NR 305 Week 3: Debriefing of the Week 2 iHuman Wellness Assignment
Luciana Gonzalez and I initially had a good start, but things took a turn when I began asking questions. Being someone with a proactive personality and having access to an array of questions through the program, I thought it wise to inquire about everything. So, as I continued my questioning of the patient, I received the response, “I’m not answering anymore.” I was perplexed, thinking I must have asked incorrectly, so I posed the question once more. Luciana was quite direct in her response, saying, “I’m not answering that question; you ask too many questions and cut me right off.” I found this response rather impolite and even shared the incident with my colleagues, humorously mentioning that the computer scolded me. We all had a good laugh about it.
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In my second round of questioning, with a limit of 120 questions in mind, I believed I had all the answers to these queries, so I resumed from where I left off. However, this proved to be a significant error, as during the evaluation, I lost points. Apparently, I missed essential questions that the program required, even though I felt I already had those necessary answers. The computer did not engage with me. I vowed not to repeat this mistake and learned from this experience to focus on key questions and expand based on the patient’s responses.
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Another issue that arose was the constant sound of breathing. I’m not sure if this bothered anyone else, but it was quite disruptive to me. I contemplated lowering the volume but hesitated, fearing that Luciana might experience respiratory issues. As a computer program, this experience was far superior to taking the NRP exam. In that simulation scenario, you have only 2 minutes to set up and assess a newborn baby. This program allowed for a more realistic and extended assessment, without a strict time limit. This is crucial for a more realistic healthcare scenario. However, once you leave a page, you cannot return to it, so it’s necessary to document all information before moving forward or backward. In non-emergent real-life situations, this is manageable and an essential part of healthcare practice.
In reality, this program provides students with a fundamental understanding of what to look for in a comprehensive health assessment. It guides you on deviations, like Luciana’s case and UTIs, with specific questions and potential findings. For instance, it explains the bacterium E.coli, its appearance, how it’s contracted, the rationale behind it, and its treatment. However, working with the EHR (Electronic Health Record) posed a challenge. If I missed a lab value, I couldn’t retrieve it later. In real-life scenarios, lab results are readily accessible, and any critically abnormal readings are immediately communicated to the nurse by the laboratory department, including their name and your name for immediate acknowledgment, ensuring that a PCP (Primary Care Physician) can be notified and treatments can be initiated promptly.
The SBAR part of the assessment was well-executed. Writing down the assessment allowed for a clear identification of essential elements such as lab results, vital signs, and pain levels. This enabled analysis and recommendations for any necessary treatments, ensuring the patient could achieve their optimal state of well-being.
Debriefing of the Week 2 iHuman Wellness Assignment
Hi Class,
This week’s discussion is called a “debriefing.” Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. Once you have considered your personal experience, you will be able to read the experiences of others and share commonalities and differences.
In Week 2, you completed a wellness assessment on your virtual patient, Luciana Gonzalez. Please respond to the debriefing questions as they relate to this experience. Please follow the suggested format for what to include in each paragraph.
Feel free to reach out by email if you have questions.
Discussion
Purpose
The purpose of this debriefing is to re-examine the experience completing the Week 2 iHuman wellness assessment assignment while engaging in dialogue with faculty and peers. In the debriefings, students:
- Reflect on the simulation activity
- Share what went well and consider alternative actions
- Engage in meaningful dialogue with classmates
- Express opinions clearly and logically, in a professional manner
Course Outcomes
This assignment enables the student to meet the following course outcomes:
- CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)
- CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 4)
- CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)
Due Date
- During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):
- Posts in the discussion at least two times, and
- Posts in the discussion on two different days
Total Points Possible
50 points
Directions
- Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. In debriefings students:
- Demonstrate understanding of concepts for the week
- Engage in meaningful dialogue with classmates and/or instructor
- Express opinions clearly and logically, in a professional manner
- Use the rubric on this page as you compose your answers.
- Scholarly sources are NOT required for this debriefing
- Best Practices include:
- Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
- Enter the debriefing often during the week to read and learn from posts.
- Select different classmates for your reply each week.
Debriefing
Use the following format to reflect on the Week 2 iHuman Wellness Assessment. This was the Luciana Gonzalez case.
- Paragraph One: What went well for you in the simulation? Provide examples of when you felt knowledgeable and confident in your skills. Do you feel the scenario was realistic? Why or why not?
- Paragraph Two: What would you do differently next time if you were caring for a patient similar to Ms. Gonzalez? Describe at least one area you identified where improvements could be made, specific to Ms. Gonzalez’ assessment. Were you surprised by any of the feedback you were provided by iHuman? If yes, please explain.
- Paragraph Three: What did you learn from this simulation that you could apply to nursing practice? Or, what did this simulation reinforce that you found valuable? Do you have any questions related to the scenario?
Grading
To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.
RNBSN_50_Point_Debriefing_Discussion_Rubric_1_21
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