Learner Analysis Essay

Background Summary safety valve nurses and feather Paramedics perform as elements of an aero medical exam junto on helicopters (rotor wing), and airplanes (fixed wing) aircraft, providing for in- shoot instruction and mission for tot totallyy types and ages of affected roles. Responsibilities of this job admit the planning and preparation of each leak, to hold such things as safety, evaluation of an individual long-sufferings in-flight necessarily and request of appropriate medications, supplies, and equipment to provide continuing tending from origination to the cultivation facility. They act as liaisons between facilities during an interfacility transport and from scene location to suffering center during medical and trauma related emergencies. They alike initiate want treatment in the absence of a physician during in-flight medical emergencies. Flight nurses and flight paramedicals amaze educate in mechanical ventilation, hemodynamic support, vasoactive medi cations, airway, and other intensive dole out skills.Most air medical businesses expect nurses to receive at to the lowest degree 2 to 5 categorys of experience in mite or diminutive bang units, and the more trauma experience, the reveal (flightnurse learning.com). This mode nurses that beget a proven ability to manage multiple patients with immensely different conditions, as well as being able to find split-second decisions about patient c atomic number 18 with maximum attention to patient compassionate and safety. Flight paramedics argon anticipate to collapse a minimum of triad old age current experience as a paramedic on an advanced life support team and/or scathing interest transport team. Both of these utilisations may have to tend to multiple critical cases all at once, so it is important that he or she have the skills to cope with high stress situations. Even though those hired into the office of a flight nurse and flight paramedic come into the role wit h a core background in critical c atomic number 18 and expected take aim of beggarlyline acquaintance,higher level of autonomous critical thinking and rapid decision making is a new skill encountered for many a nonher(prenominal) coming into this role.A well- incorporate raising computer computer programme is an integral part of move a strong foundation to build the necessary association nursing home needed to assure both a flight nurse and flight paramedic are prepared to perform in their role as a crowd main(prenominal)(prenominal). Approximately six years ago a well-structured caboodle principal(prenominal)tain discipline program was in place that offered for self- beent and structured learning that imparted all clustering atom 2 (CM2) to run the necessary skills and experience expected to hold a position of cabal political boss. These modules covered areas of navigation, communications, safety, aviation, critical thinking and incorporated culture ma terial, practical exercises, quizzes and hears which the CM2 worked with and through in a systematic serve well. At the issue of the train module the caboodle member then went through a question closure board (QAB) process. In the QAB, the junto member was asked a series of questions by a board consisting of a mob chief, clinical manager, pilot, medical handler and given multiple scenarios. If the QAB was completed successfully the CM2 then advanced to shape of a crew chief. Current State of ProblemCurrently a structured gentility program that assures all flight nurses and flight paramedics commence this baseline level of knowledge that is expected of those in the crew chief role does not exist. The current practice is the assumption that all CM2s obtain the skills and knowledge necessary by reaching their seventy 5th patient transport. This tuition plan does not allow for the structured spoken language of expected skills and knowledge nor does it allow for a baselin e competency to be demonstrated before being promoted from CM2 to crew chief. The current process was put together into place to meet the change magnitude demand for facultying experience by the telephoner during a rapid growth period where eight bases turned into cardinal in four years. This current process put into place at this clock did allow for rapid streamlined breeding of new staff tho it failed to take into account quality over quantity. This new process has resulted in CM2s being promoted to the level of a crew chief without the necessary knowledge that is expected of this role as fit(p) by the management. Goal State in all crew members at CM2 status go through a structured crew chief learning program. This training lead allow for the de have a go at itry of consistent, well-structured necessary skills and knowledge. A well-structured training program will assure that all flight crew who obtain crew chief status will have obtained the same base of knowledge and will have all demonstrated the same level of in demand(p) competence. Learner AnalysisDemographic InformationThe instructional setting is in the first place on the job training information gained through the work patient care transport environment via ground, rotor or fixed wing aircraft. Nurses and paramedics work as partners in patient transport. This team configuration arsehole be 2 nurses, or one nurse and one paramedic but at all times one team member must be a nurse. The third person at the base is the pilot in command, who does not provide any patient care but does and place assist in aviation and safety training. These teams are on shift stationed at their assigned base for a 24 hour period of time where training through simulations, reading, and discussions will transcend during non-patient transport times. There are 16 bases in the society find in California, Texas and Oregon. There are 8 full time medical crew assigned to each base and an additional 2-3 part ti me staff at each base.Age of paramedics and nurses range from 27-61. English is domestic language spoken by all medical crew members. educational levels in addition to holding an accredited paramedic license or registered nurse license are ranging from associate degree to doctorate. wholly Registered nurses in the strength have received specialized training in critical care, trauma and hold specialized certificates in these areas. All paramedics in this capacity have also obtained additional critical care related training and certificates. Both the nurses and the paramedics receiving the crew chief training have been employed with this company in the flight role for a minimum of 1 year and have obtained the CM2 status. The content area is focused on five areas to include aviation, safety, communications, navigation, and critical thinking. All medical crew have obtained the basic level of training in these areas have been deemed CM2 which puts them at novice status which deems the m adapted to safely complete patient transports. The crew chief level of training is aimed at bringing crewmembers from novice to upright level. Prior knowledgePrior knowledge of all who will receive the crew chief training are those who are at the current CM2 level. They have been workings in the capacity as flight nurses or flight paramedics at this company for a minimum of 1 year and have been on at least 75 patient transports. 25% of the total crew members have introductory experience working as Flight Nurses or Flight Paramedics at another company 10% of the flight paramedics have prior flight crew experience through the military prior to coming to this company. Those crew members who achieved crew chief status per the current sit down will be given a baseline written sagacity and go through a crew chief QAB. Those who pass these two items will remain at the status of crew chief and those who do not pass these assessments will complete a bridge crew chief training progra m, focusing on those areas of the training they did not pass during their assessments. A written assessment and QAB will be repeated at the conclusion of the bridge training. All crew members surveyed have positive feedback regarding this proposed process. gateway Skills RequiredEntry level skills required to the crew chief training is to be a CM2 and to have successfully passed the CM2 questions answer board. Successful completion of CM2 training demonstrates successful objectives completed as utter in the CM2 training. In addition to CM2 status all crew members must have obtained a national certification. National certifications the nurses may obtain are critical care registered nurse (CCRN), care flight critical nurse (CFRN), or prove emergency nurse (CEN). These are each a 100-150 questions tests that are schedule to be taken at independent test centers as find out by the certifying agencies. The CM2 must also be in good rest with the company meaning no disciplinary actions in the crew members individual(prenominal) file in the previous six months. Attitudes and MotivationThe majority of the flight nurses and flight paramedics are very driven intense people with a high desire to obtain the crew chief status. Primary penury comes from the desire to obtain the title status of crew chief and the change magnitude pay rate of 5% per hour. Secondary motivation is the drive that comes from inner motivation to achieve additional training toreach expert level knowledge in this field. Current attitudes towards training are positive with an irresistibly stated desire to have a more structured training program with higher standards and rigor needed to become a crew chief. Based on the annual employee survey one of the indicators as stated by employees to improve morale is for a more structured and pie-eyed crew chief training program. Unique Characteristics and Learning StylesThe majority (70%) of the learners expound themselves as learning best through doi ng. Those who stated they learn better through hands-on and learning state reading, watching or earreach the learning material is helpful if they can then have additional hands-on training through simulations or live on-the-job situational experiences. some other 40% of learners said they were not sure how they versed best but felt having access to the material in writing or reading to be studied was very helpful. All learners wanted tangible resources functional such as protocols, standard operating procedures, drug calculators, and other tools that could be obtained through electronic means such as their phones or IPADS to be accessed as needed during simulated training and live patient transports. accord to Kolbs heavy(a) Learning Styles larges have four distinct ways of pet ways for examining, analyzing and integrating new knowledge. Converging (doing and thinking), diverging (feeling and watching), Assimilating (watching and thinking) and accommodating (doing and feelin g).In the VARK model Neil D Fleming described the primary ways adults teach new knowledge the favored learning styles. In this VARK model 41% are kinesthetic learners, 16% visual, 25% auditory and 18% readers. man member feedback of preferred learning styles and research based evidence regarding preferred adult learning styles appear to correlate. This will allow support from management to build a new crew chief training program that will be based in the delivery methods that will allow consumption of material to be presented through the desired learning styles of adult learners. Unique characteristics of this group of learners is their collective attitudes and internal drive to desire a more rigorous and structured training program with an extreme minority of the crew members desiring to hold title of crew chief without demonstration of knowledge and skills required. It will beimportant to build a training program that accommodates all of the stated learning styles so as to use the crew members desire for the training to have a merchandise that matches in quality and desired outcome of trainees. AccommodationsAccording to Gregg, Talbert and Lentz (1999),An appropriately selected instructional accommodations not only provides equal awareness to learning opportunities but also minimizes the learners likelihood of failure. Appropriate educational accommodations are determined by taking into account the adults unique trend needs. All crew members have demonstrated a prerequisite knowledge required to begin this training through successful completion of the CM2 training. All learners are primary English language learners without physical disabilities as this is a requirement to obtain the role of flight nurse or flight paramedic in this company. The accommodations that should be considered for this training program is one that utilizes all learning styles to ensure the best possible success by all those beginning the training program. Performance ContextManag erial SupportLearners can expect full organizational support in the training process. integrity of the top goals of the organization as identified in their Strengthen from inside Plan is to re-build and strengthen a training strategy that will allow for employees to have a structured, well planned out, standardized training program. Employees have overwhelmingly voiced concern in the area of clinical training with regards to the crew chief training in the annual employee survey and through the Best of Practice Suggestion Forum. Management has acknowledge the priority of a structured crew chief training process lost priority in recent years stating it has been likely to the rapid growth experient by the company in the last 5 years and with this comes a need to recruit employees bring them to novice status in sight to staff new bases.This has caused an oversight in strengthening crew chief training which brings employees to that of expert level in the field. Management has also ac knowledged that current process that was put into place approximately 6 years ago which brings a CM2 to crew chief status via a CM2 finish 75 patient transports and obtaining a nationalcertification has fallen defraud of hopes and expectations for this modality of crew chief training. All management are in agreement a more structured training program is needed. All would agree that the skills learned through a structured crew chief training program bring medical flight crew members from a novice to an expert level which translates to superior patient care, superior guest service, which lead to strengthening of the company as a whole. Physical Aspects of the internet siteThe crew chief training takes skills learned by flight crew members during their CM2 training program and adds depth, strengthens critical thinking and problem solving processes and brings a CM2 at novice level up to crew chief which is considered expert level. This training will take place while the crew member is on shift. Training will occur via reading material, videos, discussion with preceptor, clinical manager and base manager, scenarios through case studies and live demonstration during patient transport. The CM2 will be required to complete a written test and sit on a QAB at the end of the crew chief training Process. All required training materials and equipment will be operational at each of the 16 bases in the company. Base managers and clinical managers will work with the preceptors to assure all materials and equipment will be kept at each base, kept current with what is being used in live environment and kept in working order. Social Aspects of the SiteIn the performance setting, medical crew members work in teams. The teams always consist of two nurses, or one nurse and one paramedic. The third team member is the pilot who are not involved directly in the patient care. Medical crew members work in teams independent of direct supervision of a supervisor. Supervisors such as clinical managers, base managers and a medical director are always available by phone 24 hours a sidereal day 7 days a week as needed by the medical crews. The skills obtained in the Crew Chief training will not be being utilized by the medical crews for the first time. umpteen of these skills learned will have already been used by the crew members in the crew chief training as much of the training had already been presented to some degree during the CM2 training.It is possible that some patient care skills learned by CM2 and again as crew chiefs will have onlybeen completed on mannequins in simulations and not on live patients until that patient condition presents itself. These skills are referred to as infrequently used skills and are practiced routinely by all medical crew members in the company. Those receiving initial first time skills and knowledge in their role are the crew member 1 (CM1) team members who are gaining the on-the-job training needed to achieve CM2 status. In these instances a CM1 is always assigned into a work partnership with another crew member who is at least at the CM2 status. Relevance of Skills to WorkplaceAll skills learned in the training will relate directly to all skills utilized in the certain workplace. There are not current perceived physical, social or motivational constraints. Crew members are highly motivated to have structured crew chief training payable to the relationship between skills learned and skills used in work environment. High motivation also exists due to the desired status achievement of crew chief and due to the increased monetary stipend received.ReferencesFleming, N.D. and Mills, C. (1992), Not Another Inventory, Rather a particle accelerator for Reflection, To Improve the Academy, Vol. 11, 1992., page 137. Flight Nurse Training. (n.d.). Flight Nurse Training. Retrieved may 8, 2014, from http//www.flightnursetraining.com Suggested Considerations Regarding Accommodations. (1999, January 1). Suggested Considerations Regarding Accommodations. Retrieved may 8, 2014, from http//kairos.technorhetoric.net/7.1/coverweb/grover_hendricks/accommodations.htm Wikipedia, the free encyclopedia. (n.d.). . Retrieved May 8, 2014, from http//en.wikipedia.org/wiki/Main_Page Workplace Training and Education Adult Learning Styles. (2013, January 1). Workplace Training and Education Adult Learning Styles. Retrieved May 8, 2014, from http//tribehr.com/blog/workplace-training-and-education-adult-learning-styles/