End-of-Life Care for Adults, Older Adults and Their Families
University of Iowa

Lessons Learned/Advice to Schools

The course can be offered in a variety of ways on-line, depending on the number of students being taught. 12-15 students are ideal if the instructor is going to respond individually to each student posting. If larger numbers of students are interested, and therefore, direct response to every student posting is not possible, faculty should consider creative ways to assure student opportunity for discussion and to ensure their own (faculty) input. We have been able to offer the course to 30 by creating subgroups of students, with assigned leaders who summarize discussion and case study analyses. This process not only opens the class up to larger numbers, but creates a more diverse enrollment, as well.

Web-format is ideal for this end-of-life content as it provides students with opportunities to consider and carefully frame their comments to the group, and it also creates an environment where each student has equal opportunity to enter into discussions. Students who tend to be less vocal in the conventional classroom setting have chances to be heard.

Wonderful EOL resources are available, including ELNEC (End of Life Nursing Education Curriculum). We chose TNEEL (Toolkit for nursing Education in End-of-Life) to start the course because it was such a well-developed and user-friendly web interactive format.

On-line teaching can be a tremendously rewarding and positive experience. It gives faculty the ability to communicate directly with each student and to see the dynamics of group discussion/work unfold in the online format.

On-line teaching allows for flexibility--being able to review student work, post commentary, guide discussions and evaluate student performance at times convenient to busy faculty schedules. Students feel similarly about the facilitative nature of the on-line format.

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