Mollie Butler, RN PhD Regional Director Professional Practice

Transcription

1 Advancing Innovation, Engagement & Learning through the Development & Implementation of a New E- Learning Platform between Eastern Health & Saint Elizabeth Mollie Butler, RN PhD Regional Director Professional Practice Heather Hunt Smith, MN RN Professional Practice Consultant Nursing Katherine Chubbs, RN, BN, MHS, CHE Vice President & Chief Nursing Officer

2 Outline The Partners The E-Learning Platform & Module LEADS in a Caring Environment Framework Applying LEADS

3 Partners Involved Eastern Health - Professional Practice Saint Elizabeth

4 Four Regional Health Authorities Population 526,

5 Eastern Health Serves a population of over 306,000+ residents Provides several provincial programs (cancer care) In March 2015, there were 12, 810 employees

6 Large interprofessional team (6000+) delivers almost 5 million hours of health care services each year Offices throughout Canada

7 Web-based e learning solution that is: Competency based Evidence-based curriculum Supports adult learners & ongoing professional development

8 Types of Education Offered By Informational-course resources such as tools and templates, web links, forms, etc. to provide further information and build on the curriculum and learners existing knowledge. Instructional-eLearning modules are designed to be engaging and interactive, brief tutorials with engagement activities, self tests for learners, one screen=one key concept Experiential-Context-based case studies, scenarios, and simulations that mimic real-life. Corrective feedback and analysis of decisions are key tactics used to help learners build their knowledge within each of these experiential components.

9 The Partnership Fall 2012: Pilot project proposed Fall 2012-Winter 2013: Review of educational modules March 2013: Pilot confirmed October 1- December 31, 2013-staff access to module

10 Lots of Choices Nursing-Infusion Therapy and Med Admin; Skills & Competencies; Health Assessment; Cardiac Care; Palliative Care; Community Health Nursing; Mental Health & Addictions; Wound care; Diabetes Management Personal Support Worker (PSW)-Bowel and Bladder Training; Seizures; Skills Education (Oral Suctioning, Enteral Feeds); Falls Prevention; Dementia; Palliative Care; Diabetes management General Health Care Provider-Sharps Safety; WHIMIS; Elder Abuse; Violence in the Workplace

11 Focus on Diabetes In 2011, Eastern Health chose diabetes as its chronic disease management focus Newfoundland and Labrador currently has the highest rate of diabetes prevalence in Canada. 38, 084 people in 2013 By 2020, 32 % of the population will be living either with diabetes or pre-diabetes Impacts to the population Health-cardiovascular disease, renal disease, increased comorbidities Health system & economic impact-increased and longer hospital stays, increased costs

12 Diabetes Care-Clinical Module For regulated and unregulated healthcare providers Adult and older adult population Current and evidence-based Canadian Diabetes Association Clinical Practice Guidelines for the Prevention & Management of Diabetes in Canada (2013)

13 LEADS in a Caring Environment

14 5 LEADS Domains Lead Self Self-aware Manages self Develops self Demonstrates character Engage Others Foster the development of others Contribute to the creation of a healthy organization Communicate effectively Build teams Achieve Results Set direction Strategically align decisions with vision, values and evidence Take action to implement decisions Assess and evaluate Develop Coalitions Purposefully build partnerships and networks to create results Demonstrate a commitment to customers and service Mobilize knowledge Navigate socio-political environments System Transformation Demonstrates systems/critical thinking Encourage and support innovation Orient themselves strategically to the future Champion and orchestrate change

15 Lead Self Self-aware Manages self Develops self Demonstrates character

16 Engage Others Foster the development of others Contribute to the creation of a healthy organization Communicate effectively Build teams

17 How to Engage Promotional materials shared with nursing & allied health staff Working group of key stakeholders Newsletters, bulletins, information sheets, web page

18 Set direction Achieve Results Strategically align directions with vision, values and evidence Take action to implement decisions Assess and evaluate

19 Level of Participation n Percent Number of individuals who requested a login Number of individuals who initiated the course % (322/512) Number of individuals who completed the course % (224/322)

20 Participant Age

21 Work Location of Participants

22 Practice Setting of Participants

23 Professional Designation of Participants

24 Plan for Evaluation An electronic pre-survey completed by participants prior to accessing the diabetes learning module Pre and post knowledge tests An electronic three month post-survey A cost analysis

25 Pre/Post Knowledge Tests The average pre-test score was 81.9% (n=306) The average post-test score was 95.4% (n=224) There was an average of 13.5% difference between pre and post knowledge test scores

26 Pre/Post Survey Results Assess learner s knowledge, skill and comfort with caring for a client with diabetes, both prior to as well as after completing the module. Completion of surveys: 415 participants (81% of 512) - pre-survey 168 (33% of 512) - three month post-survey Of the post survey respondents, 88% noted they had completed the module

27 Comfort With Technology Easy to use/navigate- 53.6% of participants rating ease of use a 5, meaning very easy to use. Additional 31.4% rated ease of use a 4 The majority of participants rated the overall experience of completing the e-learning course 5(53.6%) with another 36% rating it a 4

28 Knowledge Uptake & Transfer Pre (n=415) Post (n=168) Level of knowledge about diabetes 3 (54.1%) 4 (51.4%) Level of skill caring for a client with diabetes 3 (46.6%) 4 (53.3%) Comfort level in applying skills and knowledge to a client with diabetes 3 (49.8%) 4 (53%)

29 Usefulness of Module 58.9% of participants rated usefulness of the module as 5 (very useful) Participants were asked to narratively describe how they incorporated this learning into their practice. Responses included: o Able to provide more information to patients regarding diabetes o More knowledge of dietary choices for low blood sugar management o While interacting with diabetic patients everyday my comfort level in greatly increased o Strong knowledge base in helping to identify problems and issues o It is easier to discuss how diet and lifestyle can impact the effects of diabetes o My assessment skills have greatly improved for the diabetic patient

30 Barriers to Participation 78%-cited lack of time at work 45.9%-cited lack of time beyond family obligations; no time outside of work

31 Develops Coalitions Purposefully build partnerships and networks to create results Demonstrate a commitment to customers and service

32 Systems Transformation Demonstrate Systems/critical thinking Encourage and support innovation Orient themselves strategically to the future Champion and orchestrate change

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34 Conclusions Provided opportunity to Partner, Use LEADS Framework & Share Across large geographic span Built trust during process Had very positive impact Required leadership and solid collaboration at all levels Brokered by senior executive leaders (from EH & SE) Required extensive planning & conversation before & after launching Involved clinical directors, designers and clinical stakeholders to increase number & types of professional staff and student participants Gathered evidence EH professionals improved their knowledge about Diabetes Feedback from leaners - what worked & barriers Organizational learning important for future web-based education Next steps we are preparing a journal article

35 Acknowledgements Katherine Chubbs, Vice-President and Chief Nursing Officer, Eastern Health Heather Hunt Smith, Professional Practice Consultant, Eastern Health Nancy LeFebre, RN, MSN, CHE, Senior Vice President and Chief Clinical Executive, Saint Elizabeth Tracy Scott, RN, MN, Program Lead (Education Services), Saint Elizabeth Kimberly Miller, RN, BSN, MScN, Advanced Practice Consultant (Education Services), Saint Elizabeth Tina Barry, Administrative Support Professional Practice, EH Canadian College of Health Leaders - NL for sponsorship to the Conference

36 For Further Information Eastern Health - Contacts: Dr. Mollie Butler at mollie.butler@easternhealth.nl.ca Heather Hunt Smith, Professional Practice Consultant Nursing at heather.huntsmith@easternhealth.ca

37 Thank you!