An experience of adapting to the changing reality of study-day based education:

An opportunity for real change.Mr. James Little (Learning Technologist)

Background• Lots of study days!

Dementia Awareness BESPOKE DONC ACUTE IM Injections BESPOKE SHSC IM Injections BESPOKE SHSC IM Injections BESPOKE SHSC Intro to Diabetes for Health Care Assistants Bespoke Barnsley SYWFT Community Trust Long Term Conditions Workshop Long Term Conditions Workshop Insulin workshop 2 day Diabetes & Footcare Recognising & Responding to Deteriorating Patient Intramuscular Injections - HALF DAY 9.30 - 12 Dementia Awareness Current Trends in Diabetes MONICA CHANGED FROM 22 COULD BE 29 LTC Workshop bespoke Shef PCT Overview of Complications in Diabetes Recognising & Responding to Deteriorating Patient Current Trends in Diabetes NMC Fitness to Practice Dementia Awareness CHD Update Hypertension Overview of Complications in Diabetes Recognising & Responding to Deteriorating Patient Introduction to Diabetes Contraception Chronic Kidney Disease in Primary Care Diabetes and footcare Infection Control in Primary Care Surgical Assessment for Nurses – STH only Introduction to ECG interpretation Wound Care Infection Control in Primary Care Ear Care Surgical Assessment for HCA Principles of surgical assessment Fitness for Practice Vital Signs Bespoke Barnsley SYWFT Community Trust Dementia and Delirium Pathways Bespoke STH Introduction to Nursing in Primary Care General Practice Nursing Work-based Induction Programme Dementia and Delirium Pathways Bespoke STH Introduction to Diabetes Heart failure in primary care Introduction to Vaccination and Immunisation Dementia and Delirium Pathways Bespoke STH Introduction to Health Promotion Dementia and Delirium Pathways Bespoke STH Diabetes & Footcare STH Dementia Awareness and Physiotherapist Interventions with People who have Dementia Travel Health Dementia STH? Beech Hill Rehabilitation Bespoke STH? Dementia and Delirium Pathways Bespoke STH Coronary Heart Disease update Introduction to contraception in primary care Introduction to Vaccination and Immunisation Dementia and Delirium Pathways Bespoke STH Vaccination & Immunisation Update STH Dementia Awareness and Physiotherapist Interventions with People who have Dementia Introduction to Vaccination and Immunisation Vaccination & Immunisation Update Chronic Kidney Disease in Primary Care Vaccination & Immunisation Training for Maturnity and Neonatal Nurses Dementia and Delirium Pathways Bespoke STH Dementia Awareness Study Day Bespoke Doncaster & Bassetlaw Vaccination & Immunisation Training for Maturnity and Neonatal Nurses Vaccination & Immunisation Training for Maturnity and Neonatal Nurses Vital Signs Bespoke Barnsley SYWFT Community Trust Introduction to ECG interpretation Dementia and Delirium Pathways Bespoke STH Introduction to Nursing in Primary Care Fitness for Practice Ear Care STH Dementia Awareness and Physiotherapist Interventions with People who have Dementia Vaccination & Immunisation Training for Maturnity and Neonatal Nurses Hypertension Vaccination & Immunisation Training for Maturnity and Neonatal Nurses Wound Care Heart failure in primary care Dementia and Delirium Pathways Bespoke STH Long Term Conditions Workshop Palliative Care in the Community Vac & Imms 2 x half day Dementia Awareness Study Day Bespoke Doncaster & Bassetlaw Dementia Awareness Study Day Bespoke Doncaster & Bassetlaw Introduction to Health Promotion Infection Control in Primary Care STH Dementia Awareness and Physiotherapist Interventions with People who have Dementia Travel Health Gastrointestinal Endoscopy and related Procedures for Health Care Assistants and Clinical Support Workers Vacs & Imms 2 x half day Introduction to contraception in primary care Dementia and Delirium Pathways Bespoke STH Dementia and Delirium Pathways Bespoke STH Chronic Kidney Disease in Primary Care Introduction to Vaccination and Immunisation Coronary Heart Disease update STH Dementia Awareness and Physiotherapist Interventions with People who have Dementia Dementia and Delirium Pathways Bespoke STH Dementia and Delirium Pathways Bespoke STH Introduction to diabetes Palliative Care in the Community Insulin initiation and footcare Dementia and Delirium Pathways Bespoke STH CKD Update Overview of diabetes complications Hypertension An Introduction to Contraception in

• 118 Scheduled to run April 2012 - March 2013

Background• Study Days were:

• Half, one or two full days

• Face to face

• Variable locations

• Repeated many times a year

• Theoretical knowledge and practical skills

Pressure for change

‘External’ pressures• Demonstrate value for

money (“ROI”)

• Enable more effective use of time

• Enable more study days to be run

Pedagogical• Demonstrate outcomes

in practice/work

• Enable student-led learning

• Self-identification of learning needs

vs.

Rationale• External pressures used as an opportunity

to reconsider current educational methods/pedagogy

• Any changes should be appropriate, pedagogically sound and enhance (or at least not disadvantage) the student’s learning.

Study Day Evaluation• In-house framework using Kolb's learning

cycle (Kolb, 1984)• Took a constructivist learner centered-

approach (JISC, 2004).1. What different types of activities currently take place? (Didactic teaching,

competence-based, peer educational, practical/clinical skills/theoretical understanding)

2. What experience do attendees have of modes of delivery? (e-learning/self-directed/group/face-to-face)

3. Are particular aspects dependent upon specific equipment or physical techniques?

JISC (2004) JISC e-learning models desk study [PDF] Available at: http://www.jisc.ac.uk/uploaded_documents/Stage%202%20Learning%20Models%20(Version%201).pdf [Accessed 28 February 2012]Kolb, D.A. (1984). Experiential Learning: experience as the source of learning and development. Englewood Cliffs. New Jersey. Prentice Hall.

Study Day Evaluation

Theoretical Understanding

Practical Skills

• Classroom based tutor-led• More effective use of the

time as already prepared

• Self-directed online learning• Work through learning at their

own pace• Test their own working

knowledge prior to attendance• Self-identify further learning

needs.

Study Day Evaluation

Theoretical Understanding

Potential materials and activities:

• Readings / Policy docs• MCQs (self-test)• Links to further reading• Specific break-up of topic

areas

New Structure• 1 week before attendance:

• Pre-Study Day Questions

• Pre-SD Learning/Resources

• Attend study day

• 6 weeks after attendance:• Post-study day questions

• Post-SD Learning/Resources

• Attendance Certificate Issued

Technical

• Created in MOODLE• Flexibility• Students self-enroll to

access, bypassing central registration issues

• Staff empowered ownership of sections

Homepage

Pre-Reading

MCQs

Student Feedback – IM InjectionsJanuary - May, 251 studentsNegative comments summary

×More practice time on mannequins, and more arms/mannequins to practice injection technique.

×Staff considered it would be beneficial if they were able to share the learning materials and online resources with their other students.

Student Feedback – IM InjectionsJanuary - May, 251 students

Positive comments summary

Further reading could be easily accessed online Evidence-based content, linking theory to

practice. Online component was excellent preparation for

classroom session.

Summary• The pedagogical focus shifted from

didactic ‘delivery of information’ to active and self-directed learning

• Students started study day more prepared and informed

Summary• Possible to respond to a ‘changing

environment’ and deliver an improvement to the student experience and outcomes

• Possible to “do more with less”. • After an initial investment of time to create the online component

tutor facilitated teaching can be reduced:

BUT: This is not at the expense of the overall amount of learning being reduced.

• Pedagogical considerations must be central

Future• Continuing to roll out to all study days• Analysis of pre/post question responses• Evaluating student and academic

feedback• Deeper, structured analysis of outcomes

Thank You!

Questions?