Curriculum-Based Patient Education Program for Spinal Cord Injury Patients

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1 Curriculum-Based Patient Education Program for Spinal Cord Injury Patients Zulma Jimenez, MSN, RN, CRRN Evelyn C. Quiñones, MSN, RN I. Manosha Wickremasinghe, MD Spinal Cord Injury Center VA North Texas Health Care System

2 DISCLOSURES This continuing education activity is managed and accredited by Professional Education Services Group. Neither PESG nor any accrediting organization supports or endorses any product or service mentioned in this activity. PESG Staff and the Program Planning Committee have no financial interest to disclose.

3 DISCLOSURES Zulma Jimenez, MSN, RN, CRRN Evelyn C. Quiñones, MSN, RN I. Manosha Wickremasinghe, MD Have no financial interest to disclose

4 Objectives Analyze the steps utilized to design, implement, and evaluate a curriculum-based interdisciplinary educational program for patients newly diagnosed with a SCI enrolled in our rehabilitation program. Describe the strategies used to combine the knowledge and skills of an interdisciplinary team to develop the education program. Discuss the benefits of utilizing a curriculum-based educational program to improve SCI patient outcomes.

5 Program Goal To develop an interdisciplinary education program to improve health outcomes in patients with SCI by creating a culture of continues learning. Design Implement Evaluate

6 Why Patient Education? Empower Patient Increase patient and caregiver participation in the rehabilitation process Smooth transition to the home and community setting

7 Program Implementation Strategies Program Needs Assessment Literature Review - Patient Education in SCI - Adult Learning Theory Work Group Committee Class Planning Teaching Strategies Evaluation Tools

8 Program Needs Assessment The purpose of completing the program needs assessment was to uncover the hidden needs of the previous Patient Education program.

9 Literature Review Advantages of patient education in SCI Curriculum-based education Adult educational strategies At least >80% of all articles were related to individuals with spinal cord injury.

10 Work Group Committee Nurses Physicians Physical Therapist Chaplain Social Worker Pharmacist Psychology

11 SCI Interdisciplinary Team

12 Duration of Program

13 Inclusion and Exclusion Criteria Inclusion Criteria - Newly diagnosed patients with SCI enrolled in the rehabilitation program Exclusion Criteria - Patients with Multiple Sclerosis - Medically unstable patients

14 Class Planning 1. Optimal setting and time for the classes 2. Prioritize needs: Must know Good to know 3. Educational materials 4. Facilitators

15 The right setting and the right time! Teaching success improves when the restrictions of the patient s environment are considered.

16 Adult Learning Theory Practical Goal oriented Relevancy oriented Like to be respected Internally motivated and self-directed Bring life experiences and knowledge to learning experiences

17 Prioritizing Needs Must Know Good to Know

18 What do we need? A planned educational experience.

19 Patient Education Curriculum

20 Curriculum-Based Education Approach Patient and Caregiver Engagement Shared Expertise Systematic Approach

21 Teaching Methods Patients have different learning styles, consider using different teaching methods

22 Visual learner Illustrations Posters PowerPoint presentations Brochures Practical skills demonstration

23 Auditory Learner Group discussions Brainstorming sessions Repetition of important points Questions and Answers

24 Kynesthic Learners Hands-on Touch Return demonstration

25 Teaching Resources Lectures One-on-one discussion Visual Aids: Posters Printed material: Brochures Audiovisual material: PowerPoint Presentations, videos Posters Demonstration

26 Interactive Lecture Effective for any type of learner Supplement other types of teaching Helps to develop listening abilities Opens the opportunity for discussion

27 One-on-One Discussion Individualized Effective for focused topics Offers the opportunity for questions Effective for clarification Excellent for immediate feedback

28 Audiovisual Aids Can add interest and stimulation Effectively support lectures Facilitates learning Supports consistency Easy to make, reproduce, and update

29 Demonstration Preferred method by kinesthetic learners Exposes the need of clarification Offers the learner the opportunity to master skills May take longer than other teaching strategies Gives the learner the opportunity to participate

30 Evaluation Tools Did learning occur? Were the objectives met? Were the teaching methods effective? Does the education provided need to be reinforced?

31 Results

32 Challenges to Program Implementation

33 Summary The success of a patient education program requires: A patient-centered educational experience Coordinated efforts of an interdisciplinary team A systematic approach using multiple teaching strategies Evaluation of program effectiveness

34 Education Sessions

35 Participants

36

37 Questions

38 Acknowledgements The authors would like to acknowledge the Rehabilitation Interdisciplinary Team Members at the VA North Texas Health Care System Spinal Cord Injury Center for their collaborative efforts and support of this project.

39 References Dorsey, L. (2005). Spinal cord injury interdisciplinary education. Journal for Specialist of Pediatric Nursing, 10(2), Kern, D., Thomas, P., Howard, D., & Bass, E. (1998). Curriculum development for medical education: a six-step approach. Baltimore and London: The Johns Hopkins University Press. May, L., Day, R. and Warren, S. (2006). Perception of patient education in spinal cord injury rehabilitation. Disability and Rehabilitation, 28(17), May, L., Day, R. and Warren, S. (2006). Evaluation of patient education in spinal cord injury rehabilitation: Knowledge, problem-solving, and perceived importance. Disability and Rehabilitation, 28(7), Neame, R., and Powis, D. (1981). Toward Independent Learning: Curricular Design for Assisting Students to Learn How to Learn. Journal of Medical Education. (56), Senelick, R. C. Dougherty, K. (1998). The Spinal Cord Injury Handbook. Health South Press. Birmingham, Alabama. Williams, S. (2008). The role of patient education in the rehabilitation of people with spinal cord injury. International Journal of Therapy and Rehabilitation, 15(4),

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