1

Exploring New

Ways To

Address

Recruitment

and Retention

Innovative Solutions:

Robots in Nursing

Education?

Presentation by:

Dr. Carol Holdcraft, DNS, RN, Wright State

University

Debi Sampsel, MSN, RN, Nursing Institute of

West Central Ohio

Garfield Jones, InTouch Health

March 26, 2008

2

Agenda

• Nursing Institute of West Central Ohio Collaboration

• Data Driven Research

• InTouch Health Remote Presence Robot Demonstration

• Highlights from Faculty Extender Remote Presence Robot Research Project

• Future Implications

• Questions and Answers

3

Collaboration:

• 11 Schools of Nursing

• Veterans Affairs

• Wright Patterson

Air Force Base

• Health Care Providers

• Businesses

Darke

Preble

Shelby

Miami

Logan

Champaign

Clark

Greene

Mercer Auglaize

Clinton

Highland

Fayette

Butler WarrenServing 16

Counties in

West Central

OhioMission

Provide support and leadership for an

effective regional RN workforce through

innovative partnerships, service, education

and research

Vision

A nationally recognized regional RN work-

force providing safe, accessible, quality

healthcare

Nursing

Institute of

West Central

Ohio

4

State of

Ohio

Nursing

Projections

60,000

75,000

90,000

105,000

120,000

2000 2005 2010 2015 2020

Year

Supply

Demand

We are here

Ohio will be short 32,000 nurses by 2020

5

Local

Supply/

Demand

Study

Reengineered a 20

year old national

HRSA Model to

create first ever

regional workforce

prediction model

• 38% RN Shortage

by 2020

2005 2010 2015 2020

Year

Nurs

es

(x 1

00

0)

Nurs

ing F

aculty

(x 1

00

)

20

18

16

14

12

10

16

15

14

13

Demand

Supply

Faculty

FTE RN Shortage

3,550 4,250 5,750 7,400

Growing RN Shortage

Declining Faculty

The Perfect Storm is Brewing Forecast Bleak

6

So What’s

To Be

Done???

Answer:A futuristic approach to testing models and

implementing new programs for the nursing students, nursing workforce,

and faculty

7

Faculty

Nurse

Extender

Project

Remote

Presence

Robot (RP7)

Demonstration

8

One Possible

Solution to

Address

Faculty

Shortage

Remote Presence Robot

Faculty Extender Research

Study

• 8 pre-licensure RN programs

participated (Rural, Community,

Urban – ADN & BSN)

• Subjects

– 10 experienced nurse faculty

– 82 nursing students (all levels)

1st year students = 14

2nd year students = 30

3rd year students = 21

4th year students = 17

9

Purpose

of

Research

Gathering impressions from faculty and students about usefulness of the remote presence robot as a faculty extender in clinical simulation learning

10

Objectives

of This

Study

• Evaluate faculty’s acceptance of

the use of a remote robot for

education and training of nursing

students

• Evaluate nursing students’

acceptance of receiving clinical

instruction via a remote presence

robot

• Evaluate ergonomics application

for nursing education and training

11

Study

Methods

• Selection

Experienced and qualified

faculty recruited from RN

programs

• Training

Robot operation and

simulation scenario

orientation

• Scheduling and student

volunteers

• Pre/Post survey data & video

recording of sessions

1212

What was your

initial reaction

about the

robot?

0%

100%

Initial Reaction About Robot

Results 0% 0% 30% 50% 20%

1 Unfavorable 2 3 45

Favorable

Unfavorable Favorable

1313

0%

100%

Could robot be useful as a faculty extender?

Results 0% 10% 10% 20% 60%

1

Not Useful2 3 4

5

Very Useful

Not useful Very usefulDo you think

a robot could

be used as a

faculty

extender?

1414

0%

100%

Was remote presence robot effective?

Results 0% 0% 10% 40% 50%

1

Not effective2 3 4

5

Very effective

Not effective Very effective

Was the

robot

effective?

1515

0%

100%

Were you satisfied with this study?

Results 0% 0% 10% 40% 50%

1

Not satisfied2 3 4

5

Very

Not satisfied Very satisfied

Were you

satisfied with

this study?

1616

0%

100%

Was exploratory study user friendly?

Results 0% 0% 10% 40% 50%

1

No2 3 4

5

Yes

No YesDid you find

the

exploratory

study to be

friendly?

17

Faculty’s

Additional

Findings

Positive Faculty Comments

Enjoyed working with high

technology

Conducive to good interaction with

students

Created a positive learning

experience

Received good support and

assistance

Supported potential use of robot off-

site

18

Conclusion

from Faculty

Data Analysis

• Initial reaction of the

faculty about robot was

medium to favorable

• After the study, 82% of the

faculty showed high or

very high acceptance of

the use of remote robot for

education and training of

nursing students.

1919

0%

100%

SQN1: Initial Reaction About Robot

Results 2% 3% 9% 41% 45%

1

Unfavorable2 3 4

5

Favorable

Unfavorable FavorableWhat was

your initial

reaction

about the

robot?

2020

Do you think a

robot could be

used as a

faculty

extender?

0%

100%

SQN2: Could robot be useful as a faculty extender?

Results 1% 4% 11% 38% 46%

1

Not Useful2 3 4

5

Very Useful

Not useful Very useful

2121

Was the remote

presence robot

effective as an

instructor?

0%

100%

SQN3: Was remote presence robot effective?

Results 1% 5% 13% 44% 37%

1

Not effective2 3 4

5

Very effective

Not effective Very effective

2222

Did you find the

exploratory

study to be

user friendly?

0%

100%

SQN4: Was exploratory study user friendly?

Results 1% 2% 5% 40% 52%

1

No2 3 4

5

Yes

No Yes

2323

Were you

satisfied with

this classroom

experience?

0%

100%

SQN5: Were you satisfied with this classroom experience?

Results 3% 0% 9% 33% 55%

1

Not satisfied2 3 4

5

Very

satisfied

Not satisfied Very satisfied

2424

Students’

Acceptance

Ratings

0%

100%

Student Acceptance Analysis

% Acceptance 1% 3% 9% 39% 48%

1

Very low

acceptance

2

Low

acceptance

3

Medium

acceptance

4

High

acceptance

5

Very high

acceptance

25

Conclusion of the

student data

analysis based on

the acceptance

criteria

• 48% had very high

acceptance

• 39% had high acceptance

• 9% had medium acceptance

• 3% had low acceptance

• 1% had very low acceptance

26

Students’

Additional

Findings

Students’ Positive Comments

• Encouraged to think independently

with faculty supervision which

reduced stress

• Enjoyed working with advanced

technology such as the robot and

simulator

• Good environmental learning without

stress

• Will create opportunity for distance

learning

• This study demonstrated the focus on

learning process rather than

techniques in a regular lab.

27

Overall Study

Conclusion

Preliminary study demonstrated

that both participants, faculty

and students, gave high

acceptance rating for the use of

remote presence robot as a

faculty extender technology for

teaching nursing courses.

28

Recommendations for

improvement

Faculty and Student

Recommendations

– Develop and improve training scenarios (all)

– Improve audio communication (all)

– Provide more space for robot mobility (all)

– Improve back-and-forth interaction with faculty

(3rd)

– Better vision (wide angle) for the robot (all)

– Provide video replay for training (2nd)

– Reduce class size for better training (4th)

29

Future

Study

Questions

• Can expert faculty be used via

the robot to serve as teaching

mentors to novice faculty and

teaching assistants?

• Can expert nurse clinicians be

linked to learners via the RP7

robot for nursing rounds or other

learning experiences?

3030

Remote Presence

Robots in

Educational and

Clinical Settings

Other RP7 Applications

• Nursing Beta Testing

Geriatric rounds

Long distant care family visits

Case Studies

Chart reviews

JCAHO & State survey readiness

monitor

• Physicians’ Usage – e.g. Stroke Network

• Faculty –Student Research Study (8

Programs of Nursing & 82 Students)

3131

Remote Presence

Robots in

Educational and

Clinical Settings

Other RP7 Applications

• National Science Foundation

Grant Pursuits

• Military – Government applications

• Civilian health care provider and

academia partner plans

• Corporate links

32

Question

and Answer

Session

Future Contact

Information

Carol Holdcraft, DNS, RN

Assistant Dean College of

Nursing and Health

Wright State University

68 University Hall

3640 Colonel Glenn Hwy.

Dayton, OH 45435-0001

937-775-3131

Debi Sampsel, MSN, RN

Executive Director

Nursing Institute of West Central

Ohio

015 University Hall

3640 Colonel Glenn Hwy.

Dayton, OH 45435-0001

937-775-3940

Many thanks goes to

Congressman David Hobson

and Senator George Voinovich

for the federal appropriations

monies for the NIWCO and to

the sustainability partners

Wright State University, Premier

Health System, Sinclair

Community College.