1. Using academic technology to impact nursing education in Haiti Elise L. Lev, Ed.D., RN eliselev@rutgers.edu

2. College of Nursing Jersey Roots, Global Reach Haiti: Life expectancies and statistical risks Half of all children will die before they reach age 15. Infant mortality is 63.2 per 1,000 births. Life expectancy at birth is 58.1 years of age. 46% of the population has access to safe drinking water. 28% of the population has access to sanitary sewer systems. Children’s Lifeline, Clay City, KY. Accessed 4/1/2012. USAID RFA No.SOL-521-12-000043. Accessed 7/24/12.

3. College of Nursing Jersey Roots, Global Reach Number of nurses per 100,000 population Haiti Dominican Republic Cuba United States Japan 10.7 190 590 940 1,030

4. College of Nursing Jersey Roots, Global Reach Rutgers/FSIL partnership: Phase 1 Post baccalaureate certificate in nursing education given by RU used a blended onsite and online format. Content focused on nursing education courses as well as instruction in English writing and comprehension. Educational technology used enabled faculty in the US to deliver content to students in Haiti using video conferencing, lessons with the instructor’s voice, and collaborative discussions. Education was provided by engaging in dialogues with students rather than giving monologues from faculty members.

5. College of Nursing Jersey Roots, Global Reach Online and onsite program Five onsite visits by several faculty members were made in the first year of the program. Online interaction with FSIL students occurred using videoconferencing & online discussions when no faculty members were onsite. Short presentations rather than lectures were given. Voice-over-power-point slides facilitated Haitian students’ understanding of the presentation.

6. College of Nursing Jersey Roots, Global Reach Educational technology used to educate students Students are engaged through interactive exercises that demonstrate students’ ability to apply the material presented. Students move ahead at their own pace. Students have access to faculty to ask questions and discuss material. Technology captures students’ performance—what was watched more than once & what mistakes students made, providing faculty resources for understanding students’ learning process. Faculty can evaluate which strategies work the best.

7. College of Nursing Jersey Roots, Global Reach Benefits of blended education (onsite & online) Asynchronous dialogues found to be self-reflective and more conducive to learning than synchronous and face-to- face dialogues. Benefits attributed to the advantage of blended learning over entirely face-to-face. Benefits are attributed to combining strategies in the blended education; i.e. additional learning time, additional learning materials, and additional opportunities for collaboration. 2010. U.S. Department of Education. Evaluation of Evidence-Based Practices in Online Learning: A Meta- Analysis and Review of Online learning Studies, Washington, D.C.

8. College of Nursing Jersey Roots, Global Reach communication

9. College of Nursing Jersey Roots, Global Reach

10. College of Nursing Jersey Roots, Global Reach FSIL graduates, Dean and RU faculty

11. College of Nursing Jersey Roots, Global Reach Rutgers/FSIL partnership: phase 2 Offer masters program to students in Haiti Enable Haitian students to obtain an Advanced Practice Nursing (APN) degree in Haiti in Community Health Nursing. Program will include: –online courses similar to courses offered to masters students at Rutgers College of Nursing; –a team of Rutgers faculty and students who will offer academic mentoring and peer psychosocial support; –an onsite orientation program and onsite coursework provided during periodic visits from Rutgers faculty; –Clinical coordination.

12. College of Nursing Jersey Roots, Global Reach Potential contributions of well educated advanced practice nurses People can change their lives for the better & exercise control over conditions that can be modified: –infectious diseases; –preventable chronic illness; and –widening disparities that threaten the health of the public.

13. College of Nursing Jersey Roots, Global Reach Nurses can improve health of community by providing Culturally competent health education; Prevention counseling; Treatment of chronic diseases; & Immunizations.

14. College of Nursing Jersey Roots, Global Reach

15. College of Nursing Jersey Roots, Global Reach Sustainability of model Sustainability is about maintaining and continuing a program after the funding period is over. Goals: –Services provided by advanced practice nurses will become integrated into the community. –Services provided by advanced practice nurses will improve community well being. –Advanced practice Haitian nurses will be mentors to other Haitian nurses.