2019 NIA Award winners

At the Bedside Podcast
Update: July 2021

At the bedside logoAt The Bedside Podcast Season 1 has been downloaded this past year over 10,000 times, from more than 20 countries – all with limited social media promotion. The content has been featured in the University of Toronto podcast festival as well as a workshop focusing on health care podcasts from the University of Pennsylvania. Talks were given at Holland Bloorview in September 2020 and to undergraduate students at The University of Toronto in October 2020.
The pandemic has made the past year very challenging. Library closures at the hospitals and university have made accessing research material very difficult. Despite the difficulties, a majority of interviews for Season 2 have been completed. The introductory episode for Season 2 has been released and was downloaded over 400 times in the first week it was available. Season 2 of the project will be completed by December 31, 2021.

Project Description

Christianna Facey-Crowther, RN, is a Registered Nurse in general surgery at Mount Sinai Hospital.  Her innovation is to produce a podcast called At The Bedside. It is be a digital product, hosted on an open website and also available on major podcast players. Coincidently, the first episode of the podcast was released the day of the reception.  It is accessible through any internet-enabled device, and can be found at www.atthebedside.ca

In her proposal, Christianna noted that while there are a number of high-quality and popular medicine podcasts for a variety of specialties, there are very few for nurses and she found little in the literature that evaluates their utility as a method for continuing nursing education. Moreover, the nursing role and the perspective of patients and families is almost entirely absent within this volume of digital content. Watch the video below for more details about the project.

Christianna’s award will cover the expenses of producing the second season of podcasts, and conducting a formal evaluation of season 2 through focus groups and digital measuring tools.  

Nurse-led Ultrasound Debridement Clinic
Update: July 2021

Debridement wandThis goal of this project is to demonstrate the impact of nurse-applied ultrasound debridement technology as a safe, cost-effective way of improving healing of hard-to-heal wounds thus reducing need for amputation.

The project began in November 2019. Patient recruitment started immediately after approval as a Quality Improvement focus was received. Despite the difficulties posed by Covid 19, fifty percent of the treatments have been completed. An additional thirty-eight patients have been started on the treatment plan, with 7 patients receiving more than one treatment for a total of 49 treatments. It is anticipated that the operation will be at full capacity by September 2021 with a Spring 2022 estimated date of completion.

During the clinic break, ultrasound debridement as part of foundational wound preparation has been presented by virtual presentation to large audiences including the International “WoundCon” conference and Wounds Canada. Ultrasound debridement is an integral part of this strategy and was described and the RNFOO award publicly referenced at each presentation.

Project Description

Christine Murphy, RN, PhD, is a Nurse Practitioner and Researcher at The Ottawa Hospital. Her innovation is a nurse-applied ultrasound wound debridement clinic that is an alternative to physician operating room (OR) debridement of lower extremity vascular wounds. This method of debridement can be easily applied by a nurse in an outpatient setting thereby reducing the need for physician debridement which requires a full surgical team and OR space.  An expert in wound care, and President of Nurses Specialized in Wound, Ostomy, Continence Canada (formerly known as ET nurses), Christine knows that lower extremity vascular wounds are increasing in prevalence, consume inordinate amounts of healthcare resources, and have high risk of complications such as amputation, serious infection and excessive pain.  It has been demonstrated that regularly and adequately debrided wounds heal faster. Eliminating operative procedures with new techniques can improve the patient experience and reduce health system costs. As explained in the video below, if a feasible clinical model of care can be developed through this innovation program, the model could have nurse uptake nationally.

Christine’s award will support the evaluation of the work that has been started so that this practice can be moved into regular nursing standards of care.