Mobile Learning and Teaching in Health Education

Glynda Doyle, RN, MSN

British Columbia Institute of Technology

eHITS

UBC, May 9 2014

• Background

• BCIT process of integration

• Study outcomes

• Apps and other resources

• Future plans

OUTLINE

I most frequently use:

1. An iPhone

2. An iPad

3. A Blackberry

4. An Android phone

5. An Android tablet

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)

Kapor, 2012

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

Educator support to encourage

and influence critical thinking

• 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……

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• No heavy outdated textbooks• No need to access ward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

anxiety

• 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

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

uCentral by Unbound Medicine

http://www.unboundmedicine.com/

Healthcare apps:• Clinicalc: medical calculator

• Virtual body: anatomy

• Medspeak: translation tool

• NCLEX: exam questions

Do you use your mobile device to access resources in the clinical setting?

1. Frequently

2. Regularly

3. Rarely

4. Never

http://libguides.bcit.ca/content.php?pid=323588&sid=4045260

UptoDate is available through the BCIT Library

APPS MY COLLEAGUES ARE USING:

• ResponseWare for virtual clickers

• Adobe Reader Read, annotate and sign pdf

documents.

• iAnnotate for annotating and reading pdfs.

• Keynote for the ipad

• Penultimate for the ipad

• ScannerPro scan just about anything into a pdf

document

• Dropbox for accessing files from any device

• Jive app for reading the Loop

• Flipboard for creating your own magazines—have stuff

on health, education, news….

• Inkflow: visual note book for sketching and photos

• Mindjet: mind mapping app

• ABG app provides analysis of arterial blood gases

• The physiology of the Respiratory system for ipad.

• ICU notes –a quick reference for assessment of ICU

patients.

• Anatomy 3D: organs for anatomy reviews

• mLumbarLaminectomy to help students to

understand spinal surgeries

• Sono Flex to help patients communicate

• Dragon Dictation for capturing notes

• Boardcam as a document camera

• TinyScan Pro scan multipage documents

Have you ever…

1. Taken a MOOC

2. Taken and completed a MOOC

3. Never taken a MOOC

4. Have no idea what a MOOC is

• free and open online community of

resources designed primarily for faculty, staff

and students of higher education from

around the world to share their learning

materials and pedagogy.

• leading edge, user-centered, collection of

peer reviewed higher education, online

learning materialshttp://tinyurl.com/96uz3qp

This site offers audio clips for listening

to normal and abnormal breath and

heart sounds. http://www.wilkes.med.ucla.edu/intro.h

tml

This site offers an array of open

source information plus

videos, quizzes, and study decks

http://www.mc.maricopa.edu/dept/d31/

nursing/learning_objects/index.html

1. http://www.mesacc.edu/itunes-u

2. click on the ―mcc on itunes‖ button

3. click on ―Nursing‖

4. click on ―Pathophysiology 104‖ for patho podcasts by an RN by body

systems

Free Pathophysiology Podcasts

http://openstaxcollege.org/textbooks/anatomy-and-physiology

Free Open Source Anatomy

and Physiology Textbook

―HEALTH ON THE NET FOUNDATION‖…. to

guide the growing community of healthcare

consumers and providers on the World Wide

Web to sound, reliable medical information and

expertise. In this way, HON seeks to contribute

to better, more accessible and cost-effective

health care.

Evaluating healthcare websites

http://www.hon.ch

http://libguides.bcit.ca/content.php?pid=284157&sid=2339271

BCIT Library Mobile Health Technologies Website

I mostly use …… as my online social network

1. Facebook

2. Linked In

3. Twitter

4. My own website

5. An e-portfolio

I mostly use …… for my professional profile

1. Facebook

2. Linked In

3. Twitter

4. My own website

5. An e-portfolio

SOCIAL MEDIA:an opportunity for learning, conversations, sharing

BUT……

• Ensure privacy settings in place

• Consider everything you post as permanent and traceable

• ‘Pause before you post’ (CNA, 2012)

• Maintain professional boundaries

• Ensure patient confidentiality

http://www.facebook.com/bcitmhealthtech

http://www.twitter.com/bcitmhealthtech

People

TechnologyInformation

Healthcare Informatics

• the optimal use of information, often aided by

technology, to improve health, healthcare, public

health and biomedical research (Hersh, 2009)

(SUNY Buffalo)

www.amia.org

Biomedical Informatics

Biomedical informatics (BMI) is the

interdisciplinary field that studies

and pursues the effective uses of

biomedical data, information, and

knowledge for scientific inquiry,

problem solving, and decision

making, motivated by efforts to

improve human health.

• Evaluate critical thinking and clinical judgment

• E-text pilots

• Integration trials with EHRs in Sim lab

• Projectors for clinical post-conferences

• Research and evaluation

Current and Future Plans

mailto:Glynda_Doyle@bcit.ca

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