UBC Undergraduate Research

Making the connections : nurse safety - patient safety Kamani, Aleya; Shan, Wenling; Thieu, Michelle; Weng, Tracy 2011

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Making the Connections: Nurse safety - patient safety Student Project Team Members: Aleya Kamani, Wenling Shan, Michelle Thieu, and Tracy Weng, University of British Columbia School of Nursing Practice Partners: Patricia Wejr, Pam Piddocke, and Hanif Karim, British Columbia Nurses’ Union, Burnaby, British Columbia Academic Faculty: Cathryn Jackson, University of British Columbia School of Nursing  This synthesis project focuses on the development of an educational module about occupational health and safety (OH&S) for nursing students based on a needs assessment survey tool. The survey assessed students’ learning needs and identified an existing knowledge gap in the area of nurses’ personal safety and protection from respiratory infections. Respiratory infections are one of many examples of hazards that health care professionals are exposed to in the workplace. The recent H1N1 influenza virus outbreak was the driving force for our project; British Columbia Nurses’ Union (BCNU) representatives and employers recognized that respirator fit testing could not realistically be provided to all BC health workers in such a situation. As a result, an emphasis of nurses conducting their own Point of Care Risk Assessments (PCRA) and determining the level of risk and appropriate use of personal protective equipment (PPE) should be supported through education to minimize infection exposure, prevent infection and protect patients. The reality is that health care professionals face high levels of work-related injuries and illnesses. It is important that education and training in occupational health and safety be provided to prepare nursing students for the workplace. Through our Educational Module, student nurses should be competent in performing a PCRA before entering clinical practice and should be able to apply the principles of PCRA in all types of clinical settings.  Key Lessons  Overview  Background •  A needs assessment survey titled “Nursing Student Safety Survey” was conducted in October 2010 to evaluate the Cohort’s knowledge about PCRA and their workplace readiness in terms of their own safety. These surveys were administered in a paper format within a 20 minute time-block before two class sessions to collect as many completed surveys as possible.  From participating in this Synthesis Project, we learned: • • • • • •  56 out of 87 students were surveyed o An incentive (a BCNU multi-colour pen) was provided to students upon completion of the Survey o  •  The Survey results were analyzed and presented to the Practice Partners. Together, we collaboratively agreed that the Cohort demonstrated inadequate knowledge of their own safety when it came to dealing with respiratory infections.  •  Based on these results and upon consultation with the Practice Partners, it was evident that an Educational Module needed to be created on nursing safety and protection in situations involving respiratory infections.  To work collaboratively with multiple stakeholders to make effective use of interests and strengths. To organize a time grid that identifies specific and achievable steps to meet goals. To communicate the values and missions of our project throughout the group process. To demonstrate leadership in initiating steps to identify problems and propose steps towards managing change. To incorporate evidence and policy to identify barriers and drivers to change. To advocate for student nurse safety education and patient safety.  Applications and Next Steps Purpose • •  The Educational Module and this poster will be made available to the Cohort and the public via: o UBC Vista Blackboard Learning System o BCNU website o Synthesis Project Poster Presentation at UBC SoN in February 2011 o BCNU OH&S workshops o BCNU Convention in the first week of March 2011 o BCNU Practice Conference in May 2011  •  Incorporation of the Educational Module into the occupational health and safety education of health authorities will depend on the collaboration and negotiation with the health authorities.  •  Proposal to UBC Nursing BSN Program Development Committee to consider student learning needs and elevate the importance of clinical nurse safety education in lecture hours and clinical hours.  To ensure future UBC nursing students will feel safe and competent in their nursing practice, resulting in optimal health outcomes for both nurses and patients. To assess and improve the quality of clinical practice education for nursing in accordance with the CRNBC and WorkSafeBC practice standards. •  •  •  Goals and Objectives •  To develop a needs assessment survey tool to evaluate University of British Columbia (UBC) School of Nursing (SoN) 2009 Cohort’s knowledge about nurses’ safety in the workplace.  •  To analyze survey data and identify knowledge gaps.  •  To create a user-friendly Educational Module that can be used by students prior to clinical practice, including the following: o Rationale for conducting a Point of Care Risk Assessment (PCRA) for respiratory infections o Components of a PCRA o Follow-up actions after conducting a PCRA o Training in the use of personal protective equipment (PPE) o Awareness of the elements of exposure control plans  •  •  End goal: o To provide educational resources about PCRA o To promote awareness about OH&S o To protect the safety of nurses and the patients in their care  We chose to present the Educational Module in multiple forms of media (e.g. powerpoint presentation, audio-visual video and quick card format) reflective of the goal to create a user-friendly resource tool which would enhance nursing knowledge, practice and skills for nursing students. We hope to give nursing students from UBC, as well as within the Lower Mainland, the opportunity to use the Educational Module to enhance nursing knowledge, skills and practice on respiratory infections so that safe, competent, compassionate and ethical nursing care can be performed. We hope nursing students will have access to the Educational Module through the UBC School of Nursing curriculum and BCNU.  Outcomes •  We developed and distributed a survey, analyzed the results, and identified the knowledge gaps present in the Cohort regarding students’ safety in practice settings.  •  We addressed this knowledge gap by developing an Educational Module that addresses PCRA for respiratory infections.  •  We raised the awareness of occupational health and safety among the Cohort.  •  We provided the Cohort with basic principles and fundamental tools and resources for their future occupational heath and safety.  Tools and Resources • • • • • •  Occupational Health and Safety Agency for Healthcare PCRA tool Public Health Agency of Canada guidelines Workers Compensation Act and Workers Compensation Board: Occupational Health and Safety Regulation Health Care Workers- Protecting Ourselves While Caring for Others (British Columbia Nurses’ Union) Preventing Violence in Health Care: Five steps to an effective Program (WorkSafeBC) BCNU staff and UBC SoN faculty members  


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