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Explore the benefits and challenges of using video conferencing for remote education. Improve access, enhance engagement, and increase networking opportunities in rural and remote areas.
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Remote ParticipationRethinking efficient, engaging and accessible education; The utility of video conferencing (VC) increasing reach and inclusion Fiona Fraser Project Lead - RRHEAL
Context • Scotland - 20% population live across 94% of remote and rural landscape • Challenging – service delivery + staff support • Drive for service re-design, new roles • & ways of working • Cultural shift with change • Innovation required –improve quality • and reduce cost • Policy directive • Delivering for Remote and Rural Healthcare (2008) • “access, rural specific content and support for remote and rural learners .....key issues to be addressed” • RRHEAL • “Working with partners to design and deliver NES remote and rural inclusive learning events and programmes that make effective use of digital technology to improve access for the rural nursing and healthcare workforce.”
2011 • WHO Publications • Global health workforce crisis • Skill mix imbalance • Uneven distribution • (health professionals)
WHO 2010 Factors related to decisions to relocate to, stay in or leave rural and remote areas
Background • An island Board sought help; • Isolated, generalist mixed discipline health teams • Dispersed island chain • Need • Increased access to “live” content • Reduce cost and service impact of staff engagement • Increase networking and peer to peer critical debate • CPD opportunities • Connectedness – impact on recruitment and retention
* Scotland Europe *
Intervention • Initiate a RRHEAL Video Conferencing (VC) • educational network specific to remote & rural/ • islands teams: Pilot as proof of concept • Standardised format enhancing remote participation and inclusion • (Apply existing RRHEAL VC guidance) • Monthly meetings/ audience self selecting • Existing S L A for VC in NSH Scotland • Focus on networked discussion & application to local best practice
RRHEAL VC Education Network – topics • Falls update • Technology enabled care • Early recognition of the sick child: A skills maintenance tool & paediatric early warning system • The Children and Young Peoples Act 2014: key issues and implications • The Technology Enabled Learning Analysis • ScotSTAR Update_ Introduction to the service • Stabilisation and management of the Critically Ill child prior to Transfer • Apps for AHPs • Seasonal / Winter illness focusing on Bronchiolitis and Croup • Debriefing: The Essentials
Evaluation • High audience appeal • VC -greater potential for educational delivery • inter-disciplinary support & networking • knowledge exchange and cultural shift • Demand for **MORE**/ higher specificity • Challenges broadband and connectivity • Presenter preparation • Pitch/ level of content delivery • VC Education networks with enhanced knowledge support showing favourable feedback+++ • Presenters with VC skill & remote and rural awareness • Further VC educational networks; • RRHEAL Rural paediatric specific content • Rural GP “Test for change” • Rural General Hospital • + + + “Off shoot” developments • . • .
NHS Highland Diabetes Foot Education Network “The idea was to involve as many healthcare professionals as possible and deliver education relating to the diabetic foot. To show them what the guidelines are, where the guidelines are, and how to use them, using a case study approach; using patients known to us” “We can reach people in the ‘far reaches’ of NHS Highland who would struggle to engage otherwise.”
Take home messages: • Prepare – consider workplace access to VC hardware and computers • Include “work- arounds” for areas of reduced connectivity • VC skill development and support • Good organisation, technical support and VC facilitation is vital , with role modelled VC etiquette • Speaker preparation crucial • R&R audiences familiar with remote participation • = supports presenters who may be less so • Content - Application to remote and rural setting • Target the audience, session by session • Host site/ Repository • Ability to record presented materials • Consider alternate modes for delivery • **High transferability to non remote, hard to reach audiences**
Thank you www.rrheal.scot.nhs.uk
The professions of the 122 participants whose profession was known, is shown in Figure 2