Nursing education: Academia to Workplace

Melissa Powell, MHPE, RN-BC

HEATT 2014

How difficult is learning

Learning is a high load brain activity that challenges working memory (Clapper, TC 2011)

Past learning effects future learning

Past experiences and knowledge affect transfer (Ambrose, 2009)

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.

Negative transfer

Where is the negative transfer occurring here?

Interference in learning

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

What and how much should we teach?

Health Assessment: RN students learn head to toe, including ophthalmoscopic exam and extensive neuro exam..cranial nerves.

A simple example of incongruence...

"wash for 3 minutes.”“wash every third time.” “wash when visibly soiled.” “Wash and sing ABCs”

hospital performance: sanitize in and out

foamgel

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

Another example...

variation in crash carts

EHR

CernerMckessonMeditech

46 Billion dollars of development in 2012 (Forbes, 2013)

point of care testing

bring the strip in the machine to the bloodversusbring the blood/strip to the machine

Utopia

Lets take ideas from aviation

standardized all equipment, checklists and performance that we can.

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.

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

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