Nursing Classroom Education: The big bang of powerpoint slavery

Specialties Educators

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I have recently graduated and having a fair amount of time on my hands (jobless, thousands of applications filled out and resumes polished) I wouldn't mind giving an open, honest opinion of educators and the practices.

There was a point in my college career that I loved soaking up knowledge. I would read extra books and take more time on many subjects. I loved to learn. Particularly, I enjoyed spending time with Anatomy, Physiology, and other human sciences.

I finally get accepted to the nursing program. Suweeeet. I worked so very hard and now I'm in. I start to settle in the first semester with all the rules, regulations, unique tests, clinical, and other stuff. As I go through the first semester, I notice a chilling pattern in my instructors. I had 3 instructors teach the Nursing Fundamentals class. While each one was slightly unique in tone, and delivery, they all were teaching verbatim from the book (I'll come back to this). I have to say we were given the occasional patient story. "I remember this one time or this one patient really..." the instructors said. Most stories were interesting and insightful at the time. In our program, we were given hand-outs. Lectures consisted of power point 99.9% of the time. Most teachers had the hand-outs posted on our college website prior to the next lecture. Some didn't. No big deal.

So there I am, lecture after lecture, having this annoying monkey on my back. I kept thinking, "This is incredibly boring. I'm being read to. Everyday, I listen to a college professor point and read from a powerpoint. Oh god, I'm literally losing my mind." Where's the real world connection? Where's the excitement? This goes on and on. I finally decided to write a letter to the faculty. I'm the type of guy that is pretty open with my opinions. I try to be professional with the delivery in this case. I write a story about how I enjoyed my education at one point. The information was exciting and neat to the listen to. A sociology professor once told my class that, "I went through my master's having been read to. I don't want the same for you." She didn't. The class was engaging.

The overall point I'm trying to make is that I absolutely despise the powerpoint when used improperly. It was used improperly the entire program. It extremely difficult to stay remotely engaged to a lecture when I could stair at my desk and read it from the handouts or I could stay home, skip lecture, and teach myself. Nursing is a very hands-on profession as of you all know. This is no hands-on approach. The current nursing education approach seems to be like, "How much information can we shove down the student's throat in the shortest amount of time and bore the h*ll out of the them?" Truly, the nursing education is exraordinarily boring. Now, this is coming from a person who LOVES school. I don't find it to be a chore or an annoyance. If I feel this way, how do you think the people feel who despise or don't like school feel?

I write the letter to the faculty. There were some meager changes but as a whole, nothing. I get a big dose of nursing med-surg non-sense in the intracerebral route daily. Guess how much is retained and is actually useable. Minimal. I'm not trying to slander nurse educators. Believe me please. I'm trying to wake you all up. Of course, this may not apply to most of you. But, look at your current method of teaching. Do you rely heavily on the powerpoint like I describe. If so, there is likely some folks in your class that feel the way I do but aren't willing to fess up about it. Do you see people texting? Doodling? Not paying attention? I think each subject can be approached with enough pizazz and interest to, the bare minimum, keep people looking at you, engaged, and awake.

What happened to your love for teaching? After all, isn't that love the reason why you entered education. I hope so and not because you want to fall back on your masters or higher education. It is apparent to students if you have done so. There is no excitement, no creativity, no pizazz, or no uniqueness. We can see at the bottom of the powerpoints that are provided by the big publishers such as, "Mcgraw-Hill or Evolve." I see the convenience of using those. But, being an educator and having a "body of knowledge", I would assume one could muster up, at least, personally created powerpoints or lectures.

I don't know when THE BIG BANG OF POWERPOINT SLAVERY occurred but it's highly overrated. If powerpoints were Jesus, nurse educators seem to be the apostles following. Well, I'm Judas and narking on Jesus. Just showing point here (not trying to be sacrilegious or offensive). Tap your creativity again, brush off the dust, and attempt to keep your students excited. How often do you get students rushing in your office door saying, "Wow. Your fluids/electrolytes lecture was fascinating. Or, I've never heard it explained like that. Now I understand. Or, do you have extra books on this subject because I'd like to read more on that." Wouldn't that be awesome?! Try new and interesting methods. There is research out there saying that the current method of classroom learning and teaching is ineffective as it is. Lecturing for endless hours is on the bottom of the totem pole of effectiveness. Ineffective Airway NANDA says? Well, "Ineffective Teaching", Andrew says.

For instance, so I don't seem to talk the talk. I sat here for a couple of minutes thinking of an interesting way to keep people engaged.

How about this:

You are lecturing about CHF.

Try starting the class with a patient report you would give to a co-worker. For instance, about a basic CHF patient. Give assessment data, medical orders, daily tests and labs, etc. A real clinical situation.

Then lecture about this condition for 30 minutes and then quickly discuss the patient report after having talked about the cardiac theory.

You'd be connecting theory with a clinical setting. Practice having students hear patient reports. Exposure to medical orders. And, using the nursing process. Enhance collaboration amount students to develop a quick care plan and plan nursing management. Many Benefits.

Or....You could read S/S of CHF...pathophysiology...nursing assessments...interventions...outcomes...THEN move to next disease...S/S of cardiomyopathy....etc...etc...etc...ZZZzzz.

Just a thought. I don't though. I'm not a teacher. Overall, the point is to quit reading to us verbatim what we can read ourselves. Lecture isn't a party but it isn't a funeral. Keep us engaged. Please don't rely on powerpoint like it's the bible. Use other strategies. Please.

Again, I don't want to offend educators. I'm hoping to shake some out of their routine a bit. Try some new things. I'm not mad or resentful because I'm graduated (How could I be).

Here's an honest, broke, and jobless ex-student that has too much time on his hands, spends too much time on AN, and just wants to help out. Take care.

Specializes in Progressive, Intermediate Care, and Stepdown.
You will soon realize juts how little your education had to do with actual nursing

This is astounding to me! I've seen the disconnect between school and real life. I imagine this common among many professions. I, also, see people just accepting the status quo. Unfortunate.

Specializes in labor & delivery.

This was 100% my ADN program. BSN online was better as we had guidelines and read our own material. I was so disappointed when I began my nursing program. I asked my clinical instructor if this was normal or if I had a crappy instructor. She basically stated that this is the way it is. I felt like I could stay home and read the power points to myself. I agree with the other poster that stated you realize when you get a job how little the program really taught you about being a nurse. I am beginning my program for MSN in Nursing Education and I vow not to be an instructor that reads power points to my students.

Specializes in Emergency & Trauma/Adult ICU.

While engaging speakers / lecturers / professors are worth their weight in gold ... welcome to adult learning, which is self-directed. YOU are there to discover your passion in the material ... not have it foisted upon you. That dry theory/pathophysiology will be the foundation of your nursing practice.

Good luck in your studies.

Thankfully we've only had one instructor who reads from the PowerPoints. But she _literally_ reads...verbatim, in a super monotone voice and seems really bored and annoyed that she even has to do that. Once, she even had us take turns reading each of the slides like 3rd graders.

Specializes in Progressive, Intermediate Care, and Stepdown.
While engaging speakers / lecturers / professors are worth their weight in gold ... welcome to adult learning, which is self-directed. YOU are there to discover your passion in the material ... not have it foisted upon you. That dry theory/pathophysiology will be the foundation of your nursing practice.

Good luck in your studies.

I agree with you but at the same time I don't. I'm not asking to be spoon fed and I am responsible for learning. However, teaching, I believe, in the adult realm should be of higher caliber. Nursing has high standards as we know. I think my experience in my nursing program was mediocre (not near high).

I'm all for dry theory. Give me the troponin-tropomyosin complex of the cardiac muscle or the carbonic acid-bicarbonate system. I love to hear it. Any material can be presented in a moderately interesting way. 4 hours of monotone, and verbatim. No thank you. :)

Specializes in Progressive, Intermediate Care, and Stepdown.

May I also say that I've heard primarily from nurse educators. I wonder why that is. Maybe some educators out there could explain to me the current state of nursing education.

Is is hard to break the traditional mold of information delivery?

How do educators learn to try new techniques? Must be individualized.

I feel for both sides of this topic. I'm currently in A&P I + Lab and Pharmacology, and I'm very lucky to have an anatomy professor who is very engaged in his subject. He knows it inside and out, he is always adding in little extras that help me remember some of the subject material, and he often asks if we have questions. The downfall to this is that a lot of students ask what I'd consider irrelevant questions, so we often get behind. We're two days behind now, and so as it stands, we're going to have to cover a chapter or two at the end all on our own.

My pharmacology professor is the complete opposite. I get that pharmacology isn't that interesting to teach, but this woman shows up and reads the same information from the same packet the college has been handing out for years and years now. My sister took this class 3 years ago (has to retake it now because it's only valid for 1 year) and she literally knows all the answers because they're the exact same as they were when she took it before. She's a nice lady, the pharm prof, but I find myself seriously wishing I'd signed up to take that class online instead of doing it from 8-10 am every Tuesday!

I think that the right teacher can take any subject and be interested in it enough to spread that interest to students who have a desire to be there and a fervor for learning, which I definitely do. I find some subjects (like how things physiologically function) more interesting than others (like learning a billion different bone features/surface markings), but I love the subject and I love being there. I wouldn't trade my anatomy professor for anyone else, regardless of the fact that I've been told other profs have easier exams and will let students retake tests and do extra credit and blah blah. No, thanks!

When I first went to college no one used PowerPoint . I think it existed , but I never heard of it, even with an IT major. The instructor read little from the book and a lot that existed no where else. No handouts, cell phones. You had to take very good notes or else.

Decade later my classroom instructor read from book, word by word, and used power points often with many hand outs.

At work one person creates a power point presentation and emails it around for changes until meeting where all discussion is directed to the PowerPoint.

Electronic format captivates your attention better,

but paper format reading resonates longer.

Electronic format is great for test practice questions, but I always go for paper for textbooks even with the weight inconvenience .

Specializes in Progressive, Intermediate Care, and Stepdown.

Electronic format captivates your attention better

.

I agree as long as electronic methods are used properly. I wonder if the powerpoint issue is really rooted in technology boom. Nursing instructors are attempting to cater to the young people, like myself, who has grown up into the technological word. However, maybe, the instructor isn't versed enough to make presentations and lectures, as you say, captivating. There may be a generational issue here as well and technology being an issue. The more I think about this I want to hear an educators point of view. Or, maybe, someone to point me into the right direction to understand this better. There must resources and research about nursing education as well as nursing instructor difficulties.

Specializes in ER, Med-surg.

I'm with you OP! If I wanted to just read the book and power points, I would stay home and just read the book and power points. Unfortunately attendance is mandatory in nursing school. I can't just sit in the comfort of my home at a desk and read my book on my own at my leisure instead of going to class. I love being read to, but that's usually before I'm ready to go to sleep. I don't understand how anybody thinks that reading the text and power points, which obviously haven't been reviewed prior to reading them to the class, is supposed to help anybody learn or ever successfully pass a test.

It's good to know that others felt the same way in lectures. My mind would drift off shortly after lecture started. I guess I'm okay after all. Something needs changing within the method of teaching. Thanks for the post.

Specializes in Trauma.

My first semester was exactly as you described. Starting with the second semester I enrolled as a hybrid student. I only show up on campus for tests, labs, etc. I do not attend any in class lectures because I can listen to the lecture online and follow the Power Points without having to drive all the way to class.

One reason I think the instructors follow the Power Points so closely rather than teaching from their own experience is there is a real difference in NCLEX and "real world" nursing. They are trying to teach what will be on the NCLEX.

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