NEA Booklet

EDUCATION EXCELLENCY DURING COVID-19 PANDEMIC BY NURSING EDUCATION ADMINISTRATION 1

ACKNOWLEDGMENT By the grace of Almighty Allah, we have completed our first nursing education's booklet 2020 entitled “RISE FROM CRISE” which highlighted the Nursing Education Administration contributions during the COVID-19 pandemic. We are grateful to our honorable Chief Executive Officer of the Central first health cluster Dr. Saleh Al-Tamimi for his continuous support throughout the pandemic period. Our honorable Chief Executive Officer Dr. Ahmad Al-Enezy assisted us with great care. It was almost impossible for us to complete these achievements without his support and guidance. We extend our grateful to the Vice President Organization Development of the Central first health cluster Dr. Rafah Al-Yousef who supported us to reach and implement our educational plans in the Central first health cluster hospitals. We are also thankful to our Associate Chief Nursing Officer for Clinical Ms. Batla Alshammari. She greatly helped us in facilitating our training in the clinical area. 2

Healthcare organizations around the world face mounting Mr. Abdullah Al Damaeen pressure to ensure safe nursing practice through prepared Chief Nursing Officer, KSMC outstanding staff. We have faced incredibly challenging time during this pandemic that shifted our perception toward Mr. Ahmad Al Khaibary nursing education to achieve beyond expectations. Associate CNO for Development, With pleasure and pride, we welcome you to the first KSMC nursing education's booklet 2020 \"Rise from the Crise\" and take you through our out-of-the-box initiatives designed to Mr. Hussien Al Abssi stand by our extraordinary nurses passing through the most Director of Nursing Education, difficult times on healthcare for at least the past one hundred years.' KSMC Nursing Education Administration (NEA) is always beyond grateful and commitment providing the continuity of high quality nursing education and training services through different of teaching strategies utilizing Evidence Based- Practice and explicitly during COVID-19. It is so heartwarming to see all our front line nurses out there imperil themselves to care for COIVID-19 patients. NEA team have shown heroic efforts in being 24/7 there to care, teach, support, guide, and mentor our KSMCs` front line heroes. Mr. Mohammed Al Tous Assistant Director of Nursing Education, KSMC 3

Contributors Nursing Education, KSMC Ms. Asma Al-Talla Ms. Nura Hababsah Ms. Shamna Manikoth Mr. Thaer Abu-Shamma Ms. Wala Al-Khataybeh Ms. Sheena Easo Mr. Ahmad Fahmi Ms. Hajer Shehabat Ms. Hannah Preethi Ms. Dhanya Bhasker Mr. Feras Abuerwak Ms. Ayesha Humera Ms. Joyce Ann Birao Ms. Lina Swartini Ms. Jacquiline Sarte Ms. Cristina Leonardo Ms. Jasmi John Ms. Jesamin Aumento Mr. Akram Rasheed Ms. Jessy Joseph Ms. Joana Rose Alvarado Ms. Mercedita bilado Ms. Annie Susmy Joseph Ms. Jenitha Bibin Mr. Jinslin Oliver Ms. Jasmine Lonan Ms. Bency Issac Elsa Ms. Mona Saleh Ms. Jisha Jacob Ms. Jancy Rani Ms. Sadiah Al-Shehri Ms. Vangilyn Iya Ms. Vidhya Suprabha Ms. Amaal AlQarni Ms. Randa Ali Alshedefat Ms. Sabreen Al Dosary Ms. Fawzia Fawaz Ms. Jillu Thomas Ms. Sara Obaid Alturaisi Ms. Ahani AlAnaizi Ms. Marilou Nain Ms. Swapna Thomas Ms. Dora Jenice Kriel Ms. Shilu John Ms. Shahna kamaruniza Ms. Ravija Premjith Ms. Zainab AlMousawi Ms. Priya Jose Ms. Khoolud Ahmed Aaji Infection Control, KSMC Ms. Simi Thomas Ms. Dhanya Pushpan Ms. Jeya mathi Ms. Sameera K Dr. Hala Al-Amer Mr. Shinedev T Ms. Shilpa Surendran Mr. Hassan Abdullah Ms. Ma. Rebecca Militar Ms. Femina Hameed Ms. Kathlyn F. Rivero Ms. Treesa Sebastian Nursing Education, AAAH Ms. Nomahlubi Julia Ms. AmnahHowthan Ms. Ruba Awni Bazrawi Ms. SheikhaBinsiran Ms. Neda Al-Mustafa Ms. Faten Abu Syriah Ms. Arya M Ms. Maysaa Hamdan Mr. Mubarak AlAnezi Nursing Education, Al-Eman Mr. Marwan R. Issa Ms. Dareen Ahmed Mr. Adel M. Awajah Ms. Ghadah Al Sheikh General Hospital Mr. Anas S. AbuElian Ms. Nivedita Bolante Mr. Owais S. Nu'man Ms. Annamma Mathew Ms. Fildres G. Halog Mr. Mohammed Amirah Ms. ChinjuSamuel Nursing Education, King Salman Hospital Ms. Alya Taluyo 4

Table of contents 6 7 Introduction 10 Nursing Education Contingency Plan 11 Nursing Education Contingency Guide 22 COVID-19 Nursing Training Program 24 Nursing Nights 25 Other training programs 26 Nursing COVID-19 Training online 26 Database 27 Ask me service 27 Useful links 28 Infection control 29 RN–Residency virtual classes 30 Nurses’ Self-Care Service Nursing Research NEA Galley 5

Introduction Nursing Education Administration continues to offer the educational and training services through the E-Development platform. Educational activities were designed to support frontline nurses in providing a safe and efficient patient care. NEA worked to maximize the nursing manpower in critical care and isolation units throughout KSMC and other Central First Health Cluster hospitals before and during the COVID-19 pandemic which was started early in this year. The training was planned and conducted based on the contingency nursing education guide, which was prepared according to the crisis levels by focusing on critical areas, emergency department, and isolation wards. This plan serves as a guide for our team and nursing administrators, determining the required tasks for all trained staff according to their area of deployment, conducting online training courses; webinars, online modules, and virtual sessions. The educational training serves all Central First Health Cluster hospitals and primary healthcare centers (PHCC). 6

1. Nursing Education Contingency Plan Emergency preparedness plan within the Nursing Education Administration, is outlining actions to respond to a range of threats, moreover; it is a critical step towards ensuring access to quality education for all learners in the times of crisis. This plan articulates how the Nursing Education Administration will respond to a specific emerging or anticipated crisis prior to its occurrence. This can contribute greatly to the success of humanitarian response during an emergency. Nursing Education Administration developed This Educational Contingency plan upon the review and approval of stakeholders from higher organizational levels within the nursing sector; where its implementation is coordinated with other nursing departments at KSMC to ensure there is no overlap or gap in service provision. Contingency plan is considered as a living document whose activities should be implemented as part of emergency preparedness. The document’s plan will be reviewed and revised regularly on an annual basis. Overall Purpose To ensure immediate and continued access to quality education and training of all frontline nurses in a safe environment necessary to develop, protect, and facilitate a return to normality and stability. 7

Nursing Education Contingency Plan Specific Objectives: • To provide support to nursing affairs in ensuring continuity of quality education to nurses affected by the disaster and provide them with a safe teaching-learning environment. • To ensure effective coordination, monitoring, and information sharing among nurses that is necessary to facilitate effective emergency response. • To strengthen the capacities of nursing stakeholders as first responders in emergencies. • To ensure the conduct of rapid and ongoing education assessment and delivery within the minimum standards. • To establish and strengthen collaborative partnerships and linkages with other nursing services in order to respond effectively to emergencies. 8

Nursing Education Contingency Plan 9

2. Nursing Education Contingency Guide Referring to the Nursing Education Administration Contingency Plan, NEA had developed a guide to standardize all nursing educational activities that could be planned and conducted during the COVID-19 pandemic. This guide was designed based on the levels of crisis according to the Central First Health Cluster crisis plan. It gives detailed information regarding the training target population, type of the required training, competencies they need to master, and tasks and assignments they can handle. 10

3. COVID-19 Nursing Training Program: Program Description It’s a training program consist of 5 courses, which are COVID-19 Preparatory Course, Nursing Critical Care Blended Course, Nursing Emergency Blended Course, COVID-19 Isolation Nursing Course, & COVID-19 Task-Based Nursing Course. 11

COVID -19 Nursing Training Program Training census: NEA served more than 4772 nursing staff overall Central First Health Cluster based on the different tiers. The detailed participants’ census is updated daily based as shown in the following table. 12

COVID -19 Nursing Training Program The following charts show the total number of participants were served according to the different tiers & different hospitals: 13

COVID -19 Nursing Training Program Program Evaluation: Kirkpatrick evaluation model was followed to evaluate the training programs conducted as follows: 1st level: An electronic form was used to check the participants’ satisfaction and feedback. 2nd level: online post-test 3rd level: Competency evaluation and case discussion 4th level: Number of non-ICU nurses deployed in ICU 14

COVID -19 Nursing Training Program Evaluation Results Utilizing the Electronic Form (1st level): Electronic feedback was sent to all attendees to evaluate their satisfaction toward the training programs. The feedbacks were analyzed and showed that the participants were satisfied as shown in the A, B, C, & D graphs. First: Program evaluation The Program Evaluation is concerned with the overall achievements of the program, and three additional questions for descriptive answers, which were: 1. Rate the following statements from excellent to poor - Overall Evaluation of activity - The training met my expectations - The training met the stated objectives - There was enough time to cover the material presented - The E-learning platform & technology used met my expectations 2. Do you intend to change any of your personal behavior as the result of the workshop or activity? (Yes, No, Unsure) 3. Comments 4. Suggested topics for future classes 15

COVID -19 Nursing Training Program A. COVID19 Isolation Nursing Course Graph A: Overall Conduct and Sessions Evaluation The graph above shows the result of the overall Conduct and Session Evaluation of the course. We have 89% response rate. 66.9% of the staff stated that the Overall Evaluation of activity was excellent. For the following statements; the training met the expectations of the staff and the stated objectives, as 64% of trainees had an excellent experience. Finally, 65 % of the participants stated that there was enough time to cover the material presented and The E-learning platform & technology used met their expectations. 16

COVID -19 Nursing Training Program B. Covid19 Preparatory Virtual Course Graph B: Overall Conduct and Sessions Evaluation The graph above shows the result of the overall Conduct and Session Evaluation of the course. We have 83% response rate. 66.8% of the staff stated that the Overall Evaluation of activity was excellent. For the following statements; the training met the expectations of the staff and the stated objectives, as 63.6% of trainees had an excellent experience. Finally, 64.5 % of the participants stated that there was enough time to cover the material presented and The E-learning platform & technology used met their expectations. 17

COVID -19 Nursing Training Program C. Nursing Critical Care Blended Course Graph C: Overall Conduct and Sessions Evaluation The graph above shows the result of the overall Conduct and Session Evaluation of the course. We have 89% response rate. 52% of the staff stated that the Overall Evaluation of activity was excellent. For the following statements; the training met my expectations and there was enough time to cover the material presented, 56.7% of the participants scored them as excellent while the remaining scored the as good and fair. Finally, 59.9 % of the participants stated that the training met the stated objectives and The E-learning platform & technology used met the staff expectations. 18

COVID -19 Nursing Training Program D. COVID19 Task-Based Nursing Course Graph D: Overall Conduct and Sessions Evaluation The graph above shows the result of the overall Conduct and Session Evaluation of the course. We have 100% response rate. 78.2% of the staff stated that the overall Evaluation of activity, the training met the stated objectives, and The E-learning platform & technology used met the expectations of the staff as excellent. For the following statement; the training met the expectations of the staff 69.4% of them scored it as excellent while the remaining score them as good or fair. Finally, 83.2% of the participants stated that there was enough time to cover the material presented. 19

COVID -19 Nursing Training Program The following graph shows that 81.7% of the participants would change their personal behaviors because of the course. 2nd level: Online Posttest The staff completed the online post-test, and the results were as following: 20

3rd level: Competency evaluation Applicable for the T2” Nursing Critical Care Blended Course” 4th level: staff deployment rate This indicator was used to measure the rate of trained nurses’ usage in the targeted areas based on the expansion that happened in the bed capacity of those areas. 21

4. Nursing Nights Nursing Education Administration established the Nursing Night as an initiative to promote expansion and growth of the nursing profession, encourage collaboration and professional development, express thoughts and feelings among nurses to sustain the art and science of nursing. Series of webinars are continued to be conducted over one or two hours to enhance the nurses’ awareness of the trend topics helping them dealing with the current situation effectively and efficiently. 22

Nursing Night Nursing Night Evaluation: The following graph is showing the result of the overall Conduct and Session Evaluation of the nursing night. We have 61% response rate. 85% of the staff stated that the overall Evaluation of the activity was excellent. Additionally, the training and the E- development platform & technology used met the expectations of 89% of the participants who attended the webinar. Finally, 90.8% of the participants stated that the training met the stated objectives and there was enough time to cover the material presented. Overall Conduct and Sessions Evaluation The graph below shows that 81.7% of the participants would change their behaviors as a result of attending the nursing night. 23

5. Other training programs Even though, NEA extended their support for other specialties; so we designed the Non-ICU Physician Critical care virtual course, 76-physician oven all C1 have attended this course. As well as, a special team was trained to support the ICU team in the repositioning of COVID-19 patients on prone position who is needed for. Finally, the internship was supported through virtual classes for the nursing interns. 24

6. COVID-19 Nursing Training Online Database Intending to help the top nursing leaders and first-line nurse managers in deciding to distribute the staff nurses based on their capabilities, and the needs of the clinical areas; NEA established an online COVID-19 Training database which includes the information for those nursing staff who completed their required COVID-19 training and tasks and assignment they can be assigned for. 25

7. Ask me services We served more than 530 staff through this initiative by using the E- Development platform and though 24/7 WhatsApp group by answering their inquires with targeted time of 5 minutes or less and supporting them in the clinical area while caring for COVID-19 patients especially in the critical areas through our clinical instructors and nurse educators. 8. Useful links: Which is targeting mainly two populations: • Head nurses and nurse managers to facilitate their access to the online COVID-19 Training database and staff redeployment and assignment guidance. • Staff nurses to ease their accessibility to quick virtual training modules regarding specific procedures and forms based on their need in the clinical areas 26

9. Infection control virtual training Nursing Education Administration in collaboration with the infection control administration, developed 5 training modules through our E-Development Platform to ensure nursing staff awareness regarding infection control practices toward COVID - 19 patients. 10. RN-Residency virtual classes Nurse residents were involved in crisis management with the other nursing heroes. NEA continued in serving the nurse residence throughout the program plan by using the virtual classes. 27

11. Nurses’ Self-Care Service As nurses, we understand the importance of supporting patients, families and colleagues, but sometimes we put our own wellbeing last. No matter what stressors we face at work and home, we need to nurture our own emotional, physical and social health. In line with this, Nursing Education Administration launched the nurses’ Self-Care Service as an initiative to support nurses and other health care professional to manage their stress and improving the well-being. 28

12. Nursing Research Nursing Education Administration team utilized the nursing research process to find the proper evidenced-based solutions to the common problems faced by nursing staff in KSMC during the COVID-19 Pandemic. NEA believed that research should be offered alongside care and support so that we can deliver a truly comprehensive service. The following is the topics established and on process: 1. Nurses knowledge, attitude and behavior towards medication error at KSMC 2. Psychological experience for nurses caring for COVID -19. 3. The prevalence of work-related Musculoskeletal Disorders among Nurses in a large referral hospital in Riyadh, Saudi Arabia. 4. Study to assess the pre-procedure anxiety level of patients undergoing upper GI endoscopy in a large referral hospital, Saudi Arabia. 5. Effectiveness of self-Instructional module on reliving compassionate Fatigue among Nurses in KSMC. 6. Active and Passive Diversional Techniques on Pain and Anxiety Reduction during Intravenous Cannulation of Hospitalized Arab Children. 7. Healthcare workers personal safety during corona pandemic 8. E-learning Experience Readiness: Comparison between nursing students and staff nurses. 9. Factors influencing nurses’ ethical considerations during the outbreak of COVID-19 in Saudi Arabia. 10. The effect of the Proper Team Dynamics Simulation Training Program during cardiopulmonary resuscitation (CPR). 11. Cultural sensitivity and turnover intention among ICU staff. 12. Innovations in Nursing Education: new training modalities in Response to the COVID-19 Pandemic. 29

13. NEA Gallery 30

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YOUR SUCCESS IS OUR PRIORITY 32

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