Exploring New
Ways To
Address
Recruitment
and Retention
Innovative Solutions:
Robots in Nursing
Education?
Presentation by:
Dr. Carol Holdcraft, DNS, RN, Wright State
University
Debi Sampsel, MSN, RN, Nursing Institute of
West Central Ohio
Garfield Jones, InTouch Health
March 26, 2008
1
• Nursing Institute of West
Central Ohio Collaboration
• Data Driven Research
Agenda
• InTouch Health Remote
Presence Robot Demonstration
• Highlights from Faculty
Extender Remote Presence
Robot Research Project
• Future Implications
• Questions and Answers
2
Mercer Auglaize
Shelby
Darke
Nursing
Institute of
West Central
Ohio
Collaboration:
• 11 Schools of Nursing
• Veterans Affairs
• Wright Patterson
Air Force Base
• Health Care Providers
• Businesses
Miami
Logan
Champaign
Clark
Preble
Butler
Greene
Fayette
Warren Clinton
Highland
Serving 16
Counties in
West Central
Ohio
Mission
Provide support and leadership for an
effective regional RN workforce through
innovative partnerships, service, education
and research
Vision
A nationally recognized regional RN workforce providing safe, accessible, quality
healthcare
3
We are here
120,000
State of
Ohio
Nursing
Projections
105,000
90,000
75,000
Supply
Demand
60,000
2000
2005
2010
Year
2015
2020
Ohio will be short 32,000 nurses by 2020
4
The Perfect Storm is Brewing Forecast Bleak
18
16
16
Growing RN Shortage
14
12
14
Declining Faculty
10
Reengineered a 20
year old national
HRSA Model to
create first ever
regional workforce
prediction model
15
2005
Demand
Supply
Faculty
2010
2015
Year
13
2020
Nursing Faculty (x 100)
Nurses (x 1000)
Local
Supply/
Demand
Study
20
FTE RN Shortage
3,550
4,250
5,750
7,400
• 38% RN Shortage
by 2020
5
So What’s
To Be
Done???
Answer:
A futuristic approach
to testing models and
implementing new
programs for the
nursing students,
nursing workforce,
and faculty
6
Faculty
Nurse
Extender
Project
Remote
Presence
Robot (RP7)
Demonstration
7
Remote Presence Robot
Faculty Extender Research
Study
One Possible
Solution to
Address
Faculty
Shortage
• 8 pre-licensure RN programs
participated (Rural, Community,
Urban – ADN & BSN)
• Subjects
– 10 experienced nurse faculty
– 82 nursing students (all levels)
1st year students
= 14
2nd year students
= 30
3rd year students
= 21
4th year students
= 17
8
Purpose
of
Research
Gathering impressions
from faculty and
students about
usefulness of the
remote presence robot
as a faculty extender in
clinical simulation
learning
9
Objectives
of This
Study
•
Evaluate faculty’s acceptance of
the use of a remote robot for
education and training of nursing
students
•
Evaluate nursing students’
acceptance of receiving clinical
instruction via a remote presence
robot
•
Evaluate ergonomics application
for nursing education and training
10
Study
Methods
• Selection
Experienced and qualified
faculty recruited from RN
programs
• Training
Robot operation and
simulation scenario
orientation
• Scheduling and student
volunteers
• Pre/Post survey data & video
recording of sessions
11
Initial Reaction About Robot
100%
What was your
initial reaction
about the
robot?
Favorable
Unfavorable
0%
Results
1 Unfavorable
2
3
4
5
Favorable
0%
0%
30%
50%
20%
12
Could robot be useful as a faculty extender?
Do you think
a robot could
be used as a
faculty
extender?
100%
Very useful
Not useful
0%
Results
1
Not Useful
2
3
4
5
Very Useful
0%
10%
10%
20%
60%
13
Was remote presence robot effective?
Very effective
Not effective
100%
Was the
robot
effective?
0%
Results
1
Not effective
2
3
4
5
Very effective
0%
0%
10%
40%
50%
14
Were you satisfied with this study?
100%
Not satisfied
Very satisfied
Were you
satisfied with
this study?
0%
Results
1
Not satisfied
2
3
4
5
Very
0%
0%
10%
40%
50%
15
Was exploratory study user friendly?
Did you find
the
exploratory
study to be
friendly?
100%
0%
Results
Yes
No
1
No
2
3
4
5
Yes
0%
0%
10%
40%
50%
16
Positive Faculty Comments
Enjoyed working with high
technology
Faculty’s
Additional
Findings
Conducive to good interaction with
students
Created a positive learning
experience
Received good support and
assistance
Supported potential use of robot offsite
17
•
Initial reaction of the
faculty about robot was
medium to favorable
•
After the study, 82% of the
faculty showed high or
very high acceptance of
the use of remote robot for
education and training of
nursing students.
Conclusion
from Faculty
Data Analysis
18
SQN1: Initial Reaction About Robot
100%
What was
your initial
reaction
about the
robot?
Favorable
Unfavorable
0%
Results
1
Unfavorable
2
3
4
5
Favorable
2%
3%
9%
41%
45%
19
SQN2: Could robot be useful as a faculty extender?
Do you think a
robot could be
used as a
faculty
extender?
100%
Very useful
Not useful
0%
Results
1
Not Useful
2
3
4
5
Very Useful
1%
4%
11%
38%
46%
20
SQN3: Was remote presence robot effective?
Very effective
Not effective
100%
Was the remote
presence robot
effective as an
instructor?
0%
Results
1
Not effective
2
3
4
5
Very effective
1%
5%
13%
44%
37%
21
SQN4: Was exploratory study user friendly?
100%
Did you find the
exploratory
study to be
user friendly?
0%
Results
Yes
No
1
No
2
3
4
5
Yes
1%
2%
5%
40%
52%
22
SQN5: Were you satisfied with this classroom experience?
100%
Not satisfied
Very satisfied
Were you
satisfied with
this classroom
experience?
0%
Results
1
Not satisfied
2
3
4
5
Very
satisfied
3%
0%
9%
33%
55%
23
Student Acceptance Analysis
100%
Students’
Acceptance
Ratings
0%
% Acceptance
1
Very low
acceptance
2
Low
acceptance
3
Medium
acceptance
4
High
acceptance
5
Very high
acceptance
1%
3%
9%
39%
48%
24
•
48% had very high
acceptance
Conclusion of the
student data
analysis based on
the acceptance
criteria
•
39% had high acceptance
•
9% had medium acceptance
•
3% had low acceptance
•
1% had very low acceptance
25
Students’ Positive Comments
Students’
Additional
Findings
• Encouraged to think independently
with faculty supervision which
reduced stress
• Enjoyed working with advanced
technology such as the robot and
simulator
• Good environmental learning without
stress
• Will create opportunity for distance
learning
• This study demonstrated the focus on
learning process rather than
techniques in a regular lab.
26
Preliminary study demonstrated
that both participants, faculty
Overall Study and students, gave high
Conclusion
acceptance rating for the use of
remote presence robot as a
faculty extender technology for
teaching nursing courses.
27
Faculty and Student
Recommendations
– Develop and improve training scenarios (all)
– Improve audio communication (all)
Recommendations for
improvement
– Provide more space for robot mobility (all)
– Improve back-and-forth interaction with faculty
(3rd)
– Better vision (wide angle) for the robot (all)
– Provide video replay for training (2nd)
– Reduce class size for better training (4th)
28
Future
Study
Questions
• Can expert faculty be used via
the robot to serve as teaching
mentors to novice faculty and
teaching assistants?
• Can expert nurse clinicians be
linked to learners via the RP7
robot for nursing rounds or other
learning experiences?
29
Other RP7 Applications
• Nursing Beta Testing
Remote Presence
Robots in
Educational and
Clinical Settings
Geriatric rounds
Long distant care family visits
Case Studies
Chart reviews
JCAHO & State survey readiness
monitor
• Physicians’ Usage – e.g. Stroke Network
• Faculty –Student Research Study (8
Programs of Nursing & 82 Students)
30
Other RP7 Applications
Remote Presence
Robots in
Educational and
Clinical Settings
• National Science Foundation
Grant Pursuits
• Military – Government applications
• Civilian health care provider and
academia partner plans
• Corporate links
31
Future Contact
Information
Question
and Answer
Session
Many thanks goes to
Congressman David Hobson
and Senator George Voinovich
for the federal appropriations
monies for the NIWCO and to
the sustainability partners
Wright State University, Premier
Health System, Sinclair
Community College.
Carol Holdcraft, DNS, RN
Assistant Dean College of
Nursing and Health
Wright State University
68 University Hall
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
937-775-3131
Debi Sampsel, MSN, RN
Executive Director
Nursing Institute of West Central
Ohio
015 University Hall
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
937-775-3940
32