Utilizing Frontline Intensive Care Unit (ICU) Nurses as Superusers to Assist Nurses Transition to a New Digital ICU
CCCF ePoster library. Cacao F. 10/31/16; 150902; 24
Mr. Francis Cacao
Mr. Francis Cacao
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Topic: Education

Utilizing Frontline Intensive Care Unit (ICU) Nurses as Superusers to Assist Nurses Transition to a New Digital ICU

Cacao, Francis¹, RN, MN, CNCC (C); Collates, Patricia¹, RN; Diego, Maria¹, RN, CNCC (C); Kainth, Manpreet¹,  RN; Modgil, Mamta¹, RN; Sanmugavadivel, Thanusah¹ RN;  Adebayo,Yemi¹,  RN; Cornelius, Jane¹, RN; Luckhardt, Sarah¹, RN, CNCC (C); Vaglica, Marisa¹ RN, MN and Marville-Williams, Cecile¹, RN, MA, CHE
¹Humber River Hospital Intensive Care Unit, Toronto, Canada


Introduction: The Humber River Hospital (HRH) is Canada's first fully digital hospital upon moving to the new facility on October 18, 2015. The HRH's goals are to streamline communications, integrate equipment, patient care systems, building administration and operational systems, and provide staff and patients with instant access to information using a variety of methods to facilitate patient care (Magnotta, 2012). Two ICUs from HRH's legacy sites were combined to become the new 48-bed ICU. The anticipated change in work environment has known impacts on nurses (Berry & Parish, 2008), and supporting them is imperative for transition success. The use of Superusers has been valuable in successful implementation of identified projects (Boffa & Pawola, 2006; Yuan, Bradley & Nembhard, 2015). The Superusers are staff members already working within the organization, who receive extra training on new equipment, technology and workflow processes so they can provide frontline support to their peers (Yuan, Bradley & Nembhard, 2015).

Objective: To evaluate the use of frontline ICU Superusers in facilitating transition orientation and in providing support post-move through mentorship.

Methods: A team of ICU Superusers completed the train-the-trainer program developed and facilitated by educators from HRH and George Brown College (Bull, et al., 2015). The ICU Superuser facilitated all 13 sessions using a combination of different teaching techniques and educational materials over a period of three months. They trained additional twelve ICU staff to build capacity for Superuser support after the move.

Results: A total of 130 nurses completed the evaluation, and 89% 'Agree' and 'Strongly Agree' on over-all satisfaction of the training sessions. Staff’s pre- and post- assessment (1-No, 5-A lot) of equipment knowledge have increased after the training (Mean: 1.8 to 4). Two months after the move, 135 staff self-assessed their levels of proficiency (Benner, 1982): (1) more than 80% were 'Competent/Proficient/Expert' on the majority of new equipment used regularly, and (2) approximately 60% were 'Novice/Advanced Beginner' on equipment not used regularly.

Conclusion: The use of frontline ICU Superusers was an effective model during HRH's ICU transition orientation and in providing post move support. Expanding this program would be beneficial for future projects. Staff’s self-assessment of their equipment proficiency can guide ICU leadership to plan, support, and meet the identified needs.


Benner, P. (1982). From novice to expert. The American Journal of Nursing, 82(3), 402-407.
Berry, L. L. & Parish, J. T. (2008). The impact of facility improvement on nurses. Health   Environments Research Design Journal, 1(2), 5-13.
Boffa, D. P. & Pawola, L. M. (2006). Identification and conceptualization of nurse super users.    Journal of Health Information and Management, 20(4), 60-68.
Bull, E., Astrop, M., Barnaby, J., Clark, W., Mastrilli, P., Mazzotta, P., Murray, N., Persaud, K.,   Przywolska, A., Sivaramalingam, S. & Vaglica, M. (2015). Supporting nurses transitioning to a new hospital. Quality and Safety Summit: Leveraging Nursing    Leadership. Abstract.
Cacao, F., Diego, M., Modgil, M., Sanmugavadivel, T., Kainth, M., Collates, P., Luckhardt, S., Adebayo, Y., Cornelius, J., Vaglica, M. & Marville-Williams, C. (2016). Utilizing frontline intensive care unit IICU) nurses as super users to assist nurses transition to a new digital hospital. The Canadian Journal of critical Care Nurseing, 27(2). p. 36.
Magnotta, S. Q. (2012). Breaking ground on North America's first digital hospital. Retrieved from http://hospitalnews.com/breaking-ground-on-north-america%E2%80%99s-firstfully-digital-hospital/
Yuan, C. T., Bradley, E. H., & Nembhard, I. M. (2015) A mixed methods study of how clinician 'super users' influence others during the implementation of electronic health records. BMC Medical Informatics and Decision Making, 15(26), 1-10.

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