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Education Needs Assessment Survey of Critical Access Hospitals December 2003 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 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 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 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 Level of need for training in: Developing a client care plan Great need 13% No need 16% Some need 71% Level of need for training in: Documenting and reporting techniques No need 6% Great need 42% Some need 52% Level of need for training in: Patient education No need 6% Great need 55% Some need 39% Level of need for training in: Infection control Great need 6% No need 35% Some need 59% Level of need for training in: Disaster management G re a t ne e d 23% S o m e ne e d 48% N o ne e d 29% Level of need for training in: Orientation G re a t ne e d 29% N o ne e d 13 % S o m e ne e d 58% Level of need for training in administrative areas - # of hospitals out of 31 Proposed skill areas: No need Some need Great need Patient Education 2 12 17 Developing a client care plan 5 22 4 Orientation 4 18 9 Documenting and reporting 2 16 13 Disaster Management 9 15 7 Infection Control 11 18 2 techniques 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 Describe any specific training needs that relate to diseases, disorders and therapies in the areas of: Diagnostic Tests Disorders or Conditions Therapies Level of need for training in diagnostic tests: Skill areas designated (16% responded) Lab tests Interpreting test values New tests Magnetic resonance angiography (MRA) 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 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 List any other training needs relative to diseases, disorders and therapies? Patient Specific Focus Detox Multiple trauma Obstetric Pediatric Renal Skin and wound care 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) 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 Level of need for training in: Patient hygiene S o m e ne e d 23% G re a t ne e d 0% N o ne e d 77% Level of need for training in: Vital signs and physical assessment Great need 3% No need 39% Some need 58% Level of need for training in: Patient posture (e.g. orthopedic techniques) Great need 16% Some need 52% No need 32% Level of need for training in: Medications (topical, oral or parenteral) Great need 6% Some need 65% No need 29% Level of need for training in: Nutrition and fluid balance Great need 17% No need 13% Some need 70% Level of need for training in: Respiratory care Great need 10% Some need 71% No need 19% Level of need for training in: Pain management Great need 35% No need 16% Some need 49% Level of need for training in aspects of patient care - # of hospitals out of 31 Proposed skill areas: No need Some need Great need Patient hygiene 23 7 0 Vital signs and physical assessment 12 18 1 Patient posture (e.g. orthopedic techniques) 10 16 5 Medications (topical, oral, or parenteral) 9 20 2 Nutritional fluid balance 4 21 5 Respiratory care 6 22 3 Pain management 5 15 11 Information Technology “How does your hospital connect with the Internet? sat ellit e 0% cab le ser vice 23% T - 1 line 50 % D SL 2 7% 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?” Gr eat int er est 23% N o int er est 0% M o d er at e int er est 51% Lit t le int er est 26% 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%) 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