Improving Nurse Executive Informatics Competencies: Implementation of a Toolkit

1. Improving Nurse Executive Informatics Competencies: Implementation of a Toolkit • Christine Gamlen, DNP(c) MSN, RN, NEA-BC • December 12, 2013

2. Background Knowledge • Health Information Technology (HIT) growth • United States as key economic driver • Federal mandates and regulations • Role of Nurse Executive • Role of social media in healthcare • “ Nurses must be prepared to make health information technology the stethoscope of the 21st century” • Technology Informatics Guiding Education Reform, n.d., para. 1)

3. Local Problem and Project Goal • Simpson (2012) - State of Contemporary Informatics for Chief Nurse Executives • AONE Competency: “Demonstrates increased awareness of societal and technological trends, issues, and new developments that relate to nursing”. • Project goal: To create a toolkit for CNO’s to satisfy an AONE competency through social media

4. Theoretical Framework The Informatics Research Organizing Model (Effken, 2003, p. 320).

5. Planning the Intervention • National Nursing Thought Leader Interviews • Setting • Website Creation • Alpha Implementation • Project Participants

6. Project Implementation • Go Live - September 3, 2013 – 10 CNOs • Go Live - September 11, 2013 – 7 CNOs • Weekly Emails and Forum posting

7. Nurse Executive Technology Toolkit (NETT) • http://nettoolkit.weebly.com/401/login.php?redirect=/

8. Home Page

9. Start Here

10. People

11. People

12. People

13. Organizations

14. Organizations

15. Organizations

16. Resources

17. Resources

18. Forum

19. Results of Toolkit Evaluation

20. Methods of Evaluation • SWOT Analysis • Google Analytics • SurveyMonkey® • Formal and Informal Communication

21. SWOT Analysis

22. Google Analytics • 30 unique visitors / 13 geo-location reports • Home and Start Here pages averaged 20-60 seconds • Forum average 2.5 minutes • All other pages averaged 3-4minutes Geo-location of NETT Toolkit Visitors (less San Jose, CA)

23. SurveyMonkey® Likert Scale Questions

24. SurveyMonkey® People • Did the individuals on the PEOPLE page provide you new insights or knowledge? How many people, excluding friends and family, did you connect with through Twitter, LinkedIn or Facebook as a result of the toolkit?

25. SurveyMonkey® People • If you selected 1 or more above, were any of the individuals you followed not on the PEOPLE page?

26. SurveyMonkey® Organizations • Did the information on the ORGANIZATIONS page provide you with new insights or knowledge? How many organizations did you connect with through Twitter, LinkedIn or Facebook as a result of the toolkit?

27. SurveyMonkey® Organizations • If you selected 1 or more above, were any of the organizations you followed not on the ORGANIZATIONS page?

28. Other Toolkit Candidates • Besides CNOs, who else may benefit from this toolkit? Nursing Directors/Managers Chief Nursing Information Officers Staff Nurses C-Suite Nursing School Faculty

29. Social Media Utilization FaceBook LinkedIn Twitter

30. Additional Useful Information? • “Summaries of other list serves would be great – I depend on both UHC CNO list serve and CHA”. • “The toolkit is a great concept. It is a great place to seek innovative solutions for common issues that arise in nursing practice. Information that helps to make CNO’s aware of any upcoming laws or regulations that impact patient care and nursing practice is useful.” • “More topic headings.” • “This was a great toolkit. I think the younger CNOs would take even more advantage of it than I did.”

31. Other Comments • “I have reviewed the toolkit and now finally understand what # and @ mean on Twitter.” • “I also began to subscribe to a couple of other list serves. Becker’s was the most helpful.” • “Eventual ease of use for mobile devices would be useful.” • “One of the things that I do around the state is talk about the dangers of social media with nurses. I did not know that it could be useful or have benefits. I have a Facebook and Twitter account but I do not tweet. I tell my kids I am lucky to know how to text.”

32. Other Comments • “I love it! I love the list of organizations and the research list, especially TIGER. You have hit the nail on the head with this one. No one has the time to go to the library or go on-line to find all of this information. You brought it all to us!” • “I love your first page. Due to real time need for information – to use this to expand our knowledge and think outside the box. We do not use other disciplines enough. We don’t look at what other strategies are out there.” • “What happens when this trial ends? Does it go away?”

33. Lessons Learned • Add firewall troubleshooting • Firmly encourage Smartphones • Add social media tutorials in NETT Guidelines • Adding other People and Organizations • Reorganize the Forum

34. Implications for Future Research • Fine tune nurse executive competencies • Baseline assessment • AONE Competency Assessment Tool • Qualitative research • Interviews • Focus groups • Survey • Social Media skill enhancement • Mentoring program with millennial nurses • On-line social media programs • Webinars

35. References • Effken, J. A. (2003, November/December). An organizing framework for nursing informatics research. Computers, Informatics, Nursing, 21, 316-323. • Simpson, R. (2012). State of contemporary informatics competencies for chief nurse executives (Unpublished doctoral dissertation). American Sentinel University, Birmingham, Alabama. • Staggers, N., Gassert, C., & Curran, C. (2002, October). Informatics competencies for nurses at four levels of practice. Journal of Nursing Education, 40, 303-316. • TIGER. (n.d.). The TIGER Initiative – Vision. • .