Safety Unfolding Case Study Purpose: The purpose of this assignment is for students to describe patient-centered care, to identify safety interventions, to explain clinical forethought and to value seeing health care through the patient’s eyes.
Instructions: This strategy can be used with individual students or with groups of students.
Stage I Unfolding Case Study: Jean is an 88-year-old widow with four grown sons and numerous grandchildren.
She was living alone, caring for her own home for the past 35 years since her husband died.
(Knowledge) The student will describe the value of seeing health care situations through the patient’s eyes. The student will explain how clinical forethought is used to predict potential complications.
(Skills and Attitudes) Strategy Overview Unfolding case studies as a teaching strategy are ideal for novice learners in a pre-licensure nursing program.The advantage of unfolding case studies is that they reveal information incrementally, which mirrors nursing practice.Experienced nurses faced with limited context for a patient’s situation use clinical forethought (based on past experiences) to predict possible complications.Clinical forethought can be introduced using unfolding case studies that encourage students to make a patient’s values, preferences and beliefs an important factor in their care.Nurse Educators are challenged with writing case studies that require students to see how clinical judgment could facilitate safety and patient-centered care.Clinical judgment is required to interpret the complex clinical situations found in current nursing practice (Tanner, 2006).Lack of clinical judgment poses a risk to patients and can lead to negative patient outcomes.Students are asked to reflect on steps they might have taken to accommodate patient preferences (patient-centered care) in the case study.Students get a glimpse of the power of informed prediction to prevent adverse outcomes.While every case study that is focused on patient-centered care includes patient preferences, values, and beliefs; individual case studies can be tailored to focus on psychosocial, financial, emotional and/or developmental aspects that might also influence the patient’s health.Including aspects of health aids students in understanding the context of the story.