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. 

Evolving case study | NR536 | Chamberlain College of Nursing

It sounds like the evolving case study is a dynamic and interactive way to engage participants in a healthcare scenario, allowing them to apply their knowledge and skills in a simulated 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.

Breaking the case study into three stages, with each stage presenting new challenges and triggers, allows for a gradual progression of complexity and a more realistic representation of how healthcare situations can evolve over time. This also gives participants the opportunity to practice their decision-making skills and adapt to changing circumstances.

The inclusion of Socratic questions as part of the debriefing process is also a great idea, as it encourages participants to reflect on their thought processes and reasoning behind their decisions. This can help to identify areas for improvement and promote a deeper understanding of the underlying principles and concepts involved in the case study. Overall, the evolving case study seems like an effective and engaging way to enhance participants’ learning and skill development in a healthcare context.