Blood and Marrow Transplant (BMT) Outreach Presentation Promoting BMT Nursing as a Career

Choice: Pre and Post Survey Results

Kim Schmit-Pokorny, RN, MSN, OCN® Vice-Chair, SCI Nursing Workforce WG

Manager, Blood and Marrow Transplantation Program University of Nebraska Medical Center

BMT Tandem MeetingsFebruary 16, 2013

Financial Disclosure – None

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AuthorsKim Schmit-Pokorny, RN, MSN, OCN; Ellen Denzen, MS; Rosemary C. Ford, RN, BSN, OCN; Martha Lassiter, MSN, AOCNS; Terry Sylvanus, RN, MSN, ACNS-BC, AOCN; Alexandra De Kesel Lofthus, MNM, CHTC; Elizabeth Murphy, RN, EdD; and Joyce Neumann, RN, MSN, AOCN

Financial DisclosureFunding for the System Capacity Initiative Symposium Year III was provided by the NMDP®.

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System Capacity InitiativeAnalysis of the U.S. health care system’s capacity to support a 2- to 3-

fold increase in patients needing transplant by 2020. The aim is to identify challenges and make recommendations to support growth:

– Define and prioritize initiatives to meet human resource and infrastructure demands

• Number and type of clinicians• Facility capacity• Financial support needed

– Explore novel models for delivery of care to improve efficiency and effectiveness

– Identify capacity issues that may limit access to HCT, especially for medically underserved populations

Industry-Wide Collaboration– Transplant Centers

• Physicians• Nurses• Advanced Practice Prof.• Pharmacists• Other Clinicians

– Professional Associations• AABB• AAMC• AHA• AMA • AOSW • APOSW • ASBMT• FACT• ONS

– Payors Health Insurance Plans Transplant Networks

– Research Organizations• CIBMTR

– Donor/Registry Organizations• NMDP’s Be The Match Registry • Donor Centers• Collection Centers• Cord Blood Banks

– Others

Transplant Centers

Professional Associations

Payors

Donor/Registry Organizations

Research Organizations

Others

Patients

Key stakeholders from all areas of transplant in working groups

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SCI BMT Nursing Workforce Survey

• 37-item survey administered to ~1600 BMT nurses – ONS and ASBMT SIG members; BMT Nurses also surveyed at

2011 BMT Tandem Meetings.* – Participants included nurses treating patients in the U.S. who

were not advanced practice professionals.– Response rate = 13% (N=205)

*Abbreviated version of the survey administered via audience polling in 2011.

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Year III Prioritized InitiativesThe Nursing Workforce WG focused on 3 initiatives:

1. Create and deliver the “Introduction to BMT” presentation for nursing students

2. Develop a multidisciplinary rounds model to address ethical/moral distress and compassion fatigue among BMT healthcare professionals

3. Conduct outreach to diverse nursing communities of interest

 Sub-groups were established to address recruitment and retention initiatives to further support the overall work of the WG.

“Introduction to BMT” presentation • Need:

– Many BMT nurses are planning to leave the specialty in the next 3-5 years (Year I WG survey; N=148)

– Currently few opportunities to learn about BMT exist due to the complexity of the field

– Exposing students to BMT nursing as a career option is one strategy for addressing the projected shortage

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“Introduction to BMT” presentation

• Focuses on exposure to BMT among senior college nursing students.

• One-hour presentation which describes the field of BMT nursing and motivators for choosing a career in the BMT specialty.

• Created introductory letter for schools of nursing identifying learning objectives and logistics.

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Evaluation Measures

• Number of presentations delivered to students• Number of presentations delivered to nurses• Number of repeat presentations (same school of

nursing, transplant center or ONS local chapter)• Overall rating of presentation• Pre/Post survey responses on “likelihood of

pursuing career in BMT” (stat. sig. association between attending presentation and increased “likelihood”)

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Evaluation Results• WG members made outreach to 5 schools/local

ONS chapters and 9 presentations were delivered

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*Missing values excluded listwise.

% (n)Degree program* RN 87.3(240)

LPN 11.3(31) Other 1.5(4)

Years left in program* Graduate this year 96.7(264)1 year 1.8(5)2 years 1.5(4)

Region of U.S.* Midwest 60.6(168)South 33.6(93)West 5.8(16)

Gender* Female 87.2(239)Age (yrs)* 18-22 20.7(57)

23-30 53.1(146)31-45 19.6(54)>45 6.5(18)

Ethnicity Hispanic or Latino 6.6(17)Race* All other races 11.8 (35)

White 85.3(232)

Characteristics"Intro to BMT" Presentation Attendee Demographics (N=278)

Evaluation Results A pre/post-survey design assessed satisfaction,

awareness, important career aspects, and interest in BMT (N=278).

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The majority of at-tendees had not pre-viously considered a

career in BMT (awareness).

Overall, more than 90% of participants rated the presentation as Very Good or Good.

Most Important Aspects of Nursing Career for Nursing Students Surveyed (N=181)

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Evaluation Results

– Pediatric BMT– I love hearing the

personal stories.– New medical

procedures related to topic

– BMT for sickle cell

– Aftercare, long term follow-up

– Initial assessment, pathology

– Research– General info on BMT RN

and typical work day13

The “Intro to BMT” presentation increased nursing students’ interest in pursuing a career in BMT (N=61; p<0.0001).

Topics on which attendees would like more info:

Engagement / Partnerships• ONS Regional Reporters

– Appropriate for this type of outreach and have expressed interest in presenting

• Transplant Centers (TCs)– Provide opportunities for students to learn more

about transplant (e.g., intern/externships, tours of BMT units, etc.)

• Schools of Nursing (SON)– Include “Intro to BMT” in program curricula

• ASBMT Nursing and ONS BMSCT SIG members – Appropriate for this type of outreach and can

promote use of presentation at their TCs/SONs

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Succession Planning • NMDP will continue to provide CNE credits for this

presentation as well as staff time and resources to manage the program

• Engage ONS regional leaders and local chapters and ASBMT Nursing SIG members in providing these education opportunities

• ONS Education Portal (in development)– Promote presentation on education Web page with

links to presentation slides, introductory letter as well as CNE and evaluation forms

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AcknowledgementsNursing Workforce WG:• Chair: Joyce Neumann, RN, MSN, AOCN; Vice Chair: Kim

Schmit-Pokorny, RN, MSN, OCN; Members: Dennis Confer, MD; Lourine Davis, RN, BSN, OCN; Rosemary C. Ford, RN, BSN, OCN; Mutsuko Holiman, RN, BSN; Stephanie Jardine, BSN, RN; Martha Lassiter, MSN, AOCNS; Elizabeth A. Murphy, EdD, RN; Elaine Z. Stenstrup, MSN, RN, ACNS-BC, AOCNS; Terry Sylvanus, RN, MSN, ACNS-BC, AOCN; D. Kathryn Tierney, RN, PhD

 National Marrow Donor Program: • Alexandra De Kesel Lofthus, MNM, CHTC; Ellen Denzen, MS;

Lynn Pepple; Stacy Stickney Ferguson, MSW, LICSW; Tammy Payton; Jeffrey W. Chell, MD

SCI Principal Investigator:• Edward L. Snyder, MD

Questions or Comments

E-mail:

SystemCapacity@nmdp.org

kschmit@unmc.edu

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