Improving Nurse Executive Informatics Competencies: Implementation of a ToolkitChristine Gamlen, DNP(c) MSN, RN, NEA-BCDecember 12, 2013

Background Knowledge

• Health Information Technology (HIT) growth• United States as key economic driver• Federal mandates and regulations• Role of Nurse Executive• Role of social media in healthcare

“ Nurses must be prepared to make health information technology the stethoscope of the 21st century”

Technology Informatics Guiding Education Reform, n.d., para. 1)

Local Problem and Project Goal

• Simpson (2012) - State of Contemporary Informatics for Chief Nurse Executives

• AONE Competency: “Demonstrates increased awareness of societal and technological trends, issues, and new developments that relate to nursing”.

• Project goal: To create a toolkit for CNO’s to satisfy an AONE competency through social media

Theoretical Framework

The Informatics Research Organizing Model (Effken, 2003, p. 320).

Planning the Intervention

• National Nursing Thought Leader Interviews• Setting• Website Creation• Alpha Implementation• Project Participants

Project Implementation

• Go Live - September 3, 2013 – 10 CNOs • Go Live - September 11, 2013 – 7 CNOs• Weekly Emails and Forum posting

Nurse Executive Technology Toolkit (NETT)

http://nettoolkit.weebly.com/401/login.php?redirect=/

Home Page

Start Here

People

People

People

Organizations

Organizations

Organizations

Resources

Resources

Forum

Results of Toolkit Evaluation

Methods of Evaluation

• SWOT Analysis• Google Analytics• SurveyMonkey®

• Formal and Informal Communication

SWOT Analysis

Strengths• Convenient• Flexible• Allows device of choice• Social media tool dynamic• Provides personal preference option• Web-based accessibility 24/7 • Analytics provides user behavior

Weaknesses• Minimal time to incorporate in

workflow• Requires portal moderator • Requires basic social media

knowledge

Opportunities• Other potential audiences• Scalable• Leverage internationally• Future opportunity for closed

ecosystem for an organization

Threats• May not be viewed as priority due to

time constraints and role relevancy• Web access may be blocked due to

hospital policy

Google Analytics

• 30 unique visitors / 13 geo-location reports

• Home and Start Here pages averaged 20-60 seconds

• Forum average 2.5 minutes

• All other pages averaged 3-4minutes

Geo-location of NETT Toolkit Visitors (less San Jose, CA)

SurveyMonkey® Likert Scale Questions

0 1 2 3 4 5 6 7 8 9 100

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

Mean Score

1. Orientation Guide was sufficient to orient me to NETT

2. Toolkit was easy to navigate

3. Content is relevant to my position as CNO

13. RESOURCES page information was helpful

14. Postings and replies on FORUM pages were helpful to me

16. Having information in one place is helpful

17. The toolkit increased my awareness

18. If kept current, I would use NETT

22. I would recommend the toolkit to a colleague

SurveyMonkey® People

Did the individuals on the PEOPLE page provide you new insights or knowledge?

91%Yes

9%No

How many people, excluding friends and family, did you connect with through Twitter, LinkedIn or Facebook as a result of the toolkit?

9%0

18%1

64%2-5

9%6

SurveyMonkey® People

If you selected 1 or more above, were any of the individuals you followed not on the PEOPLE page?

36%Yes

64%No

SurveyMonkey® Organizations

Did the information on the ORGANIZATIONS page provide you with new insights or knowledge?

91%Yes

9%No

How many organizations did you connect with through Twitter, LinkedIn or Facebook as a result of the toolkit?

18%0

82%2-5

SurveyMonkey® Organizations

If you selected 1 or more above, were any of the organizations you followed not on the ORGANIZATIONS page?

20%Yes

80%No

Other Toolkit Candidates

Besides CNOs, who else may benefit from this toolkit?

100%

Nursing Directors/Managers

46%Staff Nurses

55%Nursing School Faculty

91%

Chief Nursing Information Officers

9%

C-Suite

Social Media Utilization

Series10%

40%

80%

FaceBook

Series10%

40%

80%Used PriorUsed as ResultNot Used

LinkedIn

Series10%

40%

80%

Twitter

Additional Useful Information?

• “Summaries of other list serves would be great – I depend on both UHC CNO list serve and CHA”.

• “The toolkit is a great concept. It is a great place to seek innovative solutions for common issues that arise in nursing practice. Information that helps to make CNO’s aware of any upcoming laws or regulations that impact patient care and nursing practice is useful.”

• “More topic headings.”

• “This was a great toolkit. I think the younger CNOs would take even more advantage of it than I did.”

Other Comments

• “I have reviewed the toolkit and now finally understand what # and @ mean on Twitter.”

• “I also began to subscribe to a couple of other list serves. Becker’s was the most helpful.”

• “Eventual ease of use for mobile devices would be useful.”

• “One of the things that I do around the state is talk about the dangers of social media with nurses. I did not know that it could be useful or have benefits. I have a Facebook and Twitter account but I do not tweet. I tell my kids I am lucky to know how to text.”

Other Comments

• “I love it! I love the list of organizations and the research list, especially TIGER. You have hit the nail on the head with this one. No one has the time to go to the library or go on-line to find all of this information. You brought it all to us!”

• “I love your first page. Due to real time need for information – to use this to expand our knowledge and think outside the box. We do not use other disciplines enough. We don’t look at what other strategies are out there.”

• “What happens when this trial ends? Does it go away?”

Lessons Learned

• Add firewall troubleshooting• Firmly encourage Smartphones• Add social media tutorials in NETT Guidelines• Adding other People and Organizations• Reorganize the Forum

Implications for Future Research

• Fine tune nurse executive competencies• Baseline assessment

AONE Competency Assessment Tool• Qualitative research

InterviewsFocus groupsSurvey

• Social Media skill enhancementMentoring program with millennial nursesOn-line social media programsWebinars

References

Effken, J. A. (2003, November/December). An organizing framework for nursing informatics research. Computers, Informatics, Nursing, 21, 316-323. Simpson, R. (2012). State of contemporary informatics competencies for chief nurse executives (Unpublished doctoral dissertation). American Sentinel University, Birmingham, Alabama.Staggers, N., Gassert, C., & Curran, C. (2002, October). Informatics competencies for nurses at four levels of practice. Journal of Nursing Education, 40, 303-316. TIGER. (n.d.). The TIGER Initiative – Vision..