Utilising E-Utilising E-Learning in Learning in

Resuscitation Resuscitation TrainingTrainingCatriona Fleming SRO, BSC in

Nursing Studies, MA in Education

Kevin Thomas RO, RGN, BSc

Objectives Objectives

To understand:To understand: The reason behind introducing e-The reason behind introducing e-

learninglearning How we introduced the changeHow we introduced the change Some issues with the processSome issues with the process The benefitsThe benefits The futureThe future

History to ProjectHistory to Project Nurse induction to the TrustNurse induction to the Trust

½ day resuscitation session½ day resuscitation session

groups of up to 40 individualsgroups of up to 40 individuals

included:included: lecture on organisational aspects of resuscitation lecture on organisational aspects of resuscitation

within the Trustwithin the Trust skills session – basic life supportskills session – basic life support

ProblemsProblems New StartersNew Starters

information overloadinformation overload information not retainedinformation not retained lecture information not timely lecture information not timely

Resuscitation DepartmentResuscitation Department difficult to evaluate learningdifficult to evaluate learning only achieving BLS (our standard is HLS)only achieving BLS (our standard is HLS)

ManagersManagers inductees will need to be released again within inductees will need to be released again within

the year to complete AED skillsthe year to complete AED skills system did not take into account previous system did not take into account previous

knowledge and skills and trainingknowledge and skills and training

Other Drivers Other Drivers

Trust introducing e-learning across a Trust introducing e-learning across a range of topicsrange of topics

Commercial packages becoming Commercial packages becoming available nationallyavailable nationally

Trust had seconded a person to look Trust had seconded a person to look at development of in-house e-learning. at development of in-house e-learning.

Our response to DriversOur response to Drivers

We started looking at alternative We started looking at alternative ways of delivering inductionways of delivering induction

Commercial packages address Basic Commercial packages address Basic Life SupportLife Support

We wanted Trust specific controlWe wanted Trust specific control

SolutionSolution

Develop our own in-house e-learning Develop our own in-house e-learning resource as part of the induction resource as part of the induction processprocess

ResourcesResources

IT personIT person

Software package - ArticulateSoftware package - Articulate

Management supportManagement support

UsUs

Our packageOur package

Starts with PowerPoint presentationStarts with PowerPoint presentation

Articulate works as add-on to Articulate works as add-on to PowerPointPowerPoint

Articulate includes elements that Articulate includes elements that allows you to add in voice over, video, allows you to add in voice over, video, links, quizzes interactive slideslinks, quizzes interactive slides

Let me show you this in Let me show you this in actionaction

Link to our package (intro page)Link to our package (intro page)

Adult Learners needAdult Learners need

Autonomy and self determinationAutonomy and self determination Life experience and prior knowledgeLife experience and prior knowledge Goal orientated (internal motivation) Goal orientated (internal motivation) Relevance orientated (authentic context)Relevance orientated (authentic context) Practical (helping them perform their Practical (helping them perform their

job)job) Esteem (confidence building) Esteem (confidence building)

Malcolm Knowles Malcolm Knowles

The goals of the learning The goals of the learning process process

Domains of learningDomains of learning

Cognitive:Cognitive: mental skills (knowledge) - mental skills (knowledge) - ArticulateArticulate

Affective: Affective: growth in feelings or emotional areas growth in feelings or emotional areas - Articulate- Articulate

Psychomotor:Psychomotor: manual or physical skills manual or physical skills

Key SkillsKey Skills

Benjamin BloomBenjamin Bloom

Blended LearningBlended Learning ““Embedding e-learning means using and Embedding e-learning means using and

blending a spectrum of learning blending a spectrum of learning technologies and pedagogues in the technologies and pedagogues in the design, delivery, support and design, delivery, support and assessment of learning………It almost assessment of learning………It almost always includes some form of tutor always includes some form of tutor support, blending face to face delivery support, blending face to face delivery with technology based learning.” with technology based learning.”

Supporting Best Practice in e-learning across the NHS DoH Supporting Best Practice in e-learning across the NHS DoH

2005 2005

Preferred Learning StylePreferred Learning Style

VisualVisual

AuditoryAuditory

Tactile/kinaesthetic Tactile/kinaesthetic

David David KolbKolb

Visual Learners Visual Learners

They like to see and think in pictures They like to see and think in pictures Links to articulate video of drug Links to articulate video of drug

assemblyassembly See pictures of members of the See pictures of members of the

department department See video clip of RLPSee video clip of RLP Sees pictures of resuscitation Sees pictures of resuscitation

equipment equipment

Auditory LearnersAuditory Learners

There is narration throughout the There is narration throughout the programmeprogramme

We used male and female voices for We used male and female voices for interest and varied tone of voiceinterest and varied tone of voice

These people think in sounds These people think in sounds Like to talk out loudLike to talk out loud For the future improving sound For the future improving sound

quality is vitalquality is vital

Tactile LearnersTactile Learners

These students are These students are actively interacting actively interacting within the within the programme and the programme and the more that can be more that can be built into the built into the programme programme through virtual through virtual learning this will learning this will increase their increase their motivation motivation

Meeting learners needsMeeting learners needs

Learners retainLearners retain 20% of what they hear20% of what they hear 40% of what they see40% of what they see 75% of what they see, hear and do75% of what they see, hear and do

Thus effective e-learning tools must Thus effective e-learning tools must engage learners, replicate authentic engage learners, replicate authentic learning environments and cater for learning environments and cater for various learning stylesvarious learning styles

Advantages to Inductees Advantages to Inductees

Inductees can:Inductees can: learn at their own pacelearn at their own pace stop and start as neededstop and start as needed go back and revisit informationgo back and revisit information practice with technology so they can practice with technology so they can

then access it when required at workthen access it when required at work learning is interactive and variedlearning is interactive and varied

Advantages to the Advantages to the DepartmentDepartment

Reach a wider number of staff and Reach a wider number of staff and provide more than annual updates. provide more than annual updates. Supports ongoing learning and Supports ongoing learning and continuing resources in clinical areascontinuing resources in clinical areas

Reduced need for paper copies. Reduced need for paper copies. Materials are up-to-date and Materials are up-to-date and accessible. Reduces risk of out-of-accessible. Reduces risk of out-of-date materials.date materials.

ChallengesChallenges

Getting hold of the softwareGetting hold of the software IT resources within the Trust to run the IT resources within the Trust to run the

packagepackage Finding somewhere to host the package for Finding somewhere to host the package for

staff to accessstaff to access Linking to ESRLinking to ESR Tracking users (NLMS, OLM, SCORM, Tracking users (NLMS, OLM, SCORM,

logins)logins) Increasing our own knowledge and skills to Increasing our own knowledge and skills to

design packagesdesign packages

Evaluation - StaffEvaluation - Staff

““quick, easy and useful”quick, easy and useful”

““moderately useful. Shows where moderately useful. Shows where policies can be found, what is policies can be found, what is available and what needs to be done”available and what needs to be done”

““the videos didn’t always load the videos didn’t always load properly”properly”

““brilliant” brilliant”

Evaluation - ManagersEvaluation - Managers ““really useful, we can print on our ward”.really useful, we can print on our ward”.

“ “can easily be covered on night shifts” can easily be covered on night shifts”

““more staff are receiving defibrillation more staff are receiving defibrillation training”training”

“ “we don’t have enough computers”we don’t have enough computers”

“ “staff need to get away from the ward” staff need to get away from the ward”

The futureThe future Educational strategy:Educational strategy:

widest range possible of teaching toolswidest range possible of teaching tools reach students in an appealing and flexible way, reach students in an appealing and flexible way, address adult learning needsaddress adult learning needs organisational needsorganisational needs

Develop packages to cover other areas:Develop packages to cover other areas: pre-course learningpre-course learning anaphylaxisanaphylaxis defibrillator/equipment checking proceduresdefibrillator/equipment checking procedures learning from incidents and plans from risk learning from incidents and plans from risk

assessments assessments

QuestionsQuestions

Thank youThank you