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A Technology Workshop for
 DNP/NP Students in Rural
         America
      Michele Bordelon, MSEd
A One-Day Technology Workshop
 On-campus weekend
 Fall semester
 Conducted at the Theresa A. Thomas
  Professional Skills Teaching and Assessment
  Center at Eastern Virginia Medical School in
  Norfolk, Virginia
Structured Around Hands-On
             Application
 Began with standardized patient session
 Followed by technology modules
   Social Media
   Telehealth
   Clinical Decision Support
   Electronic Health Records
 Students given follow-up assignment
Utilized Standardized Patients to
     Create Realistic Experience
 Stroke patient and caregiver
 Recently discharged from hospital
 Experiencing issues inherent in healthcare in rural America
    Lack of access to:
        Quality care
        Specialty care
        Education
    Isolation from social support systems
 Group interview identifying:
    Stroke impact, post-accident
    Availability of health care, living in a remote area
    Ability to utilize technology
Students Rotated through Four
       Technology Modules
 Hands-on exposure
 Armed with Information from standardized patient
  assessment
 50 minutes with each module
 Each module included:
    Practical application activity
    Group presentations and discussion
       Demonstration
       Benefits and barriers
       Recommendations
Modules
Module on Use of Social Media for Patient,
  Caregiver and Provider Support and Education

 Overview of social media
  model
 Breakout groups of 2 or 3
 Each group assigned specific
  task:
    Research social media
    Find appropriate            Group presentation
      application,                    Why did you select?
      given earlier                   Tour of media
      patient/caregiver               Benefits and barriers
      assessment                      Discussion and
    Make group presentation           recommendations
Groups Given One of Three
   Assignments Using Social Media
 Group 1  using either
  YouTube or ICYou  find an
  education video for stroke
  patient/caregiver

 Group 2  using The Stroke      Group 3  using Facebook
  Network website                 or LinkedIn  determine
  determine how                    how providers can access
  patient/caregiver can use        other providers for support
  this site for social support     and professional
                                   development purposes
Telehealth Module Provided Opportunity to
    Learn How to Work with a Patient Virtually




   Participation in sample Telehealth        Example: Have patient balance a
    session:                                   book on the palm of each hand to
      Standardized stroke patient and       demonstrate equal balance and
       caregiver located in one room           strength (vs. an in-person assessment
      Students in another room                squeeze my two fingers, etc.)
      Both rooms set up with Telehealth
       video equipment for real-time
       conference
Practical Experience was Followed
       by Group Discussion
 What were the benefits?

 What were the barriers?

 What recommendations for use would you make?

 How can you use in your practice?
Clinical Decision Support Systems Taught Students
How to Use Such Tools to Extend and Improve Care

 Utilizing tools  such as stroke apps on the
  iPad (NIH stroke scale, epocrates)
 Instruction on how to go about obtaining apps
 Explored types of apps:
    For providers and patients
    Assessment
    Patient education
Students Assigned to Breakout
      Groups of 2 to 3
                Instructed to find apps
                 for:
                   Stroke patients and
                    caregivers
                   Providers
                Demonstrate to group
                   Benefits and barriers
                   How to overcome
                    barriers
                   Recommendations
Electronic Health Records Module
      Exposed Students to Use of EHR
   Advantages:
      Ease of prescribing
        medications
      Referrals to specialists
      Transmission of patient data
        between providers
      Ease of access to information
   Disadvantages:
      Templates that constrain
        decisions
      Confidentiality
      Systems not compatible
There are Some Educational
       Constraints with EHR
 Training templates extremely expensive, if
  available at all
 Many templates arent well populated with
  patients or experiences
 Many templates are too artificial
Students Followed Up Workshop with
      Technology Assignments
 Applied a modality to their respective practice
  settings
 Example: Facebook page for isolated siblings
  of chronically ill children
   A support community
   Moderated by provider
   Safe space
   Rules of Engagement
Workshop Results
As a Result of Workshop, Students Have
Incorporated Technology in Their Practices

 Purchased iPads for practice
 Integrated clinical decision support
 Served on committees to chose EHR
 Introduced social media programs to patients and
  practices
 Some have fostered participation in TeleHealth
  networks

More Related Content

Nonpf mlb presentation 2011 v2

  • 1. A Technology Workshop for DNP/NP Students in Rural America Michele Bordelon, MSEd
  • 2. A One-Day Technology Workshop On-campus weekend Fall semester Conducted at the Theresa A. Thomas Professional Skills Teaching and Assessment Center at Eastern Virginia Medical School in Norfolk, Virginia
  • 3. Structured Around Hands-On Application Began with standardized patient session Followed by technology modules Social Media Telehealth Clinical Decision Support Electronic Health Records Students given follow-up assignment
  • 4. Utilized Standardized Patients to Create Realistic Experience Stroke patient and caregiver Recently discharged from hospital Experiencing issues inherent in healthcare in rural America Lack of access to: Quality care Specialty care Education Isolation from social support systems Group interview identifying: Stroke impact, post-accident Availability of health care, living in a remote area Ability to utilize technology
  • 5. Students Rotated through Four Technology Modules Hands-on exposure Armed with Information from standardized patient assessment 50 minutes with each module Each module included: Practical application activity Group presentations and discussion Demonstration Benefits and barriers Recommendations
  • 7. Module on Use of Social Media for Patient, Caregiver and Provider Support and Education Overview of social media model Breakout groups of 2 or 3 Each group assigned specific task: Research social media Find appropriate Group presentation application, Why did you select? given earlier Tour of media patient/caregiver Benefits and barriers assessment Discussion and Make group presentation recommendations
  • 8. Groups Given One of Three Assignments Using Social Media Group 1 using either YouTube or ICYou find an education video for stroke patient/caregiver Group 2 using The Stroke Group 3 using Facebook Network website or LinkedIn determine determine how how providers can access patient/caregiver can use other providers for support this site for social support and professional development purposes
  • 9. Telehealth Module Provided Opportunity to Learn How to Work with a Patient Virtually Participation in sample Telehealth Example: Have patient balance a session: book on the palm of each hand to Standardized stroke patient and demonstrate equal balance and caregiver located in one room strength (vs. an in-person assessment Students in another room squeeze my two fingers, etc.) Both rooms set up with Telehealth video equipment for real-time conference
  • 10. Practical Experience was Followed by Group Discussion What were the benefits? What were the barriers? What recommendations for use would you make? How can you use in your practice?
  • 11. Clinical Decision Support Systems Taught Students How to Use Such Tools to Extend and Improve Care Utilizing tools such as stroke apps on the iPad (NIH stroke scale, epocrates) Instruction on how to go about obtaining apps Explored types of apps: For providers and patients Assessment Patient education
  • 12. Students Assigned to Breakout Groups of 2 to 3 Instructed to find apps for: Stroke patients and caregivers Providers Demonstrate to group Benefits and barriers How to overcome barriers Recommendations
  • 13. Electronic Health Records Module Exposed Students to Use of EHR Advantages: Ease of prescribing medications Referrals to specialists Transmission of patient data between providers Ease of access to information Disadvantages: Templates that constrain decisions Confidentiality Systems not compatible
  • 14. There are Some Educational Constraints with EHR Training templates extremely expensive, if available at all Many templates arent well populated with patients or experiences Many templates are too artificial
  • 15. Students Followed Up Workshop with Technology Assignments Applied a modality to their respective practice settings Example: Facebook page for isolated siblings of chronically ill children A support community Moderated by provider Safe space Rules of Engagement
  • 17. As a Result of Workshop, Students Have Incorporated Technology in Their Practices Purchased iPads for practice Integrated clinical decision support Served on committees to chose EHR Introduced social media programs to patients and practices Some have fostered participation in TeleHealth networks