Jacqueline Cardenas

Childrens Hospital A brief history

Opened in 1983 operating within another hospital Opened as Arizonas only freestanding pediatric hospital in 2002 Joined childrens hospital consortium 2005 Collaboration with 40 childrens hospitals, LMS, online learning, peds content Expanded to new 11-story tower and 5 satellites in 2011 One of the 10 largest childrens hospitals in the country Merger in 2011 added 400 new employees Education required to meet regulatory standards physicians, nurses, allied health staff, and all hospital employees
Phoenix Childrens Hospital website. (n.d.). http://www.phoenixchildrens.org/about/history-of-pch

Department of Clinical Education A Brief Overview

Education Includes: New Employee Orientation (clinical, non-clinical) New graduate nurses (16-week pediatric residency)

Classes, Precepting, Mentoring

Continuing Education Specialty education for nurses, equipment, new processes/procedures Mandatory education 1200 nurses, 3700 total employees Required by regulatory bodies (Joint Commission, CMS, etc.)

Training Methods Include: Instructor led classes, on the job by super-users, online via LMS Online learning includes: Over 200 pediatric courses, class registration, access to online resource material

Trends in Technology & Policy

Educational Technology
Online learning including virtual learning scenarios Social media learn from teachers & from peers Mobile Technology handheld devices (phones, tablets, wearable tech)

High fidelity simulation

Policy, Economic/Budgetary, Demographic

Affordable Care Act (ACA) Increased nursing responsibility; budgets

Healthcare budget cuts state, federal, organizational due ACA insurer pmts
Population increase in Western states Nursing shortage due to higher numbers of retiring baby boomers in West

Demographic Trends to consider in future nursing education

Figures 1. and 2. from (Buerhaus, Auerbach, Staiger, and Muench, 2013)

Futuring via Scenarios & Scanning

Scenarios Mietzner and Reger, (2005) Create a story A plausible future Built for diversity to include multiple variables Create open minds and communication among participants/experts Scanning Amanatidou et al. (2012) Used to identify trends via media, literature, culture Exploratory examines many different types of sources/media Issue related examines journals, scientific reports, expert reviewed sources Data requires early communication of potential adverse information

Scenarios & Scanning Pros & Cons

Futuring Technique
Scenarios

Strengths

Limitations
Time consuming Ambiguous scenarios harder to fully recognize
Mietzner and Reger, (2005)

Consider more than 1 future Promote open thought & communication Change culture, assumptions, strategy Flexible - many ways to create/build scenarios Highlight weaknesses to encourage proactive planning, coordination among experts/ stakeholders
Mietzner and Reger, (2005)

Potential bias from popular culture Clardy, (2011)

Scanning

Identify weak or early warning signals Accounts for societal context Creativity in interpreting scanned data can provide more options
Amanatidou et al. (2012)

Potential for bias in scanning and interpretation Not taken as seriously by policy makers as model-based techniques Requires validating sources in addition to data collected
Amanatidou et al. (2012)

A 2017 Vision Clinical Education

Technologically Rich Environment Mobile Technology used for teaching/learning Social media embedded in LMS embraced by stakeholders Opportunities Reflective learning Collaborative sharing of resources/evidence/best practices Schmitt, Sims-Giddens, & Booth, (2012) Flexibility with space/time for education/learning Increased interactivity and active learning spark interest, innovation Cost savings due to time spent teaching/learning Challenges Technology budget IT Support of mobile technology Buy-in from stakeholders Monitoring of social media HIPAA Concerns

Preparing for Change

Implement social media in the existing LMS
Pilot mobile technology with tablets on loan from Microsoft Pilot social on two units with active unit based nursing councils

Create podcasts viewable on smartphones or tablets

Develop clear policies on social media and mobile technology pre-

implementation

Conclusion - Act Now

Capitalize existing resources & implement social media piece of LMS Use for shared governance councils for nursing quality designation Use for collaborative and reflective learning among peers and experts Use smartphones and loaned tablets to minimize time/maximize space Stay current with technology & competitive with other hosptials Other childrens hospitals already using social media Proactive measures to address nursing shortage and aging populations
Buerhaus, Auerbach, Staiger, & Muench,. (2013)

References
Amanatidou, E., Butter, M., Carabias, V., Knnl, T., Leis, M., Saritas, O., Van Rij, V. (2012). On concepts and methods in horizon scanning: Lessons from initiating policy dialogues on merging issues. Science and Public Policy, 39, 208-221. http://dx.doi.org/10.l093/scipol/scs017
Buerhaus, P. I., Auerbach, D. I., Staiger, D. O., & Muench, U. (2013). Projections of the Long-Term Growth of the Registered Nurse Workforce: A Regional Analysis. Nursing Economic$, 31(1), 13-17. Clardy, A. (2011, Summer). Six worlds of tomorrow: representing the future to popular culture. World Future Review, 37-48. Retrieved from http://www.wfs.org/wfr Mietzner, D., & Reger, G. (2005). Advantages and disadvantages of scenario approaches for strategic foresight. Int. J. Technology Intelligence and Planning, 1(2), 220-239. Retrieved from http://www.inderscience.com/jhome.php?jcode=ijtip Phoenix Childrens Hospital website. (n.d.). http://www.phoenixchildrens.org/about/mission-values Schmitt, T. L., Sims-Giddens, S. S., & Booth, R. G. (2012). Social media use in nursing education. Online Journal of Issues in Nursing, 17(3), 1. http://dx.doi.org/doi:10.3912/OJIN.Vol17No03Man02