1 exploring new ways to address recruitment and retention innovative solutions: robots in nursing...
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Exploring New Ways To Address Recruitment and
Retention
Innovative Solutions: Robots in Nursing
Education?
Presentation by:
Dr. Carol Holdcraft, DNS, RN, Wright State University
Debi Sampsel, MSN, RN, Nursing Institute of West Central Ohio
Garfield Jones, InTouch Health
March 26, 2008
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AgendaAgenda
• Nursing Institute of West Central Ohio Collaboration
• Data Driven Research
• InTouch Health Remote Presence Robot Demonstration
• Highlights from Faculty Extender Remote Presence Robot Research Project
• Future Implications
• Questions and Answers
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Collaboration: • 11 Schools of Nursing• Veterans Affairs • Wright Patterson Air Force Base• Health Care Providers• Businesses
Darke
Preble
Shelby
Miami
Logan
Champaign
Clark
GreeneMon
tgom
ery
Mercer Auglaize
Clinton
Highland
Fayette
Butler WarrenServing 16 Counties in West Central OhioMission
Provide support and leadership for an effective regional RN workforce through innovative partnerships, service, education and research
VisionA nationally recognized regional RN work-force providing safe, accessible, quality healthcare
Nursing Nursing Institute of Institute of
West Central West Central OhioOhio
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State of State of Ohio Ohio
Nursing Nursing ProjectionsProjections
60,000
75,000
90,000
105,000
120,000
2000 2005 2010 2015 2020
Year
SupplyDemand
We are here
Ohio will be short 32,000 nurses by 2020
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Local Local Supply/ Supply/ Demand Demand
StudyStudy
Reengineered a 20 year old national HRSA Model to create first ever regional workforce prediction model
• 38% RN Shortage by 2020
2005 2010 2015 2020Year
Nur
ses
(x 1
00
0)
Nur
sing
Fac
ulty
(x
10
0)20
18
16
14
12
10
16
15
14
13
DemandSupplyFaculty
FTE RN Shortage3,550 4,250 5,750 7,400
Growing RN Shortage
Declining Faculty
The Perfect Storm is Brewing Forecast Bleak
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So What’s So What’s To Be To Be
Done???Done???
Answer:A futuristic approach to testing models and
implementing new programs for the nursing students, nursing workforce,
and faculty
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Faculty Nurse Faculty Nurse Extender Extender
ProjectProject
Remote Presence
Robot (RP7)
Demonstration
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One Possible One Possible Solution to Solution to
Address Faculty Address Faculty ShortageShortage
Remote Presence Robot Faculty Extender Research Study
• 8 pre-licensure RN programs participated (Rural, Community, Urban – ADN & BSN)
• Subjects – 10 experienced nurse faculty – 82 nursing students (all levels)
1st year students = 14
2nd year students = 30
3rd year students = 21
4th year students = 17
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Purpose of Research
Gathering impressions from faculty and students about usefulness of the remote presence robot as a faculty extender in clinical simulation learning
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Objectives of This Study
• Evaluate faculty’s acceptance of the use of a remote robot for education and training of nursing students
• Evaluate nursing students’ acceptance of receiving clinical instruction via a remote presence robot
• Evaluate ergonomics application for nursing education and training
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Study Study MethodsMethods
• Selection
Experienced and qualified faculty recruited from RN programs
• Training
Robot operation and simulation scenario orientation
• Scheduling and student volunteers
• Pre/Post survey data & video recording of sessions
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What was your initial
reaction about the
robot?
0%
100%
Initial Reaction About Robot
Results 0% 0% 30% 50% 20%
1 Unfavorable 2 3 45
Favorable
Unfavorable Favorable
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1313
0%
100%
Could robot be useful as a faculty extender?
Results 0% 10% 10% 20% 60%
1Not Useful
2 3 45
Very Useful
Not useful Very usefulDo you think a robot could be used as a faculty extender?
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1414
0%
100%
Was remote presence robot effective?
Results 0% 0% 10% 40% 50%
1Not effective
2 3 45
Very effective
Not effective Very effective
Was the robot effective?
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1515
0%
100%
Were you satisfied with this study?
Results 0% 0% 10% 40% 50%
1 Not satisfied
2 3 45
Very
Not satisfied Very satisfied
Were you satisfied with this study?
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1616
0%
100%
Was exploratory study user friendly?
Results 0% 0% 10% 40% 50%
1 No
2 3 45
Yes
No YesDid you find the
exploratory study to be friendly?
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Faculty’s Faculty’s Additional Additional FindingsFindings
Positive Faculty Comments
Enjoyed working with high technology
Conducive to good interaction with students
Created a positive learning experience
Received good support and assistance
Supported potential use of robot off-site
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Conclusion from Faculty Data Analysis
• Initial reaction of the faculty about robot was medium to favorable
• After the study, 82% of the faculty showed high or very high acceptance of the use of remote robot for education and training of nursing students.
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1919
0%
100%
SQN1: Initial Reaction About Robot
Results 2% 3% 9% 41% 45%
1Unfavorable
2 3 45
Favorable
Unfavorable FavorableWhat was your initial reaction about the robot?
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2020
Do you think a robot could be used as a
faculty extender?
0%
100%
SQN2: Could robot be useful as a faculty extender?
Results 1% 4% 11% 38% 46%
1Not Useful
2 3 45
Very Useful
Not useful Very useful
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2121
Was the remote presence robot effective as an
instructor?
0%
100%
SQN3: Was remote presence robot effective?
Results 1% 5% 13% 44% 37%
1Not effective
2 3 45
Very effective
Not effective Very effective
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2222
Did you find the
exploratory study to be
user friendly?
0%
100%
SQN4: Was exploratory study user friendly?
Results 1% 2% 5% 40% 52%
1 No
2 3 45
Yes
No Yes
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2323
Were you satisfied with
this classroom
experience?
0%
100%
SQN5: Were you satisfied with this classroom experience?
Results 3% 0% 9% 33% 55%
1 Not satisfied
2 3 45
Very satisfied
Not satisfied Very satisfied
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Students’Acceptance
Ratings
0%
100%
Student Acceptance Analysis
% Acceptance 1% 3% 9% 39% 48%
1Very low
acceptance
2Low
acceptance
3Medium
acceptance
4High
acceptance
5Very high
acceptance
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Conclusion of the student data
analysis based on the acceptance
criteria
• 48% had very high
acceptance
• 39% had high acceptance
• 9% had medium acceptance
• 3% had low acceptance
• 1% had very low acceptance
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Students’ Students’ AdditionalAdditionalFindingsFindings
Students’ Positive Comments • Encouraged to think independently
with faculty supervision which reduced stress
• Enjoyed working with advanced technology such as the robot and simulator
• Good environmental learning without stress
• Will create opportunity for distance learning
• This study demonstrated the focus on learning process rather than techniques in a regular lab.
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Overall Study
Conclusion
Preliminary study demonstrated
that both participants, faculty
and students, gave high
acceptance rating for the use of
remote presence robot as a
faculty extender technology for
teaching nursing courses.
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Recommendations for Recommendations for improvementimprovement
Faculty and Student Recommendations
– Develop and improve training scenarios (all)
– Improve audio communication (all)
– Provide more space for robot mobility (all)
– Improve back-and-forth interaction with faculty (3rd)
– Better vision (wide angle) for the robot (all)
– Provide video replay for training (2nd)
– Reduce class size for better training (4th)
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Future Study Future Study QuestionsQuestions
• Can expert faculty be used via the robot to serve as teaching mentors to novice faculty and teaching assistants?
• Can expert nurse clinicians be linked to learners via the RP7 robot for nursing rounds or other learning experiences?
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Remote Presence Robots in
Educational and Clinical Settings
Other RP7 Applications
• Nursing Beta Testing
Geriatric rounds
Long distant care family visits
Case Studies
Chart reviews
JCAHO & State survey readiness monitor
• Physicians’ Usage – e.g. Stroke Network
• Faculty –Student Research Study (8 Programs of Nursing & 82 Students)
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Remote Presence Robots in
Educational and Clinical Settings
Other RP7 Applications
• National Science Foundation Grant Pursuits
• Military – Government applications
• Civilian health care provider and academia partner plans
• Corporate links
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Question Question and Answer and Answer
SessionSession
Future Contact Information
Carol Holdcraft, DNS, RNAssistant Dean College ofNursing and Health Wright State University68 University Hall3640 Colonel Glenn Hwy.Dayton, OH 45435-0001937-775-3131 Debi Sampsel, MSN, RNExecutive DirectorNursing Institute of West Central Ohio 015 University Hall3640 Colonel Glenn Hwy.Dayton, OH 45435-0001937-775-3940
Many thanks goes to Congressman David Hobson
and Senator George Voinovich for the federal appropriations monies for the NIWCO and to
the sustainability partners Wright State University,
Premier Health System, Sinclair Community College.