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Bridging the Gap. Partnering academia and clinical practice. The Need. Community area hospitals identified the need for pediatric staff nurses to improve their knowledge and skills
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Bridging the Gap Partnering academia and clinical practice
The Need • Community area hospitals identified the need for pediatric staff nurses to improve their knowledge and skills • Community area hospitals identified the need to grow pediatric units to reduce the numbers of transfers of children out to larger pediatric facilities
The Problem • Nurses in the community hospital setting have limited pediatric nursing experience and had the desire to seek further opportunities to improve their pediatric nursing skills • Nurses in the community hospital setting have small pediatric units and experience varied patient census
The Solution • Through a joint effort between HCA and LSC Corporate College funded by a grant, pediatric nursing faculty from Lone Star College-Kingwood would teach nurses in the community hospitals pediatric nursing content and skills • The reward to LSC-Kingwood would be able to purchase pediatric simulation manikins to add to the LSC-Kingwood Hospital
Planning The Course • Identified areas of content to improve pediatric assessment, knowledge and skills were defined by the staff nurses • Areas identified as needs were respiratory (asthma, croup syndromes, and respiratory assessment), allergic reactions, gastrointestinal (fluid and electrolytes, dehydration, appendicitis), child abuse, and end of life care
The Course • The review course was held on two separate days that included a total of 16 nurses in each eight hour session • Activities rotated between the classroom and the simulation skills lab • Skills were reviewed with hands on experience synonymously related to the didactic topic presented in the classroom
The Results • A pre test was given at the beginning of the course. The most frequently missed questions on this test were about asthma assessment, characteristic of a sexually abused child, hypersensitivity reactions, and types of dehydration • The post test given at the end of the course showed all of these questions answered correctly • Evaluation of the course showed 65% of the participants rated the experience as a “4-completely satisfied, 1% rated a “3-almost satisfied” and the remainder rated a combination of 3s and 4s
Participating Hospitals • Conroe Regional Medical Center • Kingwood Medical Center
Faculty • Mary Bjorklund, MSN, RN, CPN • Doris Jackson, MSN, RN • Lee Jerls, MSN, RN • Diane Langton, MSN,PNP