CNIA 2013: The Integration of Mobile Teaching and Learning in Nursing Education


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The Integration of Mobile Teaching and Learning in Nursing Education

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CNIA 2013: The Integration of Mobile Teaching and Learning in Nursing Education

  1. 1. The Integration of Mobile Learning and Teaching in Nursing Education Glynda Doyle, RN, MSN British Columbia Institute of Technology CNIA/IFHIMA May 2013
  2. 2. • Rogers Diffusion of Innovation Model • BCIT process of integration • Study outcomes • Future plans OUTLINE
  3. 3. 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)
  4. 4. • 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……
  5. 5. Rogers Diffusion of Innovation Model
  6. 6.
  7. 7. 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/iBooks BCIT App 2013/2014 BCIT Mobile Technologies Integration Process
  8. 8. Healthcare apps: • Clinicalc • Virtual body • Medspeak
  9. 9. “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
  10. 10. “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”
  11. 11. 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
  12. 12. 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
  13. 13. 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)
  14. 14. • Evaluate critical thinking and clinical judgment Current and Future Plans
  15. 15. 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
  16. 16. Educator support to encourage and influence critical thinking
  17. 17. • Evaluate critical thinking and clinical judgment • E-text pilots Current and Future Plans
  18. 18. • Evaluate critical thinking and clinical judgment • E-text pilots • Integration trials with EHRs in Sim lab Current and Future Plans
  19. 19. • 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
  20. 20. • 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
  21. 21. 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
  22. 22. 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.
  23. 23. 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.
  24. 24. 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.