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This Innovation Changes Everything

 

The HESS Project: Better Nursing Education Tools - affordable by anyone,
accessible to everyone

"This project story is about transforming nursing education through
interprofessional collaborative innovation to develop and use a complement of
technology-based portable simulation devices collectively known as the
Healthcare Education Simulation Station.

This collection of inexpensive, simulated point-of-care instruments controlled
wirelessly by an instructor or simulation operator were developed and field
tested by an interdisciplinary team to enhance learning experiences in several
configurations, including those using standardized patients and those using
static and low-, mid-, and high-fidelity manikins.

The core feature of this project story is the collaboration of students and
faculty from two unrelated disciplines, nursing and engineering. The story
includes a description of the development, field testing, and initial deployment
of a simulated pulse oximeter, capnograph, automated sphygmomanometer, cardiac
monitor, thermometer, and fetal monitor. Underpinning this project story is
Rogers' Diffusion of Innovation theory and how the characteristics of the
innovation, the personnel, and the environment worked together to enable this
project and the innovation's subsequent diffusion into nursing education. The
aspiration to improve learning experiences for students in multiple disciplines
was paramount.

The desire to acquire high-quality, dynamic educational tools for nursing
educators, coupled with an environment that encourages collaboration, led to an
innovation that can transform nursing preparation and ultimately improve patient
care, while minimizing cost."

- Abstract from:  Transforming nursing education through interprofessional
collaborative innovation: A project story. Haverkamp et al. CIN: Computers,
Informatics, Nursing: April 2020 - Volume 38 - Issue 4 - p 176-182

The Challenge:
Utilizing technology-enabled Active Learning and Simulation approaches in
healthcare education are now well accepted ways to enhance learning. According
to Working Nurse "advanced technology is improving the quality and safety of
patient care by allowing nurses to practice their skills and use critical
thinking in a realistic but calm, non-intimidating environment before facing
real-life experiences as a professional nurse." From learning basic assessment
skills to practicing for rare or high-risk situations, Active Learning and
Simulation are rapidly improving healthcare education.

But the high costs associated with technology-enabled Active Learning and
Simulation are often out of reach for many healthcare educators. Freestanding
simulation centers total an estimated $200,000 to $1.6 million for start-up
costs (Tuoriniemi & Schott-Baer, 2008) and according to a National Council of
State Boards of Nursing report, annual fixed costs were estimated at $361,425.
Additionally, operating the simulation technology often requires specialized
knowledge and skills that many healthcare educators do not possess.

The Innovation:
However, an innovative idea proposed by experienced simulation professional
Stephanie Justice, MSN, RN, CHSE while she was managing the Simulation Lab at
The Otterbein University Department of Nursing offered a new approach to the
challenge. What if basic medical devices measuring vital signs could be
simulated and controlled by an instructor to reflect whatever vital signs were
needed? She reasoned that such “fake devices” would be much less costly than
high-fidelity manikins, plus they would be more flexible and therefore more
accessible and useful to learners. By using low cost Android tablets and new
Internet of Things (IoT) technology, the idea was prototyped and then developed
into a set of healthcare education tools call the HESS – the Healthcare
Education Simulation Station.

The Result:
The HESS is proving itself to be easy to use for virtually any healthcare
educator regardless of whether they have specialized simulation knowledge or
not. It has been adopted by numerous university programs – at both large and
small schools – as well as by hospital groups for use by their clinical
healthcare educators who provide ongoing education to nurses and physicians in
practice.

The HESS contains everything needed to conduct affordable, portable, easy to use
and effective Simulation and Active Learning based training anywhere by
Healthcare Educators in any role. The HESS easily enables critical thinking
Healthcare Education exercises involving Assessment, Cardiac, Respiratory, OB
and many other issues - using a choice of standardized patients, manikins or
skill/task trainers within in-person, in-situ, classroom-based, virtual or
online environments. The HESS offers the potential to enable better healthcare
education - and therefore better healthcare outcomes - through advanced
technology-enabled Active Learning / Simulation healthcare education.

The HESS Team is proud that HESS Kits are currently utilized by Healthcare
Educators in a wide variety of school and practice settings - each at a cost of
just $1.61 per day.

HESS Project Key Contributors:

 

 

Dr. Stephanie Justice, DNP, RN, CHSE

Stephanie is a nursing professional with substantial expertise in simulation
based education. Stephanie's understanding of the objectives and methods of
simulation based education at their fundamental levels have enabled her to have
the vision to introduce the innovative and disruptive concepts and ideas that
have expanded into the HESS toolset that enables affordable and accessible
simulation based education to be utilized by anyone. Stephanie is currently an
Assistant Professor of Clinical Practice and Graduate Simulation Coordinator at
The Ohio State University College of Nursing.

 


 

 

Dr. Christine Zamaripa, PhD, RN, C-EFM

Chris is a Nurse Educator with almost two decades of OB educational practice
experience, both in academic and clinical settings. Her experiences in OB
education were the driving force behind the addition of the powerful Electronic
Fetal Monitor simulator to the HESS toolset, which she has integrated not only
into simulation, but also into the classroom as a teaching-learning tool. Chris
is currently an Assistant Professor at Capital University.

 


 

 

Karen S. Prenger, MS, RN, APRN-CNS, CV-BC, CPHQ, CCNS

Karen is a Clinical Nurse Specialist at the The Richard M Ross Heart Hospital in
Columbus, Ohio with over three decades of Cardiac/Vascular practice experience.
Karen's substantial professional knowledge supported the creation of the
Pacemaker Adjustment Simulator within the HESS toolset. Karen and team utilize
the Pacemaker Adjustment Simulator as a key instructional aide in their
Temporary Pacemaker Management course.

 


 

 

Jeffrey Becker, MBA

An engineer with an MBA, Jeff has the ability to move data from sensors to the
cloud and back. Cursed from an early age with the ability to understand math,
science and technology, Jeff just wants to make cool things with technology that
make the world a better place. Leading the development of the software, firmware
and hardware to support the mission and objectives of HESS project is a perfect
fit. Jeff is currently Chief Maker at edgeThingZ, LLC.

 


 

 

Erin Bender

Erin is the Executive Director of The Point at Otterbein University. Erin's
guidance with regard to involving student talent in "experiential learning"
opportunities greatly accelerated the technology development that has been
crucial to the success of the HESS project. She also co-manages C.A.B.B. Farms,
LLC, a 65-acre family farm in Lexington, Ohio, that specializes in natural
grass-fed and finished Angus cattle and hay production.

 

The HESS Project Partners:

 

 

The Otterbein University Department of Nursing:

The Otterbein University Department of Nursing provided the HESS project with
ideas, expertise and guidance within a strong, well respected Nursing Program.
Virtually every HESS project initiative got it's first real trial with Otterbein
Nursing Students within the Otterbein Department of Nursing facilities. The
collaboration between the Otterbein University Department of Nursing and
edgeThingZ remains fundamental to the success and acceptance of the HESS by
Healthcare Educators globally. The results of this strong relationship are
characterized within an academic paper about the HESS project collaboration:
Transforming nursing education through interprofessional collaborative
innovation: A project story. Haverkamp et al. CIN: Computers, Informatics,
Nursing: April 2020 - Volume 38 - Issue 4 - p 176-182

 


 

 

The Point at Otterbein University:

This collaborative effort between Otterbein University and The City of
Westerville was home to the edgeThingZ Product Realization Hub when The Point
was founded and edgeThingZ participated as an inaugural tenant. It is also home
to the Otterbein Department of Engineering - where students participate with
businesses in "experiential learning" efforts designing, engineering and
producing real world solutions. An example of the potential of this
collaborative "experiential learning" approach is this VCC Case Study that
features results achieved by Otterbein Engineering Students working together
with edgeThingZ on aspects of the HESS.

 
 

 

 



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