Post on 29-Dec-2015
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
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
JÖNKÖPING UNIVERSITY
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The partners
JÖNKÖPING UNIVERSITY
Holy Heart Hospital
Roeselare-Menen
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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
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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
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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
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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
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•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!
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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
p.vankeeken@neuro.umcn.nl