LAS VEGAS – As a result of simulated escape rooms have proven success when used for scientific training, Michael Allen, senior scientific informatics nurse at Indiana College Well being, thought they could additionally assist new nurse graduates sport out how they might carry out throughout digital well being report outages.
His hunch was right. New nurses who participated in his escape room examine felt extra assured in performing sure crucial duties throughout EHR downtime, mentioned Allen throughout his session at HIMSS25 this previous week.
Bettering nurse confidence
After hospitals and well being programs nationwide started to roll out digital well being information, many points of affected person security improved.
“When it goes down, nonetheless, there is a hurt threat,” Allen mentioned.
The rise of applied sciences reminiscent of sensible rooms, which have been proven to enhance care coordination amongst sufferers, households and suppliers, are additionally designed to make shrinking scientific workforces extra environment friendly.
“As many nurses go away the workforce, it has grow to be pivotal for hospitals to embrace know-how that modernizes the care atmosphere and gives a extra enriching office for clinicians and workers,” Jeff Fallon, chairman and CEO of Vibe Well being by eVideon, advised Healthcare IT Information in December.
When greener nurses are confronted with downtime procedures brought on by outages, cyberattacks and different occasions, they’re weak to missteps. For instance, checking affected person armbands, mentioned Allen.
“Faculties aren’t instructing tips on how to doc on paper anymore, neither hospitals nor healthcare programs,” he mentioned. “Because of this, these new graduates aren’t ready for when the [EHR] goes down. We have all seen it.”
Expertise that new graduates have of their first few years of nursing “isn’t the identical that we now have,” he mentioned to a room stuffed with nurse leaders attending the worldwide convention.
“They do not have previous nurses anymore. These previous nurses give up in the course of the COVID,” Allen mentioned.
Throughout system outages of lower than 12 hours, affected person documentation will likely be left to the top of their shift, he mentioned.
“They’re simply going to backcharge the entire thing.”
Making use of what new nurses know
The place research have proven that conventional training methodologies have been much less efficient in downtime training, Allen mentioned he gathered 28 individuals with lower than two years of expertise at Ball Memorial Hospital for escape room-style training.
Already confirmed for blended teams of nurses, the partaking, interactive and hands-on escape room methodology, Allen used Kolb’s experiential studying principle to develop the challenges.
“That is an grownup studying principle, and mainly, it takes profession and place, and it makes use of this to merge concrete expertise and summary conceptualization with reflective statement and lively experimentation,” Allen mentioned.
“The escape from training labored.”
By making use of what they know to an expertise within the escape room, new nursing graduates discover out what would not work and get assist from the proctor.
“We are able to coach them on it, after which they’ll re-reason what we have taught them and return by way of, come up with a new components, and discover out what works,” Allen mentioned.
The briefing in the beginning of the training simulation gave the nurse individuals the fundamentals of the escape room and charting documentation, and on the finish, every was debriefed.
“The reason being this isn’t about creating an impediment to beat, however fairly, it is an academic function.”
Duties within the escape room, which accommodated 5 nurses at a time, included discovering insurance policies and coverage tech, “as a result of our coverage tech nonetheless works with a community outage,” Allen mentioned.
The nurses needed to discover the kinds, take a cellphone order, fax an order and write in treatment – 5 duties in complete.
After finishing the examine, Allen mentioned he now means that escape room training for new nurses deal with three issues that may be lined in-depth in a brief period of time.
“You need this to be a little bit bit difficult, so it is enjoyable. As a result of should you obtain one thing, you then get that little dopamine reward,” he mentioned.
Allen mentioned he suggests conducting the training twice per 12 months, and holding follow-up participant surveys to about 5 questions or much less.
Andrea Fox is senior editor of Healthcare IT Information.
Electronic mail: afox@himss.org
Healthcare IT Information is a HIMSS Media publication.
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