Competencies in the Schoolhouse

Transcription

1 Competencies in the Schoolhouse 4/15/ a.m. #140 Theresa Calderone EdD, RN-BC, Indiana University of Pennsylvania, PA Julia Greenawalt PhD, RNC, Indiana University of Pennsylvania, PA Indiana University of Pennsylvania COLLEGE OF HEALTH AND HUMAN SERVICES DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

2 Conflict of Interest Theresa L. Calderone, EdD, RN-BC Julia A Greenawalt, PhD, RNC Have no real or apparent conflicts of interest to report. HIMSS 2015

3 About IUP Indiana University of Pennsylvania Largest campus in the Pennsylvania State System of Higher Education and 5th largest PA University Research-based, teaching-focused and student-centered learning community Combines the academic opportunities of a large university with the highly personalized and intimate learning-centered environment of a small college Approximately 15,000 undergraduate and graduate students enrolled in accredited and nationally recognized programs

4 Nursing and Allied Health Professions Programs in: PhD in Nursing Masters in Science Bachelor of Science in Nursing Integrated the use of an academic electronic health record into Master and Undergraduate level nursing courses Faculty member is an ANCC Board Certified Informatics Nurse

5 Learning Objectives 1. Describe the use of simulation in nursing education to provide nursing students with the opportunity to learn informatics competencies through simulation scenarios that support inter-professional collaboration through the academic electronic health record. 2. Illustrate our department s experience with teaching students informatics skills to include medication administration, CPOE, interdisciplinary care planning and consultations. 3. Outline ideas for other academic institutions and clinical disciplines to consider when implementing the TIGER core competencies framework.

6 Informatics Competencies American Association of Colleges of Nursing (AACN), Institute of Medicine (IOM) Technology Informatics Guiding Education Reform (TIGER) Quality and Safety Education for Nurses (QSEN) American Nurses Credentialing Center (ANCC) Recommend that student nurses learn to navigate the healthcare environment including health care informatics. AACN recommends core competencies identified from both IOM and QSEN. From the IOM in 2003: All health professionals should be educated to deliver patient-centered care as members from a multi-disciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics.

7 Value STEPS of Health IT 5. Stay the course and Improve the processes 4. Plan and Execute these strategies into our education 1. Simply Acknowledge Documentation Issues in Healthcare 3. Employ strategies to implement MU into current structure 2. Teach-Electronic Health Record into academia and practice

8 Our TIGER Story

9 Our Team!

10 The TIGER Initiative and Our Faculty Informatics Nurse joined the Nursing Faculty in 2009 Encouraged faculty to integrate Informatics activities into the curriculum Interest in professional organizations, ANIA, INACSL, NLN Engaged in scholarship to advance this effort, journal articles, presentations, posters

11 The TIGER Initiative and Our Faculty Obtained HRSA Grant Monies to support the use of simulation and informatics: Selected the Academic Education Solution from Cerner: Multidisciplinary Ability to use an interactive teaching approach to help students learn evidencebased clinical practices Teaching strategies to encourage critical thinking skills in clinical simulation Practice with an electronic health record prior to the clinical experience 4/15/

12 EHR Selection Process Researched several academic ehr solutions Best solution to meet our needs for teaching and learning Cost, accessibility, complexity, clinical sites Implementation process and challenges Faculty adoption Pros and cons of selecting and academic ehr solution

13 Clinical Simulation at IUP Clinical Simulation Labs High fidelity manikins supported by a simulation specialist Scenarios that map clinical situations to the electronic health record Use of standardized patients Engage students in the electronic health record during clinical simulation: Documentation exercises Orders and CPOE processes Medication Administration with ability to practice bar coded medication administration and to teach medication error reduction strategies Plan of Care assignments

14 Electronic Health Record Integration Sophomore nursing students: Assigned access to the Academic Electronic Health Record Participate in a series of simulation exercises mapped to nursing skills Junior and Senior nursing students: Maternal Health pre-clinical simulation practice Adult Health pre-clinical simulation practice with medication administration Masters level students: Advanced exercises in Informatics concepts Nutrition (Consults) Psychology (Consults) Computer Science (Build behind the scenes ) Educational Technology (Documentation) Health Administration (Supervisory) Cross Disciplinary Collaboration 14

15 Inter-professional Collaboration Current exploration and in progress simulation cross discipline scenarios Nursing - Advanced clinical care assignments Nutrition - Consults and assessments Psychology Behavior Health consultation Information Science - Build behind the scenes Educational Technology - technical writing and system documentation Health Administration supervisory simulation Cross discipline collaboration potential for scholarship and research 15

16 Undergraduate Example

17 Undergraduate Example Sim Day

18 Undergraduate Screen Sample Cerner Corporation. Further reproduction or distribution is strictly prohibited without written consent of Cerner Corporation.

19 Undergraduate Example

20 Undergraduate Sophomore Sample Cerner Corporation. Further reproduction or distribution is strictly prohibited without written consent of Cerner Corporation.

21 Our Story Continues - Discussion Points IUP TIGER Part II Technology trends and thoughts on the future for nursing students Generational gap in nursing education and student learning Nurse Educators of the future Which way do we go now?

22 Questions Thank You! Contact Information: Theresa L. Julie Greenawalt Indiana University of Pennsylvania COLLEGE OF HEALTH AND HUMAN SERVICES 22

23 References Hommes, T. (2014). Implementation of simulation to improve staff nurse education. Journal for Nurses in Staff Development, 30 (2), Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from Vana, K. & Silva, G. (2014). Evaluating the Use of Simulated Electronic Health Records and Online Drug Reference in the Case Study to Enhance Nursing Student Understanding of Pharmacologic Concepts and Resources. Nurse Educator, 49(4),