Collabor
Collaborative Online International Learning (COIL) Basic Overview
In Fall 2024 COIL is scheduled on November 26th at 9 am EST in USA.
Please post your case study under this discussion forum.
1. COIL Acronym- What does it stand for?
Collaborative: student to student learning to improve teamwork and collaboration skills. Online: learning how to work in a remote team and manage virtual tools in a professional manner.
International: cross cultural learning by bringing the world into your classroom, offering ALL students an international experience.
Learning: practicing professional skills and learning from peers around the world.
Amsterdam University of Applied Sciences. (2024). Virtual exchange/COIL. Retrieved August 16, 2024, from https://www.amsterdamuas.com/amsib/partners/academic-partners/virtualexchange-coil/virtual-exchange-coil.html
2. What is COIL?
COIL connects nurses, nursing faculty and nursing students of two or more higher education institutions, hospitals or community centers, each located in a different country or cultural setting. Invited participants (nurse, nursing faculty and/or nursing students) preppers a clinical case study. This clinical case study is presented to the group during a virtual meeting. The meeting is set up at 9 am EST in the USA so other countries that are in different time zones may join as well. Here is our COIL time.
Please watch this video that explains how COIL is set up in the Community Health Nursing Course in York College of Pennsylvania (YCP).
3. How to create your clinical case study?
We know that our nursing students need to practice their clinical judgment. So, we are utilizing Tanner’s Clinical Judgement Model (CJM). Each case study should include the following 4 stages: noticing, interpreting, responding, and then reflecting.
Noticing: a perceptual grasp of the situation at hand. It is the process of perceiving important or salient aspects of the situation.
Interpreting: the development of sufficient understanding of a situation to respond. It is the ability to take the data in a situation and then determine the etiology, patterns, additional factors to consider or additional information needed and resolution; the ability to draw a conclusion.
Responding: the ability to decide on a course of action, including no action. It requires the student to consider the situation and determine patient goals, nursing response and intervention; to develop a plan of care. It includes identifying stressors experienced when responding to the situation.
Reflecting: the attention to the patient /family response to the nurse’s action while acting. It is the ability to identify what occurred, what the nurse did, and how one might adjust the action differently in the future. The nurse identifies what additional knowledge or skills are needed. It includes reflection on values and feelings with the situation.
Please refer to this article:
Tanner C. A. (2006). Thinking like a nurse: a research-based model of clinical judgment in nursing. The Journal of nursing education, 45(6), 204–211. https://doi.org/10.3928/01484834-20060601-04
Resources:
Here is an example of a case study created by nursing students in YCP.
Here is an exaple of COIL presentation
4. What do I need to know about the presentation?
Prior to presenting, your group will post the clinical case study to this discussion board two days before our virtual meeting.
The presentation should be less than 12 minutes so all participants have time to present.
YCP students will be presenting in person with a created PowerPoint. Other presenters have the option of presenting in person or submitting a recorded case study. If you are submitting a recorded case study, you are asked to email the Word version of your case study to Dr. Lewis at klewis18@ycp.edu.
Start by introducing yourself and your team. Also, tell us about the country you are from and provide a short 2-minute overview of the healthcare system structure. This will help us understand some of the decisions that nurses are making.
After all presenters are done, we will engage in a question-and-answer session. Please come prepared to ask questions so we can engage together.
You can also add questions to the discussion board. Each group will have until the end of the day to answer all the questions.
A link to the virtual meeting for presentations will be emailed to all presenters two days in advance.
USA - Case Study Presentation
Poland - Case Study Presentation
Case Study - USA
Managing Complex Wound Care
Noticing
You have a patient, 65-yr-old patient with a history of colorectal cancer, diabetes, and hypertension. She was recently discharged after surgery to remove part of her colon, leaving her with a colostomy and abdominal wound near the surgical site. She healed slowly and became infected post-surgery. She has continued colostomy care to avoid any complications such as skin breakdown and leakage. The wound has increased drainage this morning and slight redness which is looking like infection. Her vitals are 140/90, heart rate of 102. She has a wound VAC to help with the healing process and an antibiotic to manage the infection. Her diabetes is being treated with insulin. You see in her MAR she is due for a virtual follow-up with the wound care specialist. You also see she has received nutrition support from a dietitian and has a telehealth appointment to discuss her colostomy care.
Questions:
1. What are concerns/signs of worsening infection?
2. Is there any more information you would want to collect?
3. What are some things you will want to assess with her colostomy.
Interpretation
Later that day, you noticed her blood sugar fluctuating and her last dose was 190. As you assess her wound you notice some leakage around her colostomy and new redness. There is also a new leakage around the wound VAC site.
Questions:
1. What should be addressed first?
2. What actions should you take with the colostomy?
3. Are there any changes to her care or medications you want to check?
Responding
The wound care nurse reviews images sent via telehealth and suggested that the current wound VAC pressure may need to be changed to facilitate faster drainage and healing. It also may need to be replaced if it doesn't improve. Also, the colostomy nurse addressing the skin breakdown and need to perform a dressing change as well as increase the frequency of dressing changes for her colostomy site. The third issue that needs addressed is more frequent checks of her blood sugar and her insulin many need adjusted.
Questions:
1. How do you feel about the use of telehealth in this situation?
2. What parts of her treatment plan would you keep the same/change?
3. Are there any additional resources you could use to help the healing process and added support?
Reflecting
Your patient has been discharged and you see them later in the clinic for a follow up visit. She is doing better, and her wound shows significant signs of healing. The wound VAC has been working well, and there are few signs of infection. She reports fewer issues with her colostomy, though she still needs some assistance with appliance management. When you talk with her about her progress, she admits that telehealth has been helpful, though sometimes she feels isolated especially with the frequent follow-ups.
Questions:
1. What can you say to Mary to reassure her about her care?
2. What are some questions you can ask her to see how she is handling her own care?
3. What are some suggestions you can offer for further support physically and mentally?