2014 Tennessee Nurses Association Conference Yearbook

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NURSES TRANSFORMING HEALTHCARE: A WORLD OF OPPORTUNITY Findings/Recommendations: Interprofessional learning better prepares the future nursing workforce to practice in a team-based environment to improve the safety and quality of health care being provided in the U.S. system. The Student Safety Coach Project: A University-Agency Partnership Billie Phillips, PhD, RN Patient safety is a significant nationwide problem. Each member on a nursing unit must be aware of and uphold safety norms on their unit through a culture of safety program. (Agency of HealthCare Research and Quality, 2001; IOM, 2005; Quality and Safety Education for Nurses (QSEN, 2012). In health care facilities, units may designate a person as a safety representative, who reports to a safety council (Cadwalladar, 1989; Dawson, 2003; University of Tennessee Medical Center, 2012). In a project funded by the National Student Nurses Association (2012), Lincoln Memorial University and UTMCK, a magnet designated hospital, became partners to conduct a pilot project. The project goals were: 1) Establish a program for staff nurses to mentor students and utilize those students at a higher capacity 2) Foster a culture of safety through increased awareness of a system safety program. 3) Increase clinical competency of new nurses related to safety. This project was piloted and students in Medical Surgical courses in spring and fall of 2013. Student volunteers viewed the Safety Coaches orientation video, and were assigned to practice with a unit Safety Coach. Students used the Quality and Safety Monitor Assignment(QSEN)(Palmer, 2012). In summary, this project revealed new ways in which students can be mentored to role model safety as part of a unit culture, and students mastered essential competencies related to safety prior to orientation and practice. In addition, this project supports a call for responsiveness to establish new partnerships among students, faculty and clinicians. What Are Some Effective Nursing Interventions to Reduce Hospital Acquired Infections? Hilary Roberts Hospital acquired infections (HAIs) or nosocomial infections are the most common, preventable infections in the healthcare setting. “HAIs are common, costly patient safety problems. Each year, HAIs affect approximately 1.7 billion patients, lead to 4.5 infections per 100 hospital admissions, and are associated with 99 thousand deaths” (Uchida et al., 2011). There are numerous types of nosocomial infections that can affect any patient population; however, some patients are more susceptible to infection than others. Some of the most at risk patient populations have been researched including oncology, pediatric, geriatric, and neonatal. Each population was confronted with invading bacterium that can be transmitted from different medical vectors. Central line infections are a concern for oncology patient populations. However, in geriatric populations, catheter associated urinary tract infections are more common. “Hospital acquired, catheter associated urinary tract infections are a common and costly health concern. In excess of 500,000 occur annually in the United Sates, accounting for more than thirty percent of nosocomial infections” (Oman et al., 2012). Other at risk populations includes neonates, who are at risk of infection via nasogastric tube feeding or tracheobronchial suctioning while in the hospital (Rahim & Barnett, 2009). The healthcare staff is critical to patient care as well as implementing infection prevention strategies. However, compliance with infection prevention guidelines is not always optimal. This literature review sought to identify which interventions were most effective in preventions hospital acquired infections. Educating Medical Assistants Employed in Outpatient Antenatal Settings Using a Web-based Module Ramona G. Scott, DNP, MSN, BSN Purpose: The purpose of this presentation is to educate nurses about the effectiveness of utilizing web-based learning to teach specialty skills to medical assistants (MAs). The presentation, in lecture or poster, will include information about MA education and certification and review findings from a pilot project in which MAs were taught nonstress testing skills using Moodle, a free e-learning format. Objective 1: Identify the need for medical assistants to be educated in specialty skills. Objective 2: Cite examples of web-based learning platforms. Objective 3: Recognize the role of web-based learning in staff education in an outpatient setting. 50
NURSES TRANSFORMING HEALTHCARE: A WORLD OF OPPORTUNITY Clinical problem: Medical assistants (MAs) have diverse educational backgrounds and experiences. Specialty skills are not taught as a part of most medical assistant programs and thus, must be learned on the job. Web-based, modular programs meet the need for specialty skills education in a cost-effective, convenient way. Methods: A pilot project was conducted to develop, implement, and evaluate a web-based learning module to teach nonstress testing skills to medical assistants employed in six outpatient perinatal settings. Eighteen MAs participated in an online module and completed the pre and post-tests. Demographic information and opinions were also elicited from the participants. Results: Gains in knowledge were significant (p=.029, Cohen’s d=.87) and the participants indicated an appropriate level of difficulty for the module. Conclusion: The findings of this pilot study support web-based modular learning for MAs working in specialty settings and nurses can be instrumental in the development of continuing education material for ancillary office staff. Obesity and Type 2 Diabetes Mellitus Education through a School-Based Health Care Mobile Service Shelia Perolina Umayam, DNP, MSN, RN, CPNP-PC Introduction: The purpose of the project was to create and disseminate obesity management and type 2 diabetes mellitus prevention education materials through Well Child, Inc. (WCI). The education materials were created to promote health, improve health literacy, and encourage self-care among children. Method: The project design was the creation of written materials adapted from the American Academy of Pediatrics (AAP) and Centers for Disease Prevention and Control (CDC). The setting included WCI’s mobile clinics that travel to schools in over 30 Tennessee counties. The population included children ages 7 to 11 years old considered overweight or obese according to BMI. WCI’s electronic health record (EHR) identified these children. Results: A health literacy expert agreed that the education materials had readability and face validity. Discussion: The patient education materials will begin dissemination August 2014. Future implications include follow-up studies regarding the effectiveness of education materials in promoting health, improving health literacy, and encouraging self-care among children. Effects of Care Coordination and the Medical Home on Outcomes for Children with Special Health Care Needs (CSHCN) Donna Wallace, BSN Description: The need for care coordination was first identified by the American Academy of Pediatrics in 1967, yet has remained an under addressed issue for over four decades, leading it to remain a goal for Healthy People 2020. The concern regarding care coordination for children with special health care needs (CSHCN) stems from the plethora of services, practitioners, medications, therapies and technological interventions required to ensure survival for the patient, while promoting the best overall outcomes. Coordination of information and services can be overwhelming for families, as well as among those providing care to the child. This may often lead to miscommunication between families and practitioners, as well as medical errors, which may be detrimental to the health of the patient. Objectives: The purpose of this poster is to identify the challenges that exist in caring for CSHCN, models of care management that promote patient and family-centered care and improved outcomes for the patient, effects of care management on outcomes for CSHCN, and suggestions for implementation of a care coordination or medical home model in a pediatric setting. Methods/Procedures: A systematic review of EBP literature from 2009-2014. Findings and Recommendations: Use of care coordination services and/or the medical home model has been shown to decrease inpatient admission rates, ED usage, length of stay, and medical errors. It has also been shown to increase communication between practitioners, therapists and families, as well as an improvement in outcomes based on better utilization of services. 51
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2014 Tennessee Nurses Association Conference Yearbook

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