Concurrent Session 3A
Tracks
Meeting Room 1
| Thursday, October 5, 2023 |
| 1:30 PM - 2:50 PM |
| Meeting Room 1 |
Details
Session chair: Tamsin Jones
Speaker
Ms Ruth Cavill
Emergency Nurse Advisory
Buderim Private - Uniting Care/ National Referral Hospital Solomon Islands
Learning from each other - an Australian Nurse Advisor to Emergency in Honiara.
1:30 PM - 1:50 PMAbstract
Background
Working in the emergency department (ED) in National Referral Hospital in Honiara. The overburdened healthcare system that blew previous conceptions of resource limitations, Initially brought more questions than answers
Purpose:
The aim of this abstract is to explore the insights to challenges and learnings gained being the emergency nurse advisor to the Honiara National Referral Hospital and supporting staff to provide the best possible EC.
Methods/Intervention:
Defining the next steps needed as a new owner of the advisor role required reviewing current model of care, operations, clinical competence, and relevant strategic priorities.
• Separate unconnected learning modules were a barrier to learning and standardising best practice and monitoring compliance.
• Triage process was minimally understood by community which was impacted by varied practice by staff.
• Lack of resources and multi-factorial issues made traditional solutions ineffective or poor fit.
Interventions:
• Build relationships with staff, gain understanding of operations, risks, and strengths.
• Coordinate separate learning modules into one booklet for mandatory training and clinical competencies
• Triage / patient flow signs to improve consumer engagement.
• Simulation scenarios and local case-based discussion
Results/Outcome:
The education manual has increased access to and compliance with mandatory and requisite training. Understanding local operational rationale has driven targeted education sessions. Feedback from staff has been highly positive.
Conclusion/Recommendations:
To support and educate the team to improve patient care, understanding context is imperative and recognising / working within resource is necessary to engage staff and drive outcomes.
Working in the emergency department (ED) in National Referral Hospital in Honiara. The overburdened healthcare system that blew previous conceptions of resource limitations, Initially brought more questions than answers
Purpose:
The aim of this abstract is to explore the insights to challenges and learnings gained being the emergency nurse advisor to the Honiara National Referral Hospital and supporting staff to provide the best possible EC.
Methods/Intervention:
Defining the next steps needed as a new owner of the advisor role required reviewing current model of care, operations, clinical competence, and relevant strategic priorities.
• Separate unconnected learning modules were a barrier to learning and standardising best practice and monitoring compliance.
• Triage process was minimally understood by community which was impacted by varied practice by staff.
• Lack of resources and multi-factorial issues made traditional solutions ineffective or poor fit.
Interventions:
• Build relationships with staff, gain understanding of operations, risks, and strengths.
• Coordinate separate learning modules into one booklet for mandatory training and clinical competencies
• Triage / patient flow signs to improve consumer engagement.
• Simulation scenarios and local case-based discussion
Results/Outcome:
The education manual has increased access to and compliance with mandatory and requisite training. Understanding local operational rationale has driven targeted education sessions. Feedback from staff has been highly positive.
Conclusion/Recommendations:
To support and educate the team to improve patient care, understanding context is imperative and recognising / working within resource is necessary to engage staff and drive outcomes.
Biography
Ruth Cavill is a passionate emergency nurse with a lifelong interest in the humanitarian needs of marginalised groups. She has diverse clinical experience but specialises in emergency, as well as tertiary, regional, remote and international settings.
Ruth believes in compassion centred nursing care that works collaboratively to improve health care provision. Ruth is the current emergency nurse advisor at the National Referral Hospital, Solomon Islands. Her role seeks to strengthen capacities, contribute meaningful support, bridge gaps and foster people to people connections that will improve systems, education and support.
Ms Ruth Cavill
Emergency Nurse Advisory
Buderim Private - Uniting Care/ National Referral Hospital Solomon Islands
The challenges and joys of volunteers appropriately translating emergency care from Australia to Solomon Islands
1:50 PM - 2:10 PMAbstract
Background:
The National Referral Hospital in Honiara is the highest level of healthcare available to people in the Solomon Islands. Increasing demand from population expansion, the double burden of communicable and non-communicable diseases presents ongoing challenges to the ED environment.
Aim:
The aim of this abstract is to explore the insights to challenges and learnings gained as the emergency nurse advisor supporting staff and international volunteers to provide the best possible emergency care.
Methods:
The experience has transformed my viewpoints, exposed the brilliance required to be an emergency nurse in a developing nation, added depth and breadth to my own nursing. It is giving and fulfilling work that makes a difference every day.
In Australia there are simple things that I had taken for granted. Only a few examples are:
• Equipment - reuse of oxygen tubing
• Power – out, loss of back up-generators
• Access- infectious patients wait for days for a bed
• Clinical care – medication rationalization
Disaster –evacuation of ED tsunami alarm
Results:
The resource disparity can create a dissonance for volunteers who struggle to contextualise healthcare. The resulting lack of understanding can cause an approach that is perceived as condescending or oblivious.
Conclusion:
We have much to contribute but must not neglect our own learning in translating EC for developing nations. It is important to lean into what the team is doing, for rationale and understanding of multifactorial nature of care provision; and work collaboratively to improve healthcare provision to a vulnerable population.
The National Referral Hospital in Honiara is the highest level of healthcare available to people in the Solomon Islands. Increasing demand from population expansion, the double burden of communicable and non-communicable diseases presents ongoing challenges to the ED environment.
Aim:
The aim of this abstract is to explore the insights to challenges and learnings gained as the emergency nurse advisor supporting staff and international volunteers to provide the best possible emergency care.
Methods:
The experience has transformed my viewpoints, exposed the brilliance required to be an emergency nurse in a developing nation, added depth and breadth to my own nursing. It is giving and fulfilling work that makes a difference every day.
In Australia there are simple things that I had taken for granted. Only a few examples are:
• Equipment - reuse of oxygen tubing
• Power – out, loss of back up-generators
• Access- infectious patients wait for days for a bed
• Clinical care – medication rationalization
Disaster –evacuation of ED tsunami alarm
Results:
The resource disparity can create a dissonance for volunteers who struggle to contextualise healthcare. The resulting lack of understanding can cause an approach that is perceived as condescending or oblivious.
Conclusion:
We have much to contribute but must not neglect our own learning in translating EC for developing nations. It is important to lean into what the team is doing, for rationale and understanding of multifactorial nature of care provision; and work collaboratively to improve healthcare provision to a vulnerable population.
Biography
Ruth Cavill is a passionate emergency nurse with a lifelong interest in the humanitarian needs of marginalised groups. She has diverse clinical experience but specialises in emergency, as well as tertiary, regional, remote and international settings.
Ruth believes in compassion centred nursing care that works collaboratively to improve health care provision. Ruth is the current emergency nurse advisor at the National Referral Hospital, Solomon Islands. Her role seeks to strengthen capacities, contribute meaningful support, bridge gaps and foster people to people connections that will improve systems, education and support.
Ms Elisabeth Theodore
Sales
B. Braun
Bonus Session by B.Braun: The scar is your signature Tips and Tricks for successful wound closure with tissue adhesive
2:10 PM - 2:30 PMAbstract
• Indication and use of tissue adhesives
• Practical demonstration/workshop applying tissue adhesives
• Discussion of ‘Do’s and Don’ts’ when applying tissue adhesives
• Tips and Tricks for best results
• Q&A
• Practical demonstration/workshop applying tissue adhesives
• Discussion of ‘Do’s and Don’ts’ when applying tissue adhesives
• Tips and Tricks for best results
• Q&A
Biography
Perioperative nurse for 35 years, with experience in all surgical specialties and procedures including trauma and transplants. Extensive experience in teaching within hospital, university and corporate settings.
Ms Roberta Ridolfi
Nurse Educator
Rural and Remote Education Team - Retrieval Services Queensland
Supporting the education for clinicians working in “not-so-conventional Emergency Departments”. Retrieval Services Queensland Rural and Remote Education Team’s history and future.
2:30 PM - 2:50 PMAbstract
Introduction
In March 2017, the Education Support Team at Retrieval Services Queensland (RSQ) established an initiative to support graduate and novice nurses and midwives in rural and remote (R&R) facilities in Queensland (QLD) focusing on four priority Hospital and Health Services (HHS). The project evolved into the current R&R Education Team, expanding a vision to support all health professionals who provide emergency care to patients in R&R QLD.
Aim
We aimed to evaluate the impact of education provision using an evidence-based process to inform re-design founded in equity for health clinicians working in R&R settings across Queensland.
Methods
Permanent recruitment of the education team in April 2023 was determined as “time zero” in the education impact review. We conducted a collaborative iterative design process using an established tool to analyse demographic and participant feedback data - Kirpatrick’s training evaluation model. Findings were presented to other members of the education team for further interpretation and to facilitate co-creation of interventions to increase impact.
Results
Kirkpatrick evaluation demonstrated positive utilisation and reactions (Level 1 & 2), but no qualitative or quantitative data to support behaviour or system level change (Level 3 & 4). Recurrent themes captured in design were engagement and understanding; interaction versus broadcast; relationships.
Conclusion
A renewed R&R translational education strategy, informed by social theory is in the early implementation phase. Building relationships, and methods that promote dialogue between our team and R&R clinicians and administrators may allow our team to target behaviour change and systems level outcomes through education.
In March 2017, the Education Support Team at Retrieval Services Queensland (RSQ) established an initiative to support graduate and novice nurses and midwives in rural and remote (R&R) facilities in Queensland (QLD) focusing on four priority Hospital and Health Services (HHS). The project evolved into the current R&R Education Team, expanding a vision to support all health professionals who provide emergency care to patients in R&R QLD.
Aim
We aimed to evaluate the impact of education provision using an evidence-based process to inform re-design founded in equity for health clinicians working in R&R settings across Queensland.
Methods
Permanent recruitment of the education team in April 2023 was determined as “time zero” in the education impact review. We conducted a collaborative iterative design process using an established tool to analyse demographic and participant feedback data - Kirpatrick’s training evaluation model. Findings were presented to other members of the education team for further interpretation and to facilitate co-creation of interventions to increase impact.
Results
Kirkpatrick evaluation demonstrated positive utilisation and reactions (Level 1 & 2), but no qualitative or quantitative data to support behaviour or system level change (Level 3 & 4). Recurrent themes captured in design were engagement and understanding; interaction versus broadcast; relationships.
Conclusion
A renewed R&R translational education strategy, informed by social theory is in the early implementation phase. Building relationships, and methods that promote dialogue between our team and R&R clinicians and administrators may allow our team to target behaviour change and systems level outcomes through education.
Biography
Roberta Ridolfi has more than 15 years in emergency and critical care nursing both in Italy and Australia. Roberta also worked as a paramedic for the Udine province Ambulance-Retrieval Services prior to migrating to Australia in 2016. It was in Italy Roberta developed an interest in emergency and critical care nursing education. Upon settling in Queensland, Roberta has undertaken various roles including Paediatric Intensive Care nursing and as Study Coordinator with a Paediatric Critical Care Research Group. In 2021, Roberta moved to Thursday Island, Queensland where she undertook several senior nursing roles. She is currently a Nurse Educator for the Retrieval Services Queensland Rural and Remote Education Team and a member of the College of Emergency Nursing Australasia (CENA) Trauma Nursing Program (TNP) committee. Her passion for emergency and critical care nursing encompasses support of rural and remote facilities through education. Roberta believes clinicians, education and research go hand-in-hand, with evidence-based education and research emanating from the clinical environment to improve patient outcomes. In her spare time, Roberta is a member of a medical team providing support to motorbike and car races. She is an avid motor bike rider and shares her passion for motorsports with her main supporter and life partner.
