Transcript Survey of Critical Access Hospitals

Education Needs
Assessment Survey of
Critical Access Hospitals
December 2003
December 2002 Survey
 Top 5 educational needs
 Nursing skills – specific to clinical care
 Customer service/New regulations and rules
(tie)
 Leadership
 Technical Competencies/Communication and
Conflict (tie)
 Computer skills
Why did we survey again in
December 2003?
 To identify training needs for specific
“nursing skills” and “technical
competencies”
 To learn more about the capabilities and
uses of information technology in the
hospitals
Divisions of survey by subject area
 Nursing skills and knowledge
 Administrative areas
 Diseases, disorders, and therapies
 Diagnostic tests
 Disorders or conditions
 Therapies
 Patient care
 Information Technology
Estimate the levels of need for
training in the following areas:
 Developing a client care plan
 Documenting and reporting techniques
 Patient education
 Infection control
 Disaster management
 Orientation
Level of need for training in:
 Developing a client care plan
Great need
13%
No need
16%
Some need
71%
Level of need for training in:
 Documenting and reporting techniques
No need
6%
Great need
42%
Some need
52%
Level of need for training in:
 Patient education
No need
6%
Great need
55%
Some need
39%
Level of need for training in:
 Infection control
Great need
6%
No need
35%
Some need
59%
Level of need for training in:
 Disaster management
G re a t ne e d
23%
S o m e ne e d
48%
N o ne e d
29%
Level of need for training in:
 Orientation
G re a t ne e d
29%
N o ne e d
13 %
S o m e ne e d
58%
Level of need for training in
administrative areas - # of hospitals
out of 31
Proposed skill areas:
No need
Some need Great need
Patient Education
2
12
17
Developing a client care plan
5
22
4
Orientation
4
18
9
Documenting and reporting
2
16
13
Disaster Management
9
15
7
Infection Control
11
18
2
techniques
Level of need for training in other
administrative areas
 Other skill areas identified: (44% responded)
 Regulations and Compliance
 HIPPA, Medicare (swing bed), documentation
 CAH
 Policies and charging
 Management/Supervisory/Teambuilding
 Documentation
 Critical Thinking
 Customer Service
Describe any specific training needs
that relate to diseases, disorders and
therapies in the areas of:
 Diagnostic Tests
 Disorders or Conditions
 Therapies
Level of need for training in
diagnostic tests:
 Skill areas designated (16% responded)
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Lab tests
Interpreting test values
New tests
Magnetic resonance angiography (MRA)
Level of need for training in
disorders or conditions:
 Skill areas designated (22% responded)
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
Diabetes care
Cardiac care
Bariatric care
Reviews of top diagnoses in institution, e.g.
AMI, CHF, COPD, pneumonia
Level of need for training in
therapies:
 Skill areas designated (9% responded)
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New drugs
IV Medications
BiPAP and C-PAP therapy
Chest tubes
Conscious sedation
List any other training needs
relative to diseases, disorders and
therapies?
 Patient Specific Focus
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Detox
Multiple trauma
Obstetric
Pediatric
Renal
Skin and wound care
List any other training needs
relative to diseases, disorders
and therapies?
 Patient Care methods
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ACLS
Cricothyrotomy
Critical care skills
Epidural pain management
Intraosseous infusions
Patient assessment
Restraints (physical and chemical)
Indicate the levels of need for
training in these aspects of
patient care?
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Patient hygiene
Vital signs and physical assessment
Patient posture
Medications
Nutrition and fluid balance
Respiratory care
Pain management
Level of need for training in:
 Patient hygiene
S o m e ne e d
23%
G re a t ne e d
0%
N o ne e d
77%
Level of need for training in:
 Vital signs and physical assessment
Great need
3%
No need
39%
Some need
58%
Level of need for training in:
 Patient posture (e.g. orthopedic techniques)
Great need
16%
Some need
52%
No need
32%
Level of need for training in:
 Medications (topical, oral or parenteral)
Great need
6%
Some need
65%
No need
29%
Level of need for training in:
 Nutrition and fluid balance
Great need
17%
No need
13%
Some need
70%
Level of need for training in:
 Respiratory care
Great need
10%
Some need
71%
No need
19%
Level of need for training in:
 Pain management
Great need
35%
No need
16%
Some need
49%
Level of need for training in
aspects of patient care - # of
hospitals out of 31
Proposed skill areas:
No need
Some need Great need
Patient hygiene
23
7
0
Vital signs and physical
assessment
12
18
1
Patient posture (e.g. orthopedic
techniques)
10
16
5
Medications (topical, oral, or
parenteral)
9
20
2
Nutritional fluid balance
4
21
5
Respiratory care
6
22
3
Pain management
5
15
11
Information Technology
 “How does your hospital connect with the
Internet?
sat ellit e
0%
cab le ser vice
23%
T - 1 line
50 %
D SL
2 7%
Information Technology
 “In your opinion, what is the degree of interest
at your hospital in using the Internet for training
nurses and other clinical providers?”
Gr eat int er est
23%
N o int er est
0%
M o d er at e
int er est
51%
Lit t le int er est
26%
Information Technology:
Availability of Equipment
 A surprising half of the nurses have access to
the following technologies at their hospitals in a
location suited to learning:
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PC with Internet connection (69%)
PC with CD-ROM (50%)
Personal e-mail address (50%)
Telephone (89%)
Survey brought to you by:
A grant from the Wisconsin
Office of Rural Health to
the Northern Wisconsin
Area Health Education
Center (NAHEC) for the
Critical Access Hospitals
of Wisconsin
January 2004