Abstract NS12: Is Online NIHSS Certification Enough Training
Background: The NIHSS is used for the initial assessment of patients with acute stroke for hospitals seeking Primary Stroke Center certification by The Joint Commission. There is a gap between online education and performance at the bedside. By implementing face-to-face instruction, scenario based return competency and remediation, we can we can narrow the gap between e-learning and application.
Methods: In a rural hospital pursuing Primary Stroke Center certification, nurses from the ED, ICU, Medical-Surgical, and the Float Pool were required to complete NIHSS training within 6 weeks. The training was divided into multiple phases. During the first phase, the nurses completed the online NIHSS certification appropriate for their respective group to complete. In addition to the mandatory online certification course, face-to-face instruction was offered to supplement the online training. In the second phase, the nurses’ competency was evaluated in a simulated scenario. The third phase was reserved for the nurses that failed the competency evaluation. They were required to receive face-to-face instruction as a remedial measure and repeat the competency evaluation. All nurses received the training from the same two nursing educators with a critical care background.
Results: Of the 114 nurses that completed the first two phases of training 36 (32%) failed the competency in phase two. The total of failure per specialty in the overall group that failed: Med-Surg 19 (53%), ICU 10 (28%), ED 5 (14%), and Float Pool 2 (0.06%). Eight (89%) of nurses that voluntarily completed the face-to-face instruction in phase one passed the evaluation in phase two. In the third phase, 36 (100%) nurses that received remedial face-to-face instruction passed the repeat competency evaluation. Failure rate according to level of group certification was NIHSS Group A 35 (97%) and Group B 1 (0.03%).
Discussion: Face-to-face instruction clearly enhances stroke assessment. Every nurse (n=36) passed the competency evaluation after receiving remedial face-to-face instruction, and of those nurses who opted to supplement their online training with face-to-face instruction before their initial competency evaluation, 8 (89%) passed.
Author Disclosures: J.C. McDavid: None. L.M. Bellamy: None. C.J. Thompson: None.
- © 2015 by American Heart Association, Inc.