The evolving case study starts with background information that provides an overview; description of the patient; and the report provided to the participants using the format of situation, background, assessment, and recommendation (SBAR). Progressing over time with a fictional patient’s health status changing, this evolving case study presents the situation in three stages. Stage 1 is the initial stage where the patient’s healthcare situation is presented, followed by a trigger that represents a health challenge, or worsening of the health. Participants identify the appropriate interventions to maintain a stable health status, as well as recognize via assessment the deterioration in the fictional patient’s health. Stage 2 continues the presentation of the patient with progressive decline in health status requiring the identification of appropriate actions by participants. A trigger for Stage 3 will be identified based on the stabilization of the fictional patient. Outcome of the evolving case study is suggested as part of Stage 3. Preparation for debriefing of participants is considered by the identification of Socratic questions. 

NR536 – Chamberlain College of Nursing| NR536 | Chamberlain College of Nursing

This evolving case seems to be a fun and dynamic way for participants to learn and practice in a realistic healthcare environment. The format of situation, background, assessment, and recommendation (SBAR) is a widely-used communication tool in healthcare, and it’s great to see it being incorporated into the case study to help guide participants through the various stages.

The case study can be broken down into three different stages. Each stage presents new triggers and challenges, allowing for a realistic progression and representation of the way healthcare scenarios evolve with time. It also allows participants to improve their ability to make decisions and adjust to new circumstances.

Incorporating Socratic questioning into the debriefing is also a good idea. This encourages participants’ reflection on their own thought processes, and how they came to their conclusions. The inclusion of Socratic questions in the debriefing process can also help identify improvement areas and encourage a deeper comprehension of the principles and concepts that are involved with the case. Overall, the evolving case study seems like an effective and engaging way to enhance participants’ learning and skill development in a healthcare context.