2017 Award Winners
BAYADA Award for Innovation in Health Care Education:
From left: Mark Baiada, Founder and President, BAYADA Home Health Care, Dr. Britney Scolieri
PsychOut - an app to teach nursing students how to do a mental status assessment
Dr. Britney Scolieri
University of Pittsburgh
PsychOut, an innovative educational app that presents realistic, interactive clinical encounters that provide students an opportunity to apply what they have learned in a safe, controlled learning environment, strengthening students’ ability to conduct an effective psychiatric assessment. Using a variety of case-based, multimedia simulation scenarios that unfold realistically, students apply their knowledge and are able to immediately see the outcome of their approaches. Health professionals may encounter individuals with mental health issues in all practice settings underscoring the importance of providing opportunities to develop these essential skills.
BAYADA Award for Innovation in Health Care Practice:
From left: Mark Baiada, Founder and President, BAYADA Home Health Care,
Electronic Board for early identification and rapid response to patient status change
Dana McNeil, BSN, RN, HN-BC
Cancer Treatment Centers of America-Eastern Regional Medical Center
The implementation of an electronic board in an in-patient oncology unit displaying real-time patient acuity data has had a significant impact on the ability to rapidly identify and respond to patient deterioration, reduce risk for falls and injury as well as improve interdepartmental communication. The parameters displayed on the board include vital signs, Hendrich score and the Braden Scale. This board produces a color-coded visual alarm for abnormal parameters, highlighted in red, to quickly communicate urgency for assessment and intervention. Since the launch of this innovation in July 2016, abnormal vital signs identified from the electronic board display, led to timelier clinician interventions for 24% of patients and decreased falls by an impressive 60%.
BAYADA Award for Innovation in Health Care Practice
From left: Mark Baiada, Founder and President, BAYADA Home Health Care, Joshua D. Lenchus, DO, FACP, SFHM, Ann Baiada, BAYADA Home Health Care Director.
Leading the Way to Next Generation of Invasive Bedside Procedural Instruction
Joshua D. Lenchus, DO, FACP, SFHM
Associate Professor of Clinical Medicine and Anesthesiology
University of Miami Miller School of Medicine
This innovative simulation-based curriculum in invasive bedside procedural instruction significantly improved the knowledge and technical skills of novice healthcare providers and heralded the end of the "see one, do one, teach one" era. Since July of 2007, more than 1500 medical residents and fellows, physician assistants, nurse practitioners, nurse anesthetists, and attending physicians have been trained using this method for common procedures such as: central venous catheterization, lumbar puncture, paracentesis, and thoracentesis. Each participant undergoes a focused and structured experience to gain procedure-related knowledge and technical skill. The efficacy of this approach is demonstrated by improved patient outcomes including a decreased incidence rate of thoracentesis-induced pneumothorax and a reduced rate of central line-associated bloodstream infections.
BAYADA Award for Innovation in Health Care Education:
From left: Faye Grund, Ph.D, APRN-BC, Lisa M. Young, DNP, APRN, Mark Baiada, Founder and President, BAYADA Home Health Care, Ann Baiada, BAYADA Home Health Care Director, Marie Panas, MSN, RN , Joan Such Lockhart, PhD, RN, CORLN, AOCN, CNE, ANEF, FAAN, Yvonne Weideman, DNP, MBA, RN.
Virtual Clinical Experience to Build Cultural Competence
- Yvonne Weideman, DNP, MBA, RN, CNE, CWOCN, CFCN Assistant Professor & Coordinator of Second Degree Program Duquesne University School of Nursing
- Joan Such Lockhart, PhD, RN, CORLN, AOCN, CNE, ANEF, FAAN Clinical Professor & MSN Nursing Education Program Coordinator Duquesne University School of Nursing
- Marie Panas, MSN, RN Visiting Professor Duquesne University School of Nursing
- Lisa M. Young, DNP, APRN Director of Simulation Chair of Admission, Progression and Retention Schar College of Nursing and Health Sciences Ashland University
- Faye Grund, PhD, APRN Dean of the College of Nursing and Health Sciences, Professor Ashland University
- Mark Fridline, PhD, MS Instructor and BS/MD Enrollment Coordinator The University of Akron
The Virtual Simulation Experience (VSE) is a web-based virtual clinical experience designed to strengthen the cultural competence of nursing students regarding prenatal care. This shared collaboration between faculty and students from two universities—one rural and the other urban—included community members as virtual pregnant patients from a rural Amish community and an urban underserved African American neighborhood. This innovative educational approach provides pre-licensure nursing students with the opportunity to learn about, interact with, and plan prenatal care for women from diverse cultures. Shared simulated virtual experiences allow students to interact with patients offering a creative and cost-effective learning opportunity that can significantly improve students’ cultural competence and confidence. In light of the limited availability of clinical sites in maternal health and the growing competition for these sites, innovative educational approaches, such as this, are essential in nursing education.
BAYADA Award for Technological Innovation in Health Care Practice:
From left: Drexel Nursing and Health Professions’ Dean Gloria Donnelly, BAYADA Home Health Care Director, Ann Baiada, and Mark Baiada, Founder and President, (right), congratulate Darla Marks and Michael Ward of Penn State Hershey Medical Center on their selection as winners of the BAYADA Award for Technological Innovation in Health Care Practice.
The 2015 Winners of the BAYADA Award for Technological Innovation in Health Care Practice affiliated with the Penn State Hershey Medical Center are Darla Marks, MSN, director of Clinical Informatics and a Drexel College of Nursing and Health Professions alumna ’13 and Michael Ward, lead programmer analyst. Darla and Michael developed The Quality Intelligence (QI) Dashboard, a clinical practice innovation that provides interactive and real time views of patient care quality indicators such as catheter associated urinary tract infections (CAUTI), falls, restraint use, ventilator associated pneumonia (VAP), and central line associated blood stream infections (CLABSI). This innovation is a clear example of achieving the mandated meaningful use of patient data. This nurse led initiative has had dramatic impact upon patient outcomes; resulting in in better organizational performance from pre to post implementation, including decreased falls from 3.61 to 3.03/1000 days; decreased hospital acquired pressure ulcers from 1.73 to 0.82/1000 patient days; decreased VAP from 0.95 to 0.37/1000 patient days; and decreased CAUTI infections from 3.5 to 1.8 infections/1000 catheter days. This is a remarkable accomplishment that BAYADA is pleased to recognize and reward.
BAYADA Award for Technological Innovation in Health Care Education:
From left: Drexel Nursing and Health Professions’ Dean Gloria Donnelly, BAYADA Home Health Care Director, Ann Baiada, and Mark Baiada, Founder and President, (right), congratulate Duke University School of Nursing Center for Nursing Discovery’s Jacqueline Vaughn and Dr. Ryan Shaw on their selection as winners of the BAYADA Award for Technological Innovation in Health Care Education. Margory Molloy, MSN, Center Director, also a recipient, is not pictured.
The 2015 winners of the BAYADA Award for Technological Innovation in Health Care Education hail from Duke University School of Nursing Center for Nursing Discovery include: Ms. Margory Molloy, MSN, director; Ryan Shaw, PhD, RN, assistant professor; and Jacqueline Vaughn, instructor and student in the Drexel MSN Nursing Education and Faculty Role Program. The team designed a simulation activity that incorporated augmented reality via novel technologies during clinical simulation scenarios for training nursing students. Stepping into new territory made possible by technology, specifically google glasses and a student designed EMR app, the awardees seized the opportunity presented by this technology to improve how we teach. In taking simulation to the next level by introducing augmented reality to the learning experience, the awardees are paving the way for educators to better prepare future generations for practice in a technology infused healthcare arena. This novel teaching methodology impacts education and improves student outcomes and provides an exemplar that the BAYADA Award seeks to recognize and reward
BAYADA's Margit Moran, RN, BA (center) presents 2014 awardees Annette Carley, RN, MS, NNP, PNP (left) and Jody Chrastek, DNP, CHPN, RN (right) their $10,000 checks.
BAYADA Award Recipient for Innovation in Nursing Practice:
Joan ‘Jody’ Chrastek, DNP, CHPN, RN is Pediatric Advance Coplex Care Team Coordinator at Fairview Home Care and Hospice at the University of Minnesota Amplatz Children’s Hospital.
There are more than 50,000 children with terminal or life-limiting conditions living in the community throughout the United States and often they are in under-resourced or rural settings. This innovative use of technology provides rapid effective intervention by skilled pediatric palliative care nurses in support of healthcare professionals and family members caring for these children at home. The use of video conferencing ‘home visits’ allows the skilled pediatric palliative nurse to be ‘at the bedside’ to provide rapid assessment, guidance and instruction to caregivers with limited knowledge and skills in end-of-life pain and symptom management, providing support and reassurance. In addition to the ability to visually assess the patient, this technology also permits bi-directional access to non-verbal communication cues essential in addressing sensitive issues. These virtual ‘visits’ has reduced hospitalization and provide comfort and reassurance to the children and their caregivers. We have been told that this award will support further expansion of this program globally.
BAYADA Award Recipient for Innovation in Nursing Education:
Annette Carley, RN, MS, NNP, PNP Clinical Professor at University of California, San Francisco School of Nursing
The Virtual NICU/PICU supports student application of curricular content to patient care via a realistic simulated experience. The on-call experience, supported by this dedicated online environment, is a versatile strategy that supports advanced practice nurse skill building. Through simulated patient cases, students develop expertise in efficient and timely decision making, care management, take ownership of care decisions and develop skill in professional interactions. This innovation has been utilized with acute care neonatal (NNP) and pediatric advanced practice students (ACPNP) and it has been noted that students developed improved self-efficacy in the ability to manage evolving care situations and are better prepared for clinical residency experiences.
Technological Innovation in Nursing Education:
Pictured from left to right: Faye Malloy, Michelle Dang, Marta Fernandez
Marta Fernandez, RN, MSN, MPM, Innovation and Research Nursing Coordinator at the Hospital Sant Joan de Deu in Barcelona, Spain
Marta Fernandez, RN, MSN, MPM, Innovation and Research Nursing Coordinator at the Hospital Sant Joan de Deu in Barcelona, Spain, competed in the Innovation in Nursing Education category with The 5-Minute Program, which integrates interactive continuing education into clinical activity within the work place to promote active and collaborative learning. Thus far, the project has distributed 88 five-minute, high quality video education sessions including topics related to patient safety, electronic health records, and patient education. This innovative approach utilizes bite-sized, focused education sessions supporting the nurse's ability to synthesize content and apply it directly to practice.
Michelle Dang, PhD, RN, APHN-BC, an assistant professor at California State University
Michelle Dang, PhD, RN, APHN-BC, an assistant professor at California State University, Sacramento, competed in the Innovation in Nursing Practice category with HealthShack, a personal health record technology for homeless youth. Because it is web-based, HealthShack can be accessed anywhere and is a safe place to store personal health records, birth certificates, immunization records, and other important documents. In the last three years, hundreds of homeless youths have created HealthShack accounts, stored documents and received interventions from RN and BSN students completing community health course requirements.
Valerie Sabol, PhD, ACNP-BC, GNP-BC, CCNS, CCRN and Robert Blessing, DNP, ACNP
both of the Duke University School of Nursing Acute Care Nurse Practitioner Program
Valerie Sabol and Robert Blessing are lauded for the innovative approach they have developed to build competencies among Acute Care Nurse Practitioner students, an approach that mirrored real life and promoted intra-disciplinary teamwork through patient simulation. Students practiced caring for a simulated patient with acute, progressive clinical deterioration that exhibited subtle, moderate and obvious physiological cues. The exercise gave the Duke students realistic experience working with a team in a crisis situation and gave faculty an opportunity to evaluate students' efforts in the areas of concurrent consideration of alternative diagnoses, evaluation of patient treatment response and team communication.
Karen Adamson, MSN, WHNP-C 2009
Graduate of Drexel University's MSN for Women's Health Nurse Practitioners and Women's Health Nurse Practitioner in the Pueblo City & County Health Department of Pueblo, Colorado
Karen Adamson developed a public health program that uses social media to educate sexually active teens. The initiative uses teen-friendly tools like text messaging to provide answers to their anonymously-posted questions about contraception and STDs from a nurse practitioner within 24 hours. Her approach has benefited both the teens of her community as well as health care providers that are using her tool to assess the community's needs and design health education programs and materials for the vulnerable population. Adamson's model is cost-effective, can be easily replicated in other communities and has the potential to impact the health of teens at a national level.
Education Award: iNursing RN
Pictured from left to right: Dean Donnelly, Judy LeFlore, Ann Baiada
Judy LeFlore PhD, RN, NNP-BC, CPNP-PC&AC, ANEF
Associate Professor & Director of Pediatric, Acute Care Pediatric & Neonatal Nurse Practitioner Program
University of Texas at Arlington, College of Nursing
The recipient of the Bayada Award for Technological Innovation in Nursing Education developed a learning activity leveraging the interactive capabilities of the 3-D virtual world to create an environment that allows students to apply knowledge and demonstrate mastery of nursing concepts in a realistic setting. Outcomes of this controlled randomized study showed significant difference between students participating traditional lecture and those who used iNursing RN. Students, who utilized iNursing RN, demonstrated a higher level of mastery. Results of this research demonstrates that knowledge acquisition and application transfers from a virtual environment to direct patient care and that this method has significant potential for transforming nursing education
Practice Award: First 4 Minutes Drill
Pictured from left to right: Dean Donnelly, Sally Rudy, Ann Baiada
Sally Rudy, MSN, RN
Simulation Nurse Educator
Penn State Hershey Simulation Center
Penn State University College of Medicine
Milton S Hershey Medical Center
The winner of the Bayada Award for Technological Innovation in Practice developed the 'First 4 Minutes Drill' (FFM) as an innovative approach to improve interdisciplinary teamwork, communication and timely code responses to meet the Joint Commission's National Patient Safety Goals. Since the program's implementation, staff have performed at a higher level in true codes. The opportunity for interdisciplinary teamwork practice has paved the way to an improved culture of patient safety. The simple yet highly effective technology of this simulation has proven to contribute to better patient care and consequently improved outcomes.
Pictured: Dean Gloria Donnelly, Diane Humbrecht, MSN, RNC, Barbara A. Colin, MSN, RN
Chief Nursing Officer/Division Director
Practitioner Award: Leveraging Technology to Create an Innovative Process for Vaccine Administrations.
Diane Humbrecht, MSN, RNC
Nurse Director, Informatics
Abington Memorial Hospital
This award recipient spearheaded an innovative, interdisciplinary approach to vaccine assessment and administration. Utilizing technology, the awardee developed a sophisticated decision tree for a target group of high risk elders. This innovative approach to vaccine administration utilized technology tostreamline the clinical workflow and has significantly contributed to nursing practice by providing decision support tools at the point of care. The improved workflow process, allowing the nurse to assess, determine indication and administer immunizations while utilizing a 'smart,' automated decision support tool, has raised patient outcomes to the top 10 percentile in the nation - the last two months recorded at 99% and 100% compliance with vaccine assessment and administration.
Pictured: Dean Gloria Donnelly, Pam Flentge, MSN, RN, Barbara A. Colin, MSN, RN
Chief Nursing Officer/Division Director Bayada Nurses
Education Award: All School Day.
Pam Flentge, MSN, RN
Betsy Swinny, MSN, RN
School of Health Professions
Baptist Health System
San Antonio, TX
Interdisciplinary simulation experience had the goal to introduce nursing and allied health students the importance of interdisciplinary communication to improve quality care and patient safety. A simulated clinical scenario was created to simulate patient movement through various departments in the hospital. All participating students were guided to use specific tools to improve communication such as medication reconciliation, hand-off communication, core measures, universal time out and other national patient safety initiatives. Interacting in a safe environment with students from other disciplines allows the students to begin to formulate communication patterns that will be the building blocks to meaningful interdisciplinary communications focusing on safe patient care and quality outcomes. Educational outcomes included improved student understanding of interdisciplinary collaboration and cooperation essential for improved patient safety.
Education Innovation Award Recipients
Ruth McCaffrey, DNP, ARNP-BC
Pictured: Ruth McCaffrey, DNP, ARNP-BC, Ann Baiada, RN, CRRN, Director Bayada Nurses Home Care Specialist, Jaclyn A. Kirchhoff, MSN, RN, Clinical Support Specialist Bayada Nurses, Dean Donnelly
Utilization of the Veno-thrombotic-event-Risk Tool (VRAT)
Ruth McCaffrey, DNP, ARNP-BC has developed an innovative, computerized risk assessment tool to determine the risk of deep vein thrombosis or pulmonary emboli in patients upon admission and during hospitalization. Ongoing patient assessment data is entered by the nurse; the VRAT identifies and quantifies significant risk factors, assigns weights based upon evidence from the literature and compiles a final risk level score which guides nursing care and medical intervention. Another benefit of the VRAT is that it provides nurses with the opportunity to use their expertise in a way that promotes positive physician/nurse communication and collaboration in patient assessment and VTE prevention. This tool is being widely used in the US, UK and Europe. Preliminary data indicates that the use of the tool significantly reduces hospital acquired veno-thrombotic events (VTEs) and subsequent readmission for VTEs. These results indicate that this novel tool will have far reaching impact upon patient care by significantly improving outcomes.
Carol Durham, RN, MSN
Pictured: Carol Durham, RN, MSN, Ann Baiada, RN, CRRN, Director Bayada Nurses Home Care Specialist, Jaclyn A. Kirchhoff, MSN, RN, Clinical Support Specialist Bayada Nurses, Dean Donnelly
Improving the Care of the Acutely Ill Elder
Carol Durham, EdD(c), MSN, RN, has developed geriatric simulation scenarios and faculty development around simulation as a component of HRSA funded grant #D62HP01913, Improving the Care of the Acutely Ill Elder (Palmer, PI) and Enhancing the Skills of Nursing Practice in NC Long-Term Care Facilities (Welsh, PI) through FutureCare of North Carolina, funded by Duke Endowment. These innovative approaches to disseminate simulation technology to long-term care facilities, a healthcare setting that traditionally does not have these skill-building opportunities. Long-term care facilities need this type of educational program because of the high care needs of the patient population and the lack of resources for the continuing education that can update staff on evidence-based practice in the care of frail older adults. Ms. Durham created a well-designed, comprehensive educational program utilizing a portable high-fidelity simulator for staff education in Area Health Education Centers and in long-term care facilities across North Carolina. The project provided the entire bedside nursing care team (RN, LPN and NA) with the opportunity to update and build skills in caring for the frail elderly using high fidelity simulation scenarios incorporating an evidence based curriculum.
Education Innovation Award Recipients
Terri Whitt, EdD, RN, CCRN
Created a Web-based Resource
Terri Whitt, EdD, RN, has created a web-based resource for nurses, nursing educators, and students which encourages sharing of knowledge and educational materials and supports the development of a learning community that fosters life-long learning. This project serves as a role model to the profession not only in providing open access to high quality resources that support development of nursing skills but also in the spirit of professional collegiality that it promotes. ALFA - Assisted Learning For ALL (ALFA) is a nursing procedure website offering a wide range of media teaching-learning resources available online or via podcast. This website is available at no cost. Designed to supplement classroom and skills lab instruction, the site provides faculty concise and realistic segments to use in instruction. Students can work together to quickly review sections of a procedure via .wmv on any computer or in the clinical setting as a podcast. The ability to access content in a mobile environment provides faculty an opportunity to maximize the 'teachable moment.' The site also serves as a valuable resource to nurses at the bedside, providing opportunities to review skills and maintain clinical competencies. (http://www.saddleback.edu/alfa)
Marilyn Hravnak, PhD, RN, ACNP-BC, FCCM, FAAN
Developed a Decision-making Algorithm
Utilizing data derived from a patient monitoring system (Visensia), Marilyn Hravnak, PhD, RN, ACNP-BC, FAAN, FCCM, has developed a decision-making algorithm that guides nursing practice, permitting nurses to detect and respond more rapidly to changes in patient status. This has resulted in improved patient safety and outcomes in the step-down unit at University of Pittsburgh Medical Center, Pittsburgh, PA. This algorithm helps nurses identify acute and slowly progressive cardiorespiratory instability among patients allowing for more timely intervention to treat the patient's instability, refer to a physician or nurse practitioner, or activate the early response system. Outcome data indicate that early intervention and treatment has resulted in fewer patients progressing from minimal to serious instability, the duration of this instability has decreased, patient transfers to the ICU or other higher levels of care were decreased and therefore costs associated with care were reduced.
Education Innovation Award Recipients
Jean Giddens, PhD, RN, MS, CS
The Neighborhood, a Multi-contextual Learning Tool
Jean Giddens, Associate Professor at the University of New Mexico College of Nursing, received this award for her work in developing a multi-contextual, student-centered learning tool called The Neighborhood.
The Neighborhood is a fictitious web-based community featuring 36 characters of various ages, socioeconomic backgrounds, and levels of health. Character stories unfold each week throughout the three-semester program, depicting healthcare issues across multiple environments, including homes, schools, churches, outpatient offices and hospitals. Through the stories, students learn not only about specific health problems but also about the dynamics, variables and factors that come into play when working in a community.
Judy LeFlore, PhD, RNC, NNP, PNP-PC, PNP-AC
Multi-disciplinary Approach Using Simulation
Judy LeFlore, Associate Clinical Professor at The University of Texas at Arlington School of Nursing, received this award for her use of high-fidelity simulation as a mechanism to provide nurse practitioner students with interactive, real-life experience. This training takes place in multidisciplinary teams, modeling the type of collaboration that is required in the dynamic healthcare environment that the nurses will be entering.
The use of computerized mannequins to teach content areas and skills exposes students to a large number of patient scenarios before they begin actual patient care, allowing them to developed advanced clinical skills, effective communication, and critical thinking skills in a safe environment controlled by the faculty. The simulation experiences include a detailed post-debriefing session where audiovisual records of the scenario are replayed so that students can self-evaluate their practice.
The benefits of LeFlore's innovative use of simulation are two-fold: it addresses concerns over patient safety when student care providers are 'learning on the job,' and it provides an opportunity for students to work together in multidisciplinary teams, closely mirroring real-life medical emergency situations.
Education Innovation Award Recipient
Midwife Pocket PC Software
Patricia Payne, a clinical assistant professor at East Carolina University, Nurse Midwifery Education Program, Greenville, North Carolina, received this award for her development of Midwife Pocket PC software.
MIDWIFE is an efficient data collection tool for nurse-midwives, students, faculty and practitioners. Ms. Payne and three colleagues developed the software that runs on a Pocket PC (Windows Mobile). Based on the American College of Nurse Midwives data sets, Ms. Payne customized and designed the software to enable students to provide clinical information on patient care. The application consists of a series of custom forms, the variables for each form were designed so that almost all entry choices are contained in drop down selection boxes and all numerical entries can be made with a stylus.
The benefits of MIDWIFE are two-fold. It allows nurse-midwives to collect more accurate and complete data sets and it allows faculty to retrieve the clinical data for student evaluation. Midwife Pocket PC software provides students and faculty with a tool to support and enhance clinical learning experiences and improve patient outcomes through accurate data collection.
Practice Innovation Award Recipient
Gwynne MacDonald, RN, MN, CCNC(C)
Teddie Tanguay, RN, MN, CCNC(C)
Gwynne MacDonald and Teddie Tanguay, critical care nurses at Royal Alexandra Hospital, Edmonton, Alberta, Canada, have received this award for their work in developing a device that positions critically ill patients to prevent complications and promote patient comfort.
They led a team of staff members from the Royal Alexandra Hospital and created a proning apparatus that assists in the turning of critically ill patients from a supine position to a prone position.
This device assists with the prevention of skin breakdown. Ms. MacDonald and Ms. Tanguay have also developed the policy and procedures that accompany the proning device and developed an educational video on proning ICU patients.
The proning device has improved their ability to deliver excellent patient care, while at the same time reducing the risk of injury for both the patient and staff. This innovative device has improved the quality of care of the critically ill patient requiring proning.
Education Innovation Award Recipient
Elizabethe Westgard, RN, MSN
Intelligent Pens for Nursing Faculty and Students
Elizabethe Westgard, a nursing educator at the Eastern Center for Arts and Technology in Willow Grove, Pennsylvania, has introduced the use of intelligent pens as a technological tool to assist nursing faculty and their students.
Using the capability of intelligent pens to scan and store information, Ms. Westgarde has changed the traditional method of patient data collection from a time-consuming, hand-written process frought with the possibility of error to a time-condensed, highly accurate process, giving students much needed time to spend on creation of nursing care plans derived from the collected information.
Ms.Westgarde has found the dictionary and translation functions to be essential for those learning a new medical vocabulary. The audible pronunciation function provides faculty and students immediate assistance in their ability to communicate with non-English speaking patients. Students may also utilize the translation function to make use of research written in languages other than English.
This innovative use of intelligent pen technology provides faculty and students alike with a mechanism to support and enrich situated learning, and to support cultural competency by enhancing communication with patients who speak languages other than their own. This use of technology has provided faculty with the ability to make the most of the teachable moment by bringing resources to the bedside which enrich the learning environment and support the students' development.
Practice Innovation Award Recipient
Joan A. McInerney, RN, MSN, BC, CWOCN
Pressure Ulcer Reduction Project
Joan McInerney, a Wound, Ostomy and Continence (WOC) nurse at NCH Healthcare Systems in Naples,Florida, received this award for innovative use of an already established technology. She used the existing hospital-wide electronic medical record system to integrate a new application to assist in the reduction of an identified clinical issue - pressure ulcers.
Ms McInerney and her team developed a series of computer screens used by nurses in their electronic charting. As a part of their daily patient assessment, nurses answer a series of questions about skin condition designed to generate automatic alerts to the Wound, Ostomy and Continence nurses. Utilizing a number of "red flags", such as a Braden Scale for Risk of Pressure Ulcers score less than13, an order for a ventilator, and a BMI greater than 50, WOC nurses receive computer-generated messages to provide a consult and institute appropriate interventions.
Ms McInerney's system uses technology to eliminate any steps that could be left to chance - she has recognized the true value of automation versus standard memory-based practice. Ms. McInerney has used the system to lead every process involving pressure ulcers, from prevention to treatment to collection of outcomes data.
Over the past three years, Ms. McInerney's health care facility has experienced a 74% reduction in overall hospital-acquired pressure ulcer prevalence and and 85% reduction in heel ulcer prevalence, a remarkable achievement, and a wonderful example of how the collaboration of nursing and technology can improve patient outcomes.
Mary Kay Bader, MSN, RN, CCRN, CNRN
Use of New Technology to Change Nursing Practice
Mary Kay Bader, MSN, RN, CCRN, CNRN and the nursing surgical ICU team at Mission Hospital, in Mission Viejo, California used information obtained from new technology to change nursing practice for patients with traumatic brain injury.
In December 2000, the Food and Drug Administration approved a new technology used to directly monitor oxygen levels in the brain. Ms. Bader wrote the insertion procedure and provided leadership to the staff in managing patients upon whom this new technology was being employed. It was the first time every nursing intervention instituted led to direct feedback to the nursing team. The team discovered many of the management strategies used prior to employing this technology caused oxygen levels in the brain to fall to critically low levels. With this technology, they discovered that certain situations such as decreasing blood pressure (resulting in increased intra cranial pressure) led to potentially poorer outcomes.
Ms. Bader assembled and led a team to determine how to effectively use the monitor, interpret the data, and develop critical thinking algorithms to guide the care team members in decision making. As a result, a series of protocols with bedside nursing critical thinking plans were designed and instituted. This technology provided the nursing team with a "window" or look into the complex process inside the cranial vault. In the best nursing tradition, reminiscent of Florence Nightingale, the team observed and analyzed patient data made available through innovative technology.