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Paul van Keeken, MSc N, Nicolai van der Woert, MSc E

Paul van Keeken, MSc N, Nicolai van der Woert, MSc E Nijmegen Expertise Center for Neuro Rehabilitation, Neuro-Sensory Department Radboud University Nijmegen Medical Center, The Netherlands. Community Vocational Training Action Programme Second phase: 2000-2006. Smal research.

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Paul van Keeken, MSc N, Nicolai van der Woert, MSc E

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  1. Paul van Keeken, MSc N, Nicolai van der Woert, MSc E Nijmegen Expertise Center for Neuro Rehabilitation, Neuro-Sensory Department Radboud University Nijmegen Medical Center, The Netherlands Community Vocational Training Action ProgrammeSecond phase: 2000-2006

  2. Smal research Neuroscience nursing is a speciality and a special kind of nursing. Who agrees?

  3. Small research Taking care of patients with neurological or neurosurgical diseases asks for extra or special competences of nurses. Who agrees?

  4. Smal research After your basic education as a nurse extra courses and training is needed to be competent to work on a neuro ward. Who agrees?

  5. Smal research My employer/boss offers me enough possibilities (courses, training on the job, congresses, other…) to become and to stay a competent neuroscience nurse. Who agrees?

  6. Smal research On my ward there are enough computers to work with. Who agrees?

  7. Smal research On my ward we have internet access on at least one computer. Who agrees?

  8. Smal research On my ward we have internet access on all computers. Who agrees?

  9. What is so special about neuro patients?

  10. What is so special about neuro patients? Most neuro diseases are chronical. Patients need help with activities of daily living, mobility, swallowing, etc. Most neuro patients become severely disabled and handicapped.

  11. What is so special about neuro patients? Patients with neurological or neurosurgical diseases may have to deal with disturbed vital functions and like no other patient group they suffer from a mix of sensomotory, cognitive and psycho-emotional impairments. This indicates neuroscience nurses have to be competent in a wide shade of care, from live-threatening situations, via rehabilitation to palliative care in chronic long term situations.

  12. European Function Profileof a neuroscience nurseOctober 2005 www.eann.net

  13. Three identified domains specific for neuroscience nursing • Acute neuro care • Neuro rehabilitation • Neuro palliative care

  14. nEUroBlendOctober 2005 – October 2007

  15. The project: Partners Örebro Universität, Jonkoping University Lund University Hospital Landspitali University Hospital Reykjavik Oulu Polytechnic, Oulu University medical center St Radboud, Nijmegen Univerity Hospital, Helsinki Radcliffe infermary, Oxford Heilig Hart Ziekenhuis, Roeselare-Menen St. Luke’s hospital, Malta Mikkelli University Silent Partners (European Associations) EANN EFN (nurses EU) FINE (nurse educators) (National Associations) BE: BVNV/ABIN DK: DANN UK: BANN FI: FANN SE: SANN NL: NVNV IS: IANN IT: ANIN SW: SGNP

  16. NeuroBlendpartnership • Full partners producers • NL, BE, UK, SE (2x), FI (2x), IS, MT • universities, (university) hospitals, schools • Silent partners advisory board • EANN • EANN members • EFN (European Federation of Nurses associations) • FINE (European Association of Nurse Educators) • Feedback group  on individual bases • Nurses, managers, educators and researchers

  17. The project: context • EU: 15,500,000+ patients, 125,000-1,500,000 nurses • Enormous training need • Diversity: Different laws & regulations, different educational systems, culture • Ranging from good educational systems to no specialized neuroscience nursing education at all • Competence based training is a rising star, but nowhere really implemented • Working together as solution to EU & time/money problems • NW: leaders; S+C: followers; new member states? • European ID: Neuroscience nursing = speciality • acute neurocare, • neuro-rehabilitation, • chronic neuro care/neuropalliative care • EANN as initiator and guardian of EU-curriculum and materialsStrongly connects to EANN policy plan • Sharing Reusable Learning Objects: Creative Commons Licence

  18. Competence based learning A competence describes behaviour needed to be successful in a professional context. Levels Criteria, Reflection Competence based learning and teaching philosophy includes: ……… ·Learning is aimed at actively constructing knowledge in a meaningful context ·A competence is connected to meaningful job/task-specific learning contexts ·Integrative learning aimed at coherence rather than loose facts ·Active reflection ·Working together as on the workfloor where possible ·Flexible learning paths ·Adjusted to needs and Elsewhere Gained Competences of individual learner ·Competences cannot be learned in one click, they grow in a process ·Individual learner is responsible for own learning process ·Teacher is facilitator or coach for learning process

  19. situation Knowledge Skills Attitudes Meta-action action Result/product Competence based learning A competence describes behaviour needed to be successful in a professional context. Levels criteria, reflection Competence development requires the use of knowledge, skills and attitudes in an integrated way within an authentic learning environment Different every time   standards & routines Anticipate Plan care or treatment roles Criteria for action Reflection Justify actions Explain why Product criteria

  20. Project structure Project Management Project Board Full Partners Project Advisory Group Silent Partners Work package 1: Curriculum Development Work package 2: Conferences & Publications Work package 3: Evaluation, Surveys, and Monitoring of Effects Work package 4: Educational Design and Development Work package 5: ICT Support and Production • Follow up projects: • Train the trainer • Quality assurance, accreditation and certification • Adding more training materials

  21. Designing the curriculum

  22. e-Tools overview • Learning Objects/Digital Repository 2. Virtual Learning Environment 3. Virtual Patient Case/Virtual Ward Case 4. Community of Practice for teachers

  23. Repository of Reusable Learning Objects • Store, search, retrieve • Multimedia • Peer reviewed • Rating possible • Informed Consent • Metadata description • Creative Commons

  24. Virtual Learning Environment

  25. 11 major content areas for the development of learning materials in nEUroBlend · the profession of the neuroscience nurse ·anatomy and fysiology of the central and peripheral nervous system ·  neuro acute care . neuro rehabilitation ·neuro palliative and long term care ·  Parkinsons disease ·  stroke ·  epilepsy ·MS ·neuro-oncology ·neurotrauma

  26. Community of Practice / website Community of practice for teachers and educators: a virtual workspace www.neuroblend.eu • News • Documents • Knowledge base • Working together • Discussion • Focus Groups • Design & Development • Surveys • Sub-projects • Calendar • … • Open source! Website opens october 31st, 2006

  27. Virtual Patient Case PDP  portfoliolearning outcomes • Info & • learning resources • videocase, • digital patiënt record, • guidelines, • handbooks, • opinion of collegues • or other disciplines • websites Case intro Patient & care problem Assignment Products, learning outcomes Competences Learning outcomes, criteria Processing Work out the case Reflection Learning outcomes, products, performance Feedback Teacher, coach, peer Products  portfolio Diagnosis, Care plan, etc Digital Portfolio Store products, reflection, and assessment, Learning outcomes, adapt PDP Assessment product, coach, peers, test, portfolio,products

  28. Electronic Patient File as part of Virtual Patient Case

  29. Virtual Ward Case • Setting up a mentoring and coaching system • Introducing a new intervention method for rehabilitation at the ward • Starting with evidence based practice • Making a training plan for the ward • Budget cut reorganisation: change management • Developing a policy for the next three years • Managing the ward: planning and scheduling • Introducing the multidisciplinary approach

  30. NeuroBlendproject goals • A competence based curriculum • A digital virtual learning environment • Lessons and modules (no courses!) • On 11 topics • Blueprints for lessons and modules • A project plan for ‘train de trainers’

  31. NeuroBlendImportant project limitations • We have ‘only’ two years • All texts are in English, other languages are possible • Not all neuro diseases are covered • Limited amount of materials (blueprints) • Follow up projects are needed

  32. Contact Information Project Management Paul van Keekenp.vankeeken@neuro.umcn.nl Nicolai van der Woertn.vanderwoert@neuro.umcn.nl Website www.neuroblend.eu (as of october 31st, 2006) Project Presentation EANN Reykjavik conference May 30th- June 2nd 2007 http://eanncongres.hi.is

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