TIGER.PPP

1. Eye of the TIGER: Changes and Challenges in Education Jessica M. LiBassi, RNC-NIC

2. The TIGER Initiative T: Technology I: Informatics G: Guiding E: Education R: Reform

3. What does this mean? The TIGER Initiative: Seeks to educate nurses in informatics competencies (Hinton-Walker, 2010) Responds to a call for safer, more efficient care through the use of technology (Hinton-Walker, 2010 ) Aims to improve information literacy among nurses (Hinton-Walker, 2010)

4. Why did I choose this topic? Education Reform interests me, especially with regards to technology and the implementation of the electronic health record (EHR) I had never heard of TIGER, and I wanted to learn more about it I have an interest in nursing education

5. Change #1: Electronic Medical Record The electronic medical record has impacted health care in many ways: Uses Standard Terms – this enhances communication through the use of standard abbreviations ( Kunz, 2010 ) Accessibility – records are immediately available, no time wasted searching, charts may be accessed remotely (Kunz, 2010) Reduction in chart time – More time for patient care (Kunz, 2010)

6. What does the EMR have to do with TIGER? TIGER aims to ensure all nursing students have basic computer literacy skills (TIGER, Leadership Imperative) TIGER offers a Virtual Learning Environment (VLE) for Health IT (TIGER, VLE) In the VLE, the school has the opportunity to download EMR demo software ( TIGER, VLE ) Health IT modules and resources are also available for nursing curricula (TIGER, VLE)

7. Change #2: Medication Administration Gone are the days of the Paper Medication Administration Record (MAR ) (Kunz, 2010 ) To administer a medication to a patient, the nurse scans the patient’s barcode on his wrist ( Kunz, 2010) This pulls up the MAR to the current hour on the computer The computer shows the nurse what medications are due Alert flags are built in so a nurse is alerted when a medication is due/overdue

8. Change #3: “ Smart” Equipment Most common piece of “Smart” equipment is the smart pump ( Hebda & Calderone , 2010) Aids the nurse in giving the correct medication over the correct amount of time Checks are built in such as patient weight and double nurse sign-off Smart pumps should be available in nursing simulation labs

9. Change #4: Bedside Monitoring Bedside Monitors continuously display the patient’s vitals Monitors are linked to patient’s chart, so data flow seamlessly into the chart Nurses verify this information, but do not have to enter it saving time and allowing for more time for patient care This can be taught in TIGER’s Virtual Learning Environment (TIGER, VLE)

10. Challenge #1:Different Levels of Computer Literacy Some nursing students do not have basic computer skills Others are proficient Suggestions to Overcome This: Have “Super Users” available Offer basic computer and typing classes Make one-on-one tutoring available (Kunz, 2010) *TIGER recommends certification in basic computer skills be required by all nurses and nursing students (TIGER, Revolutionary Leadership)

11. Challenge #2: “ The IT trend dehumanizes care” Solutions for this barrier : Encourage bedside charting Position computer so nurse is close to patient, not computer Familiarize self with screens so navigation is easy Encourage personal touch when giving care (Kunz, 2010)

12. Challenge # 3: Limited Access and Knowledge Nursing students have limited access to health IT and limited knowledge of how to navigate it (Hinton-Wa lker, 2010) Nurse Leaders responded to this by prioritizing the development of the Virtual Demonstration Center on www.tigerinitiative.org (Hinton-Walker, 2010) TIGER VLE is a partnership between industry, universities, nursing and interdisciplinary associations, community colleges, specialty organizations and health care systems, and government entities (Hinton- Walker, 2010)

13. Challenge # 4: Information Illiteracy The information literate nurse can: Determine the quality and significance of research and apply to patient care Improve care with evidence-based practice (EBP) However, many nurses: Are not aware of the importance of EBP Do not have consistent role models by nurse leaders and mentors Are not comfortable with database searches ( Hebda & Calderone , 2010)

14. Challenge #4 (cont’d): Information Illiteracy TIGER Initiative aims to improve information literacy among all nurses HOW?

15. Conclusion

16. References Hebda , T., & Calderone , T. (2010, March/April). What nurse educators need to know about the TIGER initiative. Nurse Educator , 35 (2), 56-60. http:// dx.doi.org /10.1097/NNE.0b013e3181ced83d Hinton-Walker, P. (2010, September-October). The TIGER initiative: A call to accept and pass the baton. Nursing Economics , 28 , 352-355. Retrieved from www.nursingeconomics.net Revloutionary leadership driving healthcare innovation: The TIGER leadership development collaborative report. ( n.d. ). Retrieved from http:// www.thetigerinitiative.org /docs/ TigerReport_Leadership_Collaborative.pdf The TIGER initiative foundation, the leadership imperative: TIGER’s recommendations for integrating technology into practice and education. ( n.d. ). Retrieved from http:// www.thetigerinitiative.org /docs/ TIGERReportTheLeadershipImperative.pdf