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TEDx Talks
Published: 2013-09-14
Source: https://www.youtube.com/watch?v=iQcLErz1iHE
our next speaker with more than fifteen years of experience as a neo natal nurse practitioner our next biggest passion about bringing this generation's health care providers into the digital age she believes that technology can improve student engagement and learning which can ultimately improve patient outcomes please welcome our next speaker nurse practitioner doctor Patricia Thomas you about our revolutionary approach to nurse practitioner education how many of
you can relate to this young lady I can understand that actually this image makes me nostalgic of when I was in graduate school about a hundred years ago when we used our card catalog to do literature reviews and %HESITATION you know it was a simpler time and there were some good things they are the like this young lady surrounded by our books right winner textbooks we
her classroom notes and we knew that if we study what we were supposed to we would know everything about the topic of interest let's fast forward now to today the digital revolution where we have vast amounts of information available to us twenty four hours a day seven days a week that's a good thing mostly unfortunately our students are experiencing information overload from having that kind of
access because then they have to weed through such huge amounts of information trying to decide which of these pieces of data are relevant which your current and which are accurate and not only do students in the healthcare professions need knowledge but they also need skills because if they don't develop the skills that they need while they're in graduate school then the most fragile patients could suffer
and it's not just nursing students who need to develop skills and opportunities to apply their knowledge it's physical therapy student speech therapy occupational therapy and kinesiology I know we have a least one kinesiology student out here do you have any others okay may be easier to see if there was a light in my eyes but anyway but you can relate to what I'm saying that you
need opportunities to work with patients and those are limited so what we've done to help combat this problem at UT a the Coliseum nursing built a simulation hospital called the smart hospital if you guys haven't seen it you need to check it out because this gives students the opportunity to practice their skills in a controlled environment often times before they even meet a patient and the
instructors there can develop different scenarios to meet the needs of different levels of students for example a beginning student work to do a patient assessment a more advanced student learns to start an IV and hang IV fluids there even opportunities for groups of students to learn things for example a disaster preparedness and %HESITATION getting prepared to help assist in surgery are pictured here and even though
the students tell us that they have had a great experience at the smart hospital they have limited opportunities there too because of scheduling space an instructor availability and this is been the impetus for us to develop our online interactive learning portal nursing a P. dot com along with our colleagues at UTV we develop this project to give our students what they really need with access to
it twenty four seven the students begin their journey at the dashboard that's a UT the term for home page it took me awhile to you know bridge that gap but they can go to different places in the website from here for example if they're studying for a test because that's what we do we like to be prepared to don't be stupid and die they can go
specifically to the area of interest or they can go straight to an interactive they can cite I'm going to clinical tomorrow and take her baby on a ventilator so I need to practice bill later management so that I can be prepared some students visual learners they can also go straight to the media library they can view xrays and videos on different phenomenon and experience it that
way and perhaps during the clinical area and they need information just in time then they can use the search function and pull up all the resources are available on a particular topic so let's take a look exploration of the professors know this is an information repository so that that student can learn what they need to know about a particular topic of interest they can use the
table of contents just like they would in a text book what we're all familiar with and then they can look at the resources we have different embedded %HESITATION images such as X. rays and %HESITATION information on diagnostic tests as well as treatments for a particular disease process at the end of each professor snow is an annotated bibliography that points a student in the direction of the
best evidence that exist for the treatment of a disease so that it to help them in their information overload also at the in the beach professor's notes students have the ability to save and print a PDF for our kinesthetic learners in our non digital native state they appreciate that embedded in every professor snow is fun interactive quizzes or flash cards that help them test themself because
when you're studying at two AM your professors ruling on available to answer your email if there me and die this helps you to find out what what are your knowledge gaps you can focus and not enough looking like the girl on the slide earlier we have at present three complex interactive that we've developed and the capacity to develop many more the first of which is my
personal favorite virtual ventilator where students learn blood gas interpretation and give feedback from pop up Judy once they've interpreted their blood gas they're able to go to the ventilator and make some adjustments to try to make the blood gas better a blood gases reflection after base balance in the body and then they can also access supplementary information which allows them to go back and perhaps make
a better choice than they did previously when they're done with their management by click unfinished and they are rewarded with an improved blood gas as well as rationale for the right choice from puppet Judy there's also a cardiac interactive where students can learn the difference in a car a heart that has a defect and hearts that are normal the blood flow through each they can gather
information on the patients such as what is the heart sound for a patient who has a hole in their hearts such as this one so that they can create a plan of care for the patient and get feedback at the end on whether those were the right strategies are there some other things they should consider for those of you who got here doctor Romero this morning
it I think it's great news to hear that we can start to heal some nerve tissue that's been damaged our goal in the pain management interactive is to stop some of that damage from occurring back not too long ago it was thought that premature babies didn't fully experience pain because of their immature neurologic pathways we sense show that that is not the case so we want
our students to learn about nerve transmission and hopefully be able to prevent and treat the things that could negatively affect them in a pain management situation are cramming tool is our virtual Nick you where students need they'll intensive care unit which was modeled after the wanted children's where students enter and get to play practitioner before their graduation day a student can perform an assessment looking at
the skin from head to toe to see if there're any anomalies they can listen to heart sounds and lung sounds as well as looking at monitoring equipment with this assessment information they can come together with the information in the medical record to form a kit bag plan of care for the patient this particular patient is going to have some %HESITATION adjustments made to the ventilator based
on his breathing pattern in his blood gas and fluids ordered spur his nutrition the student after they finish the entire order set will get feedback about areas they may have not completely a draft or any that they have neglected our program is currently under evaluation we have students from UT a in the neonatal nurse practitioner program using it as well Stony Brook and knew the work
we are getting data capture behind the scenes to see where they're spending their time and how they're spending their time were also eliciting their feedback that %HESITATION initially the feedbacks good they like the interactivity they like that hits available to us said them twenty four seven and they like their speed bag Belton I get a usability study with the first group of students who used it
and this student was looking at a process interactive about intubation putting in our breathing to and in the middle of this experience she explained the wow that's real so it told us a lot about the fidelity and how important that was to them so what's next for us well we are so excited about our program that starting this fall we're gonna open it to a national
audience of nurses and we are open to the idea of incorporating other nurse practitioner programs at UT a we hope that it could serve as a model for other health care provider school such as physical therapy and things like that who have an element of needing to build skills in needing to practice how many of you guys are old enough to remember this bumper sticker they
well I think the slogan is just as appropriate to health education in the information age as it is to automobiles and I like to think we're leading the charge to revolutionize not nursing education southerner students don't fall behind in the patients get the best of care and I hope that this talk has inspired you to do the same in your arena thank you
