators (HPS), can be used to attain this objective. Analysis of the existing theoretical and research literature found some support for the use of experiential learning through human patient simulation as an effective adjunct to clinical education in patient-care settings. Being able to re-create "real-life" situations for nursing students without incurring risk to a live patient is beneficial with the use of HPS. Another benefit is the ability to re-create low incidence but high risk situations that the student may encounter in clinical practice. Studies are needed to compare outcomes of clinical practica involving patient care and clinical practica involving the use of HPS in the learning of specific skill sets relevant to nursing competencies.

Overcoming Disabilities through Interdisciplinary Collaboration. Molly McClelland, University of Detroit Mercy, Department of Nursing; Darrell Kleinke, University of Detroit Mercy, Department of Mechanical Engineering

Physical disabilities affect 1.7 million people living in Michigan. According to the 2000 Michigan census, 8.3 percent of Michigan's working age adults (persons between 21 and 64) are physically disabled. The US Federal Government passed the Technology-Related Assistance for Individuals with Disabilities Act in 1988. Increasing the availability of assistive technology as well as the capacity to provide technology-related assistive devices were two objectives of the federal act. Accordingly, the University of Detroit Mercy Departments of Engineering and Nursing have collaborated to provide unique assistive devices to physically challenged individuals living in the Detroit Metro Area. A team of engineering and nursing students are paired with a physically challenged individual. The engineers design and build an assistive device identified by the client as being useful to improving the quality of their life. The nursing students evaluate the device and the client for any potential health related issues. The multidisciplinary student team works together to provide a safe, useful and health conscious device with the goal of improving quality of life. This paper will describe the multidisciplinary approach used to educate students while working towards meeting the needs of the physically disabled.

Folic Acid Awareness, Knowledge, and Intake among Women. Rubina S. Hague, Eastern Michigan University, School of Health Sciences

Neural tube defects (NTD) are one of the most common birth defects in the United States and are a consequence of a malformation of the embryo's central nervous system. Folic acid is important prior to pregnancy because nerve cell and neural tube development and closure occur during the first few weeks of gestation, often before a woman knows that she is pregnant. In January 1998, the U.S. Food and Drug Administration mandated synthetic folic acid fortification of cereal-grain products. Data to date has shown a reduction in NTD rates. Based on national survey results, both folic acid awareness and intake have improved in the post-fortification era, yet both remain suboptimal amongst women between the ages of 18 and 45 years old. …