CNIA 2013: 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

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The Integration of Mobile Teaching and Learning in Nursing Education

The Integration of Mobile Teaching and Learning in Nursing Education

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  • 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. • Rogers Diffusion of Innovation Model • BCIT process of integration • Study outcomes • Future plans OUTLINE
  • 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. • 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. Rogers Diffusion of Innovation Model http://www.utwente.nl/cw/theorieenoverzicht
  • 6. http://infrae.com/presentations/present_OSSWATCH_osmodel/techcycle
  • 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. Healthcare apps: • Clinicalc • Virtual body • Medspeak
  • 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. “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. 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. 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. 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. • Evaluate critical thinking and clinical judgment Current and Future Plans
  • 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. Educator support to encourage and influence critical thinking
  • 17. • Evaluate critical thinking and clinical judgment • E-text pilots Current and Future Plans
  • 18. • Evaluate critical thinking and clinical judgment • E-text pilots • Integration trials with EHRs in Sim lab Current and Future Plans
  • 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. • 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. 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. 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. 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. 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.