Online Medical Education

Resuscitate Your Online Medical Education: 4 Vital Signs Presentation slides will be available at www.slideshare.net/enspirelearning/online-medical-education A recording of the webinar will be available at http://www.enspire.com/about/webinar_online_medical_education Please allow 24 hours for content to be posted. If you experience technical difficulties during the presentation, please send a message to the organizer through the “Questions” field at right. Please enter questions for the presenters through the “Questions.” These will be answered at the end of the webinar.

Introductions
Justine Medina
AACN
[email_address]
Jessica Shadoian
Enspire Learning
[email_address]
Jan Farquhar
Enspire Learning
[email_address]

Agenda
Introductions
Case study: AACN e-learning in action
Best practices: Lessons from the pros
Q&A

AACN: Our Experiment

World’s largest specialty nursing association 120,000+ members and non-member customers Only association for acute and critical care nurses in the United States AACN

What we seek to create
A healthcare system driven by the needs of patients and families . . .
. . . where acute and critical care nurses make their optimal contribution. AACN

What we seek to be AACN’s Operating Vision
The undisputable and indispensable leader of acute and critical care nursing in the United States
AACN

How we’ll get there AACN’s Mission As a leader in establishing work and care environments that are respectful, healing and humane. AACN

Patients and Families Acute and Critical Care Nurses Members Board of Directors Collaborating Organizations Committees Work Groups National Office AACN

Knowing your audience
Understanding their learning needs
AACN

73% ≥ 40 years old AACN

52% more than 11 years experience AACN

More than 80% work in hospitals AACN

62% give direct care AACN

To carry out our education mission, AACN:
Sets standards
Use diverse delivery methods
Develops and diffuses knowledge
AACN

Set standards AACN

Develop and diffuse knowledge AACN

Develop and diffuse knowledge AACN Preceptor Training Palliative Care and End of Life NEW

The 2 P’s The Preceptor Challenge The AACN Preceptor Development Program Promoting Excellence in Palliative & End-of-Life Care An Interactive Learning Experience from AACN AACN

P & P
How long will it take to have a return on your
investment?
How fast can we get this to market?
How do you balance what we “could do” with
cost, time, and what price would the market
support?

P & P
Success in elearning allowed us to experiment
Our goal with these courses, especially the Palliative Care course was to change BEHAVIOR
Address skills and competency validation using
interactive technology,
focusing on communication,
decision-making,
knowledge validation
AACN

P & P
Focus on key practice issues
Palliative Care is for everyone, not just
an End-of-life concept
Moral Distress
Not just “critical care”
AACN

AACN’s Reputation
Benchmark
Excellent customer care
Best practice and innovation in education
AACN

[email_address]
[email_address]
www.aacn.org/elearning
AACN

Overview
Four/five vital signs standard in medical settings:
1. Body temperature
2. Pulse rate (heart rate)
3. Blood pressure
4. Respiratory rate
(Pain – the 5 th vital sign)

Overview
Four/five vital signs for continuing medical education:
1. ?
2. ?
3. ?
4. ?
5. ?

Overview
Four/five vital signs for continuing medical education:
1. Comprehensive analysis and design
2. Engaging storyline and scenarios
3. Purposeful interactivities
4. Intentional use of media
5. Effective Partnership

Vital Sign 1
Comprehensive Analysis and Design

Vital Sign 1: Comprehensive Analysis and Design
Our job is to design:
Information?
Instruction?
Experience!
(Cathy Moore)

Vital Sign 1: Comprehensive Analysis and Design | Risks
Risks:
Not enough time up front
SMEs: Know the content,
lose sight of the experience
IDs: Know the principles
but not the audience

Vital Sign 1: Comprehensive Analysis and Design | Resuscitate
How did we resuscitate?

Vital Sign 1: Comprehensive Analysis and Design | Design workshop
Two-day design workshop to discover:
Who is the learner?
What are we teaching?
How to motivate the learner?
How to make it interactive?

Vital Sign 1: Comprehensive Analysis and Design | Target audience

Vital Sign 1: Comprehensive Analysis and Design | Virtual hospital

Vital Sign 1: Comprehensive Analysis and Design | Mentor

Vital Sign 1: Comprehensive Analysis and Design |Self-care meter

Vital Sign 1: Comprehensive Analysis and Design | Mockup from design workshop

Vital Sign 1: Comprehensive Analysis and Design | Course outline
Course Outline
Introduction
Program Overview
Module 1 - Symptom Management and Comfort Care
Focuses on the technical skills of assessing and intervening. User visits five patient's rooms, assessing and intervening for the patient's symptoms.
Module 2 - Communication and Conflict Resolution
User revisits three of the five rooms again, this time making decisions about family care.
Module 3 - Withdrawing and Withholding Life Support
User revists two of the five patients and their family members and is presented with the challenges in decision-making at end-of-life.
Conclusion
Assessment

Vital Sign 2: Engaging Storyline and Scenarios
Engaging Storyline and Scenarios

Vital Sign 2: Engaging Storyline and Scenarios
Want dull, unmemorable online CME?
Merely push information at people.
Read, click. Read, click.

Engaging Storyline and Scenarios – Start with evidence-based protocols Author(s): Medina, Justine; Puntillo, Kathleen

Vital Sign 2: Engaging Storyline and Scenarios – Real life patients

Vital Sign 2: Engaging Storyline and Scenarios – Families

Vital Sign 2: Engaging Storyline and Scenarios – Narrative Arc

Vital Sign 2: Engaging Storyline and Scenarios – Decision points

Vital Sign 2: Engaging Storyline and Scenarios – Real emotions

Vital Sign 2: Storyline and Scenarios – Varied issues

Vital Sign 3
Purposeful Interactivities

Vital Sign 3: Purposeful Interactivities | Risks
Risks:
Traditional elearning: point, point, point. Quiz!
Too simple: “ Not another multiple choice! ”
Skip to end to get my 80% passing.

Vital Sign 3: Purposeful Interactivities | Resuscitate
How did we resuscitate?

Vital Sign 3: Purposeful Interactivities | Resuscitate Our job is to help people: Learn? Solve problems? Solve problems in the real world! (Cathy Moore)

Vital Sign 3: Purposeful Interactivities | Resuscitate
Rooted in the real:
Create narrative that resonates
Make it personal
Make it realistic
Make it useful (good practice)

Vital Sign 3: Purposeful Interactivities | Keep it real
Patients and people:
Pass?
Are taken?
Cease?
Depart?
Expire?
Become “lost”?
Cross over?

Vital Sign 3: Purposeful Interactivities | Keep it real
Patients and people:
Pass?
Are taken?
Cease?
Depart?
Expire?
Become “lost”?
Cross over?
Die.

Vital Sign 3: Purposeful Interactivities | Types of interactivites
Types of interactivities:
Self reflection: How do I feel about this?
Ordering: Not right or wrong, but making it custom/personal
Exploratory: “Sandbox-style”
Course as resource: Revisit for “brush-up”
Other resources: Centralization of tools

Vital Sign 3: Purposeful Interactivities | Patient selection

Vital Sign 3: Purposeful Interactivities | Relevant, realistic decisions

Vital Sign 3: Purposeful Interactivities | Stay in the environment

Vital Sign 3: Purposeful Interactivities: Self-Care Meter

Vital Sign 4
Intentional Use of Media

Intentional Use of Media – Flashy media but no real learning?

Intentional Use of Media – Art style decisions

Intentional Use of Media – Chose photography for realism

Vital Sign 4: Intentional Use of Media – Art style comparison

Vital Sign 4: Intentional Use of Media – Importance of medical detail and accuracy

Vital Sign 4: Intentional Use of Media – Custom shoot vs. stock photos

Vital Sign 4: Intentional Use of Media – Production

Vital Sign 4: Intentional Use of Media – Continuity challenges

Vital Signs for Continuing Medical Education Comprehensive analysis and design Engaging storylines and scenarios Purposeful interactivities Intentional use of media

Vital Sign 5
Effective Partnership

Vital Sign 5 | What the learners said
How was it received?
What the learners
said. . .

Review
Four vital signs for continuing medical education:
1. Comprehensive analysis and design
2. Engaging storyline and scenarios
3. Purposeful interactivities
4. Intentional use of media
5. Effective partnership

Q&A
Questions?
Contact Us:
Justine Medina, AACN: [email_address]
Jan Farquhar, Enspire Learning: [email_address]
Jessica Shadoian, Enspire Learning: [email_address]
Links: Presentation slides will be available at www.slideshare.net/enspirelearning/online-medical-education A recording of the webinar will be available at http://www.enspire.com/about/webinar_online_medical_education Please allow 24 hours for content to be posted.

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