Creating New Communication Structures Using a Nursing Intranet and Multimedia Tools to keep Nurses Connected and Informed Summer Institute in Nursing Informatics July 2005 Brenda Laurie-Shaw, Nicholas Brudnicki, Mary Ferguson-Pare, and Cathy Johnson Toronto, Ontario, Canada
Objectives To present an innovation in communicating and connecting with nurses. To describe the evolution of the original innovation to the current formats in use today. To demonstrate 3 formats of communication using a corporate Intranet and multimedia tools To explore the fit between this mode of communication and the current generations of nurses in our workforce. To present outcome measures to demonstrate the effectiveness of the innovation. July 21 2005 SINI 2005, Baltimore Maryland 2
SARS March 2003 July 21 2005 SINI 2005, Baltimore Maryland 3
Communication Challenges of SARS Nurses feeling isolated Nurse leaders are restricted from access to patient care areas and front line staff Fear of the unknown Rapid changes in directives Communicating effectively July 21 2005 SINI 2005, Baltimore Maryland 4
Challenge How to connect? E Mail? Not all nurses at UHN have E Mail Not a routine part of the nurse s workflow or workday Time? Decreased staffing, increased workload, stressful work environment Preference? Face to face communication July 21 2005 SINI 2005, Baltimore Maryland 5
Virtual Presence and Personal Action Chief Nurse Executive, Mary Ferguson-Pare (MFP) Now, of all times, I need to connect with nurses and I can t go to them July 21 2005 SINI 2005, Baltimore Maryland 6
Using Video Technology and the Intranet to connect with UHN Nurses Inaugural Broadcast - April 11 2003 Link to Video Results were immediate: Nurse connection to Chief Nurse Executive E Mails to CNE Phone calls and voice mail July 21 2005 SINI 2005, Baltimore Maryland 7
Birth of MFP TV July 21 2005 SINI 2005, Baltimore Maryland 8
MFP TV 3 Formats MFP TV on Location (April 2003) Connects staff by video to profile the importance and diversity of nursing and allied health at UHN by going on location to a variety of practice areas as well as by profiling specific initiatives across the corporation (TGH, TWH and PMH) and with the external world Weekly episode Archived on the Intranet and the Internet 79 episodes to date July 21 2005 SINI 2005, Baltimore Maryland 9
UHN Nursing Intranet MFP TV Presence July 21 2005 SINI 2005, Baltimore Maryland 10
Nurses speaking of Nursing and Patients May 16 2003 TGH MSICU Quilt Link to Video MSICU Quilt Sharing the essence of nursing across the corporation in a time of great distress July 21 2005 SINI 2005, Baltimore Maryland 11
Able to Talk about Personal Impact June 6 2003 (SARS TGH Emergency) Link to Video TGH Emergency nurses, allied health professionals and physicians tell their stories about reopening Immediate response to the Emerg staff from the rest of the hospital July 21 2005 SINI 2005, Baltimore Maryland 12
Our New Normal for Connecting August 29 2003..\ONIG Videos\mfptv_aug29_ 2003_6920002176.w mv Profiling nurses across the corporation and to the world Chemo Day Care profile July 21 2005 SINI 2005, Baltimore Maryland 13
Impact - Intranet Site Hits July 21 2005 SINI 2005, Baltimore Maryland 14
UHN Internet Site July 21 2005 SINI 2005, Baltimore Maryland 15
MFP TV Virtual Presence and Personal Action MFP TV On Location: Chief Nurse is on location throughout the organization profiling nursing and nurses Fosters organizational pride Promotes internal career opportunities and nurse retention Profiles UHN Nurses and Nursing to the world July 21 2005 SINI 2005, Baltimore Maryland 16
MFP TV - On Location Themes for Episodes: Profiling practice areas Building internal pride and knowledge Recruitment and retention Profiling corporate initiatives Patient Centred Care, Best Practice Guidelines, Flu Campaign Introducing educational and professional development initiatives Case Costing, Pain Management Profiling individuals UHN Nurse authors, Visiting students and Nurse Leaders July 21 2005 SINI 2005, Baltimore Maryland 17
MFP TV Virtual Presence and Personal Action All episodes of MFP TV On Location are archived Described and timed (based on Nielsen feedback) February 2005 February 25, 2005, Skin and Wound Care Pressure Ulcer P&I Survey Results (8:58 min.) February 18, 2005, PCNP role in the ER, TGH (6:00 min.) February 11, 2005, Ambulatory Care Center on 12 NCSB, TGH - MOT (8:15 min.) February 4, 2005, TGH 6ES Cardiac Short Stay Unit (8:15 min.) July 21 2005 SINI 2005, Baltimore Maryland 18
MFP TV On Location Feedback From a participant: Thanks it was so much fun! I ve been watching you on TV! Thanks for your innovation. I went to the UHN website and had a look at some of the MFP shows. They are well done and informative, with the right amount of informality. It s a great communication tool and I applaud you for taking an idea and making it a reality. I really like to see what other nurses are doing in the organization. There is more going on than one can possibly be aware of. July 21 2005 SINI 2005, Baltimore Maryland 19
MFP TV Virtual Presence and Personal Action MFP TV - Newsdesk (February 2004) An informative briefing of the latest news stories and events that relate to nurses and allied health professionals Weekly episode NOT archived on the Intranet 32 episodes to date July 21 2005 SINI 2005, Baltimore Maryland 20
MFP TV - Newsdesk July 21 2005 SINI 2005, Baltimore Maryland 21
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MFP - Newsdesk Inaugural episode February 16 2004 Nursing News - Link to Inaugural Newsdesk, February 16 2004 Variation in format Flu Bug Myth Busting November 1 2004 - t Link to CNE going to Dr. Michael Gardam, Chief of Infection Control July 21 2005 SINI 2005, Baltimore Maryland 23
MFP TV Newsdesk Feedback Hi Mary, I like the TV Newsdesk. It is a lot nicer to hear your summary of the many issues that are important but that we might not have the time to read in great detail. Very innovative. Hi Mary, This is great and I plan to keep watching! I m so busy these days it is hard to keep up on everything going on outside of my clinic world. Thanks Looks great Nicholas! I like the music and the design and the content idea is a good one. Things nurses need to be more aware of Way to go! July 21 2005 SINI 2005, Baltimore Maryland 24
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MFP TV Virtual Presence and Personal Action MFP TV Special Bulletin (February 2004) A prn major event broadcast Also include related documents Currently archived on the Intranet 3 episodes to date July 21 2005 SINI 2005, Baltimore Maryland 26
MFP TV - Special Bulletin Special Bulletin format summarizes content and allows the viewers to see and hear as much or as little as they want Press Conference Medical Diagnostic and Workplace Safety Equipment Funding Announcement Links to video clips July 21 2005 SINI 2005, Baltimore Maryland 27
MFP TV - Special Bulletin Nursing Retreat with UHN Team Partners for Patient Centered Care (May 2005) July 21 2005 SINI 2005, Baltimore Maryland 28
Communicating Across Generations in a Complex Environment We have the challenge of communicating across generations (spanning up to 4 generations in the same workplace) Why has MFP-TV been so successful? July 21 2005 SINI 2005, Baltimore Maryland 29
Leaders Communicating across the Generations Traditionalists (born between 1922-1945) Use of inclusive language Face to face or written communication is best Don t waste their time; they have a job to do! Baby Boomers (born between 1946 1964) show me generation; use body language to communicate Answer questions thoroughly; speak in open direct style Use face to face or electronic communications to reach out to them (TV generation) July 21 2005 SINI 2005, Baltimore Maryland 30
Leaders Communicating across the Generations Generation X (born between 1965-1978) More interested in quality of life than work so will use technology to advantage E-mail is the primary communication tool Talk in short sound bytes to hold attention Present facts using straight talk; use an informal style Ask for feedback July 21 2005 SINI 2005, Baltimore Maryland 31
Leaders Communicating across the Generations Generation Y (born between 1979 1994) Highly creative, well educated and technology advanced Internet is their playground expect interactivity Use e-mail and voice mail as primary communication tools Use visual communication to motivate and keep them focused Constantly seek their feedback (Zust, W. 2004; Tapscott, D. 2004) July 21 2005 SINI 2005, Baltimore Maryland 32
Contemplation How long will these modes of communication be effective? What s next? July 21 2005 SINI 2005, Baltimore Maryland 33
Out of adversity. comes opportunity July 21 2005 SINI 2005, Baltimore Maryland 34
Never underestimate the impact of a small idea! Thank you. July 21 2005 SINI 2005, Baltimore Maryland 35