About the Home Care Network - nahc.org Forum (Hillsdale) Vol. 39 Issue 2. pp. 27Vol. 39 Issue 2. pp. 27- -3636 Hill, C. (2006). Integrating clinical experiences into the concept mapping

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Creative Strategies for EducatingCreative Strategies for EducatingCreative Strategies for Educating Creative Strategies for Educating Remote Home Care CliniciansRemote Home Care Clinicians

Ginny Glazier MS, RNGinny Glazier MS, RNMary Beth Hoban MSN, RNMary Beth Hoban MSN, RN

About the Home Care Network About the Home Care Network

Incorporated in 1886Incorporated in 1886Member of the Main Line Health andMember of the Main Line Health andMember of the Main Line Health and Member of the Main Line Health and Jefferson Health SystemsJefferson Health SystemsProvide Care annually to over 16, 000 Provide Care annually to over 16, 000 Home Health and 600 Hospice patientsHome Health and 600 Hospice patientsProvide over 650 Home Health visits a dayProvide over 650 Home Health visits a dayyyProvide over 90,000 Doses of Infusion Provide over 90,000 Doses of Infusion Therapies such as: Antibiotics, Chemo, Therapies such as: Antibiotics, Chemo, Pain Medications, TPN and HydrationPain Medications, TPN and Hydration

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About the Home Care NetworkAbout the Home Care Network

Home Health and Hospice provide care in the Home Health and Hospice provide care in the p pp pPhiladelphia Metropolitan AreaPhiladelphia Metropolitan Area

Home Infusion provides care in these areas and parts of Home Infusion provides care in these areas and parts of South Jersey and DelawareSouth Jersey and Delaware

Educational Challenges in Home CareEducational Challenges in Home Care

Providing Patient Care vs. Providing the Providing Patient Care vs. Providing the Ti f Ed tiTi f Ed tiTime for Education Time for Education Educating on all the Different Types of Educating on all the Different Types of Equipment found in the HomeEquipment found in the HomeProviding Education to Clinicians in the Providing Education to Clinicians in the Home without CompromisingHome without CompromisingHome without Compromising Home without Compromising Patient/Caregiver trustPatient/Caregiver trustEvaluating Performance of ProceduresEvaluating Performance of ProceduresMap Reading/GPS and Community SafetyMap Reading/GPS and Community Safety

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Performing Needs AssessmentPerforming Needs Assessment

Defining ExpectationsDefining ExpectationsDefining ExpectationsDefining ExpectationsDelineating NeedsDelineating NeedsDeveloping GoalsDeveloping GoalsUsing Journals Using Journals –– evaluating entries to evaluating entries to address new learning needsaddress new learning needsUtilizing InUtilizing In--Home Observation and Home Observation and AssessmentAssessmentUtilizing Organizational ExpertsUtilizing Organizational Experts

Benner’s Model Benner’s Model –– From Novice to From Novice to ExpertExpert

NoviceNoviceAdvanced BeginnerAdvanced BeginnerCompetent Competent Proficient Proficient ExpertExpert

(McGregor, 1990)(McGregor, 1990)

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RN Orientation OverviewRN Orientation OverviewIndividualized based on input from Clinician, Manager, Individualized based on input from Clinician, Manager, Preceptor, Educator and needs assessmentPreceptor, Educator and needs assessmentp ,p ,Orientee shadows preceptor for a weekOrientee shadows preceptor for a week2 Day General Orientation2 Day General Orientation2 Days of class for documentation2 Days of class for documentationPerforms visits with preceptor and returns to office for Performs visits with preceptor and returns to office for documentation with educatordocumentation with educator4 Friday Classes: Subjects are wounds, med4 Friday Classes: Subjects are wounds, med4 Friday Classes: Subjects are wounds, med 4 Friday Classes: Subjects are wounds, med reconciliation, safety, problem solving, OASIS reconciliation, safety, problem solving, OASIS documentation and agency regulationsdocumentation and agency regulationsSpecialty DaySpecialty DayWrap up ClassWrap up Class

Nursing Student EducationNursing Student Education

Shadow visitsShadow visitsShadow visitsShadow visitsFormal Classroom Formal Classroom

educationeducationJust in time educationJust in time educationJoint visits with clinicJoint visits with clinic

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Strategies Strategies

JournalingJournalingJournalingJournalingStory TellingStory TellingSharing experiencesSharing experiencesRole PlayingRole PlayingThe ArtsThe ArtsThe ArtsThe ArtsConcept MappingConcept Mapping

CONCEPT/MIND MAPPINGCONCEPT/MIND MAPPING

A technique used to expressA technique used to expressA technique used to expressA technique used to expressconcepts and the relationshipconcepts and the relationshipof concepts in visual format (All, 1997).of concepts in visual format (All, 1997).

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Concept was developed from Ausubel’s Concept was developed from Ausubel’s learning theory in the 1960’slearning theory in the 1960’sAusubel described meaningful learning as Ausubel described meaningful learning as a process in which new information is a process in which new information is related to an existing relevant aspect of an related to an existing relevant aspect of an individual’s learning structure (Novak, individual’s learning structure (Novak, 1998).1998).

Mind Mapping in Nursing EducationMind Mapping in Nursing EducationPurpose of using mind mapping in nursing:Purpose of using mind mapping in nursing:

Promote problem solving skillsPromote problem solving skillsPromote problem solving skillsPromote problem solving skillsPromote decision making skillsPromote decision making skillsFacilitate collaboration with Facilitate collaboration with interdisciplinary team membersinterdisciplinary team membersExplore and develop legalExplore and develop legalExplore and develop legal Explore and develop legal and ethical morals and ethical morals (Kern, 2005).(Kern, 2005).

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Concept Mapping in Home HealthConcept Mapping in Home Health

Assessment of the whole picture of the Assessment of the whole picture of the pppatient in their own homepatient in their own home

Prioritize and identify immediate needs Prioritize and identify immediate needs of patients and familiesof patients and families

Increase knowledge of available Increase knowledge of available resourcesresourcesresourcesresources

Visualize the collaborative effort of Visualize the collaborative effort of team members in treating home care team members in treating home care patientspatients

Care/Concept MappingCare/Concept Mapping

82 year old female

Lives alone in two story home

Dx: Fractured right shoulderafter fall downstairs

PMH: Hypertension CHF

Ordered services: Skilled Nursing PTOrdered services: Skilled Nursing, PT

NKDA

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82 year old female

Nutritional StatusCognitive Status

Safety Assessment




O d d i Skill d N i PT

Pain

Symptoms

Social Status

Ordered services: Skilled Nursing, PT

NKDA

Medications


82 year old female


Safety AssessmentLow Na diet




Ordered services: Skilled Nursing PT

Pain

Symptoms

Medications

Social Status

ADL’sSister lives near


NKDASide effects

Reconciliation

EdemaDyspneaDizziness

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82 year old female


Safety AssessmentLow Na dietMOW





Pain

Symptoms

Medications

Social Status

ADL’sSister lives near MSW

PT OT


NKDASide effects

Reconciliation



82 year old female


Safety AssessmentLow Na dietMOW

Depression

Psych RN





Pain

Symptoms

Medications

Social Status

ADL’sSister lives near MSW

PT OT HHA


NKDASide effects

Reconciliation


DiureticsAnalgesicsBeta Blockers Dizziness, headache

Fatigue, orthostasis, constipation

MD Update

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Use of the Arts in Nursing Use of the Arts in Nursing EducationEducation

Can be used to teach various nursing concepts :Can be used to teach various nursing concepts :Can be used to teach various nursing concepts :Can be used to teach various nursing concepts :ProfessionalismProfessionalismLeadershipLeadershipEthicsEthicsSelfSelf--determinationdeterminationCompassionCompassionEmpathyEmpathy

Identify who the different engines might Identify who the different engines might represent in the home care setting.represent in the home care setting.Identify who the dolls and toys might be.Identify who the dolls and toys might be.What methods were used to achieve the What methods were used to achieve the outcome?outcome?Apply this story to a family in the home care Apply this story to a family in the home care settingsettingWhat is the role of the home care nurse What is the role of the home care nurse working with patients and families?working with patients and families?

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How do we How do we effectively educate effectively educate clinicians who work clinicians who work

i H ?i H ?in Home care?in Home care?

Voice Mail Tip of the WeekVoice Mail Tip of the WeekThe LatestThe Latest

Treatment GuidelinesTreatment GuidelinesTreatment GuidelinesTreatment GuidelinesMedication/Equipment RecallsMedication/Equipment RecallsCDC and Department of Health AdvisoryCDC and Department of Health AdvisoryResearchResearchCustomer Service StrategiesCustomer Service StrategiesSafety StrategiesSafety StrategiesConference updatesConference updates

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Email PresentationsEmail Presentations

Educating Home Health Nursing Educating Home Health Nursing AssistantsAssistants

CMS required that all Nursing assistants whoCMS required that all Nursing assistants whoCMS required that all Nursing assistants who CMS required that all Nursing assistants who work in Home Health Receive 12 hours of work in Home Health Receive 12 hours of education per year.education per year.Our HHA’s are offered multiple opportunities for Our HHA’s are offered multiple opportunities for obtaining the hours (24 hours available /year)obtaining the hours (24 hours available /year)Receive in person educationReceive in person educationReceive in person educationReceive in person educationIncluded on applicable voice mail/email Included on applicable voice mail/email educationeducation

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“Just in Time” “Just in Time” EducationEducation

New productsNew productsNew productsNew productsNew modelsNew models

Voice Mail SongsVoice Mail Songs

Educating aboutEducating aboutEducating about Educating about OASIS, Electronic OASIS, Electronic Documentation Documentation and Wound Careand Wound Care

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Go To MeetingGo To MeetingHelpful for Helpful for staff in far staff in far reaching reaching territoriesterritories

Pro’s andPro’s andPro s and Pro s and Con’sCon’s

Conference CallingConference Calling

Meetings byMeetings byMeetings by Meetings by conference callconference call

Visual materials Visual materials sent in advancesent in advancesent in advance sent in advance via emailvia email

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The Education Spring FlingThe Education Spring Fling

ReferencesReferencesAll, A. (1997). Cognitive/concept mapping: a teaching strategy for nursing. All, A. (1997). Cognitive/concept mapping: a teaching strategy for nursing. Journal ofJournal of Advanced NursinAdvanced Nursing g

Vol 25 Issue 6 pp. 1210Vol 25 Issue 6 pp. 1210--1219.1219.

Billings, D., Halstead, J. (2009). Teaching in nursing a guide for faculty. Saunders. St. Louis, MissouriBillings, D., Halstead, J. (2009). Teaching in nursing a guide for faculty. Saunders. St. Louis, Missouri

Harpaz, I., Balik, C., Ehrenfeld, M. (2004). Concept mapping: an educational strategy for advanced Harpaz, I., Balik, C., Ehrenfeld, M. (2004). Concept mapping: an educational strategy for advanced nursing education. nursing education. Nursing Forum (Hillsdale) Nursing Forum (Hillsdale) Vol. 39 Issue 2. pp. 27Vol. 39 Issue 2. pp. 27--3636

Hill, C. (2006). Integrating clinical experiences into the concept mapping process.Hill, C. (2006). Integrating clinical experiences into the concept mapping process.NurseNurse EducatoEducator Vol 31 (1), pp. 36r Vol 31 (1), pp. 36--39.39.

Keating, S. (2006). Curriculum development and evaluation in nursing. Lippincott Williams & Wilkins, Phila., Pa.Keating, S. (2006). Curriculum development and evaluation in nursing. Lippincott Williams & Wilkins, Phila., Pa.

Kern, S., Bush, K., McCleish, J. (2006). MindKern, S., Bush, K., McCleish, J. (2006). Mind--mapped care plans: Integrating an Innovative educational tool as an mapped care plans: Integrating an Innovative educational tool as an alternative to traditional care plans. alternative to traditional care plans. Journal ofJournal of Nursing Education.Nursing Education. Vol. 45, No.4 pp. 112Vol. 45, No.4 pp. 112--119.119.

McGregor, R.J. (1990). Advancing staff nurse competencies: From novice to expert. McGregor, R.J. (1990). Advancing staff nurse competencies: From novice to expert. Journal ofJournal of Nursing Staff Nursing Staff DevelopmentDevelopment, 7(6), 287, 7(6), 287--290.290.

Novak, J. (1998). Learning, creating and using knowledge: concept maps as facilitative Tools. Lawrence Erlbaum Ass., Novak, J. (1998). Learning, creating and using knowledge: concept maps as facilitative Tools. Lawrence Erlbaum Ass., Mahwah, N.J.Mahwah, N.J.

Oermann, M., Gaberson, K. (2006). Evaluation and testing in nursing education. Springer New York, N.Y.Oermann, M., Gaberson, K. (2006). Evaluation and testing in nursing education. Springer New York, N.Y.

Plotnick, Roy E.. "In Search of Watty Piper: A Brief History of the "Little Engine" Story“Plotnick, Roy E.. "In Search of Watty Piper: A Brief History of the "Little Engine" Story“http://tigger.uic.edu/~plotnick/littleng.htmhttp://tigger.uic.edu/~plotnick/littleng.htm. Retrieved 17 October 2011.. Retrieved 17 October 2011.

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About the Home Care Network - nahc.org Forum (Hillsdale) Vol. 39 Issue 2. pp. 27Vol. 39 Issue 2. pp. 27- -3636 Hill, C. (2006). Integrating clinical experiences into the concept mapping