Post on 22-Mar-2018
Educational Solutions for Workforce Development
Multidisciplinary
Remote Participation
Rethinking efficient, engaging and accessible education;
The utility of video conferencing (VC) increasing reach and inclusion
Fiona Fraser Project Lead - RRHEAL
Educational Solutions for Workforce Development
Multidisciplinary
Context
• Scotland - 20% population live across 94% of remote and rural landscape
• Challenging – service delivery + staff support
• Drive for service re-design, new roles & ways of working
• Cultural shift with change
• Innovation required –improve quality • and reduce cost
Policy directiveDelivering for Remote and Rural
Healthcare (2008) “access, rural specific content and
support for remote and rural learners .....key issues to be addressed”
RRHEAL “Working with partners to design and
deliver NES remote and rural inclusive learning events and programmes that make effective use of digital technology to improve access for the rural nursing and healthcare workforce.”
Educational Solutions for Workforce Development
Multidisciplinary
WHO Publications
• Global health workforce crisis
• Skill mix imbalance
• Uneven distribution (health professionals)
2011
Educational Solutions for Workforce Development
Multidisciplinary
Factors related to decisions to relocate to, stay in or leave rural and remote areas
WHO 2010
Educational Solutions for Workforce Development
Multidisciplinary
BackgroundAn island Board sought help; Isolated, generalist mixed discipline
health teams Dispersed island chain
Need Increased access to “live” content Reduce cost and service impact of staff
engagement Increase networking and peer to peer
critical debate CPD opportunities Connectedness – impact on
recruitment and retention
Educational Solutions for Workforce Development
Multidisciplinary
Scotland*
*
Europe
Educational Solutions for Workforce Development
Multidisciplinary
InterventionInitiate a RRHEAL Video Conferencing (VC) educational network specific to remote & rural/islands teams: Pilot as proof of concept
Standardised format enhancing remote participation and inclusion
(Apply existing RRHEAL VC guidance)
Monthly meetings/ audience self selecting
Existing S L A for VC in NSH Scotland
Focus on networked discussion & application to local best practice
Educational Solutions for Workforce Development
Multidisciplinary
RRHEAL VC Education Network – topicso Falls update
o Technology enabled care
o Early recognition of the sick child: A skills maintenance tool & paediatric early warning system
o The Children and Young Peoples Act 2014: key issues and implications
o The Technology Enabled Learning Analysis
o ScotSTAR Update_ Introduction to the service
o Stabilisation and management of the Critically Ill child prior to Transfer
o Apps for AHPs
o Seasonal / Winter illness focusing on Bronchiolitis and Croup
o Debriefing: The Essentials
Educational Solutions for Workforce Development
Multidisciplinary
Evaluation High audience appeal
VC -greater potential for educational delivery inter-disciplinary support & networking
knowledge exchange and cultural shift
Demand for **MORE**/ higher specificityChallenges broadband and connectivity
Presenter preparation Pitch/ level of content delivery
VC Education networks with enhanced knowledge support showing favourable feedback+++
Presenters with VC skill & remote and rural awareness
Further VC educational networks; RRHEAL Rural paediatric specific content Rural GP “Test for change” Rural General Hospital
+ + + “Off shoot” developments..
Educational Solutions for Workforce Development
MultidisciplinaryNHS Highland Diabetes Foot Education Network
“The idea was to involve as many healthcare professionals as possible and deliver education relating to the diabetic foot. To show them what the guidelines are, where the guidelines are,
and how to use them, using a case study approach; using patients known to us”
“We can reach people in the ‘far reaches’ of NHS Highland who would struggle to engage otherwise.”
Educational Solutions for Workforce Development
Multidisciplinary
Take home messages:Prepare – consider workplace access to VC hardware and computers
Include “work- arounds” for areas of reduced connectivity
VC skill development and support Good organisation, technical support and VC facilitation is vital , with role modelled VC etiquette
Speaker preparation crucial R&R audiences familiar with remote participation
= supports presenters who may be less soContent - Application to remote and rural setting
Target the audience, session by session Host site/ Repository Ability to record presented materials Consider alternate modes for delivery
**High transferability to non remote, hard to reach audiences**
Educational Solutions for Workforce Development
Multidisciplinary
Thank you
www.rrheal.scot.nhs.uk
Educational Solutions for Workforce Development
Multidisciplinary
With colleagues in different locations, Boards and Partnerships (n=61)
15%
57%
21%
7%
Opportunity to Network with colleagues in different locations, Boards and Part-
nerships (n=61)
Very significant SignificantNot very significant Not at all
Series1
18%
28%
25% 25%
3%
Opportunity to Network with colleagues from differing professional backgrounds and
work remit (n=60)
Very significant Quite significant SignificantNot very significant Not at all
Educational Solutions for Workforce Development
Multidisciplinary
Nurse AHP Doctor Manager/admin Educator Other0%
5%
10%
15%
20%
25%
30%
35%
33%
15%
32%
11%
6%3%
Figure 2: profession of particpants (n=122)
The professions of the 122 participants whose profession was known, is shown in Figure 2