NeuroBlend Challenges in Education for Neuroscience Nurses Paul van Keeken, RN, MScN university...

NeuroBlendChallenges in Education for Neuroscience

NursesPaul van Keeken, RN, MScN

university medical centre St RadboudNeurology Department

Nijmegen, the Netherlands

04/19/23

WFNN 2009, Toronto, Canada

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Acknowledgements

The NeuroBlend project was made possible by a grant of the Leonardo da Vinci fund of the European Committee, and donations by the partnership of hospitals, universities

& polytechnics.

JÖNKÖPING UNIVERSITY

http://mars.ws.hj.se/hhj_sql/default.asp?V_DOC_ID=1


http://www.hus.fi/?path=59

http://www.mikkeliamk.fi/frontpage.asp

http://www.oamk.fi/english/

http://www.hosp.dk/hvidovre.nsf/SkalKategorier/Velkomst


http://www4.landspitali.is/lsh_ytri.nsf/pages/forsida.html

From the European context …..

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budget

r e s u l t spartners

hip

…to a world wide context

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r e s u l t spartners

hip

Africa

Asia

North America

South America

Europe (pilot project)

Australia

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The project

• Competence Based

• Blended Learning Framework

• for Life Long Learning

• of Neuroscience Nurses


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The partners

Holy Heart Hospital

Roeselare-Menen











04/19/23

EANN 2007, Reykjavik, Iceland

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The partners


Holy Heart Hospital

Roeselare-Menen







http://store.bann.org.uk/auto/detailview.php?id1=194936&id2=953795&id3=YES&id4=bann.org.uk

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Silent partners: feedback

European AssociationsEANN

EFN (nurses EU)FINE (nurse educators)

National AssociationsBE: BVNV/ABIN

DK: DANNUK: BANNFI: FANNSE: SANNNL: NVNVIS: IANNIT: ANIN

SW: SGNPAT: ÖANCK

HR: UMSTHN


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The European Context

Survey:The education needs of neuroscience nurses across Europe to

improve patient care. Where did we start and what is the future of neuroscience nursing education?

Carol Forde-Johnston (UK)


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The European Context

• EU: 15,500,000+ neuro patients

• ageing of the population, lifestyle increasing number of patients

• 125,000-1,500,000 nurses

• Profession develops rapidly Life Long Learning

• Enormous training need !!!

• Diversity: laws & regulations, educational systems, culture, language

• From good educational systems to no specialized NN education at all

• Competence based training = rising star, but nowhere really implemented

• EU politics: nurse = Higher Education, competence based, mobility, one certificate, quality care

• Lots of challenges in education !!!


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Perspectives on Neuroscience Nursing

Education• To become a NN• To become a better

NN• To stay a NN

• Life Long LearningEvidence base

Best practices

The right blend

EducationResearch

Care process & Clinical practice


What’s so special about neuroscience nurses??

Patients with neurological or neurosurgical diseases

• deal with disturbed vital functions

• have a mix of sensomotory, cognitive and psycho-emotional impairments.

This indicates neuroscience nurses have to be competent in a wide shade of care, from live-threatening situations, via rehabilitation to palliative care in chronic and long term situations.

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Domain: body of knowledge Three identified domains specific for neuroscience nursing:

• Acute neuro care

• Neuro rehabilitation

• Neuro palliative care

Overlapping domains

Indentified domains

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A competence describes behaviour needed to be successful in a professional context.

Levels criteria, reflection

Competence development requires the use of knowledge, skills and attitudes in an integrated way within an authentic learning environment

Different every time

situation

Meta-action

Result/product

action

Knowledge

Skills

Attitudes

rolesAnticipate

Plan care or treatment

Reflection

Justify actions

Explain why

Criteria for action

Product criteria

standards & routines

First result of the NeuroBlend project:

European Competence Profile

for neuroscience nurses

www.neuroblend.eu

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Project outcomes & results


European Function Profile Task oriented, gives clues about how to do the job

European Competence Profile Competence oriented, gives clues about roles, contexts, outcomes & products and their criteria, reflection

European Learning Plan Gives info about the philosophy of learning and teaching

Module Descriptions Describes the content areas in relation to competences

Flexible Learning Paths Alternatives for an individual to acquire competences at a certain level

Blended Learning Plan Describes alternatives for using different modes of learning

Educational Organisation Alternatives for institutes at different levels of maturity to implement ECP in learning and teaching

Implementation Plan Strategies, do’s and don’ts for different contexts

Plan for Professionalising Teachers

Train the trainer plan, follow up project

Quality Assurance, Accreditation, Certificattion

Follow up project on harmonization of educational system

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Project outcomes & resultsA competence describes behaviour needed to be successful in a professional context.

Levels Criteria, Reflection


The NeuroBlend learning and teaching philosophy includes:…

Learning is aimed at actively constructing knowledge in a meaningful context

A competence is connected to meaningful job/task-specific learning contexts

Integrative learning aimed at coherence rather than loose facts

Active reflection

Working together as on the work floor where possible

Flexible learning paths

Adjusted to needs and Elsewhere Gained Competences of individual learner

Competences cannot be learned in one click, they grow in a process

Individual learner is responsible for own learning process

Teacher is facilitator or coach for learning process

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Virtual Learning Environment


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Repository

• Store, search, retrieve• Reusable objects• Multimedia • Peer reviewed• Rating possible• Informed Consent• Metadata description


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Knowledge base

• Theory• Medical• Nursing

• WIKI format is possible

• 11 areas• The profession• Acute neuro care• Neuro rehabilitation• Neuro palliative care• Anatomy and physiology• Neurological disorders


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Virtual Patient Cases

• Case based learning• Problem based learning• E learning, practical work,

discussion, assignments, reflection

• Video


•Setting up a mentoring and coaching system

•Introducing a new intervention method for rehabilitation at the ward

•Starting with evidence based practice

•Making a training plan for the ward

•Being patients advocate: Buying new beds for the hospital

•Developing a policy for the next three years

•Managing the ward: planning and scheduling

•Introducing the multidisciplinary approach

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Ward Cases

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The concept of sharing

• Good training materials are expensive to produce, and hard to make.

• Creative Commons licence.

• Not only take, also give!


Organisational needs

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Educational Board

(educational experts)

• developing a long term strategically policy plan

• proposing quality criteria & procedure criteria

•Program management of follow up projects

-Communities of teachers

-Train the trainer

-Content development

-Quality & Accreditation

-Multi professional education

Community of teachers

(Qualified teachers and educators)

•Trained in NeuroBlend Philosphy

•Maintenance repository content

•Peer review learning materials

•Actualizing learning materials

•Production of learning metarials

•Ambassodorship in home country

Office (company)

•Users and end users administration

•License administration

•Hosting

•Technical maintenance

•Repository maintenance

Challenges in Education for Neuroscience Nurses

Who has education,

also has the future.(Nelson Mandela)

www.neuroblend.eu

[email protected]

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