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Summary Report
The Recipient shall provide a report on TNH-supported activities in FY
2006-2007 containing the following:
1. Listing of TNH partners and collaborators from FY 2006-2007;
2. Detailed report on publications and manuscripts pertaining to TNH-supported activities;
3. List of names and education category of each
trainee or professional participating in the Teaching Nursing Home
program during 2006-2007, including nursing home trainers and
leadership;
4. Report on arrangements and costs for providing
CEUs for TNH outreach and online trainees; and
5. Documentation of statutory requirements for a
teaching nursing home listed in Section A, paragraph two, and numbered
as one through eight. These statutory requirements can also be
found in s. 430.80 F.S.
IX. Web Page for Networking Florida’s Long-Term Care Nurse Educators
The Recipient shall provide an additional web page on the website
http://ltc.geriu.org/ for development and dissemination of a new
category of long-term care curricula and training resource
materials. These materials will not be produced by the Recipient
but will be drawn from training activities currently conducted in one
or more nursing homes. Each of these materials will be available
as shared resources on the Web site. This new Web page will
support a networking process for long-term care trainers and will
create a mechanism for ongoing needs analysis.
Open public access will be provided to these materials after review and
modifications suggested by trainers/members of the newly established
network of Florida long-term care educators. These materials will
be made available through web site downloads or contacts arranged by
this new network.
The Recipient shall provide a report on the formation and activities of
the training network. This report shall include at least one new
curriculum or training resource that met the consensus priorities of
the network.
The Recipient shall develop a webpage that will:
1. Be developed after working with a minimum of seven
nursing home trainers to determine the most usable and useful design.
2. Provide a customized password protected Web page
in which nursing home trainers can share information, resources, and
decisions regarding long-term care education modules now utilized in
one or more nursing homes in Florida.
3. Provide a BLOG/WIKI process to promote networking
and group process for continuous review, quality improvement, and
exchange of training materials and training-related data.
4. Provide policies and support to implement a review
and facilitate in sharing and use of the training materials, including
contact information for consultants and content experts in specified
topics and educational methods.
5. Provide a search function to allow trainers to
identify other trainers who have either served as reviewers or users of
the repository education materials.
6. Provide a dynamic updateable listing of the
various major areas of training needs identified in previous and
ongoing outreach and allow the trainers to prioritize the areas for
initial review and deposit into the repository.
7. Include a facilitator guide in a standardized
template and reviewer commentary on the usability and utility including
target learners for each reviewed training resource.
8. Provide summaries of each training tool which will
include a summary of the review and brief information on the intended
audience and prerequisite training and experience for audience and
trainers, and technical requirements (such as DVD or computer
requirements).
9. Include contact information for the trainer and
downloading instructions for each reviewed training resource.
10. Include information on how to request training by
mail if a trainer/facility is unable to download the materials from the
online site. |
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Create a Geri-U Home Page Specific to Long-Term Care Staff
The
home page will provide LTC staff with links to training and education
created by the Recipient. This new home page will be used as an
educational tool during the educational outreach trainings provided to
nursing homes in various regions of the state.
This new webpage will:
Be developed after working with a minimum of 15 nursing homes (5 large,
5 medium and 5 small nursing homes) to determine the most usable and
useful design.
Require no password for access to instructional materials.
Provide a user friendly listing of the various major areas of concern
to a Nursing Home (NH) staff person and allow the various professionals
to click on the link pertinent to their training CNA, LPN, RN, DON,
Risk Manager, and Medical Director.
Include links to all TNH training or Quality Improvement (QI) tools.
Provide instructions on how to use the GeriU website, including
downloading instructions and contact information to allow the training
to be mailed if the facility is unable to download the materials.
Provide a customized password protected area of nursing home trainers
to exchange and review instructional evaluation materials and
training-related data with TNH faculty.
Provide summaries of each TNH training tool which will include
information on the intended audience and prerequisite training and
experience for audience and trainers, and technical requirements (such
as DVD or computer requirements).
Provide a search function to allow education materials to be retrieved
from the entire GeriU library, as well as identifying other LTC nursing
education modules/sites with access to free training modules as
determined by the TNH Steering Committee.
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The Recipient’s study in 2006-2007 indicated that PDAs are perceived as
usable and useful portable tools for reinforcing training, and
providing content and clinical decision support for long term care
nurses. Nurse perceptions of PDAs have been very positive.
This study will address the question of whether and why PDA use
correlates with improved performance. The PDA training module to
be tested will be created as a reinforcement tool for the new DVD
curriculum in nuts and bolts communications for nurses reporting
changes in status of residents with congestive heart failure.
A. The Teaching Nursing Home shall refine the
educational handouts developed in Deliverable VII and convert them to
PDA format. A toolkit shall be constructed to assist RNs
and LPNs in identifying and communicating the changing status of
nursing home residents with congestive heart failure (CHF). The
Teaching Nursing Home shall conduct a study to examine the
implementation (feasibility, usability, and utility) of the Deliverable
VII communication skills-building curriculum with the addition of the
PDA materials to reinforce the DVD-based training. The Teaching
Nursing Home shall identify and recruit four nursing homes throughout
Florida with at least three outside Miami to participate in this
project. The implementation of the training and the supporting
PDA materials will be through a local nursing “champion” approach, in
which each facility will identify a nurse to help in the implementation
of the training, strongly supported by the Teaching Nursing Home.
The training may be on a partial or full facility-wide level, depending
on the facility.
The DVD and PDA-based educational curriculum will be implemented to provide the following:
1. Easily accessible PDA-based decision support to
enhance and reinforce the DVD-based curriculum training for the
evaluation of residents with CHF and communication of status changes in
residents to medical professionals.
2. A means of tracking and quantifying PDA
usage/utilization to gauge each participating nurse’s use of specific
parts of the CHF module.
B. The Teaching Nursing Home will report on the adoption of this
approach to communicating the changing status of nursing home residents
with CHF by the organization and the nurse participant.
Organizational
In Deliverable VII, the facilitator’s guide included additional
materials to be used to help in the adoption of this structured
approach to communication. (i.e., letter to physician). The
Teaching Nursing Home will evaluate and report on the usability,
utility, and refinement of these materials through qualitative
methodology. The Teaching Nursing Home will evaluate and report
on the opportunity to use the nuts-and-bolts approach to clinical
communication for other conditions by convening focus groups of key
stakeholders (nursing, physicians).
Participant
The evaluation of the DVD curriculum will address usability (nurse and
trainer satisfaction) and utility in improving nursing staff (LPNs and
RNs) abilities to communicate the changing status of nursing home
residents with CHF. The curriculum including the PDA
reinforcement, will be evaluated by pre-test and post-test to measure
the impact of the training on the participants knowledge, confidence,
and reported practice in recognition and communication of status
changes in residents with CHF. Case studies will be used to
assess how the participants apply the educational content. The
long-term goal will be to develop video-based cases that will allow for
evaluation and for the participant to practice clinical communication.
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Dining At Home Program
The training and evaluation of the Dining At Home model for residential
dining was expanded in 2006-2007 to include one additional study site
now in progress and a third study site beginning Phase One. A beta
version DVD-based curriculum entitled Dining and Dignity was developed
in 2006-2007 with the goal of training nursing home staff.
The beta version DVD curriculum will be finalized with a facilitator
guide and distributed in a statewide outreach to trainers. The
curriculum will include a readiness checklist for assessing
organizational readiness for implementing culture change.
Follow-up evaluations will be collected from trainers with regard to
the value of the curriculum for promoting staff attitudes and skills
regarding dignity and quality of life for residents.
The Recipient shall provide the following:
1. Outcome data collection and analysis in the
expansion sites for the dining model, including comparison to baseline,
consistent with data collection in Deliverable IV.
2. Process analysis at sites with the dining model implementation.
3. The facilitator’s manual and educational handouts accompanying the DVD-based curriculum.
4. The DVD-based curriculum and organizational
readiness checklist will be qualitatively evaluated self structured
interviews in at least five culture change coaching sites. A
report on the process and findings of these interviews will be
provided.
5. The final and pilot test of the culture change
competency assessment tool for assessing individual direct-care staff
preparedness for using the dining experience to address quality-of-life
improvement of residents.
6. A review of culture change competency based on
Teaching Nursing Home experience with the tool for assessment of
individual direct-care staff and on Teaching Nursing Home experiences
during implementation of the Dining At Home Program in nursing homes.
7. A detailed final report of the Dining at Home program accomplishments and efficiencies.
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Lieblich,Wilkes,
Cadwell,Roos
Workforce Development Project: “Effects of Separate and Combined
Implementation of Culture Change and Quality Improvement Technical
Assistance on Reducing Nursing Home Staff Turnover and Retention.”
The Recipient shall provide a report on completion of the ongoing
workforce development project begun in the 2006/2007 contract
year. This report will be a final report providing a detailed
analysis based on an intent-to-treat design. The report will
include commentary on the benefits of various
protocols/approaches. It will also contain the similarities and
differences with LEAP, a project reporting benefits for staff
development and culture change but whose implementation has been too
costly for most nursing homes.
This is a 14 month project with a completion date of October 31, 2007,
aimed at increasing staff communication and satisfaction with the goal
of discovering strategies for reducing certified nursing assistant
turnover. The project is being conducted as a Teaching Nursing Home
initiated cooperative study of the individual and combined impact of
two approaches.
Although some methodologies are shared in the two approaches, one
approach emphasizes quality improvement methodology developed by the
Quality Improvement Organization (QIO/FMQAI) and the other focuses on
culture change methodology developed by the Florida Pioneer Network
(FPN).
The study began in August of 2006 with enrollment and baseline data
from approximately 40 participating nursing homes. A minimum of
nine nursing homes was required in each test group.
The final report will include the two intervention protocols for the
free and general use of all Florida nursing homes. It will
include commentary on their implementation and staff reception and key
outcomes (e.g. data on certified nursing assistant turnover, and
anecdotal commentary on staff and resident satisfaction, etc.) in
response to the interventions implemented during this 14-month
study. In addition the report will include:
1. A description of the randomized block design.
2. Data on certified nursing assistant turnover rate
at baseline and multiple time points after project initiation.
This shall be provided with either or both protocols or no intervention
protocols and shall point to similarities and differences between the
two workforce improvement protocols.
3. A description of the support and expert
consultation offered with each protocol, as well as informative
trainings and consultative resources.
4. The implementation of protocols/formal curriculum
for both approaches, delivered separately and in concert. The
development will be done with technical assistance as appropriate from
the Teaching Nursing Home project team, which includes university
faculty members with expertise in study design and evaluation.
5. The process and outcomes data obtained from
participating nursing homes. This will include a description of
the learning and implementation stages, including available data
pertaining to certified nursing assistant satisfaction and turnover
rate just before implementation and at approximately three month
intervals after implementation.
6. Data pertaining to staff satisfaction at baseline and at the end of the project.
7. An analysis, using an intent-to-treat approach, of
the nursing home organization and resources to improve staff processes
and communication. It will include the type and amount of
technical assistance and consultation to overcome barriers to
improvement throughout the transformation/culture change.
8. Conclusions reached with regard to benefits of the
separate and combined protocols/approaches.
9. Commentary on notable similarities and differences
compared to the LEAP protocol. LEAP is a popular but expensive
proprietary program to promote staff satisfaction and culture change.
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The Teaching Nursing Home shall conduct two types of outreach to the long-term care community.
A. Regional Training
Outreach
The Teaching Nursing Home shall conduct four half-day regional training
sessions in two locations in Florida. Training shall include the
introduction and dissemination of two training materials completed in
the 2006/2007 contract year and four completed in prior
years. All training materials will include facilitator and
learner guides. These training sessions shall be free and shall
grant Continuing Education Units (CEUs) to all participants.
These training sessions will be targeted toward clinical educators,
Directors of Nurses and risk managers with invitations sent to Agency
for Health Care Administration quality monitor and survey staff.
All training sessions shall be conducted by Teaching Nursing Home
Steering Committtee members. The sessions will provide the
opportunity for hands-on navigation of the training DVDs and PDA
modules and information on how to access and explore the Teaching
Nursing Home Web site, ltc.geriU.org. Participants will
also be given the opportunity to assist with the collection of needs
analysis data to identify tools not currently provided or identified by
the Teaching Nursing Home.
B. Train-the-Trainer Outreach
The Recipient shall conduct all-day “train-the-trainer” sessions in two
locations, or may be held in conjunction with the Agency/QIO joint
training conferences in each location as a four hour break-out
session. These sessions shall be free to all
participants. The Teaching Nursing Home will focus on “how to”
train and the session will be targeted toward nurse trainers.
Educational technology, blended learning, e-learning objects, learner
assessment and evaluation techniques, adaptive learning, and teaching
strategies relevant to increasing the efficiency of learning will be
introduced and taught to participants. This outreach will
introduce the concept of networking, dissemination and assessment of
field-developed training materials, as part of the demonstration and
navigation of the ltc.GeriU.org web site.
The Recipient, from all outreach sessions, shall recruit a group of up
to 20 trainers/educators from multiple disciplines to participate in a
pilot trainer network. This trainer network shall be designed to show
how social networking online can be conducted on the ltc.GeriU.org web
site. It will include discussion of dissemination/sharing online
and how to assess the quality of field-developed training units.
Initial participants for this training outreach will be recruited from
staff attending outreach sessions conducted in 2006/2007 contract
fiscal year and the current contract sessions. The Teaching
Nursing Home steering committee shall develop a process by which
members will be nominated to the trainer network.
All participants of the “train-the-trainer” sessions or the trainer
network will document participation by specific “train-the-trainer”
exercises. These exercises shall be introduced during
“train-the-trainer” outreaches in the fall of 2007. The exercises
will be developed to create skill in the review and critique of
training materials utilizing e-learning approaches and in the use of a
digital repository for educators. Copies of all training
materials and a certificate of completion and CEUs shall be provided to
participating trainers who complete this educational training and
demonstrate specific skills in training development and delivery,
including the use of electronic methods for curriculum delivery and
support. Recruitment for participation in this aspect
of trainer networking will be ongoing though the outreach planned for
2007-08.
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Qadri, Brown, Freeman, Cheung, Wilkes, Ruiz Roos
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Development of Portable Digital Assistants (PDAs) in Nursing Homes for the Use and Training of Nursing Staff
The Recipient’s study in 2006-2007 indicated that PDAs are perceived as
usable and useful portable tools for reinforcing training, and
providing content and clinical decision support for long term care
nurses. Nurse perceptions of PDAs have been very positive.
This study will address the question of whether and why PDA use
correlates with improved performance. The PDA training module to
be tested will be created as a reinforcement tool for the new DVD
curriculum in nuts and bolts communications for nurses reporting
changes in status of residents with congestive heart failure.
A. The Teaching Nursing Home shall refine the
educational handouts developed in Deliverable VII and convert them to
PDA format. A toolkit shall be constructed to assist RNs
and LPNs in identifying and communicating the changing status of
nursing home residents with congestive heart failure (CHF). The
Teaching Nursing Home shall conduct a study to examine the
implementation (feasibility, usability, and utility) of the Deliverable
VII communication skills-building curriculum with the addition of the
PDA materials to reinforce the DVD-based training. The Teaching
Nursing Home shall identify and recruit four nursing homes throughout
Florida with at least three outside Miami to participate in this
project. The implementation of the training and the supporting
PDA materials will be through a local nursing “champion” approach, in
which each facility will identify a nurse to help in the implementation
of the training, strongly supported by the Teaching Nursing Home.
The training may be on a partial or full facility-wide level, depending
on the facility.
The DVD and PDA-based educational curriculum will be implemented to provide the following:
1. Easily accessible PDA-based decision support to
enhance and reinforce the DVD-based curriculum training for the
evaluation of residents with CHF and communication of status changes in
residents to medical professionals.
2. A means of tracking and quantifying PDA
usage/utilization to gauge each participating nurse’s use of specific
parts of the CHF module.
B. The Teaching Nursing Home will report on the adoption of this
approach to communicating the changing status of nursing home residents
with CHF by the organization and the nurse participant.
Organizational
In Deliverable VII, the facilitator’s guide included additional
materials to be used to help in the adoption of this structured
approach to communication. (i.e., letter to physician). The
Teaching Nursing Home will evaluate and report on the usability,
utility, and refinement of these materials through qualitative
methodology. The Teaching Nursing Home will evaluate and report
on the opportunity to use the nuts-and-bolts approach to clinical
communication for other conditions by convening focus groups of key
stakeholders (nursing, physicians).
Participant
The evaluation of the DVD curriculum will address usability (nurse and
trainer satisfaction) and utility in improving nursing staff (LPNs and
RNs) abilities to communicate the changing status of nursing home
residents with CHF. The curriculum including the PDA
reinforcement, will be evaluated by pre-test and post-test to measure
the impact of the training on the participants knowledge, confidence,
and reported practice in recognition and communication of status
changes in residents with CHF. Case studies will be used to
assess how the participants apply the educational content. The
long-term goal will be to develop video-based cases that will allow for
evaluation and for the participant to practice clinical
communication.
The Recipeint shall:
1. Identify four participating nursing homes during
statewide outreach sessions involving nurse educators.
2. Work with staff of the four nursing homes to
review and tailor the tool kit materials so that there is no conflict
with current facility practices or policies.
3. Train the nurse staff leader (facilitator) on site
in a standardized train-the-trainer protocol. Provide the
training materials to implement the DVD-based curriculum, toolkit, and
templates of policy and procedures. This will include the
hardware and software for up to sixty PDA toolkits. This hardware
and software will remain with the participating facility.
4. At each test site the teaching nursing home team
will identify and work with a nurse “champion” to determine the
strengths and weaknesses of the facility’s efforts to implement and
adopt the new approach to communication centered in the DVD-based
curriculum and PDA-based toolkit.
5. Install a newly created tracking system on each
PDA used in the study. This tracking system will enable the
Teaching Nursing Home team to track which components of the electronic
toolkit is accessed. These metrics will be uploaded and analyzed
in relationship to self-perceived knowledge and skills for recognizing
and communicating CHF status changes.
6. Instruct the nurse “champion” how to conduct
role-play exercises with nurse participants to evaluate their
communication competency.
7. Collect feedback on the usability, utility and
efficiency of the hardware and tools to gather information on ways to
improve the tools and implementation procedures. This will be
done through focus groups of nurses who received the DVD-based training
and the PDA-based reinforcement tools.
8. Document and analyze the role of the onsite nurse
leader (champion), focusing on how the champion:
a. Promoted outcome and performance expectations of the nurses;
b. Supported their post-DVD training with reinforcement and encouragement; and
c. Alerted nurses to the opportunities and
methodology for using the PDA-based toolkit.
C. The Recipient will develop PDA content and dynamic pocket
cards on matters related to quality measures, beginning with pressure
sores and restraints. Content will follow the Quality Improvement
Organization (QIO) reference materials.
The focus of this deliverable is to develop portable, inexpensive
educational tools to assist and improve care for residents. For
this deliverable the teaching nursing home shall:
1. Develop the PDA-based content and electronic
“pocket card” formats for PDA tools and test their usability and
utility, in three different-size nursing homes, small, medium and large.
2. Obtain input from nursing home staff to assist in the development of these tools.
3. Provide a detailed report of the project.
4. Demonstrate usability at half-day nursing home leadership regional meetings.
5. Provide reports of the PDA-based tool development
that address the nursing input for identifying and selecting PDA-based
core content from existing QIO resources for QI training in pressure
sores and restraints, the instructional design factors considered in
creating the PDA tools, and the usability of these PDA tools as
perceived by nursing leadership participating in TNH regional outreach
meetings. |
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The training and evaluation of the Dining At Home model for residential
dining was expanded in 2006-2007 to include one additional study site
now in progress and a third study site beginning Phase One. A beta
version DVD-based curriculum entitled Dining and Dignity was developed
in 2006-2007 with the goal of training nursing home staff.
The beta version DVD curriculum will be finalized with a facilitator
guide and distributed in a statewide outreach to trainers. The
curriculum will include a readiness checklist for assessing
organizational readiness for implementing culture change.
Follow-up evaluations will be collected from trainers with regard to
the value of the curriculum for promoting staff attitudes and skills
regarding dignity and quality of life for residents.
The Recipient shall provide the following:
1. Outcome data collection and analysis in the
expansion sites for the dining model, including comparison to baseline,
consistent with data collection in Deliverable IV.
2. Process analysis at sites with the dining model implementation.
3. The facilitator’s manual and educational handouts
accompanying the DVD-based curriculum.
4. The DVD-based curriculum and organizational
readiness checklist will be qualitatively evaluated self structured
interviews in at least five culture change coaching sites. A
report on the process and findings of these interviews will be
provided.
5. The final and pilot test of the culture change
competency assessment tool for assessing individual direct-care staff
preparedness for using the dining experience to address quality-of-life
improvement of residents.
6. A review of culture change competency based on
Teaching Nursing Home experience with the tool for assessment of
individual direct-care staff and on Teaching Nursing Home experiences
during implementation of the Dining At Home Program in nursing homes.
7. A detailed final report of the Dining at Home
program accomplishments and efficiencies.
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The Recipient shall provide an additional web page on the website
http://ltc.geriu.org/ for development and dissemination of a new
category of long-term care curricula and training resource
materials. These materials will not be produced by the Recipient
but will be drawn from training activities currently conducted in one
or more nursing homes. Each of these materials will be available
as shared resources on the Web site. This new Web page will
support a networking process for long-term care trainers and will
create a mechanism for ongoing needs analysis.
Open public access will be provided to these materials after review and
modifications suggested by trainers/members of the newly established
network of Florida long-term care educators. These materials will
be made available through web site downloads or contacts arranged by
this new network.
The Recipient shall provide a report on the formation and activities of
the training network. This report shall include at least one new
curriculum or training resource that met the consensus priorities of
the network.
The Recipient shall develop a webpage that will:
1. Be developed after working with a minimum of seven
nursing home trainers to determine the most usable and useful design.
2. Provide a customized password protected Web page
in which nursing home trainers can share information, resources, and
decisions regarding long-term care education modules now utilized in
one or more nursing homes in Florida.
3. Provide a BLOG/WIKI process to promote networking
and group process for continuous review, quality improvement, and
exchange of training materials and training-related data.
4. Provide policies and support to implement a review
and facilitate in sharing and use of the training materials, including
contact information for consultants and content experts in specified
topics and educational methods.
5. Provide a search function to allow trainers to
identify other trainers who have either served as reviewers or users of
the repository education materials.
6. Provide a dynamic updateable listing of the
various major areas of training needs identified in previous and
ongoing outreach and allow the trainers to prioritize the areas for
initial review and deposit into the repository.
7. Include a facilitator guide in a standardized
template and reviewer commentary on the usability and utility including
target learners for each reviewed training resource.
8. Provide summaries of each training tool which will
include a summary of the review and brief information on the intended
audience and prerequisite training and experience for audience and
trainers, and technical requirements (such as DVD or computer
requirements).
9. Include contact information for the trainer and
downloading instructions for each reviewed training resource.
10. Include information on how to request training by
mail if a trainer/facility is unable to download the materials from the
online site.
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The Teaching Nursing Home shall conduct two types of outreach to the long-term care community.
A. Regional Training Outreach
The Teaching Nursing Home shall conduct four half-day regional training
sessions in two locations in Florida. Training shall include the
introduction and dissemination of two training materials completed in
the 2006/2007 contract year and four completed in prior
years. All training materials will include facilitator and
learner guides. These training sessions shall be free and shall
grant Continuing Education Units (CEUs) to all participants.
These training sessions will be targeted toward clinical educators,
Directors of Nurses and risk managers with invitations sent to Agency
for Health Care Administration quality monitor and survey staff.
All training sessions shall be conducted by Teaching Nursing Home
Steering Committtee members. The sessions will provide the
opportunity for hands-on navigation of the training DVDs and PDA
modules and information on how to access and explore the Teaching
Nursing Home Web site, ltc.geriU.org. Participants will
also be given the opportunity to assist with the collection of needs
analysis data to identify tools not currently provided or identified by
the Teaching Nursing Home.
B. Train-the-Trainer Outreach
The Recipient shall conduct all-day “train-the-trainer” sessions in two
locations, or may be held in conjunction with the Agency/QIO joint
training conferences in each location as a four hour break-out
session. These sessions shall be free to all
participants. The Teaching Nursing Home will focus on “how to”
train and the session will be targeted toward nurse trainers.
Educational technology, blended learning, e-learning objects, learner
assessment and evaluation techniques, adaptive learning, and teaching
strategies relevant to increasing the efficiency of learning will be
introduced and taught to participants. This outreach will
introduce the concept of networking, dissemination and assessment of
field-developed training materials, as part of the demonstration and
navigation of the ltc.GeriU.org web site.
The Recipient, from all outreach sessions, shall recruit a group of up
to 20 trainers/educators from multiple disciplines to participate in a
pilot trainer network. This trainer network shall be designed to show
how social networking online can be conducted on the ltc.GeriU.org web
site. It will include discussion of dissemination/sharing online
and how to assess the quality of field-developed training units.
Initial participants for this training outreach will be recruited from
staff attending outreach sessions conducted in 2006/2007 contract
fiscal year and the current contract sessions. The Teaching
Nursing Home steering committee shall develop a process by which
members will be nominated to the trainer network.
All participants of the “train-the-trainer” sessions or the trainer
network will document participation by specific “train-the-trainer”
exercises. These exercises shall be introduced during
“train-the-trainer” outreaches in the fall of 2007. The exercises
will be developed to create skill in the review and critique of
training materials utilizing e-learning approaches and in the use of a
digital repository for educators. Copies of all training
materials and a certificate of completion and CEUs shall be provided to
participating trainers who complete this educational training and
demonstrate specific skills in training development and delivery,
including the use of electronic methods for curriculum delivery and
support. Recruitment for participation in this aspect
of trainer networking will be ongoing though the outreach planned for
2007-08.
Final Reports will provide:
1. Training meeting agendas for each outreach session;
2. Numbers of nursing home leadership and trainers in
attendance at each meeting for each location;
3. Copies of all training materials (Powerpoint
presentations, handouts, DVDs etc.) used for and distributed during the
TNH outreach;
4. A summary of participant comments and satisfaction for each regional meeting;
5. Information on interest in the use of educational
technology and online trainer networking from each regional meeting;
6. Numbers of staff identified from each training
meeting who wish to participate in the online training network;
7. Information on the follow-up communications done
to assess trainer interest in the trainer network and trainer
capabilities to provide and evaluate curriculums in priority areas
identified through past and ongoing TNH outreach;
8. Information on a variety of LTC training
strategies and modalities. Based on field-gathered data, the TNH
will select target markets for the various types of TNH materials and
begin to develop a marketing plan for reaching these selected
markets.
9. Develop a strategy, if the 2007-2008 deliverable
shows nursing home staff are using the web for training, to provide the
ability for nursing staff to take the trainings on the Teaching Nursing
Home web site and receive CEUs and a certificate for their on-line
trainings.
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The Recipient’s study in 2006-2007 indicated that PDAs are perceived as
usable and useful portable tools for reinforcing training, and
providing content and clinical decision support for long term care
nurses. Nurse perceptions of PDAs have been very positive.
This study will address the question of whether and why PDA use
correlates with improved performance. The PDA training module to
be tested will be created as a reinforcement tool for the new DVD
curriculum in nuts and bolts communications for nurses reporting
changes in status of residents with congestive heart failure.
A. The Teaching Nursing Home shall refine the
educational handouts developed in Deliverable VII and convert them to
PDA format. A toolkit shall be constructed to assist RNs
and LPNs in identifying and communicating the changing status of
nursing home residents with congestive heart failure (CHF). The
Teaching Nursing Home shall conduct a study to examine the
implementation (feasibility, usability, and utility) of the Deliverable
VII communication skills-building curriculum with the addition of the
PDA materials to reinforce the DVD-based training. The Teaching
Nursing Home shall identify and recruit four nursing homes throughout
Florida with at least three outside Miami to participate in this
project. The implementation of the training and the supporting
PDA materials will be through a local nursing “champion” approach, in
which each facility will identify a nurse to help in the implementation
of the training, strongly supported by the Teaching Nursing Home.
The training may be on a partial or full facility-wide level, depending
on the facility.
The DVD and PDA-based educational curriculum will be implemented to provide the following:
1. Easily accessible PDA-based decision support to
enhance and reinforce the DVD-based curriculum training for the
evaluation of residents with CHF and communication of status changes in
residents to medical professionals.
2. A means of tracking and quantifying PDA
usage/utilization to gauge each participating nurse’s use of specific
parts of the CHF module.
B. The Teaching Nursing Home will report on the adoption of this
approach to communicating the changing status of nursing home residents
with CHF by the organization and the nurse participant.
Organizational
In Deliverable VII, the facilitator’s guide included additional
materials to be used to help in the adoption of this structured
approach to communication. (i.e., letter to physician). The
Teaching Nursing Home will evaluate and report on the usability,
utility, and refinement of these materials through qualitative
methodology. The Teaching Nursing Home will evaluate and report
on the opportunity to use the nuts-and-bolts approach to clinical
communication for other conditions by convening focus groups of key
stakeholders (nursing, physicians).
Participant
The evaluation of the DVD curriculum will address usability (nurse and
trainer satisfaction) and utility in improving nursing staff (LPNs and
RNs) abilities to communicate the changing status of nursing home
residents with CHF. The curriculum including the PDA
reinforcement, will be evaluated by pre-test and post-test to measure
the impact of the training on the participants knowledge, confidence,
and reported practice in recognition and communication of status
changes in residents with CHF. Case studies will be used to
assess how the participants apply the educational content. The
long-term goal will be to develop video-based cases that will allow for
evaluation and for the participant to practice clinical
communication.
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