NUR 646 Clinical Learning Environment Observation
Clinical Learning Environment Observation
Education in clinical environments is vital for improving skills, knowledge, and attitudes toward various topics. Inevitably, effective learning occurs in supportive environments. Defining aspects of such environments include equitable learning opportunities, the ability to support diverse activities, ease of students to engage in multiple learning activities, and active learning. As a result, nurse educators should evaluate these features before organizing health education programs. The purpose of this paper is to summarize the evaluation of the clinical setting where I am completing direct patient care hours.
A Topic Requiring a Patient Education Intervention
Among many health promotion topics, effective home dialysis requires a patient education intervention. Often, some patients are identified as appropriate for home hemodialysis. Home hemodialysis has many benefits, including cost savings, flexible care, and improved quality of life. Essential in improving kidney care, patient education on effective home dialysis ensures patients have sufficient knowledge and skills to perform home peritoneal and hemodialysis (Leong et al., 2023; Lundström et al., 2025). Other outcomes include reduced infection risk and improved adherence to the recommended treatment.
Physical Setting for the Patient Education
The education will take place in a convenient room in the dialysis center. In agreement with Zhang et al. (2022), a good clinical environment for patient education should be characterized by an inspiring learning atmosphere. Defining features include accessibility, safety, and access to resources. Consequently, the education will be conducted where similar educational sessions take place, considering aspects like space, lighting, and easy movement of the learners (patients).
Maintaining Patient Confidentiality
I will combine multiple strategies to maintain patient confidentiality during the education session. They include limiting discussions to what is relevant, de-identifying participants’ information, and securing documentation of all data. The implication is that patients will not only share information relevant to the session. Any identifying details, particularly names and home information, will not be used. Written materials used during discussions and other activities will be stored in a secure cabinet.
Considerations to Address
Despite facing similar health problems, patients differ in many aspects, including culture, age, perception of health and well-being, and religious beliefs. Some considerations I should address in the diverse learning environment include individual needs, biases, learning abilities, and cultural backgrounds. Barnard and Henn (2023) recommended that educators value diversity and support individual learning needs in diverse learning environments. Such measures help to address barriers to active, inclusive learning and ensure a respectful learning community.
Managing the Learning Environment
Classroom management is the spine of effective, productive learning. Such learning occurs where diversity is respected as instructors encourage active, respectful interactions (Markey et al., 2021). I will implement multiple strategies to manage the learning environment, including setting clear goals, building positive relationships, preventing distractions, and encouraging initiative (creativity). Besides, I will ensure learning occurs in a comfortable environment and collaborate with the learners to establish rules of behavior that should be followed throughout the session.
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Technology to Facilitate Patient Education
Technology is a critical component of today’s patient education. It is a supplementary education resource that improves learning outcomes and satisfaction. Educational videos are a suitable technology to facilitate patient education for effective home dialysis. Chatterjee et al. (2021) identified educational videos as instrumental in enhancing the overall effectiveness of patient education and improving patient understanding through visual and auditory information. During the session, patients will watch videos on home dialysis procedures and tips for success. Besides improving comprehension of information, the videos will likely make learning more engaging.
A Plan for the Timing of these Meetings
Patients identified as suitable for home dialysis will first be invited for the two-hour educational sessions. Next, they will be educated in groups of twenty patients in the clinical setting and provided with the appropriate learning materials during and after the session. Follow-up communication (twice weekly) will follow. Progressive evaluation will be conducted at the end of each week, while summative evaluation will be conducted after eight weeks.
Conclusion
Generally, the dialysis center has the essential features of a clinical environment that supports productive learning. Patients can easily access the classroom, participate in active learning, and interact with diverse resources, including technologies. Learners from different backgrounds and with varying abilities can also use the learning center without significant challenges.
References
Barnard, R. W., & Henn, R. H. (2023). Overcoming learning obstacles: Strategies for supporting students with diverse needs. Open Access Library Journal, 10(8), 1-14. https://doi.org/10.4236/oalib.1110509
Chatterjee, A., Strong, G., Meinert, E., Milne-Ives, M., Halkes, M., & Wyatt-Haines, E. (2021). The use of video for patient information and education: a scoping review of the variability and effectiveness of interventions. Patient Education and Counseling, 104(9), 2189-2199. https://doi.org/10.1016/j.pec.2021.02.009
Leong, F. F., Aloweni, F. B. A. B., Choo, J. C. J., & Lim, S. H. (2023). Patient education interventions for haemodialysis and peritoneal dialysis catheter care: an integrative review. International Journal of Nursing Studies Advances, 5, 100156. https://doi.org/10.1016/j.ijnsa.2023.100156
Lundström, U. H., Meeus, G., Aronsen, T., Clause, A. L., Finderup, J., Finne, P. J., … & Jacobson, S. H. (2025). Increasing the adoption of home dialysis through improved advanced kidney care patient education: a call for action. Clinical Kidney Journal, 18(4), sfaf087. https://doi.org/10.1093/ckj/sfaf087
Markey, K., O’Brien, B., Kouta, C., Okantey, C., & O’Donnell, C. (2021). Embracing classroom cultural diversity: Innovations for nurturing inclusive intercultural learning and culturally responsive teaching. Teaching and Learning in Nursing, 16(3), 258-262. https://doi.org/10.1016/j.teln.2021.01.008
Zhang, J., Shields, L., Ma, B., Yin, Y., Wang, J., Zhang, R., & Hui, X. (2022). The clinical learning environment, supervision and future intention to work as a nurse in nursing students: a cross-sectional and descriptive study. BMC Medical Education, 22(1), 548. https://doi.org/10.1186/s12909-022-03609-y
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Assessment Traits
Requires Lopeswrite
Assessment Description
The purpose of this assignment is to provide knowledge of establishing an environment that promotes optimal learner participation, engagement, and outcomes.
The classroom can be a traditional or clinical setting and directed at learners, health care professionals, or patients. Consider the clinical environment and how patient education occurs. Patient education often happens in a clinical setting and is directed towards a specific health care intervention or health promotion measure.
For this assignment, evaluate the clinical setting in which you are completing 50 direct patient care hours. Utilizing the ELEOT resources provided in the Topic 5 Resources, complete an evaluation on your current clinical setting. Based on your findings, write a 500-750-word summary of your evaluation and describe the process you will use to implement patient education. Refer back to this assignment when you are developing your patient education plan in Topic 7. Include the following:
- Describe a topic requiring a patient education intervention and the importance of educating patients on this topic.
- Describe the physical setting in which the education will take place.
- Explain how you will maintain patient confidentiality during the education session.
- Identify the considerations you will need to address in your diverse learning environment.
- Discuss the strategies you will implement to manage the learning environment.
- Describe a technology that will be utilized to facilitate patient education for the chosen topic.
- Develop a plan for the timing of these meetings (for example, meet with a patient in a specific setting three times, for 30 minutes, at a scheduled time).
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.