Education Needs Assessment Survey of Critical Access Hospitals

1. Education Needs Assessment Survey of Critical Access Hospitals December 2003

2. December 2002 Survey • Top 5 educational needs • Nursing skills – specific to clinical care • Customer service/New regulations and rules (tie) • Leadership • Technical Competencies/Communication and Conflict (tie) • Computer skills

3. Why did we survey again in December 2003? • To identify training needs for specific “nursing skills” and “technical competencies” • To learn more about the capabilities and uses of information technology in the hospitals

4. Divisions of survey by subject area • Nursing skills and knowledge • Administrative areas • Diseases, disorders, and therapies • Diagnostic tests • Disorders or conditions • Therapies • Patient care • Information Technology

5. Estimate the levels of need for training in the following areas: • Developing a client care plan • Documenting and reporting techniques • Patient education • Infection control • Disaster management • Orientation

6. Level of need for training in: • Developing a client care plan

7. Level of need for training in: • Documenting and reporting techniques

8. Level of need for training in: • Patient education

9. Level of need for training in: • Infection control

10. Level of need for training in: • Disaster management

11. Level of need for training in: • Orientation

12. Level of need for training in administrative areas - # of hospitals out of 31

13. Level of need for training in other administrative areas • Other skill areas identified: (44% responded) • Regulations and Compliance • HIPPA, Medicare (swing bed), documentation • CAH • Policies and charging • Management/Supervisory/Teambuilding • Documentation • Critical Thinking • Customer Service

14. Describe any specific training needs that relate to diseases, disorders and therapies in the areas of: • Diagnostic Tests • Disorders or Conditions • Therapies

15. Level of need for training in diagnostic tests: • Skill areas designated (16% responded) • Lab tests • Interpreting test values • New tests • Magnetic resonance angiography (MRA)

16. Level of need for training in disorders or conditions: • Skill areas designated (22% responded) • Diabetes care • Cardiac care • Bariatric care • Reviews of top diagnoses in institution, e.g. AMI, CHF, COPD, pneumonia

17. Level of need for training in therapies: • Skill areas designated (9% responded) • New drugs • IV Medications • BiPAP and C-PAP therapy • Chest tubes • Conscious sedation

18. List any other training needs relative to diseases, disorders and therapies? • Patient Specific Focus • Detox • Multiple trauma • Obstetric • Pediatric • Renal • Skin and wound care

19. List any other training needs relative to diseases, disorders and therapies? • Patient Care methods • ACLS • Cricothyrotomy • Critical care skills • Epidural pain management • Intraosseous infusions • Patient assessment • Restraints (physical and chemical)

20. Indicate the levels of need for training in these aspects of patient care? • Patient hygiene • Vital signs and physical assessment • Patient posture • Medications • Nutrition and fluid balance • Respiratory care • Pain management

21. Level of need for training in: • Patient hygiene

22. Level of need for training in: • Vital signs and physical assessment

23. Level of need for training in: • Patient posture (e.g. orthopedic techniques)

24. Level of need for training in: • Medications (topical, oral or parenteral)

25. Level of need for training in: • Nutrition and fluid balance

26. Level of need for training in: • Respiratory care

27. Level of need for training in: • Pain management

28. Level of need for training in aspects of patient care - # of hospitals out of 31

29. Information Technology • “How does your hospital connect with the Internet?

30. Information Technology • “In your opinion, what is the degree of interest at your hospital in using the Internet for training nurses and other clinical providers?”

31. Information Technology: Availability of Equipment • A surprising half of the nurses have access to the following technologies at their hospitals in a location suited to learning: • PC with Internet connection (69%) • PC with CD-ROM (50%) • Personal e-mail address (50%) • Telephone (89%)

32. Survey brought to you by: A grant from the Wisconsin Office of Rural Health to the Northern Wisconsin Area Health Education Center (NAHEC) for the Critical Access Hospitals of Wisconsin January 2004