Student’s participation in scientific research

1. Student’s participation in scientific research

2. Goal workshop Exchange experiences and formulate conditions when students participate in scientific research

3. Agenda • HBOV programme • Students experience • Exhange of experiences and meanings • Conclusions

4. Quality of Care: knowledge and skills • Project working skills • Knowledge and skills about • Quality of Care and Research methods • Research skills: data sampling, data managment and data analysis • Information management • systematic literature search and literature analysis • Oral and written communication skills • Implementation skills

5. Competencies Whole tasking Authentic situations Knowledge of the domain Knowledge to execute

6. Course outline • First year • Quality of Care level 1: quality of care cycle and basics of research • Second year • Prevention at group-level • Leadership • Third or Fourth year • Quality of Care level 2 and 3: Students exucute (a part of) a project

7. Formulating Projects • By field professionals • By students together with the field- professionals • Professory’s projects togehter with the field • (increasing number)

8. Pitfalls overload in responsibility lecturers specific working situation clients expects results heel precies werkt student has to develop bachelor skills clients are not aware of students specific skills clients are not aware how much they ask from students student becomes too involved in the project

9. Finetune between field and university University formulate goals student has to realize Client formulate project and expected tasks University and client agree to the project Students choose a project

10. Student Coaching • Client • coaching the student in execution of the project-tasks • Lecturer • Quality of care level 2: preparing the student for the project. Coaching in groups of 12 students • Quality of care level 3: coaching the student in reaching goals set by by student and university. Coaching individuels or pairs

11. Professory projects • Lectures participate in professories and have their own researchprojects • If the student participate in a professory project • the lecturer/investigator is the coach for the tasks of the project • another lecturer is the coach in the learning process • the assessor again is an other lecturer

12. Professory’s projects Example • Research in Cooperation • Professory Acute Intensive Care • University Medical Centre ST Radboud Nijmegen

13. Outreachproject Earlyrecognition and treatment of criticallyillpatients in a hospital April 2008 Carola Janssen & Ingrid van Thiel

14. Subjects The Outreachproject Students participation Our subproject Our expierence with the participation in the Outreachproject

15. Reason to set up the Outreachproject Many seriously ill patients receive inadequate care in hospitals worldwide.

16. Reason to set up the Outreachproject In the Netherlands (2004): • ± 1,3 mln patients were admitted to the hospital • ± 74.000 patients had Serious Adverse Events (SAE) • ± 30.000 of these cases were avoidable • ± 1700 potential avoidable deaths Wagner en de Bruijne 2007

17. SAE’s • Acute myocardal infarction • Pulmonary embolism • Acute pulmonary edema • Respiratory failure • Stroke • Sepsis • Acute renal failure • Emergency admission to ICU • Death Bellomo, R. (2002)

18. Essence of the Outreachproject • 6 - 24 hours before a Serious Adverse Event the vital functions will be change Important: • Early recognition of critically ill patients • Timely treatment and correct treatment of critically ill patients

19. Objective Decrease the number of Serious Adverse Events Decrease the number of unplanned (re)admissions tot the Intensive Care Unit (ICU) Decrease of costs

20. Interventions • Establishing a Medical Emergency Team (MET) • Education of general ward staff in identifying patients at risk • Consultancy of an ICU nurse

21. Early Warning Score

22. Prospective pretest-posttest design • Pretest: january 2006 - january 2007 • Implementation Outreach: january 2007 - april 2007 • Posttest: april 2007 - april 2008

23. Study population • Adult patients admitted to general surgical wards of the UMC St Radboud, undergoing major general surgery • Postoperative stay more than 72 hours

24. Outcome parameters • The incidences of predefined SAE’s in included patients • The number of unplanned (re)admissions tot the ICU caused by predefined SAE’s • Quality of life related to cost-effectiveness

25. Subproject: Quality of life • EQ-5D • 3 Measurements • Pre-operative, • 3 months post-operative, • 6 months post-operative • Outcome: quality of life related tot cost effectiviness

26. Students participation in Outreach Selection procedure Tasks Advantages and disadvantages

27. Selection procedure Questionnaire and interview - motivation- strengths and weaknesses- responsibility

28. Tasks Preceding study Set educational goals Participation in (part of) investigation Additional project Presentation Reports

29. Advantages and disadvantages Advantages Participation in a real study High responsibility Became aware of the value of check vital signs of patients Disadvantages Relative simple Data entry is time consuming Limitted officespace It’s hard to combine with our working duties

30. Thanks for your attention

31. Exchange of experiences and ideas • Do you have experience with student participation in scientific resaerch? • What do you think are the advantages and disadventages (keeping in mind we want to deliver good novice nurses to the field).

32. Evaluation Do you take home messages from this workshop? Do you have advices to improve the quality of this workshop?

33. Thanks for your attention