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Learning Objective 1: Discuss the challenges of completing global human subjects research
Learning Objective 2: Describe the use of Skype in facilitating research to implement clinical practice guidelines in Nairobi Kenya.
Methods: Skype became the main method of communication for study development. The use of this technology provided the ability for the advisor to discuss the study with the DNP student and meet with the Nairobi clinical staff and practice mentor, the Chief of Critical Care. The ventilator bundle developed by the Nairobi clinicians was adapted to be consistent with equipment available at the site. Project management plans were transmitted before each Skype conference call. Institutional Research Review (IRB) application was submitted at the Baltimore site. The Nairobi Hospital Chief of Staff approved the submission. Data collection forms were included in the IRB application; however, data collected pre-and-post implementation was not allowed to be transmitted from Nairobi. Data management was planned via Skype. The DNP student was responsible for data entry.
Results: Skype calls were completed between March and September 2010 when IRB approval was received. Pre-and-post data were collected for two months. Between data collection periods, staff education sessions were completed on best practices with the selected bundle. The VAP bundle components were printed on a quick reference guide that affixed to identification badges. Final data analysis was completed by Skype.
Conclusions: Implementing best practices internationally was enhanced through the use of Skype technology. Although challenging to meet requirements for protection of human subjects globally, the collaborative relationship between the student and advisor who met in person only twice was facilitated by this face to face technology.
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