Population Learning Needs Assessment

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Population Learning Needs Assessment

Part 1: Learning Questions

Describe a situation where you had to assess a patient’s renal function to determine the appropriateness of a medication order. How did you proceed?

How often do you use evidence-based resources (e.g., UpToDate, UpToDate, Lexicomp) to inform your medication administration decisions? (Daily, Weekly, Monthly, Rarely)

Can you walk me through your thought process when evaluating a medication order for a patient with multiple comorbidities and polypharmacy?

How do you ensure accurate medication administration when caring for patients with similar names or room numbers?

Have you received training on the ISMP’s Guidelines for Safe Medication Use in Perioperative Settings? (Yes/No)

Rate your understanding of the principles of medication reconciliation, including identifying and resolving discrepancies. (Scale: 1-5, where 1 is “Limited understanding” and 5 is “In-depth understanding”)

Describe your experience with using smart infusion pumps or other advanced technologies for medication administration. What benefits or challenges have you encountered?

Can you provide an example of a medication error or near miss you’ve experienced or observed? How was it addressed, and what did you learn from the experience?

What percentage of your medication administrations involve using a patient’s electronic medication administration record (eMAR) to verify orders? (0-25%, 26-50%, 51-75%, 76-100%)

Do you consistently use a standardized process for handoff communication during shift changes or transfers to ensure accurate medication information? (Yes/No)

 

Part II: Data Collection Plan

Newly hired nurses have unique learning needs and a strategy developed to gather this data is a mixed-methods approach. This approach incorporates both qualitative and quantitative techniques. In this particular case, an assessment was administered through an online survey platform which has the unique benefit of ease of access to many of these target nurses and completion convenience. Primarily, the survey was a combination of open-ended and closed-ended questions modeled to capture an in-depth understanding of the current knowledge, skills, and experiences related to medication administration and safety this target demographic had. Utilizing the open-ended questions detailed above was essential in allowing respondents to provide detailed, narrative responses. Open ended questions offer insights into the thought processes and personal experiences of the respondents being interviewed. In similar fashion, closed-ended questions were also used with specific scales utilized including Likert scale ratings and multiple-choice questions. The benefit these approaches have is facilitating data quantification, enabling the identification of common trends and areas requiring further training. Maximizing participation of respondents and in order to achieve as a representative sample, the survey link was shared through email and made it accessible on the internal communication platforms of the hospital(s). Follow-up reminders were scheduled to provide opportunities for nurses to complete the survey during staff meetings. This step had the benefit of ensuring a high response rate was attained as well as a rich dataset for subsequent analysis.

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The data collected from the learning needs assessment will be instrumental in quite a number of ways primarily in developing a targeted education plan for newly hired nurses. Analyzing the qualitative and quantitative responses will be beneficial in enabling the identification of existing gaps in knowledge and skills related to medication administration and safety. Equally important is the fact that the open-ended responses received from the respondents will provide detailed insights into the experiences and challenges newly hired nurses face. This is essential as it will allow for the creation of case-based learning scenarios that reflect real-world situations they encounter. Quantitative data, for example the frequency of resource usage and confidence levels, will offer the advantage of easily highlighting common areas where additional training is needed. Simply put, the approach chosen above for conducting the detailed comprehensive analysis is important as it will help inform the development of focused training modules, workshops, and simulation exercises tailored to the identified needs. The education plan eventually developed out of this survey will prioritize critical areas identified for example managing patients with multiple comorbidities. This will ensure accurate medication administration, and effectively using technology like eMAR and smart infusion pumps. The data gathered and analyzed will guide the creation of supplementary resources and support systems, such as mentorship programs and access to up-to-date evidence-based resources, to reinforce learning and promote continuous professional development.

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