Nicolai van der Woert, MSc E

Nijmegen Expertise Center for Neuro Rehabilitation, Neuro-Sensory Department

Radboud University Nijmegen Medical Center, The Netherlands

Towards a European competence based framework for life-long learning of neuroscience nurses

•Starting situation and stepping stones

•Building Blocks for the NeuroBlend project

•A scientific basis for R&D work

History

EANN policy plan 2003-2008

2004: discussion in EANN

2005: Barcelona meeting

Oktober 2005:Neuroblend project

Leonardo da Vinci fund

2005: European Function Profile of the neuroscience nurse

2007: What is next?

2007: Lund meeting

2006:European Competence Profile

• EANN strategy plan 2003-2008•Support continuing and post-basic education in neuroscience nursing care for nurses in all healthcare settings.

• Accommodate national requirements for accreditation for post-registration neuroscience nursing courses and develop standards for EANN educational activity

•Develop a common definition of “neuroscience nurse” to include educational and clinical preparation

•Develop an adequate infrastructure to support the activities of the EANN

• European Commision... and funding !!!

•Bologna Process – Ba,Ma,PhD – ECTS

•VET: professional competences, quality control framework, Teacher Training

•Life Long Learning Plan (LLP) and European Qualification Framework (EQF)

•Mobility and exchange

•Harmonisation of Education

• Situation in Europe

•EANN zero survey: only some NW European countries have curriculum

•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 education at all

•Competence based training is a rising star, but nowhere really implemented

•Working together as solution to EU & time/money problems

EU context

1.European Framework for life-long learning of neuroscience nurses: which structure, which tools?

2.European curriculum: what should be inside ?

3.Developing and sharing learning materials: how,what, by whom?

4.How to implement all of this in Europe?

Research questions

• Experts from all over EU

• Sharing, give and take

• From a curriculum as a basis

• Competence based

• Using internet and multimedia

• Blended learning strategy

• Open source software

• Community of practice

Research questions

1: European Framework for life-long learning of neuroscience nurses: which structure, which tools?

e-Tools overview

3. Virtual Patient Case/Virtual Ward Case

1. Learning Objects/Digital Repository

2. Virtual Learning Environment

4. Community of Practice for teachers

Open Source software

Virtual Learning Environment

Competence based learning

A competence describes behaviour needed to be successful in a professional context.

Levels criteria, reflectionCompetence development requires the use of knowledge, skills and attitudes in an integrated

way within an authentic learning environment

Different every time

situation

Meta-action

Result/product

action

Knowledge

Skills

Attitudes

rolesAnticipate

Plan care or treatment

Reflection

Justify actions

Explain why

Criteria for action

Product criteria

standards & routines

Core competences Levels Role Task Area Domain specific?

To provide professional neuroscience nursing care, based on independent responsibility. 

Competent ProficientExpert

Care provider Content of care(A,C)

Acute, Rehab and Palliative are different

To coordinate an integral and coherent package of neuroscience nursing care with one goal: continuity of care in the complete care chain. 

CompetentProficientExpert

Case manager 

Content of care(B,D) 

Acute, Rehab and Palliative are different

To set a good example (role model) for (new) neuroscience nurses and to teach and coach team members in functioning as care provider/ case manager and develop as individual in the organisation and the profession.  

ProficientExpert

Coach/teacher/supervisor

Organisation of care (F) Profession (E)

Same for each domain

To design and develop a policy concerning nursing, care programs and/or guidelines and protocols for neuro patients, aimed at care innovation and improvement of quality of care and to this, to play a renewing role in neuro-science-nursing.  

ProficientExpert

Planner/practice developer

Profession(E)

Same for each domain

To advice on or to design and develop a policy concerning organisation of care, ward management and institution policy and to this, to become the neuro patients advocate in organisation and management. 

ProficientExpert

Planner/practice developer

Organisation of care (F)

Same for each domain

Competence Profile

Research questions

2: European curriculum: what should be inside ?

European function profile Task oriented, gives clues about how to do the job

European competence profile Competence oriented, gives clues about roles, contexts, outcomes & products and their criteria, reflection

European Learning Plan Gives info about the philosophy of learning and teaching

Module Descriptions Describes the content areas in relation to competences

Flexible Learning Paths Alternatives for an individual to acquire competences at a certain level

Blended Learning Plan Describes alternatives for using different modes of learning

Educational Organisation Alternatives for institutes at different levels of maturity to implement ECP in learning and teaching

Plan for Professionalising Teachers Train the trainer plan

Implementation plan Strategies, do’s and don’ts for different contexts

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

• Virtual Patient Cases For developing competences in caring for patients. Real life situations, authentic learning context.

• Virtual Ward Cases For developing competences in coaching, mentoring, managing the ward and vision on developing the profession .

• Knowledge Base

• Repository of reusable learning objects

• Webquest format: inquiry based learning, case based learning, problem based learning, competence based

• Blended learning strategy

EU context

Research questions

3: Developing and sharing learning materials: how, what, by whom?

Virtual Patient Case: WebQuest

PDP portfoliolearning outcomes

1 Case introPatient & care problem

Digital PortfolioStore products, reflection, and assessment,

Learning outcomes, adapt PDP

6. Evaluation,assessment

Teacher, coach, peer

5. ReflectionLearning outcomes,

products, performance

Assessmentproduct, coach, peers,test, portfolio,products

2. AssignmentProducts, learning outcomes

3. Learning ProcessSteps to take for learning task

4. Learning ResourcesCommon / patient

Info & learning resources•videocase, •digital patiënt record, •guidelines,•handbooks, •opinion of collegues •or other disciplines•websites

Products portfolioDiagnosis, Care plan, etc

Patient cases / Webquest

PDP & portfolio

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

Repository of Reusable Learning Objects

• Store, search, retrieve

• Multimedia

• Peer reviewed

• Rating possible

• Informed Consent

• Metadata description

• Creative Commons

PDP & portfolio

• Range: from traditional to partly competence based

• Range: used to B-learning or not

• Range: with/without teachers / resources

• Scenarios as examples for different settings

• Educational organisations

• Cases

• Readyness / maturity model next steps

• EU wide support

•Teacher training

•Quality Assurance,Accreditation and Certification

•Developing materials together

•Sharing, give and take, Creative Commons

•Role of EANN

• Working towards a new structure and new projects

Research questions

4: How to implement all of this in Europe?

Community of Practice / website

www.neuroblend.eu

Community of practice for teachers and educators: a virtual workspace

• News

• Documents

• Knowledge base

• Working together

• Discussion

• Focus Groups

• Design & Development

• Surveys

• Sub-projects

• Calendar

• …

• Open source!

Follow up projects (2007+):

•National roll-outs

•in hospitals, nursing homes, home care

•Higher Education

•Cooperation with EANN and national nursing associations

•New EU member states

•Train the trainer

•Master Class, star trainers from many countries spread the word

•Summer school, certificate

•training-coaching-educational design & development,

•community of practice

•Quality assurance, accreditation and certification

•Adding more training materials

•Transition to other domains of nursing

A new structure

EANN - Networked Communities of PracticeEANN - Networked Communities of Practice

RESEARCH

RESEARCH

EDUCATION

EDUCATION

.

.

.

.

.

.

Special Interest Groups (SIG)Special Interest Groups (SIG) Focus Groups (FoG)Focus Groups (FoG)

StrokeStroke

ParkinsonParkinson

…..…..

Acute Neuro CareAcute Neuro Care

Neuro RehabNeuro Rehab

Neuro Palliative CareNeuro Palliative Care

Strategic Partners and consortiaStrategic Partners and consortia

.

.

.

.

.

.

Some words about Life AFTER NeuroBlend

• EANN to take over and be responsible for roll-out, administration and evolution ofthe NeuroBlend materials

What needs to be done by EANN as administrator and custodian of materials after the NeuroBlend project period?

• Hardware/software maintenance and administration

•Server hardware (diskspace, capacity when many users are on the system, traffic-load when lots of video is up/downloaded, server speed, connection speed, downtime alerts)

•Server software (OS, webserver, database, scripting language, dashboard, Cronjobs)

•Networking capacity limit, amount of data and bandwidth consumption

• Application Maintenance and Administration

•Backups and archiving: database, courses, repository, assets

•Moodle VECTORS / LAMS version maintenance and migration (CORE, add-on modules, languages)

•Statistics, reports, monitoring of system performance

•Technical questions, communication with webhost

• Content maintenance and administration

•User administration (licences, username, password, roles, portfolio

•Course administration (settings, naming, archiving, cleanup for next use, backup, restore)

•Filling and updating the repository, administering the peer review process, administering informed consent forms

• Educational and pedagogical matters

•Training the teachers and students, updating manuals

•Educational questions from teacher-users

•New content: making sure it will be in the repository, and setup / structure / quality as is intended

• Migration and re-usability of content on other systems and brands: consultancy

HELP it is not

working!!!

HELP I can not log in!!!

HELP, how to do this, I really forgot !!!

Alternatives to become operational and gain continuity

• Scenario 1: EANN opens office with dedicated staff

• Scenario 2: EANN delegates tasks to volunteers

• Scenario 3: EANN hires external company for the job

• Scenario 4: EANN asks 1 or 2 member-hospitals to do the job

Im-pos-si-ble.

will go wrong !

…expensive…

…hmmm…

But whom?

•Questions:•Committee of wise nurses to control and check•Quality Assurance, Accreditation, Certification --- teachers•Who can use these materials – screening at the door?•Creative Commons Licence•Privacy of patients, informed consent and control•New materials, peer review, correctness and quality•Keeping the VECTORS website alive•Two way traffic – give & take, share•Security issues

•What about the costs ?

About the money

• Webhosting per year € 5000,--

•Dedicated server

•Extra cost when data traffic, bandwith or diskspace will grow

• Maintenance and administration per year € 15000,--

• New developments, teacher training: project based only

• Consultancy – by contract

• Income:

•Sponsorships from industry

•User is paying (institute and/or individual)

•Membership fee

•What is the cost per member?

•How many neuroscience nurses in Europe???

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