Nursing Education: Academia to workplace. Training costs and performance issues related to lack of standardization. Constraints to standardization within training. Heatt 2014

1. Nursing education:
Academia to Workplace
Melissa Powell, MHPE, RN-BC
HEATT 2014

2. How difficult is learning
Learning is a high load brain activity that
challenges working memory (Clapper, TC
2011)

3. Past learning effects future learning
Past experiences and knowledge affect transfer
(Ambrose, 2009)

4. Transfer
Transfer is applying new knowledge in new
ways in new situations (Schunk, 2008)
Positive transfer is the goal but interference in
learning can contaminate.

5. Negative transfer
Where is the negative transfer occurring here?

6. Interference in learning
Interference in learning - random assignment of
learning activities and incongruent information
can negatively affect learning (Clapper, TC,
2011. )

7. What and how much should we
teach?
Health Assessment: RN students learn head to
toe, including ophthalmoscopic exam and
extensive neuro exam..cranial nerves.

8. A simple example of incongruence...
"wash for 3 minutes.”
“wash every third time.” “wash when visibly
soiled.” “Wash and sing ABCs”

9. hospital performance: sanitize in
and out
foam
gel

10. A beating drum and consistent
message
Hand hygiene has become one of key hospital
improvement initiatives in the last 6 years.
Performance improves with clear expectations,
consistent message, coaching with cross
monitoring

11. Another example...
variation in crash carts

12. EHR
Cerner
Mckesson
Meditech
46 Billion dollars of
development in 2012
(Forbes, 2013)

13. point of care testing
bring the strip in the machine to the blood
versus
bring the blood/strip to the machine

14. Utopia
Lets take ideas from aviation
standardized all equipment, checklists and
performance that we can.

15. Models for national curriculums
AHA and TeamSTEPPS
Teamstepps: consistent language, curriculum
and teamwork concepts
BLS, ACLS, and PALS content, curriculum and
lesson plans standardized universally.

16. Consortiums: Not just competencies
but also content
• Evidenced based practice agreement in
consortiums
• Local hospital affiliations for content
• in situ clinicals paired with future employment
• consortiums for safety and quality objectives for
best products and standards in products
• consortium driven simulation programs

17. Constraints: Lets discuss...
What are the constraints?
How do we move forward?
• Florida Healthcare Simulation Alliance is
here to begin the conversation in Florida
www.floridahealthsimalliance.org