Simulation in Nursing Essay Example | Topics and Well Written Essays - 1750 words

Simulation in Nursing - Essay Example Based on these approaches, they state that simulation should entail techniques used to represent direct replication of the original object for purposes of detailed learning of the same object; for instance, the exposure of some vital parts which cannot otherwise be seen or studied using the real phenomenon (Larew, sessions, Spunt, Foster, & Covington, 2005). As Jha, & Bates (2001) note, simulation technique has made it easy for medical practitioners to acquire adequate hands on skills in providing adequate medical care to all patients seeking services. It has helped in building all round experts capable of handling various complications in the medical field with minimum errors compared to those made in the past. Extreme complications for instance excess hemorrhaging in mothers giving birth, occasionally resulting into deaths have been arrested. Minimizing perinatal hemorrhaging is the main agenda behind the introduction of simulation in medical education since it is the major source of death in delivering mothers (Adams, 1999; Alspach, 1995). This paper investigates the importance of simulations in obstetrics education aimed at minimizing prenatal hemorrhage, as well as analyzes the impacts of simulation and its benefits in obstetrics education. Introduction Excess hemorrhaging can cause death of mothers if not stopped soon after birth. Much blood is even lost in cases of caesarean deliveries where a c- section has to be cut as compared to cases of normal birth (Benner, 1984; Adams, 1999; Kahol K., 2009). There is, therefore, a great need for delivering mothers to be prevented from loosing a lot of blood during and after birth. It is estimated that about 140,000 deaths occur annually with 1 woman losing life every four minutes due to OB hemorrhage (American Association of Colleges of Nursing, 1998). Between 1995-1999 maternal mortality due to OB hemorrhage in the United States of America was 14%, leading to the second cause of death in the region, cardiomyopath y 21% (American Association of Colleges of Nursing, 2002). The majority of these deaths is however reported to be 93% preventable if care providers had been more vigilant, recognized the risk and symptom to intervene early (Benner, 1984; Seymour et al, 2002). This is actually in line with the WHO report in 2007 on OB hemorrhage which indicates that OB hemorrhage is one of the most preventable causes of maternal mortality. Driven by the dire need for immediate attention and response to such vital conditions, most institutions have resorted to using simulation techniques to train nurses and gynecologists in the field of obstetrics. Benner, Hooper-Kyriakidis, & Stannard (1999) point out that simulation education is currently becoming the most preferred mode of education and training in most institutions offering training for nurses and gynecologists. Different kinds of simulators have been identified for use by various institutions and training organizations. As a result, the chances o f survival among mothers giving birth have been increased over the last few years (Adams, 1999; Case, 1995).

Role, Significance and Impact of Multi-Agency Working in Childcare Essay

Role, Significance and Impact of Multi-Agency Working in Childcare - Essay Example In work with disabled children, families experience better relationships with services along with improved level of access to them and improved quality of life with reduced stress (Sloper, cited in Improving outcomes for children 2007). This is also true in the aspect of healthcare. In projects targeting mental health of children, there has been a reduction in the proportion of children with clinically significant problems, with children showing better involvement with school (Kurtz & James, cited in Improving outcomes for children 2007). Multi-agency working involves patient counselling, taking a great deal of time and care in dealing with children as well as parents when necessary. The counsellors are facilitators of information who helps sensitive sharing of information in a very respectful manner without violating confidentiality (McGinnis 2008, p.128). Collaborative working and information sharing among the different services is a key factor in enhancing children's welfare. Frequent and personal contacts of practitioners from different agencies with each other help resolve issues of concern (Cleaver et al. 2008, p.105). Collaborative working of services helps recognise the different needs of a child and the relationships between the different aspects of a child's life. Information sharing helps in early identification of children's additional needs to help them reach their potential. Identifying with parents and sharing information with them play a key role in understanding children and enhancing their well-bein g. Videotapes of children both at play and at work, at home and in school, can be exchanged which help to keep parents up-to-date on the children's progress as well as help staff to understand certain behaviour of children which they would have found difficult to comprehend. Information sharing also helps the staff in having an insight into the children's cultural background. This can help in the children's development in the cognitive and socio-behavioural aspects (Whalley & Dennison 2001, p.137). It is the goal of the Government that by 2010 all schools will provide access to a core offer of extended services including childcare, study support activities, parenting support and specialised support services with wider community access to information and communication technology, sports and arts facilities, and adult learning (Extended schools 2009). Extended support can bring about a significant improvement in children by identifying their individual problems, which they face outside of school and are intractable, and tackle them effectively, thus enabling teachers to give more attention to teaching. These services can also support parents through information sessions and parenting programmes, thus ensuring better parental involvement in the children's activities. Positive impact in preventative work Multi-agency involvement in preventative work has brought about positive results in children including improved behaviour, better relationships, enhanced education and increased well-being. The results of the On Track programme effectively demonstrate these effects. On Track is a research-based preventative programme for crime reduction, which through multi-agency partnerships