• education;
  • Web conferencing

Paper Presentation

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  2. Paper Presentation

Purpose for the Program

A large health care organization faced challenges educating large numbers of nurses and providers who worked various shifts, across various time zones, in multiple facilities, in six states. Classroom education with a live instructor became impossible as the health care organization faced economic constraints, and qualified instructors were stretched thin. With a goal of providing consistent, quality education, this health care organization searched for a better way to provide support and information to all perinatal staff.

Proposed Change

To use Web conferencing services and large capacity bridge lines, with scripted training to provide education for nurses and providers in multiple facilities across the country

Implementation, Outcomes, and Evaluation

With only 10 people available to provide the education, the group scheduled classes four times each day (including night shift) for 5 days. Experts were used to present the information remotely. The Web conferencing allows question and answer interaction, which is more effective than staff viewing a PowerPoint presentation on one's own or completing a computerized module. The new education was implemented, including fetal heart rate tracing definitions, interpretations, and interventions as well as changes in the electronic medical record. The electronic medical record is used to hardwire best practice and adherence to specific policies and procedures aimed at improving patient outcomes. Clinical informatics coordinators and perinatal educators came together to provide this training. Instructions for connecting to the Web conference were sent to department leaders, educators, medical staff services, and informatics coordinators to communicate to end users.

The outcome of using this method of providing education included reaching more than 400 staff and providers in just 1 week. Everyone who attended the training received the same information in a scripted format eliminating trainer bias. Nurses and providers had the opportunity to watch an expert navigate the electronic medical record. This format enabled real time question and answer opportunities, usually generating interactive thoughtful discussion. Attendees of the training received a link to a postquiz. The training attendance and postquiz were recorded and tracked in a database electronically.

Implications for Nursing Practice

The nurses all hear a consistent message, including the rationale for change. This type of training ignites passion in perinatal care and provides camaraderie in a large health care system by connecting perinatal nurses from small rural facilities with larger urban centers.