Utilising E-Learning in Resuscitation Training Catriona Fleming SRO, BSC in Nursing Studies, MA in Education Kevin Thomas RO, RGN, BSc

Objectives To understand: To understand: The reason behind introducing e-learning The reason behind introducing e-learning How we introduced the change How we introduced the change Some issues with the process Some issues with the process The benefits The benefits The future The future

History to Project Nurse induction to the Trust Nurse induction to the Trust ½ day resuscitation session ½ day resuscitation session groups of up to 40 individuals groups of up to 40 individuals included: included: lecture on organisational aspects of resuscitation within the Trust lecture on organisational aspects of resuscitation within the Trust skills session – basic life support skills session – basic life support

Problems New Starters New Starters information overload information overload information not retained information not retained lecture information not timely lecture information not timely Resuscitation Department Resuscitation Department difficult to evaluate learning difficult to evaluate learning only achieving BLS (our standard is HLS) only achieving BLS (our standard is HLS) Managers Managers inductees will need to be released again within the year to complete AED skills inductees will need to be released again within the year to complete AED skills system did not take into account previous knowledge and skills and training system did not take into account previous knowledge and skills and training

Other Drivers Trust introducing e-learning across a range of topics Trust introducing e-learning across a range of topics Commercial packages becoming available nationally Commercial packages becoming available nationally Trust had seconded a person to look at development of in-house e-learning. Trust had seconded a person to look at development of in-house e-learning.

Our response to Drivers We started looking at alternative ways of delivering induction We started looking at alternative ways of delivering induction Commercial packages address Basic Life Support Commercial packages address Basic Life Support We wanted Trust specific control We wanted Trust specific control

Solution Develop our own in-house e-learning resource as part of the induction process Develop our own in-house e-learning resource as part of the induction process

Resources IT person IT person Software package - Articulate Software package - Articulate Management support Management support Us Us

Our package Starts with PowerPoint presentation Starts with PowerPoint presentation Articulate works as add-on to PowerPoint Articulate works as add-on to PowerPoint Articulate includes elements that allows you to add in voice over, video, links, quizzes interactive slides Articulate includes elements that allows you to add in voice over, video, links, quizzes interactive slides

Let me show you this in action Link to our package (intro page) Link to our package (intro page)

Adult Learners need Autonomy and self determination Autonomy and self determination Life experience and prior knowledge Life experience and prior knowledge Goal orientated (internal motivation) Goal orientated (internal motivation) Relevance orientated (authentic context) Relevance orientated (authentic context) Practical (helping them perform their job) Practical (helping them perform their job) Esteem (confidence building) Esteem (confidence building) Malcolm Knowles Malcolm Knowles

The goals of the learning process Domains of learning Domains of learning Cognitive: mental skills (knowledge) - Articulate Cognitive: mental skills (knowledge) - Articulate Affective: growth in feelings or emotional areas - Articulate Affective: growth in feelings or emotional areas - Articulate Psychomotor: manual or physical skills Psychomotor: manual or physical skills Key Skills Key Skills Benjamin Bloom

Blended Learning “Embedding e-learning means using and blending a spectrum of learning technologies and pedagogues in the design, delivery, support and assessment of learning………It almost always includes some form of tutor support, blending face to face delivery with technology based learning.” “Embedding e-learning means using and blending a spectrum of learning technologies and pedagogues in the design, delivery, support and assessment of learning………It almost always includes some form of tutor support, blending face to face delivery with technology based learning.” Supporting Best Practice in e-learning across the NHS DoH 2005 Supporting Best Practice in e-learning across the NHS DoH 2005

Preferred Learning Style Visual Visual Auditory Auditory Tactile/kinaesthetic David Kolb Tactile/kinaesthetic David Kolb

Visual Learners They like to see and think in pictures They like to see and think in pictures Links to articulate video of drug assembly Links to articulate video of drug assembly See pictures of members of the department See pictures of members of the department See video clip of RLP See video clip of RLP Sees pictures of resuscitation equipment Sees pictures of resuscitation equipment

Auditory Learners There is narration throughout the programme There is narration throughout the programme We used male and female voices for interest and varied tone of voice We used male and female voices for interest and varied tone of voice These people think in sounds These people think in sounds Like to talk out loud Like to talk out loud For the future improving sound quality is vital For the future improving sound quality is vital

Tactile Learners These students are actively interacting within the programme and the more that can be built into the programme through virtual learning this will increase their motivation These students are actively interacting within the programme and the more that can be built into the programme through virtual learning this will increase their motivation

Meeting learners needs Learners retain Learners retain 20% of what they hear 20% of what they hear 40% of what they see 40% of what they see 75% of what they see, hear and do 75% of what they see, hear and do Thus effective e-learning tools must engage learners, replicate authentic learning environments and cater for various learning styles Thus effective e-learning tools must engage learners, replicate authentic learning environments and cater for various learning styles

Advantages to Inductees Inductees can: Inductees can: learn at their own pace learn at their own pace stop and start as needed stop and start as needed go back and revisit information go back and revisit information practice with technology so they can then access it when required at work practice with technology so they can then access it when required at work learning is interactive and varied learning is interactive and varied

Advantages to the Department Reach a wider number of staff and provide more than annual updates. Supports ongoing learning and continuing resources in clinical areas Reach a wider number of staff and provide more than annual updates. Supports ongoing learning and continuing resources in clinical areas Reduced need for paper copies. Materials are up-to-date and accessible. Reduces risk of out-of-date materials. Reduced need for paper copies. Materials are up-to-date and accessible. Reduces risk of out-of-date materials.

Challenges Getting hold of the software Getting hold of the software IT resources within the Trust to run the package IT resources within the Trust to run the package Finding somewhere to host the package for staff to access Finding somewhere to host the package for staff to access Linking to ESR Linking to ESR Tracking users (NLMS, OLM, SCORM, logins) Tracking users (NLMS, OLM, SCORM, logins) Increasing our own knowledge and skills to design packages Increasing our own knowledge and skills to design packages

Evaluation - Staff “quick, easy and useful” “quick, easy and useful” “moderately useful. Shows where policies can be found, what is available and what needs to be done” “moderately useful. Shows where policies can be found, what is available and what needs to be done” “the videos didn’t always load properly” “the videos didn’t always load properly” “brilliant” “brilliant”

Evaluation - Managers “really useful, we can print on our ward”. “really useful, we can print on our ward”. “can easily be covered on night shifts” “can easily be covered on night shifts” “more staff are receiving defibrillation training” “more staff are receiving defibrillation training” “we don’t have enough computers” “we don’t have enough computers” “staff need to get away from the ward” “staff need to get away from the ward”

The future Educational strategy: Educational strategy: widest range possible of teaching tools widest range possible of teaching tools reach students in an appealing and flexible way, reach students in an appealing and flexible way, address adult learning needs address adult learning needs organisational needs organisational needs Develop packages to cover other areas: Develop packages to cover other areas: pre-course learning pre-course learning anaphylaxis anaphylaxis defibrillator/equipment checking procedures defibrillator/equipment checking procedures learning from incidents and plans from risk assessments learning from incidents and plans from risk assessments

Questions Questions

Thank you