Surface - Celebrating Partnership: Transforming Innovation One Year at a Time – Part 2

This episode of the NLN Nursing EDge Unscripted Surface track is part 2 of 2 featuring guests Cansu Akarsu and Rosie Patterson.

Dedicated to excellence in nursing, the National League for Nursing is the leading organization for nurse faculty and leaders in nursing education. Find past episodes of the NLN Nursing EDge podcast online. Get instant updates by following the NLN on LinkedIn, Facebook, Twitter, Instagram, and YouTube. For more information, visit NLN.org.

Transcript

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[Music] Welcome back. Last episode we talked with Cansu Akarsu and Rosie Patterson about their  work with Laerdal Medical and how the strategic partnership between the NLN and Laerdal supports  nursing education. Today we return to discuss current and future nursing innovations. Thank  you for joining us. So you know I want to go back to something you said earlier Cansu about  really the pressure that nursing education is under with regard to preparing  ready nurses for practice and when you when we talk about that and I heard you say you  know that there's a shortage of nurse educators and we have to do more with less  and there's such a tremendous demand from the practice side to prepare enough nurses  to take care of our communities. I think these innovations and solutions are helping  to solve, like support some of that challenge and I'd also like to  talk about how also a shift to competency-based education can even more, in a much  bigger way support some of these challenges in education because when you talk about CBE  I think there's a shift in the teaching pedagogy that it's more teacher-like, teacher has to do and  teacher has to give versus the learner has to do an experience and there's more room for this  learner self-assessment and peer collaboration and peer evaluation and assessment. It doesn't  always have to be the teacher is the evaluator, the teacher is the assessor, the teacher is the  the one who imparts all the knowledge and wisdom of how to be a nurse, right? I think  we have to change our thinking and that learners bring a lot to the table and how  we as educators can support and refine their development into a nursing profession. With that  being said, I think me personally, right, I think CBE is one of the big solutions to help that shift.  I think a lot of other people are thinking so too. I think some people have some questions.  Some people aren't really sure like what is CBE. So I was wondering if you could describe  a little bit about how you see what CBE is from your perspective and then maybe we can also  talk about some innovation around CBE to help move nursing education toward that direction. Yes. So competency-based education is an outcome-based educational framework. It will emphasize learners'  development of competencies and it's more about demonstration. It could be a demonstration of  knowledge, skills, and attitudes. The assessment, it's almost like a natural part of everyday life  of a student in competency-based education. It's not something that happens at the very end. It's  really happening throughout the program. I want to say also some formative  and summative are blended a little bit more and it's through various modalities. I think that  also speaks to the need to not only do one type of assessment but multiple different  ways, multiple different environments and what I really appreciate about competency-based  education is that learners are in the power of their progress. And of course to do that,  they need a lot more rapid feedback loops so the assessments are not necessarily just  to assess but also give feedback, rapid feedback to learners so they could really steer  their progress towards being that professional that they are intending to be or educated to be. A little bit more of that deliberate practice model where you're doing and redoing and getting feedback and redoing and doing and getting feedback continuously, right? Yes, yes, absolutely.  And maybe I could also ask Rosie to contribute here with how we at Laerdal address different modalities of learning because when we come and suggest solutions to  competency-based education it can't be just one method of assessment.  So Cansu thanks for asking that question because I think you're right, it's more than one  thing, it's many things combined and at Laerdal we believe it's important that we can help our  customers and those directors deans, faculty members be able to shift from  knowledge acquisitions to application as you said and we have a plethora of tools and solutions for  example vSim, which is virtual simulations.  The patient cases that were built with the NLN with certain objectives is one way and that gives immediate feedback, to your point about feedback  loops continuously. The things you did that were very well done, the critical steps  that you missed, and then that remediation to get that student right back to, oh,  I get it now. Let me try that again. We also have vrClinicals, which is a step above anything we've had  before, which actually in year three and four for the nursing student they're going to  be faced with multiple patients and how you triage and how you organize your priorities and patient  load because you're not going to be put in a situation we've got one patient. You're going  to have multiple patients and so the vrClinical application that was co-developed with the NLN and Wolters Kluwer is another fascinating way to have a move toward competency-based education for  the student and we also believe that patient simulation is another way, a great way to assess  the students confidence development. We have a system called SimCapture that will actually  streamline your simulation evaluations, provide data performance and quality improvement of your  curriculum. So we have many ways of working toward a competency-based education. Lastly, we have a  system called Resuscitation Quality Improvement, which was designed for quality CPR, so very  real-time coaching for compression depth and ventilation and really muscle memory  and exercising good utilization of what it takes to be able to provide quality CPR and  resuscitation. So those are just some ways and some of the solutions that we have that have  built-in feedback mechanisms, data, and outcomes for faculty to be able to move toward competency-based  education. We're so excited as we evolve toward this to be able to offer these solutions. That's great Rosie and each of those different solutions and many of them are  even in different modalities of experiential learning. I think what's really important to  note having been working with with your teams to develop these solutions in some part,  that they also can be leveled. They can be leveled: first semester, second semester,  third semester and even into practice and I have a particular interest  in that transition to practice gap and these solutions if integrated well and throughout  a curriculum and not just a one and done, not just a you know, you miss clinical do this activity.  These are really intended to build and help that learner move the needle  of which is their information and feedback to them that they are growing and learning and  becoming the competent nurse that is ready for practice, that we can hand over to our  practice partners to say this person can is...I almost said entrustable. That's medical language  and I have thoughts about that too, entrustable for our community to provide care and nursing I  do hope is moving towards...can take a page out of medicine's book. Medicine has worked very hard and maybe they're still working hard to move towards competency-based education  and they have created entrustable professional activities, right, your EPAs and I think nursing  will probably be moving in that direction as well, where a nurse in order to function  independently in the scope of their practice has to do these things. Then so how do these  teaching modalities multiple opportunities across multiple courses help to move a learner toward  that picture of, I'm ready. I can show you right now, when I graduated I was not ready not ready. I figured it out with a lot of help but I was not ready and that was scary and it felt  terrible to be honest. You know, one of the things that as you were speaking came to my mind time-sequential learning, low dose high frequency. We at Laerdal fully believe that is the way  to stay relevant, competent, confident and we have some early indicators from some of  the early adopters of RQI and nursing schools and we've got students that are now in practice  and we've got save stories! And it means so much to hear how much these programs have meant  and they've carried it forward into practice and they don't think twice about if  there's a problem. I'm ready to  have an intervention and I can perform high  quality CPR because I just trained two days ago and they don't hesitate.   When moments count that's what you need is someone who doesn't hesitate. So these  are just early days and I think that we have so much more we can do together in that regard.  This just excites me and I really am excited about the NLN and Laerdal partnership and its movement towards really I think helping to support nursing education  in moving towards a CBE model that really provides a ready practice nurse or an  a nurse ready to practice so with that being said, do you have any last thoughts you  want to share about the future direction of this partnership or innovation  because I also want to transition to our rapid fire questions, but before we do that I just want  to know are there any other thoughts about the future. Yes I would like to share a few thoughts  as well. In our partnership, we have now focused towards competency-based  education and what I really want us to do is enable that sustainable implementation  so that we can show and document the benefits of competency-based education in the programs and  it's given of course when we talk about even now in the future the use of data, the use of  artificial intelligence to enable more effective implementation of competency-based education but  I also want to acknowledge that it doesn't end with education. I mean it's really to connect the continuum between education and practice so first of all of  course it starts with meeting the demand out there, not closing the doors to everyone who wants to  study as a nurse so enabling the schools to take in the students, every student who wants to become  a nurse, but even during the studies to keep them engaged, to keep them in school so we work with  of course the dropout but also afterwards to keep them in the workplace to help them find the right  job and to keep them in practice and I don't want to underestimate that. It's not only about  giving clinical experiences. It's not only about them building or preparing  for the worst. It's really about ensuring a better work environment for those nurses  and at Laerdal we never even attempt or claim to do any of this on our own. It's really with our  partners both the NLN and what other partners NLN brings to the table that enables that  transition of better acknowledgment of nurses that are in practice as well as in education. Well said Cansu. Thank you so much. It was a beautiful beautiful way to wrap  up our conversation. Thank you both. I do want to share some of our rapid fire  questions I think they're fun! [Music] So if you were to write a  memoir, what would you title the book? Cansu. were you hiding? I would write it about participatory leadership. It's coming from a participatory  design that I'm very familiar with but that I apply every day in my role as a leader right now. It would be a little bit about that if I wrote it now. Maybe it would change over time. That is beautiful and that participatory design and what I've read so far is also connected  to third space professionals, these people that can function in these very diverse environments  to innovate so that's really cool. I would read your book. So write it Cansu. I'll buy it! Only if you sign it. Rosie, did you have a memoir? I do. I am a very optimistic person by nature   and so the title of my memoir would be The Best is Yet to Come because what we have established so far in business and in  my personal life and the afterlife, the best Is yet to come. Each day you take it as a present  and when you focus on what's in front of you and not look behind you or so far ahead you,  forget the present. We've given a present today, right. We're not guaranteed tomorrow so the best  Is yet to come and that's what I always write about. That's amazing .I try  to center myself and be present every day. I also fail every day at it because I'm always thinking  well I should have done this and I need to do that but this kind of grounding  ourselves and what we're doing today and it's all we have is the present moment so thank you. What is on the top of your reading list your reading list for fun right now?  For fun? You didn't say that? Oh well, so this is selfish because I always  need more ideas on what to binge watch in Netflix, what to read so it's selfish. I think I only read for professional development like seriously. I actually have one in my list in my Kindle to  be opened but it was a recent recommendation. It's called What's your Digital Business Model?  by Peter Weill and Stephanie Woerner and this is from 2018, but it still applies so many principles  to what we can we can experiment today. And on a fun side I have a series waiting on Netflix I just started the first half of it called Blue Zones. Yes, it's a good one. It's a good one. So if I hadn't fallen asleep in the middle of the first. It is really engaging,  I don't want to say, but like I'm a mom of a toddler so I do fall asleep often randomly. I know. I have to choose books where I can only read like a paragraph at a time because you know  you do you get tired, you fall asleep but I will write that down, that Netflix show so thank you. Well I have one for you. I love to read for business and I'm like Cansu but my husband  knows this about me he's like, that's all you do. That's all you do, so I'm buying you a book but  I didn't know until I got home one day and there it was and it was called Y'all Eat Yet? and it's  by Miranda Lambert. It's a cookbook, but it's a story of her life and how she grew up and how these recipes came to be from her relatives and so on and so forth. It's a very fun book to  read. There's comical pieces of it that remind me of my mother and my aunts and grandparents and  then there's some good recipes in there too, but I very seldom just pick up a book for fun because  I am so focused on hey, I need to get to be a better person and I need to study about business models and ways to encourage and lead and build other leaders in our company  because honestly, we are not helping ourselves if we don't build others and bring them along if all  of our focus is on us, we have really shortchanged the world so I have to balance myself there. It's amazing and I'll share another book with you. It's called From Scratch. I don't know  the author of the top of my head, but it's a very beautiful true story about an actress  that married an Italian chef. It's really beautiful and in the back, well, the whole  story talks about many different because Italian culture centers around eating naturally,  so the back of the book has all the recipes that you kind of find throughout the story.  It's really good. It's very sad, but it's really good. What is your favorite quote?  I have one. People don't care how much you know until they know how much you care. That is good. That is good. I have one too. Go for it. This is from our founder Asmond Laerdal. If we can create value for the society at large economic benefits will follow.  So it really speaks to the true mission-oriented business that we're in in our company and the  values at Laerdal. So I think we're both, Rosie and I are very loyal  and this really speaks to why we are here. Yes. Beautiful. Just lead with your mission,  lead with your values. Lead with your mission and everything else will come. And if you could have dinner with one person, dead or alive, who would it be?  I would pick my grandfather because he came from County Cavan Ireland and he passed away  when I was just two, so I didn't get to meet him but my grandmother from Ireland spoke with such  an Irish rogue. I just recently went to Ireland and did a tour across the country. And my next  stop is the Italian side so I have another set of grandparents come from Italy, but my grandfather I  would want to meet him. I would want to ask about my dad and all of the things he did as a kid  and I really wanted to get to know him. Beautiful, thank you. What about you Cansu? Well, I had something a little funny but I have something more meaningful now that I heard Rosie.  I would like to have dinner with my daughter because I just want to cherish every moment.  She's three years old and I mean, who else would I want to spend an evening with? So that's why I want to spend time with her. That's beautiful. Although it's very messy at times. That's what I first thought, Cansu, because I've had dinner with a three-year-old, a few of them, and it's usually like in their hair and on the floor and yeah. But it's fun. Beautiful. Well thank you both so much. I sincerely valued every moment of this  conversation. It's just inspiring to hear our different avenues, our  paths that have brought us to the ability to collaborate with one another in such  a mission-driven and sincere way to make change and I think that's exciting and it fires me up  so thank you. Fills my cup. Thank you for having us. Thank you for having us. Thank you for joining us on this episode of NLN Nursing EDge Unscripted Surface. We hope you  join us next time. Until then remember, whether your water is calm or choppy,  stay connected, get vulnerable, and dare to go beneath the surface.