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Using Science and Having Fun
INNOVATIVE PROGRAMS Proceedings of the 2010 AWHONN Annual Convention
Simulation in the Community Hospital: Utilizing the Evidence Without Breaking the Bank Poster Presentation imulation as an adult education technique has been shown to be a powerful tool for the health care team. Adult education theory written as early as 1916 identi¢es the importance of methodology to assist with the adult learner.
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In the 2005 Joint Commission report on perinatal deaths from 1995 to 2004, communication between team members was cited as one of the leading causes of death to mothers and babies. Simulation has given us a tool to work on one of our biggest de¢cits in emergent and routine care of the mother/fetal dyad. Community hospitals are presently feeling signi¢cant ¢nancial restraints. The temptation to reduce education at a time of tightening budgets has occurred nationally. My community was a¡ected not only by the national and global economy in 2008 to 2009 but by its’ worst natural disaster, a devastating £ood. Therefore, my hospital has like many others been forced to be very creative in maintaining standards but also tightening its belt.
The challenge is the expense of administering a simulation program in the community hospital setting. St. Luke’s has used simulation for all members of the perinatal team for the past 4 years. Negotiation and planning of budgets between administration and those responsible for education is vital. Administration also must have a fundamental belief of the signi¢cance of simulation and the investment it provides to sta¡ and maintaining safety as the umbrella that everything else falls under. Champions in all disciplines and specialties must be utilized to assist with development of ongoing drills.
Julie Zimmerman, RNC, MSN, St. Luke’s Hospital, Cedar Rapids, IA
Professional Issues
Educators must continue to use data to support their programming and utilize simulation throughout orientation, competencies, and ongoing drills for all team members. Data kept from simulation evaluations, sentinel events data, and anecdotal reports from debrie¢ngs of emergent events that sta¡ have experienced can be utilized to support the investment that simulation requires.
Using Science and Having Fun Poster Presentation he health care providers at Baylor University Medical Center’s Antepartum Unit have developed several group activities that assist with early identi¢cation and reduction of the incidence of depression associated with long-term hospitalization. These group sessions provide patients with muchneeded emotional support, education on their pregnancy, social time, and craft activities. While completing crafts such as knitted caps and scrapbooking for other moms with babies in the Neonatal Intensive Care Unit (NICU), patients discuss their concerns, emotions, and anxieties.
T
S84
These group sessions are facilitated by experienced sta¡ members who support positive communication and provide referrals to the necessary discipline as needed. Working with the psychology department, our health care providers have developed a survey tool to evaluate the e¡ectiveness of these group sessions.
Elizabeth Eaton, RN, Baylor University Medical Center, Dallas, TX
Amber Mullins, BSN, RNC-OB, Baylor University
Because of their unique needs our patients must have the bene¢t of science to treat their physical needs as well as the bene¢t of a multidisciplinary team to support their emotional and spiritual needs.
JOGNN, 39, S48-S84; 2010. DOI: 10.1111/j.1552-6909.2010.01119.x
Medical Center, Dallas, TX
Professional Issues
http://jognn.awhonn.org
Simulation in the Community Hospital: Utilizing the Evidence Without Breaking the Bank Poster Presentation imulation as an adult education technique has been shown to be a powerful tool for the health care team. Adult education theory written as early as 1916 identi¢es the importance of methodology to assist with the adult learner.
S
In the 2005 Joint Commission report on perinatal deaths from 1995 to 2004, communication between team members was cited as one of the leading causes of death to mothers and babies. Simulation has given us a tool to work on one of our biggest de¢cits in emergent and routine care of the mother/fetal dyad. Community hospitals are presently feeling signi¢cant ¢nancial restraints. The temptation to reduce education at a time of tightening budgets has occurred nationally. My community was a¡ected not only by the national and global economy in 2008 to 2009 but by its’ worst natural disaster, a devastating £ood. Therefore, my hospital has like many others been forced to be very creative in maintaining standards but also tightening its belt.
The challenge is the expense of administering a simulation program in the community hospital setting. St. Luke’s has used simulation for all members of the perinatal team for the past 4 years. Negotiation and planning of budgets between administration and those responsible for education is vital. Administration also must have a fundamental belief of the signi¢cance of simulation and the investment it provides to sta¡ and maintaining safety as the umbrella that everything else falls under. Champions in all disciplines and specialties must be utilized to assist with development of ongoing drills.
Julie Zimmerman, RNC, MSN, St. Luke’s Hospital, Cedar Rapids, IA
Professional Issues
Educators must continue to use data to support their programming and utilize simulation throughout orientation, competencies, and ongoing drills for all team members. Data kept from simulation evaluations, sentinel events data, and anecdotal reports from debrie¢ngs of emergent events that sta¡ have experienced can be utilized to support the investment that simulation requires.
Using Science and Having Fun Poster Presentation he health care providers at Baylor University Medical Center’s Antepartum Unit have developed several group activities that assist with early identi¢cation and reduction of the incidence of depression associated with long-term hospitalization. These group sessions provide patients with muchneeded emotional support, education on their pregnancy, social time, and craft activities. While completing crafts such as knitted caps and scrapbooking for other moms with babies in the Neonatal Intensive Care Unit (NICU), patients discuss their concerns, emotions, and anxieties.
T
S84
These group sessions are facilitated by experienced sta¡ members who support positive communication and provide referrals to the necessary discipline as needed. Working with the psychology department, our health care providers have developed a survey tool to evaluate the e¡ectiveness of these group sessions.
Elizabeth Eaton, RN, Baylor University Medical Center, Dallas, TX
Amber Mullins, BSN, RNC-OB, Baylor University
Because of their unique needs our patients must have the bene¢t of science to treat their physical needs as well as the bene¢t of a multidisciplinary team to support their emotional and spiritual needs.
JOGNN, 39, S48-S84; 2010. DOI: 10.1111/j.1552-6909.2010.01119.x
Medical Center, Dallas, TX
Professional Issues
http://jognn.awhonn.org