INTRODUCTION Bedside Clinic is one of the clinical teaching method which is carried out in clinical area and is one

of the best method of teaching. It is very lively and interesting as it correlates reality with theory. MEANING It is a type of clinical teaching method where nursing supervisor/tutor meet with their subordinates or nursing students in order to carry out nursing instruction in presence of the patient at the bedside. It is a teaching in the presence of the patient. GOALS OF BEDSIDE CLINIC Discuss the advantages and challenges of teaching at the bedside. Explore strategies for improving teaching at the bedside. Review techniques for bedside teaching in the office setting. PURPOSES Provide a learning experience for nursing students Improve the students ability to solve nursing problems.

 Realize the needs for understanding each patient

Helps the students to do nursing observation in an organized systematic way.

Recognize opportunities for health teaching in hospital. Work out a nursing care plan to fit the needs of patient Understand certain types of apparatus being used on patients. Improve the quality of nursing care.

PRINCIPLE Observe all aspect of the patient. Study the patient rather than the disease. MEMBERS Nursing Superintendent Nursing Supervisor/Clinical Instruction Nursing Subordinates/Nursing Students STEPS INVOLVED IN CONDUCTING BEDSIDE CLINIC It involves 3 steps : Planning technique Instruction before bedside clinic

 Discussion phase PLANNING TECHNIQUE Select a patient for whom students have given the care. Secure the patients consent, as his cooperation is essential during clinic. Determine the clinic to whom it is to be conducted, place, date, and time for clinic to be held and on what topic the students have to come prepared INSTRUCTION BEFORE CONDUCTING BEDSIDE CLINIC Physical and mental comfort is provided to patient. Patient is kept at ease. The clinic should not exceed 30 minutes. The number of students should not exceed 1015 in numbers. DISCUSSION PHASE It is having 4 phases PHASE I INTRODUCTION PHASE Teacher introduce the following to the students :

 Purpose of the clinic Background of the patient Significant observation to be made Patient condition Nursing care situation presented by the patient Type of question to be used to be asked to patient.

PHASE II PATIENT CENTERED PHASE Students has to : Few simple questions are asked to the patient. Avoid question which may hurt patients feelings. Allow the patient to verbalize his needs and how he perceives his problem. Thank the patient soon after discussion. PHASE III DISCUSSION PHASE In this phase the teacher and student have a discussion regarding patients condition and his behavior.

 Students clarify their doubts regarding patients condition from the teacher. PHASE IV EVALUATION PHASE The students can be evaluated in terms : Information collected by them regarding patient. Identifying the patients problems. Analyzing the nursing problem or nursing care. Appreciating the patients condition and their outlook towards disease. Work out nursing care plan with special problems. Using of various apparatus for special problems. ADVANTAGES Bedside teaching puts the students in an active actual situation. Covers a limited group of students. Permits evaluation of degree to which education objectives have been attained. Develops qualities of observation and decision making. Ensures closer contact with reality. Permits comparison between reality and theory. Enables students to develop self confidence. Increases variability.

DISADVANTAGES Sometimes puts the patient in difficult situation. Poor standardization. Narrow limits of utilization. CONCLUSION Bed Side Clinics provides a real situation to students. It is a valuable as teaching and learning devices because instruction is carried on in direct relation to the patient. It develops the powers of observation and stimulates thought and consideration of the nursing care of the patient.