Transcript GHS INNOVATIVE PRACTICE DAY MARCH 2012
ICTN PROJECT WEBINAR SERIES
COMMUNITY HEALTH STUDENT PLACEMENT PROGRAM Presented By: Robyn Stringer, Judith Foley-Chell and Helen Johnson
PROJECT OVERVIEW
Expand the current clinical placement opportunities for students within Goulburn Community Health. Provide an opportunity to observe and learn skills specific to those required when delivering care in a Primary Health Care setting. Experience will include: Ambulatory Care Wound Clinic, Palliative Care, Community Nursing, HITH, Diabetes Management and Chronic Disease Management
INTRODUCTION & BACKGROUND
Initial Student Placement Program in Wound Clinic Successful streamlined and structured approach to student clinical placement Identified need to develop similar program throughout Community Health nursing speciality areas to meet student placement needs and objectives Identified potential to increase student placement opportunities offered through Community Health
INTRODUCTION & BACKGROUND – WOUND CLINIC
High number of students from multiple universities Varying expectations of placement • Differing levels of education Poor identification of student objectives Little guidance for staff Reduced effectiveness of placement
INTRODUCTION & BACKGROUND – WOUND CLINIC
Structured, standardised approach to placements with targeted education to meet student objectives Clearly defined and measurable placement outcomes identified and student program designed and delivered to meet objectives Development of Wound Clinic Placement Package for student completion prior to attending placement
INTRODUCTION & BACKGROUND – WOUND CLINIC
Education delivery based on defined outcomes for Wound Clinic program Standardised information based on student needs provided by staff Measured improvement in student knowledge with pre- and post-learning tools, student satisfaction with survey and staff satisfaction with discussion groups
INTRODUCTION & BACKGROUND – WOUND CLINIC
• Of 56 students whose data was collected in the pre placement and post-placement learning tools, overall improvement in student knowledge was 33.4%, with above-average improvements in cellular (43%) and aetiology (57%) knowledge Of 56 students who completed the placement evaluation, all answers on the survey were rated
Excellent
or
Very Good.
CURRENT PROJECT AIM
Increase student placements from one day placements to five days within a specified Community Health stream, rotating to other streams for placements greater than a week Build a network of clinicians in a preceptor role that can professionally support our student nurses
CURRENT PROJECT AIM
Develop a standardised orientation package for all community students to support learning needs and objectives Provide a learning environment that promotes practical learning experiences
CURRENT PROJECT - ACTIVITIES
Communication with universities and TAFE to inform and promote nursing student clinical placement in Community Health specific to Primary Health Care and Chronic Disease Management Orientation manual and learning package developed for students with focus on Primary Health Care and Chronic Disease
CURRENT PROJECT - ACTIVITIES
Speciality stream / student objectives and planner developed Pre- and post-placement learning tools developed to identify individual areas of learning and measure outcomes Student satisfaction survey developed
CURRENT PROJECT - ACTIVITIES
Preceptor training program for nurses working with students in progress Obtaining practical learning aides including laptop for online learning, wound care mannequin and practice consumable resources designated for student learning
CURRENT PROJECT – CHALLENGES & RISKS
Changes to planned facility in ClinConnect Funding – practical learning resources not yet purchased Time limitations Changing team
CURRENT PROJECT - OUTCOMES
Resources developed as discussed previously – currently on trial in Community Health streams with result analysis to be conducted quarterly Preceptor training provided by tertiary institutions. Internal preceptor training program to begin in June 2013 No significant increase in clinical placement numbers – historical underutilisation of offered placements – but contact with tertiary institutions has had promising feedback
CURRENT PROJECT – SUSTAINING CHANGE
Project is still in progress Plans to sustain change include: Links with tertiary organisations Ongoing Preceptor training of permanent and new staff Data collection and response to results as appropriate Sourcing future funding to ensure access to practical resources is maintained
CURRENT PROJECT TRANSFERABILITY
Demonstrated through adaptation of initial Wound Clinic program to current project throughout Community Health Potential for adaptation of program to other areas in which there are student placement programs