Education Needs Assessment Survey of Critical Access Hospitals

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Education Needs Assessment Survey of Critical
Access Hospitals

• December 2003

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December 2002 Survey

• Top 5 educational needs
• Nursing skills specific to clinical care
• Customer service/New regulations and rules (tie)
• Leadership
• Technical Competencies/Communication and Conflict
  (tie)
• Computer skills

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Why did we survey again in December 2003?

• To identify training needs for specific nursing
  skills and technical competencies
• To learn more about the capabilities and uses of
  information technology in the hospitals

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Divisions of survey by subject area

• Nursing skills and knowledge
• Administrative areas
• Diseases, disorders, and therapies
• Diagnostic tests
• Disorders or conditions
• Therapies
• Patient care
• Information Technology

5
Estimate the levels of need for training in the
following areas

• Developing a client care plan
• Documenting and reporting techniques
• Patient education
• Infection control
• Disaster management
• Orientation

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Level of need for training in

• Developing a client care plan

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Level of need for training in

• Documenting and reporting techniques

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Level of need for training in

• Patient education

9
Level of need for training in

• Infection control

10
Level of need for training in

• Disaster management

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Level of need for training in

• Orientation

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Level of need for training in administrative
areas - of hospitals out of 31
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Level of need for training in other
administrative areas

• Other skill areas identified (44 responded)
• Regulations and Compliance
• HIPPA, Medicare (swing bed), documentation
• CAH
• Policies and charging
• Management/Supervisory/Teambuilding
• Documentation
• Critical Thinking
• Customer Service

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Describe any specific training needs that relate
to diseases, disorders and therapies in the areas
of

• Diagnostic Tests
• Disorders or Conditions
• Therapies

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Level of need for training in diagnostic tests

• Skill areas designated (16 responded)
• Lab tests
• Interpreting test values
• New tests
• Magnetic resonance angiography (MRA)

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Level of need for training in disorders or
conditions

• Skill areas designated (22 responded)
• Diabetes care
• Cardiac care
• Bariatric care
• Reviews of top diagnoses in institution, e.g.
  AMI, CHF, COPD, pneumonia

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Level of need for training in therapies

• Skill areas designated (9 responded)
• New drugs
• IV Medications
• BiPAP and C-PAP therapy
• Chest tubes
• Conscious sedation

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List any other training needs relative to
diseases, disorders and therapies?

• Patient Specific Focus
• Detox
• Multiple trauma
• Obstetric
• Pediatric
• Renal
• Skin and wound care

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List any other training needs relative to
diseases, disorders and therapies?

• Patient Care methods
• ACLS
• Cricothyrotomy
• Critical care skills
• Epidural pain management
• Intraosseous infusions
• Patient assessment
• Restraints (physical and chemical)

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Indicate the levels of need for training in these
aspects of patient care?

• Patient hygiene
• Vital signs and physical assessment
• Patient posture
• Medications
• Nutrition and fluid balance
• Respiratory care
• Pain management

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Level of need for training in

• Patient hygiene

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Level of need for training in

• Vital signs and physical assessment

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Level of need for training in

• Patient posture (e.g. orthopedic techniques)

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Level of need for training in

• Medications (topical, oral or parenteral)

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Level of need for training in

• Nutrition and fluid balance

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Level of need for training in

• Respiratory care

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Level of need for training in

• Pain management

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Level of need for training in aspects of patient
care - of hospitals out of 31
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Information Technology

• How does your hospital connect with the
  Internet?

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Information Technology

• In your opinion, what is the degree of interest
  at your hospital in using the Internet for
  training nurses and other clinical providers?

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Information Technology Availability of Equipment

• A surprising half of the nurses have access to
  the following technologies at their hospitals in
  a location suited to learning
• PC with Internet connection (69)
• PC with CD-ROM (50)
• Personal e-mail address (50)
• Telephone (89)

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Survey brought to you by

• A grant from the Wisconsin Office of Rural Health
  to the Northern Wisconsin Area Health Education
  Center (NAHEC) for the Critical Access Hospitals
  of Wisconsin

January 2004