nursing outcome

PART 1: STAFF EDUCATION PLAN

I. DETERMINE A LEARNING NEED

A. Needs assessment – Discuss how you determined your topic area.

1. Work in the area—see a need, fill a need. I notice a lot of escalation happening when nurses/aides interact with dementia patients to the point where no one really wins. I would like to change this communication strategy to a more therapeutic technique.

B. Learner analysis of the target audience— Memory Care Staff

1. State your method of learner analysis

a. Questionnaire/Survey—10 questions/10 topics, 7 participants—FT Memory Care HC Workers. Knowledge assess. (See attached PwrPt)

2. Submit summary of survey results

	P1	P2	P3	P4	P5	P6	P7	Average	Concept Evaluated
Q1	0.5	0.33	0.67	0.5	0.5	1	0.67	0.6	Causes of Dementia
Q2	0.6	0.8	0.8	0.6	0.8	0.6	0.8	0.71	Risk Factors
Q3	0.67	0.33	0.67	0.33	0.33	0.67	0	0.43	Stages of AD
Q4	0	1	1	1	0	0	1	0.57	Rare forms
Q5	0	0	0	0	0	0	0	0	Dementia vs. Delirium
Q6	1	1	1	1	0	1	1	0.86	Wandering Interventions
Q7	0	1	0	0	1	1	1	0.57	Anger/Aggression
Q8	1	1	1	1	1	0	1	0.86	Hallucinations
Q9	0.5	0.75	0.75	0.5	0.75	0.5	0.75	0.64	Behavioral Triggers
Q10	0	0	1	1	1	1	0	0.57	Preventing Falls
Total	4.27	6.21	6.89	5.93	5.38	5.77	6.22	5.81	Out of 10

P=Participant; Q=Question; Total=Out of 10; 1=Correct, 0=Incorrect, 0.01-0.99=Partially Correct

a. Participants had a solid understanding of risk factors associated with dementia, interventions for wandering, and appropriate reactions to hallucinations. Questions answered >70% correctly on average are determined to be well understood by the participants.

b. Topics for review include identifying causes of dementia, understanding behaviors associated with the different stages of Alzheimer’s Disease, distinguishing between dementia and delirium, responding to anger and aggression, interventions to take to prevent falls, and behavioral triggers associated with dementia. Questions answered <70% correctly on average are determined to be content areas in which teaching is necessary.

C. Identify strengths and barriers to learning

1. Discuss the findings of your analysis of the audience traits/qualities

a. Strengths of the audience include vast amounts of empathy, competency in basic nursing skills, attentiveness to others’ needs, and resourcefulness. Audience cares well for their patients and has knowledge of basic nursing skills such as transferring and hygiene practices. Deficits arise with responding to dementia-associated behaviors such as anger/aggression and recognizing onset of delirium. Other weaknesses include loud communication techniques and a lack of ability to distinguish between appropriate (therapeutic) and inappropriate (nontherapeutic) responses to patients with dementia.

2. Summarize the environmental factors found in your context analysis

a. Environmental factors affecting performance include only being able to take survey during break times, potential chaos surrounding participant if taken at nurse’s station, and the testing area not being able to be well controlled.

3. Identify the potential barriers to learning in the audience and the environment that you have identified based upon your assessment

a. Potential barriers to learning include the environment not being controlled, time restrictions, little prior training, no prior review, or knowledge of survey. Potential audience barriers include high volume of communication, actions that can be perceived as aggressive, and an inability to distinguish what is an appropriate response when speaking to a patient with dementia.

4. List any strengths and the strategies you plan to implement to reduce identified barriers to learning

a. Setting aside a specific time for the assessment, content review prior to survey, retouch on topics participants are struggling with.

II. DEVELOP A TEACHING PLAN

A. Design & develop the plan

1. Based on the analysis discussed above state the learning priorities

a. Topics to review include:

(1) Causes of Dementia

(2) Stages of Alzheimer’s Disease

(3) Dementia vs. Delirium**

(4) How to Respond to Anger/Aggression

(5) Behavioral Triggers

(6) Measures to Take to Prevent Falls

b. These are all subjects in which participants scored less than 70% average.

2. List 3-5 learning objectives & identify the domain of each – Upon completion of the education, participants will be able to…

a. Identify common causes of dementia (cognitive)

b. Communicate symptoms that distinguish delirium from dementia (cognitive)

c. Demonstrate how to respond to an angry or aggressive patient (psychomotor/affective)

d. Distinguish behavioral triggers for advanced dementia (affective/cognitive)

e. Understand measures to take to prevent falls with the cognitively impaired (cognitive)

B. Teaching Plan

1. Discuss sequencing, format, and strategies of your education

PowerPoint will be the primary source of information for audience. Pamphlets outlining the PowerPoint content will be provided at the time of presentation. A short video clip will be included in the PowerPoint. This way most facets of learning are covered. A short quiz (10 questions) will be taken prior to the education to evaluate baseline knowledge as well as a post-quiz (5 questions) to evaluate knowledge gained.

2. Provide an outline of your educational plan

PowerPoint Outline
Slide #	Topic of Slide
1	Introduction—Providing Patient-Centered Care to People with Dementia
2	Causes of Dementia
2	Common—Slides	Rare—Read
3	Question Slide
4	Answer Slide
5	Risk Factors
5	Modifiable	Non-Modifiable
6	Question Slide
7	Answer Slide
8	Alzheimer’s Disease (AD)
8	Pathophysiology	Drug Therapy
9	AD—Stages
10	Dementia with Lewy Bodies (DLB)
10	Pathophysiology	Symptoms
11	Medications
12	Frontotemporal Lobar Degeneration (FTLD)
12	Pathophysiology	Manifestations
13	Interventions	Stages
14	Vascular Dementia
14	Pathophysiology	Manifestations	Interventions
15	Parkinson’s Disease (PD)
15	Manifestations	Complications	Interventions
16	Huntington’s Disease
16	Causes of Death	Manifestations	Interventions
17	Delirium—Factors that precipitate
18	Video—1:46
19	Question Slide
20	Answer Slide
21	Dealing With Behaviors
22	Common Behaviors	Triggers/Causes
23	Agitation/Aggression	Hallucinations/Delusions	Wandering
24	Rummaging/Hiding	Sundowning	Refusal of Care
25	Question Slide
26	Answer Slide
27	Preventing Falls
28	Guidelines for self-care in dementia
29	Problems facing people with dementia
30	Nursing Diagnoses
31	NIC Interventions
32	Delegation
32	LPN	UAP

3. List the resources used to develop your plan

a. Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems

b. Varcarolis’ Foundations of Psychiatric-Mental Health Nursing

c. Mayo Clinic Website

d. ATI Mental Health Nursing

4. List any A-V equipment needed

a. Computer adaptor

b. Wireless access authorization

C. Describe how you plan to evaluate each of the objectives.

1. Evaluation methods need to align with the domain of the objective (There should be a separate evaluation method listed for each objective you have listed).

a. Each topic can be easily evaluated via survey. Evaluation via survey is the method I have chosen, and I have constructed a shorter survey to evaluate understanding of dementia after the presentation. Each objective is measured by its own question. (See attached PwrPt)

**I have attached both the preliminary survey as well as the follow-up.

References

Halter, M. J. (2018). Neurocognitive Disorders. In Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach (8th ed., pp. 430–450). essay, Elsevier.

Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Chronic Neurological Disorders. In Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems (11th ed., pp. 1352–1382). essay, Elsevier, Inc.

Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Dementia and Delirium. In Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems (11th ed., pp. 1383–1402). essay, Elsevier, Inc.

Holman, H. C., McMichael, M., Johnson, J., Williams, D., Sommer, S., & Ball, B. S. (2019). Neurocognitive Disorders. In RN Mental Health Nursing: Review Module (11.0 ed., Ser. Content Mastery Series, pp. 87–92). essay, Assessment Technologies Institute.

Mayo Foundation for Medical Education and Research. (2022, October 12). Dementia. Mayo Clinic. Retrieved April 9, 2023, from https://www.mayoclinic.org/diseases-conditions/dementia/symptoms-causes/syc-20352013