CNIA 2013: The Integration of Mobile Teaching and Learning in Nursing Education
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Transcript of CNIA 2013: The Integration of Mobile Teaching and Learning in Nursing Education
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The Integration of Mobile Learning and Teaching in Nursing
EducationGlynda Doyle, RN, MSN
British Columbia Institute of Technology
CNIA/IFHIMA
May 2013
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• Rogers Diffusion of Innovation Model
• BCIT process of integration• Study outcomes• Future plans
OUTLINE
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Mobile computing has the power to make nursing
practice safer, more efficient, evidence informed,
and of a higher quality. (Patillo et al., 2007; Thede &
Sewell, 2010; Thompson, 2005)
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• Access at point of care is becoming an accepted standard in current healthcare environment (Kuiper, 2010)
• Technology integration is significant element of education (Educause, 2011; Hunt, 2002; Tooey & Mayo, 2003, Wali et al., 2008; )
• Today’s student expects immediacy, engagement and internet access (Arhin & Cormier, 2007; Skiba, 2005; White et al., 2005)
• Current healthcare environment is increasingly complex (Adler, 2007; Doran, 2009; Goldsworthy et al., 2006)
• Necessary for nurses to integrate increasingly large amount of info into decision making processes (Doran et al., 2010; Farrell et al., 2007)
• Expected competency for nursing grads (CASN, 2012; CNA, 2012; Kuiper, 2010)
Why else……
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Rogers Diffusion of Innovation Model
http://www.utwente.nl/cw/theorieenoverzicht
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http://infrae.com/presentations/present_OSSWATCH_osmodel/techcycle
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Ministry of Advanced Education Mandate
2008
Pilot Studies RFP
November 2008
uCentral Site License
February 2011
Policies for BCIT and Health Authorities
January 2012
Clinical/Sim lab/Classroom
2010-Present
Bookshelf/iBooksBCIT App
2013/2014
BCIT Mobile Technologies Integration Process
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Healthcare apps:• Clinicalc• Virtual body• Medspeak
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“when I receive a patient with something I am not sure off, it's right at the tip of my hands to quickly get the answers. Even when patients and families are asking me a question and no one is around to help me right away I can figure it out on my own. Makes me more independent as well.” A big advantage is that I can access 'to the minute" information, on any subject, from any where in the world. I am up to date with the most current news and information related to healthcare, and all the information I need fits in my pocket.
However, if one doesn't know how to differentiate between websites that are reliable resources and those that are not, there is a risk that the information one is looking up is inaccurate.
I would be able to look up any medical terms or diagnoses that I'm not familiar with and access documents like CRNBC standards and BCIT policies
BCIT Nursing Student Comments
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“Great potential uses - no longer need to carry textbooks, instant access to drug references, diagrams for patient education, sharing pertinent websites, quick communication both in and out of clinical. Barriers - perception of personal use when using device in clinical, not fully accepted for nursing - medicine not a problem, staff nurses not using/scared of technology discourage use.”
BCIT Nursing Faculty Comment
“Potential uses: -show photos of instruments used at clinical -show youtube images/videos –log onto internet to verify information -use the recording feature to record a quick lesson so students can review whenever they like Challenges: -requires data and not all faculty have data (or enough) data on phone -screen may not be big enough to show more than 2 students at a time”
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Benefits Challenges• No heavy outdated textbooks• No need to access ward
computer• Real time efficient access to
information• Patient teaching• Translation tools• Peer-reviewed information• Improved confidence, less
anziety
• Perception of staff• Perceived perception of
patients• Digital Divide• Confidentiality• Effect on critical thinking• Screen size for sharing
Themes from BCIT 2012/2013 student/faculty qualitative surveys
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Benefits: Increased feelings of student:
• self-efficacy
• confidence
• productivity
• research ability (Bauldoff et al., 2008; Doran et al., 2010; Goldsworthy, 2006; White et al., 2005)
• Decreased med errors (Greenfield, 2007)
• Decreased stress/anxiety (Jamieson et al., 2009)
• Evidence based, current decision support in real time (Farrell & Rose, 2008; Fisher & Koren, 2007)
• Interprofessional collaboration (Davenport, 2004; Farrell & Rose, 2008)
• Patient education
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Challenges:
• Cost (Kuiper, 2010; Scollin et al., 2006; Zurmehly, 2010)
• Privacy & confidentiality (Adler, 2007; Altmann & Brady, 2005)
• Infection control (Bauldoff et al., 2008; Goldblatt et al., 2007)
• Time taken to become familiar with device use (Huffstutler et al., 2002)
• Touch vs. Tech (Rosenthal, 2003)
• Patient perception (Lee, 2007)
• Limited battery power (George & Davidson, 2005; Rosenthal, 2003)
• Tech support (Scollin et al., 2006; Zurmehly, 2010)
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• Evaluate critical thinking and clinical judgment
Current and Future Plans
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Goal of Informatics is:
And not:
The Fundamental Theorem of Informatics (Friedman, 2009)
Friedman, C. (2013). What informatics is and isn’t. J Am Med Inform Assoc, 20. 224-226
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Educator support to encourage and influence critical thinking
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• Evaluate critical thinking and clinical judgment
• E-text pilots
Current and Future Plans
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• Evaluate critical thinking and clinical judgment
• E-text pilots
• Integration trials with EHRs in Sim lab
Current and Future Plans
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• Evaluate critical thinking and clinical judgment
• E-text pilots
• Integration trials with EHRs in Sim lab
• Projectors for clinical post-conferences
Current and Future Plans
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• Evaluate critical thinking and clinical judgment
• E-text pilots
• Integration trials with EHRs in Sim lab
• Projectors for clinical post-conferences
• Provide info sessions for Health Authority staff
Current and Future Plans
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Questions?
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Adler, R. (2007). Health care unplugged: The evolving role of wireless technology. California Healthcare Foundation. Oakland: iHealth Reports.
Arhin, A. O., & Cormier, E. (2007). Using deconstruction to educate Generation Y nursing students. Journal of Nursing Education , 46 (12), 562-567.
Bauldoff, G., Kirkpatrick, B., Sheets, D., Mays, B., & Curran, C. (2008). Implementation of handheld devices. Nurse Educator , 33 (6), 244-248.
Baumgart, D. (2005). Personal Digital Assistants in health care: Experienced clinicians in the palm of your hand? Lancet , 366, 1210-1222.
Davenport, C. (2004). What nurses need to know about Personal Digital Assistants (PDAs). Online Journal of Nursing Informatics , 8 (3), 1-11.
Doran, D. (2009). The emerging role of PDAs in nformaiton use and clinical decision making. Evidence-Based Nursing, 12, 35-38.
Doran, D., Haynes, R., Kushniruk, A., Straus, S., Grimshaw, J., & McGillis Hall, L. (2010). Supporting evidence-based practice for nurses through information technologies. Worldviews on Evidence-Based Nursing , 7 (1), 4-15.
Farrell, M. M., & D'Arcy, M. &. (2007 йил September/October). Improving patient health outcomes in acute care hospital units using mobile wireless tehcnology and handheld computers. Computers, Informatics, Nursing , 307-309.
Farrell, M., & Rose, L. (2008). Use of mobile handheld computers in clinical nursing education. Journal of Nursing Education , 47 (1), 13-19
Resources
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Fisher, K., & Koren, A. (2007). Palm perspectives: the use of personal digital assistants in nursing clinical education. A qualitative study. Online Journal of Nursing Informatics , 11 (2), 1-12.
George, L., & Davidson, L. (2005). PDA use in nursing education: Prepared for today, poised for tomorrow. Online Journal of Nursing Informatics , 9 (2), 1-11.
Goldblatt, J., Krief, I., Klonsky, T., Haller, D., Milloul, V., & Sixsmith. (2007). Use of cellular telephones and transmission of pathogens by medical staff in New York and Israel. Infection Control and Hospital Epidemiology , 2007 (28), 4.
Goldsworthy, S., Lawrence, N., & Goodman, W. (2006). The use of Personal Digital Assistants at the point of care in an Undergraduate Nursing Program. Computers, Informatics, Nursing , 24 (3), 138-143.
Greenfield, S. (2007). Medication error reduction and the use of PDA technology. Journal of Nursing Education , 46 (3), 127-131.
Huffstutler, S., Wyatt, T., & Wright, C. (2002). The use of handheld technology in nursing education. Nurse Educator , 27 (6), 271-275.
Hunt, E. (2002). The value of a PDA to a nurse. Tar Heel Nurse , 64 (3), 18-19.
Jamieson, B., Secco, L., Profit, S., Bailey, J., Brennick, D., Whitty-Rodgers, J., et al. (2009). An evidence-based pilot project: The influence of information-laden handheld computers on computer competence, information sources, and stress levels of nursing students. Canadian Journal of Nursing Informatics , 4 (4), 3-34.
Koeniger-Donahue, R. (2008). Handheld computers in nursing education: A PDA pilot project. Journal of Nursing Education , 47 (2), 74-77.
Resources cont.
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Kuiper, R. (2010). Metacognitive factors that impact student nurse use of point of care technology in clinical settings. International Journal of Nursing Scholarship , 7 (1), 1-15.
Lee, T.-T. (2007). Patients' perceptions of nurses' bedside use of PDAs. CIN: Computers, Informatics, Nursing , 25 (2), 106-111.
Martin, R. (2007). Making a case for personal digital assistant (PDA) use in baccalaureate nursing education. Online Journal of Nursing Informatics , 11 (2), 1-8.
McLeod, R., & Mays, M. (2008). Back to the future: Personal Digital Assistants in nursing education. Nursing Clinics of North America , 43, 583-592.
Miller, J., Shaw-Kokot, J., Arnold, M., Boggin, T., Crowell, K., Allegri, F., et al. (2005). A study of personal digital assistants to enhance undergraduate clinical nursing education. Journal of Nursing Education , 44 (1), 19-26.
Pattillo, R., Brewer, M., & Smith, C. (2007). Tracking clinical use of personal digital assistant reference resources. Nurse Educaotr , 32 (1), 39-42.
Rosenthal, K. (2003). "Touch" vs. "tech": valuing nursing specific PDA software. Nursing Management , 34 (7), 58-60.
Scollin, P., Callahan, J., Mehta, A., & Garcia, E. (2006). The PDA as a reference tool: Libraries' role in enhancing nursing education. CIN: Computers, Informatics, Nursing , 24 (4), 208-213.
Scollin, P., Healey-Walsh, J., Kafel, K., Mehta, A., & Callahan, J. (2007). Evaluating student's attitudes to using PDAs in nursing clinicals at two schools. Computers, Informatics, Nursing , 25 (4), 228-235.
Resources cont.
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Skiba, D. C. (2008). Information technologies and the transformation of nursing education. Nursing Outlook, 56, 225-230.
Skiba, D. (2005). The Millennials: Have they arrived at your school of nursing? Nursing Education Perspectives , 26 (6), 370-371.
Smith, C., & Pattillo, R. (2006). PDAs in the nursing curriculum: Providing data for internal funding. Nurse Educator , 31 (3), 101-102.
Thompson, B. (2005). The transforming effect of handheld computers on nursing practice. Nursing Administration , 29 (4), 308-314.
Tooey, M., & Mayo, A. (2003). Handheld technologies in a clinical setting. AACN Clinical Issues: Advanced Practice in Acute and Critical Care , 14 (3), 342-349.
Wali, E., Winters, N., & Oliver, M. (2008). Maintaining, changing and crossing contexts: an activity theoretic reinterpretation of mobile learning. Research in Learning Technology , 16 (1), 41-57.
White, A., Allen, P., Goodwin, L., Breckinridge, D., Dowell, J., & Garvy, R. (2005). Infusing PDA technology into nursing education. Nurse Educator , 30 (4), 150-154.
Zurmehly, J. (2010). Personal Digital Assistants (PDAs): review and evaluation. Nursing Education Perspectives , 31 (3), 179-182.
Resources cont.