Client simulation software designed to parallel the nursing process, with features for students and instructors.

Features for Students
DxR Nursing guides students through a virtual client encounter, with features designed to enhance students' understanding of the nursing process.
Students will have the opportunity to:

Features for Instructors
DxR Nursing allows the instructors to use the pre-authored cases "as is" or to modify the case author's evaluation criteria to meet specific curriculum standards.
Instructor tools include:

Assessment

Users can review all the information contained in a virtual client chart. Our extensive database includes information on the client's present illness and medical history, the results of lab tests performed on the client, and physician's orders, and medical management information. The user then organizes pertinent client data into the framework categories displayed on to the right of the chart.

Virtual Physical Exam

Users select an exam tool and then select a body view to conduct a physical exam on a specific part of the client's body. Exam results can appear as text, as graphics, or as sounds. Students may be asked to interpret results or may have the chance to review a professional consultant's report.

Nursing Diagnosis

Users can review the client assessment and physical exam data associated with the framework categories, and then select nursing diagnoses from the latest NANDA Nursing Diagnosis database. Users must also specify the client data that supports or confirms the selected diagnoses, enter an etiology for each nursing diagnosis, and identify the most critical client issues by prioritizing their diagnoses.

Care Planning / Implementation

Users create client-centered care plans for each nursing diagnosis approved by the case author and then select nursing management activities to bring about the desired client outcomes. Students can print or e-mail care plans to the instructor from within the program. Users may also be asked to enter rationales to justify their nursing management decisions.

Outcomes Evaluation

Student nurses evaluate the client's progress toward achieving the desired outcomes after a period of virtual time. Progress data may come from progress reports, flow sheets, and other assessment forms. Users can also gather progress data by listening to an audio interaction between a nurse and a client. Users link any pertinent new data to the desired outcomes, evaluate the efficacy of nursing management decisions, and modify their care plans based on the documented progress information.

Content Questions

Students can answer content-related questions that accompany each DxR Nursing case. Questions come in either multiple choice or true-false format and can assist in preparation for the NCLEX licensure exam. Using the DxR Nursing Management Utility, instructors can modify the questions to suit the educational needs of their students.

Directory Utility
Instructors select the pre-authored case studies they want students to access based on case content and the skill levels of their students. Cases are installed into the instructor's unique directory for access only by authorized users. Instructors also determine the parts of the case studies to which students have access.

Management Utility
Used in conjunction with the Directory Utility, the Management Utility allows the instructor to tailor student access for each case study to meet specific teaching objectives. Instructors can manage student accounts, supplement case information with customized web-based learning resources, and edit content questions that appear at the end of each case.

Student Activity Record Utility

Each student entry and selection in a DxR Nursing case can be recorded and imported into the SAR Utility for instructor review and evaluation. Instructors can view detailed records of students' encounters with the virtual client. The Student Activity Record screen provides the instructor with a "big picture" view comparing individual and group performance in demonstrating key clinical reasoning skills. Instructors may also set or alter evaluation criteria using the Student Activity Record Utility.