2.50
Hdl Handle:
http://hdl.handle.net/10755/162531
Type:
Presentation
Title:
Critical Action "MegaSkills": A Creative Approach to Nursing Competencies
Abstract:
Critical Action "MegaSkills": A Creative Approach to Nursing Competencies
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Kostelec, Teresa, RN, BSN, CEN
P.I. Institution Name:Mercy Medical Center
Title:Clinical RN III
Contact Address:1390 Jay Road, Eldersburg, MD, 21784, USA
Co-Authors:Monica L. Anderson, RN, BSN, CEN
[Annual Conference] Clinical Topic: Historically, the Emergency Department (ED) nurses were integrated into hospital-wide nursing competency programs that were not unit specific. The competencies were selected by leadership, occurred in a remote location, and did not address the dynamic nature of emergency nursing. The ED Education Committee decided to develop a more innovative and effective method of competency evaluation utilizing patient case scenarios and interactive techniques performed in the resuscitation room.

Implementation: In 2007, Emergency Department Education Committee started performing unit-based competencies by piloting several methods of teaching and verification including poster boards, written exams, and testing of low-frequency high-risk skills. Staff evaluations of the new methods revealed preference for additional hands-on components and the ability to work with a peer. Based on this feedback, the committee developed "MegaSkills" consisting of realistic interactive patient scenarios requiring the nurses to use specialized emergency equipment and skills.
To accommodate all nurses, schedules, and department needs, two fourteen-hour marathon days were arranged for completion of competencies. On "MegaSkills Day" evaluators and staff worked in groups of two. Every nurse, regardless of whether they were primarily pediatric or adult nurses, was required to complete the "MegaSkills" which included the skills necessary to care for all age groups. Even though nurses worked in pairs, each nurse was evaluated individually. One evaluator read the scenario, while the other monitored the nurse as he/she performed each skill. The patient scenarios were designed to repeat skills so that each nurse had the same opportunity to demonstrate competence. If the nurse faltered, he/she could rely on their peer to assist, but in the end would need to successfully demonstrate the required skill. Nurses were expected to gather equipment needed to perform the different skills during the scenarios to aide in the realistic aspect the committee was trying to incorporate.
Following program completion, participants evaluated the "MegaSkills" program by answering 5 closed-ended and one open-ended question focusing on satisfaction and skill acquisition.

Outcomes: Establishing two marathon days was an efficient and effective way to assess ED nurse skill competency and allowed educators and staff to focus on ED specific skills. Of the 54 staff members who participated in the "MegaSkills", 32 completed the evaluation, giving a 78% response rate. Results revealed that 90% of respondents liked the program better than the traditional education method and in general, 80-90% of respondents felt more knowledgeable about skill performance and equipment location following program completion. Overall the "MegaSkills" unit-based competencies were successful and well accepted by the nursing staff.

Recommendations: Competency in Emergency Nursing is of critical importance and developing a way that staff enjoys learning is equally important. The recommendation from staff was to continue the "MegaSkills" format for annual competencies. Suggestions for improvement included adding new skills, having shorter more frequent marathon days, and providing study material in advance. Other recommendations included requests for quarterly skill refreshers, access to quick reference resources in the clinical area, and reinforcement of critical thinking strategies.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCritical Action "MegaSkills": A Creative Approach to Nursing Competenciesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162531-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Critical Action &quot;MegaSkills&quot;: A Creative Approach to Nursing Competencies</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kostelec, Teresa, RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mercy Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical RN III</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1390 Jay Road, Eldersburg, MD, 21784, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">tkostele@mdmercy.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Monica L. Anderson, RN, BSN, CEN</td></tr><tr><td colspan="2" class="item-abstract">[Annual Conference] Clinical Topic: Historically, the Emergency Department (ED) nurses were integrated into hospital-wide nursing competency programs that were not unit specific. The competencies were selected by leadership, occurred in a remote location, and did not address the dynamic nature of emergency nursing. The ED Education Committee decided to develop a more innovative and effective method of competency evaluation utilizing patient case scenarios and interactive techniques performed in the resuscitation room.<br/><br/>Implementation: In 2007, Emergency Department Education Committee started performing unit-based competencies by piloting several methods of teaching and verification including poster boards, written exams, and testing of low-frequency high-risk skills. Staff evaluations of the new methods revealed preference for additional hands-on components and the ability to work with a peer. Based on this feedback, the committee developed &quot;MegaSkills&quot; consisting of realistic interactive patient scenarios requiring the nurses to use specialized emergency equipment and skills. <br/> To accommodate all nurses, schedules, and department needs, two fourteen-hour marathon days were arranged for completion of competencies. On &quot;MegaSkills Day&quot; evaluators and staff worked in groups of two. Every nurse, regardless of whether they were primarily pediatric or adult nurses, was required to complete the &quot;MegaSkills&quot; which included the skills necessary to care for all age groups. Even though nurses worked in pairs, each nurse was evaluated individually. One evaluator read the scenario, while the other monitored the nurse as he/she performed each skill. The patient scenarios were designed to repeat skills so that each nurse had the same opportunity to demonstrate competence. If the nurse faltered, he/she could rely on their peer to assist, but in the end would need to successfully demonstrate the required skill. Nurses were expected to gather equipment needed to perform the different skills during the scenarios to aide in the realistic aspect the committee was trying to incorporate. <br/> Following program completion, participants evaluated the &quot;MegaSkills&quot; program by answering 5 closed-ended and one open-ended question focusing on satisfaction and skill acquisition. <br/><br/>Outcomes: Establishing two marathon days was an efficient and effective way to assess ED nurse skill competency and allowed educators and staff to focus on ED specific skills. Of the 54 staff members who participated in the &quot;MegaSkills&quot;, 32 completed the evaluation, giving a 78% response rate. Results revealed that 90% of respondents liked the program better than the traditional education method and in general, 80-90% of respondents felt more knowledgeable about skill performance and equipment location following program completion. Overall the &quot;MegaSkills&quot; unit-based competencies were successful and well accepted by the nursing staff.<br/><br/>Recommendations: Competency in Emergency Nursing is of critical importance and developing a way that staff enjoys learning is equally important. The recommendation from staff was to continue the &quot;MegaSkills&quot; format for annual competencies. Suggestions for improvement included adding new skills, having shorter more frequent marathon days, and providing study material in advance. Other recommendations included requests for quarterly skill refreshers, access to quick reference resources in the clinical area, and reinforcement of critical thinking strategies.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:46Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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