1. Nurse educator conference in the Rockies
HANDOUT:
When the Unimaginable Occurs: Lessons Learned in Managing Clinical Students
during the Ebola Crisis
Nurse educator conference in the Rockies
Ronda Mintz-Binder, DNP, RN, CNE
Carrie Edwards, PhD, CA SANE
July 14, 2017

2. Session Disclosure 1) Approval Statement
This continuing education activity was approved by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Arizona, Colorado, Idaho, and Utah Nurses Associations are members of the Western Multi-State Division. Approval # 72-17
2) Criteria for Successful Completion
To receive contact hours, participants must check-in to the session using the barcode scanner, attend the entire session and then complete both the session evaluation and full conference evaluation by July 31, 2017.
3) Conflicts of Interest
This educational activity does not include any content that relates to the products and/or services of a commercial interest that would create a conflict of interest.
4) Commercial Support
There is no commercial support being received for this session.

3. Session Evaluation To evaluate this session, please do the following:
Go to 2017necintherockies.sched.com/mobile (the online schedule) on your mobile device
Click on the session you attended
Press “Feedback Survey”
Complete survey for the session
*Remember to enter your unique identifier located on the back of your badge when completing survey.

4. Objectives
Review and discuss the timeline of 3 critical events that occurred with clinical students on the unit with diagnosed Ebola patient.
Explain the 3 phases of The Transactional Model of Stress and Coping Theory in relation to students processing the Ebola patient scenario.
Create 2 faculty-driven interventions to assist students through a clinical experience crisis.

5. The Ebola Crisis History/Background Etiology Prevalence Symptoms
A rare, but deadly virus that causes
bleeding inside and outside of the body
History/Background
Etiology
Prevalence
Symptoms
Outcome

6. The Ebola Crisis In Dallas
History/Background
Timeline
Managing Students
During Crisis
Lessons Learned

7. Journal Assignment
Students are given a journal assignment to reflect on:
How the Ebola experience had affected their thoughts and feelings?
Address fears/concerns/questions
Thoughts about nursing in general
Assignment was made optional – 8/10 students chose to participate
Retrospective Study - IRB Approval Obtained
Publication in process

8. Themes Identified Mixed Emotions Nursing as a Calling Trust
Excitement/Jealousy
Fear/Worry/Concern
Nursing as a Calling
Trust

9. Transactional Model of Stress and Coping
Transactional Model of Stress and Coping (Lazarus & Folkman,1984) –when stressed 2 prong Appraisal system is initiated:
Primary Appraisal: (interpret the stressor)
Threat assessment
Challenge assessment
Harm or loss
Secondary Appraisal (analysis of available resources)
Coping abilities
Coping repertoire
Coping Strategies Launched to minimize response
Problem or emotion focused

10. Activity: Processing a Crisis
Interactive Activity—10-15 minutes
Groups of 3-5 members
If confronted with an unknown, potentially deadly new virus or other crisis in your clinical setting:
A. What key elements should be in a policy regarding this issue?
B. How do you handle students in the clinical setting? Unit assignments? Communication with clinical setting?
C. When do you remove students from the clinical setting? What factors need to be considered?
D. What would be alternative assignments for students in this situation?

11. The Ebola Crisis in Dallas – Lessons Learned
What we learned:
Ethical Considerations
Student Parameters
Protocols
Interventions

12. When the Unimaginable Occurs
Questions????

13. References
American Nurses Association (2015b). Nursing World. ANA Position statement on risk and responsibility in nursing care. Retrieved from
Casey, D. A nurse’s obligation to patients with Ebola. Nursing2015, 45(11),
Copeland, L. (2014, October 14) Are US hospitals prepared for possible Ebola battle? USA Today, retrieved March 3, 2014 from:
Cullinane, S., & Thompson, N (2014, September 18). CNN: The deadliest outbreak of Ebola virus: What you need to know. Retrieved from:
Ferranti, E. P., Wands, L., Yeager, K. A., Baker, B., Higgins, M. K., Wold, J. L., & Dunbar, S. B. (2016, -). Implementation of an educational program for nursing students amidst the Ebola virus disease epidemic. Nursing Outlook, -(-),
Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing Company.
McCarthy, M. (2014). US issues new guidelines for health workers caring for Ebola patients. British Medical Journal (BMJ), 349:6418, 1.
Shapiro, S. E., Martyn, K, Grant, S, & McCauley, L, (2015). Academic practice partnerships in the time of Ebola: Speaking with one voice for nursing. Nursing Outlook, 63(1),
Trautman, DE. (2015). Strategy, timing and collaboration: The academic response to Ebola. Nursing Outlook, 63(1),