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Student’s participation in scientific research. Goal workshop. Exchange experiences and formulate conditions when students participate in scientific research. Agenda. HBOV programme Students experience Exhange of experiences and meanings Conclusions. - PowerPoint PPT Presentation
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Student’s participation in scientific research
Goal workshop
Exchange experiences and formulate conditions when students participate
in scientific research
HBOV programme Students experience Exhange of experiences and meanings Conclusions
Agenda
Quality of Care: knowledge and skills Project working skillsKnowledge and skills about
Quality of Care and Research methodsResearch skills: data sampling, data managment and data analysis
Information managementsystematic literature search and literature analysis Oral and written communication skills
Implementation skills
Whole taskingAuthentic situations
Knowledge of the domainKnowledge to execute
Competencies
Course outline•First year
– Quality of Care level 1: quality of care cycle and basics of research
•Second year– Prevention at group-level– Leadership
•Third or Fourth year–Quality of Care level 2 and 3: Students exucute (a part of) a project
Formulating Projects
•By field professionals•By students together with the field- professionals •Professory’s projects togehter with the field
(increasing number)
Pitfalls
overload in
responsibilitylecturers specific working
situation
heel precies werkt
student has to develop bachelor
skills
clients expects results
clients are not aware of
students specific skills
student becomes too
involved in the project
clients are not aware how much they ask
from students
Finetune between field and university
Universityformulate goals student has to realize
Clientformulate project and expected tasks
University and client agree to the project
Students choose a project
Student Coaching • Client
– coaching the student in execution of the project-tasks
• Lecturer– Quality of care level 2: preparing the student
for the project. Coaching in groups of 12 students
– Quality of care level 3: coaching the student in reaching goals set by by student and university. Coaching individuels or pairs
Professory projects
• Lectures participate in professories and have their own researchprojects
• If the student participate in a professory project – the lecturer/investigator is the coach for the
tasks of the project– another lecturer is the coach in the learning
process– the assessor again is an other lecturer
Professory’s projects
Example
Research in Cooperation Professory Acute Intensive Care University Medical Centre ST Radboud Nijmegen
OutreachprojectEarly recognition and treatment of critically ill patients in a hospitalEarly recognition and treatment of critically ill patients in a hospital
April 2008
Carola Janssen & Ingrid van Thiel
Subjects
• The Outreachproject• Students participation• Our subproject• Our expierence with the participation in the
Outreachproject
Reason to set up the Outreachproject
Many seriously ill patients receive inadequate care in hospitals worldwide.
Reason to set up the Outreachproject
In the Netherlands (2004):
• ± 1,3 mln patients were admitted to the hospital
• ± 74.000 patients had Serious Adverse Events (SAE)
• ± 30.000 of these cases were avoidable• ± 1700 potential avoidable deathsWagner en de Bruijne 2007
SAE’s1. Acute myocardal infarction2. Pulmonary embolism3. Acute pulmonary edema4. Respiratory failure5. Stroke6. Sepsis7. Acute renal failure8. Emergency admission to ICU9. Death
Bellomo, R. (2002)
Essence of the Outreachproject
• 6 - 24 hours before a Serious Adverse Event the vital functions will be change
Important:• Early recognition of critically ill patients• Timely treatment and correct treatment of
critically ill patients
Objective
• Decrease the number of Serious Adverse Events
• Decrease the number of unplanned (re)admissions tot the Intensive Care Unit (ICU)
• Decrease of costs
Interventions
• Establishing a Medical Emergency Team (MET)
• Education of general ward staff in identifying patients at risk
• Consultancy of an ICU nurse
Early Warning ScoreAcute change in heart rate < 40 of > 130 beats p/minAcute change in systolic blood pressure
< 90 mmHg of > 200 mmHg
Acute change in respiratory rate
< 8 of > 30 breaths/min
Acute change in pulse oximetry saturation
< 90% despite oxygen administration
Acute change in counsious state
≥ 2 by EMV-score
Acute change in urine output
< 50 ml in 4 hours
Staff member is worried about the patient
Prospective pretest-posttest design
• Pretest: january 2006 - january 2007
• Implementation Outreach: january 2007 - april 2007
• Posttest: april 2007 - april 2008
Study population
• Adult patients admitted to general surgical wards of the UMC St Radboud, undergoing major general surgery
• Postoperative stay more than 72 hours
Outcome parameters
• The incidences of predefined SAE’s in included patients
• The number of unplanned (re)admissions tot the ICU caused by predefined SAE’s
• Quality of life related to cost-effectiveness
Subproject: Quality of life• EQ-5D• 3 Measurements
– Pre-operative, – 3 months post-operative, – 6 months post-operative
• Outcome: quality of life related tot cost effectiviness
Students participation in Outreach
• Selection procedure• Tasks• Advantages and disadvantages
Selection procedure
• Questionnaire and interview - motivation- strengths and weaknesses- responsibility
Tasks
• Preceding study• Set educational goals • Participation in (part of) investigation• Additional project• Presentation• Reports
Advantages and disadvantagesAdvantages• Participation in a real study• High responsibility• Became aware of the value of check vital signs of
patients
Disadvantages• Relative simple• Data entry is time consuming• Limitted officespace• It’s hard to combine with our working duties
Thanks for your attention
Exchange of experiences and ideas
• Do you have experience with student participation in scientific resaerch?
• What do you think are the advantages and disadventages (keeping in mind we want to deliver good novice nurses to the field).
Evaluation
Do you take home messages from this workshop?
Do you have advices to improve the quality of this workshop?
Thanks for your attention