Rural Nursing and Evaluation of a Pediatric Outreach Program

Introduction: Rural nurses face barriers and challenges in obtaining continuing education, which contribute to the challenge of maintaining competency while working in a setting that expects proficiency in low volume, high risk procedures.  Purpose: The purposes of this project were to 1) examine...

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Main Authors: Cory Risse, Jo Ann Walsh Dotson, Denise Smart, Debbie Brinker
Format: Article
Language:English
Published: Rural Nurse Organization; Binghamton University 2016-06-01
Series:Online Journal of Rural Nursing and Health Care
Online Access:https://rnojournal.binghamton.edu/index.php/RNO/article/view/411
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author Cory Risse
Jo Ann Walsh Dotson
Denise Smart
Debbie Brinker
author_facet Cory Risse
Jo Ann Walsh Dotson
Denise Smart
Debbie Brinker
author_sort Cory Risse
collection DOAJ
description Introduction: Rural nurses face barriers and challenges in obtaining continuing education, which contribute to the challenge of maintaining competency while working in a setting that expects proficiency in low volume, high risk procedures.  Purpose: The purposes of this project were to 1) examine the literature related to pediatric care delivery in rural health care settings and continuing education needs of rural nurses and effective education strategies and 2) analyze the effectiveness of a pediatric outreach program’s educational and professional development interventions (Transforming Inpatient Care and Culture [TICC]) in a rural hospital in Washington State.  Methods: The literature review employed key words to search databases on the topics of “rural nursing”, “continuing education”, “outreach”, “pediatrics”, and related concepts. Evaluation of the TICC project consisted of comparing pre and posttest results from a 40 item questionnaire for those who participated in the TICC project following an 8 hour training session.  Participants included 66 nurses who participated in the training at the hospital and completed the post test. The means of overall and topic specific pre and post test results were examined. Results:  There was statistically significant improvement in overall pre to post test performance (p = .005) and in one of the three priority areas, synthesis of care decisions (p = .028). There was also improvement in test performance on the two remaining priority areas, knowledge of equipment and interventions and pediatric specific assessment, although the improvement did not reach statistical significance.  Conclusion: A rural pediatric outreach program can be an efficient and effective way to address the continuing education needs of rural nurses in a hospital setting.  The project serves as a guide for identifying and addressing the pediatric educational needs of nurses, while empowering the very nurses who care for patients in the facility to be part of the leadership and innovation process.  The implementation of a pediatric outreach program could be instrumental in improving pediatric patient care in the rural setting.   DOI:  http://dx.doi.org/10.14574/ojrnhc.v16i2.411
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spelling doaj.art-5f8a08a8beaf42c3941e845bd6c8db072023-11-08T20:20:25ZengRural Nurse Organization; Binghamton UniversityOnline Journal of Rural Nursing and Health Care1539-33992016-06-011628611110.14574/ojrnhc.v16i2.411356Rural Nursing and Evaluation of a Pediatric Outreach ProgramCory Risse0Jo Ann Walsh Dotson1Denise Smart2Debbie Brinker3Washington State UniversityWashington State UniversityWashington State UniversityWashington State UniversityIntroduction: Rural nurses face barriers and challenges in obtaining continuing education, which contribute to the challenge of maintaining competency while working in a setting that expects proficiency in low volume, high risk procedures.  Purpose: The purposes of this project were to 1) examine the literature related to pediatric care delivery in rural health care settings and continuing education needs of rural nurses and effective education strategies and 2) analyze the effectiveness of a pediatric outreach program’s educational and professional development interventions (Transforming Inpatient Care and Culture [TICC]) in a rural hospital in Washington State.  Methods: The literature review employed key words to search databases on the topics of “rural nursing”, “continuing education”, “outreach”, “pediatrics”, and related concepts. Evaluation of the TICC project consisted of comparing pre and posttest results from a 40 item questionnaire for those who participated in the TICC project following an 8 hour training session.  Participants included 66 nurses who participated in the training at the hospital and completed the post test. The means of overall and topic specific pre and post test results were examined. Results:  There was statistically significant improvement in overall pre to post test performance (p = .005) and in one of the three priority areas, synthesis of care decisions (p = .028). There was also improvement in test performance on the two remaining priority areas, knowledge of equipment and interventions and pediatric specific assessment, although the improvement did not reach statistical significance.  Conclusion: A rural pediatric outreach program can be an efficient and effective way to address the continuing education needs of rural nurses in a hospital setting.  The project serves as a guide for identifying and addressing the pediatric educational needs of nurses, while empowering the very nurses who care for patients in the facility to be part of the leadership and innovation process.  The implementation of a pediatric outreach program could be instrumental in improving pediatric patient care in the rural setting.   DOI:  http://dx.doi.org/10.14574/ojrnhc.v16i2.411https://rnojournal.binghamton.edu/index.php/RNO/article/view/411
spellingShingle Cory Risse
Jo Ann Walsh Dotson
Denise Smart
Debbie Brinker
Rural Nursing and Evaluation of a Pediatric Outreach Program
Online Journal of Rural Nursing and Health Care
title Rural Nursing and Evaluation of a Pediatric Outreach Program
title_full Rural Nursing and Evaluation of a Pediatric Outreach Program
title_fullStr Rural Nursing and Evaluation of a Pediatric Outreach Program
title_full_unstemmed Rural Nursing and Evaluation of a Pediatric Outreach Program
title_short Rural Nursing and Evaluation of a Pediatric Outreach Program
title_sort rural nursing and evaluation of a pediatric outreach program
url https://rnojournal.binghamton.edu/index.php/RNO/article/view/411
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