T r aining Sc hool Nur se s on Asthma Pr otoc ol in NYC Jean - - PowerPoint PPT Presentation

▶
t r aining sc hool nur se s on asthma pr otoc ol in nyc
SMART_READER_LITE
LIVE PREVIEW

T r aining Sc hool Nur se s on Asthma Pr otoc ol in NYC Jean - - PowerPoint PPT Presentation

Apr 03, 2023 19 likes •281 views

T r aining Sc hool Nur se s on Asthma Pr otoc ol in NYC Jean Sale-Shaw, MS, MPH, RN, Authors: AE-C Melissa Bernstein, MPH, CHES, Gail Adman RN, MPH CPH Shwetha Bhaskar, MS Anne Brennan, MS Calaine Hemans-Henry, MPH Helen Aguila, MD,

slide-1
SLIDE 1

T r aining Sc hool Nur se s on Asthma Pr

  • toc ol in NYC

Authors:

Melissa Bernstein, MPH, CHES, CPH Anne Brennan, MS Helen Aguila, MD, FCCP Maria Cunningham-Johnson, RN, MSN Jean Sale-Shaw, MS, MPH, RN, AE-C Gail Adman RN, MPH Shwetha Bhaskar, MS Calaine Hemans-Henry, MPH Marita Murrman, EdD, MS Samantha Cinnick, MPH, CHES, CPH

slide-2
SLIDE 2

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB6HP27878-01-00, Affordable Care Act (ACA) Public Health Training Centers for $705,000.00. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. 2

slide-3
SLIDE 3

L e ar ning Obje c tive s

  • Describe the importance of school nurses in

New York City public health practice.

  • Explain how evidence-based protocol training for

school nurses was developed using distance based technology

  • Discuss preliminary results from training

evaluation findings

3

slide-4
SLIDE 4

PHT C – NYC DOHMH Histor y

There has been a PHTC at Columbia University Mailman School of Public Health since

  • Current structure: 10 regional PHTCs (based on

HRSA Regions) and one national coordinating center

  • 4 legislative objectives, including training

development

  • Our content area is Health Disparities, Health

Equity and Social Determinants of Health

4

slide-5
SLIDE 5

PHT C – NYC DOHMH Histor y

Have worked in partnership with NYC DOHMH, the Bureau of Public Health Training for each PHTC In 2016, the Region 2 PHTC developed a relationship with the Office of School Health at NYC DOHMH

5

slide-6
SLIDE 6

He alth Pr

  • ble m

6

slide-7
SLIDE 7

https://www.cdc.gov/asthma/most_recent_data.htm; last updated June 7, 2017

slide-8
SLIDE 8

8

Public Sc hool Childr e n (5- 14) with Asthma

Source: EpiQuery

slide-9
SLIDE 9

9

Pe r c e ntage of Population Be low the Pove r ty T hr e shold

Source: EpiQuery

slide-10
SLIDE 10

10

Asthma E me r ge nc y De par tme nt Visits, 2014

slide-11
SLIDE 11

11

Asthma Hospitalizations, 2014

slide-12
SLIDE 12

10000 20000 30000 40000 50000 60000

ASTHMA RELATED WALK-IN VISITS 2015 -2016

Total walk-in visits Asthma related

55,406 21,338 12 Source: NYC Office of School Health

slide-13
SLIDE 13

Planning the T r ainings

Target Audience: 1,530 Public School Nurses Who serve 1,100,000+ public school students in the five boroughs in NYC in 1,800+ schools

13

slide-14
SLIDE 14

Planning the T r ainings

Based on learning objectives, broken down into four modules:

  • 1. Overview of Asthma
  • 2. Assessment of Asthma
  • 3. Responding to an Asthma Episode in the

Medical Room

  • 4. Case Management of Students with

Asthma

14

slide-15
SLIDE 15

De ve loping the T r ainings

Team Roles and Responsibilities

Content Experts

  • Public Health Nurses
  • Staff Development Coordinators
  • Assistant Commissioner, Public Health

Training

  • Pediatric Pulmonologist for NYC School

Asthma Program

  • Clinical Coordinator, Citywide Asthma

Initiative

1) Provide learning objectives 2) Create the outline 3) Write the content 4) Provide feedback on design elements 15

slide-16
SLIDE 16

De ve loping the T r ainings

Team Roles and Responsibilities

Instructional Designer

  • 20% Columbia University Instructional Designer

1) Technical development of the modules a) Content Entry b) Look/feel c) Producing the activities of the module (eg. video, interactives, etc…) 2) Providing pedagogical feedback at each step Region 2 PHTC

  • 100% Center Coordinator

1) Oversight of the project 2) Providing feedback at each step a) pedagogical b) applicability to larger Region 2 target audience

16

slide-17
SLIDE 17

17

slide-18
SLIDE 18

18

slide-19
SLIDE 19

19

slide-20
SLIDE 20

20

slide-21
SLIDE 21

21

slide-22
SLIDE 22

22

slide-23
SLIDE 23

Pr e liminar y E valuation Data

NYC DOH LMS Evaluation Data

Module Average pre- test score (%) Average post- test score (%) t-statistic Degrees of Freedom P-value Overview of Asthma (n=293) 69% 88%

  • 21.097

292 >.001 Assessment of Asthma (n=246) 74% 92%

  • 18.087

264 >.001 Responding to an Asthma Episode (n=248) 68% 88%

  • 16.954

246 >.001 Case Management of Students with Asthma (n=213) 81% 91%

  • 11.133

224 >.001

slide-24
SLIDE 24

Ne xt ste ps: T ype 1 Diabe te s

24

slide-25
SLIDE 25

Disc ussion Que stions

  • Who is your target audience for public health

training?

  • What populations/health topics are included

in your public health training?

  • What is your experience using distance-

based training in your organization?

  • How have you used public health networks to

create training?

  • What feedback do you have on our training

development process?

25

slide-26
SLIDE 26

Que stions?

Samantha Cinnick, MPH, CHES, CPH sec2188@cumc.columbia.edu Melissa Bernstein, MPH, CHES melissa.f.bernstein@gmail.com Marita Murrman, EdD, MS mkm27@cumc.columbia.edu

26