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1
Exploring New
Ways To
Address
Recruitment
and Retention
Innovative Solutions:
Robots in Nursing
Education?
Presentation by:
Dr. Carol Holdcraft, DNS, RN, Wright State
University
Debi Sampsel, MSN, RN, Nursing Institute of
West Central Ohio
Garfield Jones, InTouch Health
March 26, 2008
2
Agenda
• Nursing Institute of West Central Ohio Collaboration
• Data Driven Research
• InTouch Health Remote Presence Robot Demonstration
• Highlights from Faculty Extender Remote Presence Robot Research Project
• Future Implications
• Questions and Answers
3
Collaboration:
• 11 Schools of Nursing
• Veterans Affairs
• Wright Patterson
Air Force Base
• Health Care Providers
• Businesses
Darke
Preble
Shelby
Miami
Logan
Champaign
Clark
Greene
Mercer Auglaize
Clinton
Highland
Fayette
Butler WarrenServing 16
Counties in
West Central
OhioMission
Provide support and leadership for an
effective regional RN workforce through
innovative partnerships, service, education
and research
Vision
A nationally recognized regional RN work-
force providing safe, accessible, quality
healthcare
Nursing
Institute of
West Central
Ohio
4
State of
Ohio
Nursing
Projections
60,000
75,000
90,000
105,000
120,000
2000 2005 2010 2015 2020
Year
Supply
Demand
We are here
Ohio will be short 32,000 nurses by 2020
5
Local
Supply/
Demand
Study
Reengineered a 20
year old national
HRSA Model to
create first ever
regional workforce
prediction model
• 38% RN Shortage
by 2020
2005 2010 2015 2020
Year
Nurs
es
(x 1
00
0)
Nurs
ing F
aculty
(x 1
00
)
20
18
16
14
12
10
16
15
14
13
Demand
Supply
Faculty
FTE RN Shortage
3,550 4,250 5,750 7,400
Growing RN Shortage
Declining Faculty
The Perfect Storm is Brewing Forecast Bleak
6
So What’s
To Be
Done???
Answer:A futuristic approach to testing models and
implementing new programs for the nursing students, nursing workforce,
and faculty
8
One Possible
Solution to
Address
Faculty
Shortage
Remote Presence Robot
Faculty Extender Research
Study
• 8 pre-licensure RN programs
participated (Rural, Community,
Urban – ADN & BSN)
• Subjects
– 10 experienced nurse faculty
– 82 nursing students (all levels)
1st year students = 14
2nd year students = 30
3rd year students = 21
4th year students = 17
9
Purpose
of
Research
Gathering impressions from faculty and students about usefulness of the remote presence robot as a faculty extender in clinical simulation learning
10
Objectives
of This
Study
• Evaluate faculty’s acceptance of
the use of a remote robot for
education and training of nursing
students
• Evaluate nursing students’
acceptance of receiving clinical
instruction via a remote presence
robot
• Evaluate ergonomics application
for nursing education and training
11
Study
Methods
• Selection
Experienced and qualified
faculty recruited from RN
programs
• Training
Robot operation and
simulation scenario
orientation
• Scheduling and student
volunteers
• Pre/Post survey data & video
recording of sessions
1212
What was your
initial reaction
about the
robot?
0%
100%
Initial Reaction About Robot
Results 0% 0% 30% 50% 20%
1 Unfavorable 2 3 45
Favorable
Unfavorable Favorable
1313
0%
100%
Could robot be useful as a faculty extender?
Results 0% 10% 10% 20% 60%
1
Not Useful2 3 4
5
Very Useful
Not useful Very usefulDo you think
a robot could
be used as a
faculty
extender?
1414
0%
100%
Was remote presence robot effective?
Results 0% 0% 10% 40% 50%
1
Not effective2 3 4
5
Very effective
Not effective Very effective
Was the
robot
effective?
1515
0%
100%
Were you satisfied with this study?
Results 0% 0% 10% 40% 50%
1
Not satisfied2 3 4
5
Very
Not satisfied Very satisfied
Were you
satisfied with
this study?
1616
0%
100%
Was exploratory study user friendly?
Results 0% 0% 10% 40% 50%
1
No2 3 4
5
Yes
No YesDid you find
the
exploratory
study to be
friendly?
17
Faculty’s
Additional
Findings
Positive Faculty Comments
Enjoyed working with high
technology
Conducive to good interaction with
students
Created a positive learning
experience
Received good support and
assistance
Supported potential use of robot off-
site
18
Conclusion
from Faculty
Data Analysis
• Initial reaction of the
faculty about robot was
medium to favorable
• After the study, 82% of the
faculty showed high or
very high acceptance of
the use of remote robot for
education and training of
nursing students.
1919
0%
100%
SQN1: Initial Reaction About Robot
Results 2% 3% 9% 41% 45%
1
Unfavorable2 3 4
5
Favorable
Unfavorable FavorableWhat was
your initial
reaction
about the
robot?
2020
Do you think a
robot could be
used as a
faculty
extender?
0%
100%
SQN2: Could robot be useful as a faculty extender?
Results 1% 4% 11% 38% 46%
1
Not Useful2 3 4
5
Very Useful
Not useful Very useful
2121
Was the remote
presence robot
effective as an
instructor?
0%
100%
SQN3: Was remote presence robot effective?
Results 1% 5% 13% 44% 37%
1
Not effective2 3 4
5
Very effective
Not effective Very effective
2222
Did you find the
exploratory
study to be
user friendly?
0%
100%
SQN4: Was exploratory study user friendly?
Results 1% 2% 5% 40% 52%
1
No2 3 4
5
Yes
No Yes
2323
Were you
satisfied with
this classroom
experience?
0%
100%
SQN5: Were you satisfied with this classroom experience?
Results 3% 0% 9% 33% 55%
1
Not satisfied2 3 4
5
Very
satisfied
Not satisfied Very satisfied
2424
Students’
Acceptance
Ratings
0%
100%
Student Acceptance Analysis
% Acceptance 1% 3% 9% 39% 48%
1
Very low
acceptance
2
Low
acceptance
3
Medium
acceptance
4
High
acceptance
5
Very high
acceptance
25
Conclusion of the
student data
analysis based on
the acceptance
criteria
• 48% had very high
acceptance
• 39% had high acceptance
• 9% had medium acceptance
• 3% had low acceptance
• 1% had very low acceptance
26
Students’
Additional
Findings
Students’ Positive Comments
• Encouraged to think independently
with faculty supervision which
reduced stress
• Enjoyed working with advanced
technology such as the robot and
simulator
• Good environmental learning without
stress
• Will create opportunity for distance
learning
• This study demonstrated the focus on
learning process rather than
techniques in a regular lab.
27
Overall Study
Conclusion
Preliminary study demonstrated
that both participants, faculty
and students, gave high
acceptance rating for the use of
remote presence robot as a
faculty extender technology for
teaching nursing courses.
28
Recommendations for
improvement
Faculty and Student
Recommendations
– Develop and improve training scenarios (all)
– Improve audio communication (all)
– Provide more space for robot mobility (all)
– Improve back-and-forth interaction with faculty
(3rd)
– Better vision (wide angle) for the robot (all)
– Provide video replay for training (2nd)
– Reduce class size for better training (4th)
29
Future
Study
Questions
• Can expert faculty be used via
the robot to serve as teaching
mentors to novice faculty and
teaching assistants?
• Can expert nurse clinicians be
linked to learners via the RP7
robot for nursing rounds or other
learning experiences?
3030
Remote Presence
Robots in
Educational and
Clinical Settings
Other RP7 Applications
• Nursing Beta Testing
Geriatric rounds
Long distant care family visits
Case Studies
Chart reviews
JCAHO & State survey readiness
monitor
• Physicians’ Usage – e.g. Stroke Network
• Faculty –Student Research Study (8
Programs of Nursing & 82 Students)
3131
Remote Presence
Robots in
Educational and
Clinical Settings
Other RP7 Applications
• National Science Foundation
Grant Pursuits
• Military – Government applications
• Civilian health care provider and
academia partner plans
• Corporate links
32
Question
and Answer
Session
Future Contact
Information
Carol Holdcraft, DNS, RN
Assistant Dean College of
Nursing and Health
Wright State University
68 University Hall
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
937-775-3131
Debi Sampsel, MSN, RN
Executive Director
Nursing Institute of West Central
Ohio
015 University Hall
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
937-775-3940
Many thanks goes to
Congressman David Hobson
and Senator George Voinovich
for the federal appropriations
monies for the NIWCO and to
the sustainability partners
Wright State University, Premier
Health System, Sinclair
Community College.