Ten years ago I started my pathway on high degree education by joining Al-Ryadah health science college for nursing in Jeddah in 2007 AD were they apply traditional learning approach as a method of education, it was considered as one of the leading college which grants a bachelor degree for nursing specialty, I was one of the first batch with total number of 100 female student.
The curriculum structured in nine semesters. The first semester was intensive course on English language and Medical terminology, the second semester includes some of what mentioned in the first semester and Nursing History. The following seven semesters mainly was regarding Applied Health Sciences, Evidence Based Knowledge and Skills for nursing and Health assessment. The teachers are in different specialty with deferent strategy and goals. The teacher of each subject was responsible about preparing and conducting the teaching and assessment process. This assignment will discuss my previous experience as a student in a college first started as traditional school, practically in instructional and assessment methods, these including strength and weakness points for each method.
Instructional Methods strength and weakness:
There are several ways to teach nursing which used to deliver the information and skills. Lectures and simulation are examples for our instructional methods. I will explain every method separately. Firstly, lectures which considered as the main method in conventional education nowadays. It was given to cover almost the entire curriculum. Students should attend in the classroom to listen for forty-five minutes to their teachers. They have three to four lecture daily and it is presented mostly by power point presentations. These presentations may have some advantages in saving time, permits flexibility and adaptability, but in other hand lectures lack from exciting and enjoying styles because it involve one way communication that poses problems in skill teaching and encourages student passiveness, so in this case for this methods to be effective its require highly skilled tutors.
Secondly, simulation were done twice a week during my study. It used to be applied in some subjects such as fundamentals of nursing care concept, process and practice. To be honest, I can remember more details that were taken in simulation sessions rather than in lectures. Simulation is the reproduction of the essential features of a real life situation. Sometime it is like socio-drama or sort of gaming, which reduces seriousness of learning, but overall simulation technology offers many advantages for nursing education, including:
1. The clinical setting can be realistically simulated and there is no threat to patient safety.
2. Active learning can occur. Specific and in point patient situations can be presented.
3. Errors can be corrected with no actual harm and discussed immediately.
4. Consistent and comparable experiences can occur for all students. In addition to these benefits, communication, teamwork, and delegation can be simulated. (Catherine F. Medley and Claydell Horne, 2005).
Nursing students should be qualified in both theoretical and practical aspects. So, there are practical labs in which students should learn from and practice for various skills start by vital signs assessment and measuring , foot care, oral care, obtaining blood specimen, using syringe and administrating injections all this and more procedures with a manikin before applying all this skills for real patients. Simulation has been used to teach clinical decision making as well as technical procedure (Jane Phillips & Berge, 2009). Some nursing students frequently experience difficulty making the transition from the learning laboratory to the real patient setting. To better facilitate this transition, nursing learning centers have recently begun moving from static, plastic manikin to costly, interactive, computerized manikin that show noise movements and produce sounds to inform the trainer that there may be done some mistake.
Finally, Medium and/or high fidelity simulation using doll or manikin is an effective teaching and learning method when best practice guidelines are adhered to (Cant R.P. & Cooper S.J, 2010).
Because there are theoretical and practical parts during our study, ways of teaching methods assessment are differed. The theoretical parts are assessed mainly with written exams. For every subject we have a mid-term exam that represents 30% of subject grade and 10% for two quizzes and 60% for the final written exam. The written exam consists mainly from multiple choice questions, true and false questions and short answers questions sometimes. These questions are covered by almost all the subject’s topics.
The assessment methods move to their practical part witch is the clinical performance; there are student’s logbooks with a chick list for every subject. The student records her clinical work with their supervisor’s signature daily at the assigned clinical area, all students’ logbooks collected by the end of the semester, and tutors assess their performances. 20% is given for that and 30% for the final exam’s case. 40% for written exams and 10% for end term case study presentations. All of these methods are acceptable but not measuring student performance accurately. We need to improve our assessment methods in a sequence with the constant improving of the educational methods nowadays. One of those methods that I think its valid and productive is Portfolio in which the student gathers evidence about the aspects of her competence and it helps in continuous self-learning and independency by collecting reports, projects, articles, presenting case study and the results of their assessment. portfolios are most effective when they are used to evaluate student learning progress and achievement, when portfolios are used to document and evaluate the knowledge, skills, and work habits students acquire in college, tutors can use them to adapt instructional strategies when evidence shows that students either are or are not learning what they were taught. In other hand the traditional assessment method the student will wait for her results without any participation in any self-assessment but she will only have the chance to discuss her competence and reflection with the tutor which is considered as mentor/coach.
In conclusion, Effective teaching requires structural changes that can only be brought about by academic leaders. there is marked contrast between traditional and modern methods in both instructional and assessment due to the constent development in he educational theotries and tools. Tutors and students could follow the method that obtains the best results and give the educational process the opportunity to change in the light of what is new in the field of education. From the time I graduated, I am sure that more modern education methods have been developed.The main strategy of modern education should focus on the student’s independent activity, the organization of self-learning environments and experimental and practical training, where students have a choice of actions and can use initiative as well as flexible training programs where students can work in a comfortable rhythm.
1. Cant R.P. & Cooper S.J. (2010). Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing, vol. 66 no. 3–15.
2. Catherine F. Medley, MSN, RN; and Claydell Horne, PhD, RN. (2005, Jan). Journal of Nursing Education, vol. 44, no. 1.
3. Jane Phillips, R. B., & Berge, Z. L. (2009, November 1). Second Life for Dental Education. Journal of Dental Education , pp. vol. 73 no. 11 1260-1264.