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Ontarios Centres for Learning, Research and Innovation (CLRI) in - - PowerPoint PPT Presentation

Dec 12, 2022 196 likes •739 views

Ontarios Centres for Learning, Research and Innovation (CLRI) in Long-Term Care: Innovative Approaches to Staff Education Ontarios Centres for Learning, Research and Innovation in Long-Term Care Melissa Donskov, Bruyre CLRI BAYCREST

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SLIDE 1

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation (CLRI) in Long-Term Care: Innovative Approaches to Staff Education

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care

Melissa Donskov, Bruyère CLRI

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Outline

Introduction The Living Classroom

Schlegel Centre for Learning, Research and Innovation in Long-Term Care

E-Learning in Long-Term Care

Bruyère Centre for Learning, Research and Innovation in Long-Term Care

Experiential Learning

Baycrest Centre for Learning, Research and Innovation in Long-Term Care

Discussion

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 3

Who are we?

Baycrest

Centre for Learning, Research and Innovation in Long-Term Care

Bruyère

Centre for Learning, Research and Innovation in Long-Term Care

Schlegel

Centre for Learning, Research and Innovation in Long-Term Care Ontario’s Centres for Learning, Research and Innovation in Long-Term Care are supported with funding from the Government

  • f Ontario (2011 – 2016)

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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What do we do?

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care contribute toward enhancing the quality of care in the LTC sector through:

Facilitating collaboration between researchers, educators, LTC home personnel and other practitioners in Education, research, innovation, the development, adoption and evidence-based service delivery and continuous improvement of evidence- knowledge transfer based best practices that increase efficiency, effectiveness, sustainability and quality of care BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 5

LEARNING

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 6

LEARNING RESEARCH

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 7

LEARNING RESEARCH INNOVATION

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 8

LEARNING

CLRI

RESEARCH INNOVATION

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 9

Some examples

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 10

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care

SCHLEGEL CENTRE FOR LEARNING, RESEARCH AND INNOVATION IN LONG-TERM CARE

The “Living Classroom”

Susan Brown Mary-Lou van der Horst

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SLIDE 11

THE LIVING CLASSROOM

“Then”

TRANSACTIONAL MODEL

CURRICULUM PLACEMENTS Community College Long-Term Care Home BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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THE LIVING CLASSROOM

“Now”

INTEGRATIVE MODEL

RESEARCH TRAINING PRACTICE BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 13

THE LIVING CLASSROOM

Elements

  • f the Living

Classroom

Faculty Development at Conestoga College

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 14

THE LIVING CLASSROOM

Elements

  • f the Living

Classroom

Faculty Development at Conestoga College Curriculum Development

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 15

THE LIVING CLASSROOM

Elements

  • f the Living

Classroom

Faculty Development at Conestoga College Curriculum Development Develop Learning Methods that Capitalize

  • n

co- location in a LTC home

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 16

THE LIVING CLASSROOM

Elements

  • f the Living

Classroom

Faculty Development at Conestoga College Curriculum Development Develop Learning Methods that Capitalize

  • n

co- location in a LTC home Applied Research to Improve Practice

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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THE LIVING CLASSROOM

Success will be…

…a new reality for seniors care and living that:

Embraces a social model of living, shifting away from the current institutional model Sees seniors living well in LTC despite increasing frailty Has a workforce with more advanced skills for increasingly complex physical health needs and a higher prevalence

  • f

dementia Contains system costs through evidence-informed decision-making Provides learning opportunities to the general community for living safely at home for longer BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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THE LIVING CLASSROOM

Early success

100 80

LTC NON-LTC DON'T KNOW

60 40 20 PN (1) PN (2) PSW (1) PSW (2) BAYCREST SCHLEGEL BRUYÈRE QUESTION 1: When you started the program, where were you planning to work after graduation? QUESTION 2: Now that you are near the end of your program, where are you planning to work after graduation?

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 19

THE LIVING CLASSROOM

Stay Tuned!

Living Classroom Implementation Guide

(to be released this summer!)

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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THE LIVING CLASSROOM

Coaching

How can coaching enhance living classroom learning?

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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Develop human capacity and life skills Fascinated to capture the possibilities to grow Capacity to transmit their knowledge and skills Provide high quality practice Set high and clear expectations, keep the fun Elicit maximum effort for maximum growth Set a common vision and motivate Focus on strengths and care for one another

THE LIVING CLASSROOM

Coaching Attributes

Gr Great Coache hes Kno now The Their Spo port Gr Great Coache hes Develop p Players' Skills Gr Great Coache hes Are Gr Great Motivators Gr Great Coache hes Are Team Bui Builde ders

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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Capacity to transmit their knowledge and skills Provide high quality practice Set high and clear expectations, keep the fun Elicit maximum effort for maximum growth Set a common vision and motivate Focus on strengths and care for one another

THE LIVING CLASSROOM

Coaching Attributes

Gr Great Coache hes Kno now The Their Spo port Develop human capacity and life skills Fascinated to capture the possibilities to grow Gr Great Coache hes Develop p Players' Skills Gr Great Coache hes Are Gr Great Motivators Gr Great Coache hes Are Team Bui Builde ders

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 23

Set high and clear expectations, keep the fun Elicit maximum effort for maximum growth Set a common vision and motivate Focus on strengths and care for one another

THE LIVING CLASSROOM

Coaching Attributes

Gr Great Coache hes Kno now The Their Spo port Develop human capacity and life skills Fascinated to capture the possibilities to grow Gr Great Coache hes Develop p Players' Skills Capacity to transmit their knowledge and skills Provide high quality practice Gr Great Coache hes Are Gr Great Motivators Gr Great Coache hes Are Team Bui Builde ders

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 24

Set a common vision and motivate Focus on strengths and care for one another

THE LIVING CLASSROOM

Coaching Attributes

Gr Great Coache hes Kno now The Their Spo port Develop human capacity and life skills Fascinated to capture the possibilities to grow Gr Great Coache hes Develop p Players' Skills Capacity to transmit their knowledge and skills Provide high quality practice Gr Great Coache hes Are Gr Great Motivators Set high and clear expectations, keep the fun Elicit maximum effort for maximum growth Gr Great Coache hes Are Team Bui Builde ders

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 25

THE LIVING CLASSROOM

Coaching Attributes

Gr Great Coache hes Kno now The Their Spo port Develop human capacity and life skills Fascinated to capture the possibilities to grow Gr Great Coache hes Develop p Players' Skills Capacity to transmit their knowledge and skills Provide high quality practice Gr Great Coache hes Are Gr Great Motivators Set high and clear expectations, keep the fun Elicit maximum effort for maximum growth Gr Great Coache hes Are Team Bui Builde ders Set a common vision and motivate Focus on strengths and care for one another

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 26

THE LIVING CLASSROOM

Coaching Attributes

Gr Great Coache hes Kno now The Their Spo port Develop human capacity and life skills Fascinated to capture the possibilities to grow Gr Great Coache hes Develop p Players' Skills Capacity to transmit their knowledge and skills Provide high quality practice Gr Great Coache hes Are Gr Great Motivators Set high and clear expectations, keep the fun Elicit maximum effort for maximum growth Gr Great Coache hes Are Team Bui Builde ders Set a common vision and motivate Focus on strengths and care for one another

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 27

The Skill Will Matrix

Guide Delegate Direct Excite BAYCREST SCHLEGEL BRUYÈRE 27

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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THE LIVING CLASSROOM

The Skill Will Matrix

Living Classroom Coaching Exercise

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 29

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care

BRUYÈRE CENTRE FOR LEARNING, RESEARCH AND INNOVATION IN LONG-TERM CARE

E-Learning in Long-Term Care

Tracy Luciani

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SLIDE 30

Developing E-Modules for LTC

  • Bruyère Continuing Learning and Development Department

and Bruyère CLRI developing e-modules to meet mandatory training requirements, as well as other topics

  • Feedback from homes of the need for

support in meeting mandatory training requirements

  • Bilingual,

interactive and easy to navigate modules

  • Roll out in phases over

1.5 years

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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Developing E-Modules in LTC

  • Module 1: Home Mission Statement,

Residents’ Bill of Rights, Whistleblower Protection (+/- 60 min)

  • Module 2: Pleasurable Dining* (+/- 20

min)

  • Module 3: Abuse and Neglect (+/- 30

min)

  • Module 4: Least Restraint,

Last Resort (+/- 30 min)

  • Module 5: Protect Residents,

Prevent Falls (+/- 30 min)

  • Module 6: Continence and Bowel Management (+/- 30

min)

  • Module 7: Preventing Pressure Ulcers in LTC (+/- 40

min)**

  • Module 8: Transferring & Positioning Residents: Safe Work Practices(+/- 30

min)**

*=not a mandatory topic **=developed by Bruyère CLRI, to be launched in Spring & Summer 2014

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 32

Why E-Learning?

  • Need for

accessible, convenient and flexible learning

– Remote/rural homes, shift work, staff with 2-3 jobs, language issues, increased workload…

  • Traditional classroom/courses

– Scheduling challenges, travel, backfill, hard to pull staff off units, course/facilitator costs…

  • Can

be reused/modified

  • Cost effective

based

  • n

“economy

  • f

scale”

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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Why E-Learning?

  • Not for

everyone but it’s here to stay

  • When done well,

e-learning can be as effective or more so than face-to-face

  • How do we make it better?

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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Structure Content Media Service Outcomes

  • Meets

learners’ &

  • rg’s

needs (assessment)

  • Just-in-time

education

  • Accessible
  • Convenient
  • Authentic
  • Realistic
  • Evidence-

based

  • Meaningful
  • Diverse

scenarios

  • Simple

(not simplistic)

  • Short

in length

  • Use

range

  • f

media

  • Interactive
  • Information

uncluttered

  • Easy

to navigate

  • Functional
  • Support

(tech)

  • Incentive

(recognition, rewards, time to do it, backfill)

  • Opportunities

to practice what was learned

  • Increased

knowledge & skills Improved practice Improved care Learning culture

  • How to Assess Quality?

*W(e)Learn Framework, MacDonald,

  • et. al 2009

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 35

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 36

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 37

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 38

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 39

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 40

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 41

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 42

Delivering E-Modules in LTC: Strategies

  • f

Engagement

  • Learning Passport
  • Poster

campaign + official launch for each module in the LTC series

  • Candy Cart tour
  • f units
  • eClinics: in-person technical support provided
  • Backfill

to attend eClinic/complete modules

  • Draws
  • Staff memo
  • Reference materials in computer

room (E-learning binder)

  • Honour

roll/Certificates

  • Engage staff,

residents, volunteers to participate in photo shoot, videos

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 43

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 44

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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Evaluating E-Modules in LTC: Measuring Effectiveness

  • What is the change?

What do you want to show? What about ‘unintended consequences’?

  • Is

it realistic and do-able?

  • Is

it measurable? Existing data? (RAI-MDS; QI)

  • Short-term vs longer-term data collection?
  • How to account for

variances?

  • Mixed methods: pre- and post-surveys,

focus groups

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 46

Launch Dates for Bruyère CLRI E-Modules

Coming…Spring 2014 Preventing Pressure Ulcers in LTC (bilingual) Coming…Summer 2014 Transferring and Positioning Residents in LTC: Safe Work Practices (bilingual) Find them on: www.clri-ltc.ca For more information, contact Tracy Luciani, Knowledge Broker at tluciani@bruyere.org or 613-562-6262 ext. 2571

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 47

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care

BAYCREST CENTRE FOR LEARNING, RESEARCH AND INNOVATION IN LONG-TERM CARE

EXPERIENTIAL LEARNING

Raquel Meyer Faith Boutcher

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SLIDE 48

Framework for Significant Learning Experiences

(Fink, 2013)

Knowledge Values & & Skills Attitudes

Learning How to Learn

  • Becoming a better

learner

  • Inquiring about a

subject

  • Self-directed

learning

Foundational Knowledge

Understanding & remembering:

  • Information
  • Ideas

Application

  • Skills
  • Thinking (critical,

creative, &practical)

  • Managing projects

Integration

Connecting:

  • Ideas
  • People
  • Realms of life

Human Dimension

Learning about:

  • Oneself
  • Others

Caring

Developing new:

  • Feelings
  • Interests

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 49

Backwards Course Design

(Fink, 2013)

  • 1. What do I hope

staff will have learned that is sustained and of value?

  • learning goals ç remember to include values and

attitudes

  • 2. What do staff

have to do to convince me (& them) they achieved the goals? What feedback is needed to close the knowledge-to-practice gap?

  • type of feedback & assessment
  • 3. What would staff

need to do during the activity to do well on the assessment? How will the activity elicit the type

  • f

feedback desired?

  • design
  • f education

activity

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 50

Interprofessional Education (IPE)

  • “IPE occurs when two or more professions learn with,

from and about each

  • ther

in

  • rder

to improve collaboration and the quality of care” CAIPE (2002)

  • IPE

activities designed to enable staff & students to learn about, from and with each other

  • University of

Toronto Framework for IP Competencies

– Knowledge, skills, behaviours & attitudes related to collaboration, communication, values & ethics

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 51

Applied Social Theatre

  • Facilitated

theatre games & exercises are a form of low- fidelity simulation that encourage self-reflection

  • Can

be used to explore interprofessional themes such as empathy, professionalism, power and communication

  • Addresses the learning needs of

a diverse LTC home workforce (education, languages, cultures)

  • Associated

with increased engagement and enhanced learning outcomes

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 52

Experiential Learning Activities

Your turn to try it out!

  • Quickly divide into 2 groups

§ Each group will run through an IPE activity and a theatre exercise ~ 8 minutes each

  • At the end of the second activity,

please return to your seats

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 53

For more information…

www.clri-ltc.ca

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca

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SLIDE 54

Contact us!

BAYCREST BRUYÈRE SCHLEGEL Raquel Meyer | Manager

rmeyer@baycrest.org

Faith Boutcher | Director, Academic Education

fboutcher@baycrest.org

Melissa Donskov | Director

mdonskov@bruyere.org

Tracy Luciani | Knowledge Broker

tluciani@bruyere.org

Mary-Lou van der Horst | Director

marylou.vanderhorst@uwaterloo.ca

Susan Brown | Associate Director

sgbrown@uwaterloo.ca

BAYCREST SCHLEGEL BRUYÈRE

Ontario’s Centres for Learning, Research and Innovation in Long-Term Care | www.clri-ltc.ca