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Hos
ü
Teaching Hospital
ü 280,000 Patients
ü 3,000 Employees
ü 80 Scientific Medical Students
ü 150 Physicians
ü 2 Locations, 2 Freestanding facilities
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ü
How do we ensure compliance of our Nursing Staff?
ü How can we offer more flexible training to our people?
ü How do we prove / increase effectiveness of training?
ü How do we monitor progress in learning?
ü How can we successfully implement e-learning?
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Knowles on Adult Learning
Adult Learning Theory:
ü Self concept: autonomy, self direction
ü Experience: is a resource for learning
ü Readiness to learn: attached to the role
ü Orientation to learning: needs to be relevant / applicable
ü Motivation to learn: from external to internal
In our case:
ü Nurses only learn when they recognize they have a need to
ü Nurses need to be able to integrate learning into their experience
ü Nurses learn in a problem centered way
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Landa on Algoheuristics
Algoheuristic Instruction:
ü Modeling of expert performance
ü Instruction for set-by-step problem solving
ü Operations executed in a well structured sequence
ü Instructional rules: descriptive, prescriptive, and "
permissive.
ü Individualize instruction.
In our case:
ü Steps: Identification (Patient Characteristics), Transformation (Treatment), "
Administration (Documentation).
ü Discovery of processes is more valuable than providing formulated "
processes.
ü Supporting different learning paths.
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Carroll on Minimalism
Minimalist & visual instruction:
ü All learning tasks should be meaningful and "
self-contained activities.
ü Learners should be given realistic projects as quickly as "
possible.
ü Instruction should permit self-directed reasoning and "
improvising by increasing the number of active learning activities.
ü Training materials and activities should provide for error recognition "
and recovery.
ü There should be a close linkage between the training and actual ‘system’.
In our case:
ü Realistic tasks as self-directed reasoning and improvising
ü Provide error recognition based upon critical incidents (impact & frequency)
ü Realistic content and images from the Nurses context
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How does it work?
Nurse is confronted with a realistic
case that needs to be solved
according to the operating
procedures
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How does it work?
In the case all critical knowledge
about process steps and material
handling is tested on the fly.
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How does it work?
Nurse learns critical knowledge
integrated in a realistic setting, like
using equipment and computation.
References available.
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Scores on the different task steps
are presented to the learner, trainer
and manager. Skillslab instruction is
focused on problem areas.
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ü 90% of the Nurses rather learn via e-Learning
ü High-impact errors prevented after e-Learning roll-out
ü Nurses reported they didn’t feel like being tested
ü Completion times vary from 20 minutes to 1 hour
ü In the end everyone gets a to 100%
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ü Reduced Skillslab duration by 50% (costs)
ü Flexibility of learning in time, place and pace
ü Greater variety of completion time, less variety in results
ü Increased standardization of operating procedures
ü Transparancy in the Compliance of Nursing Staff