Chapter 20
Nursing
Informatics and
Nursing
Education
Objectives
• Describe nursing education in relation to
the Foundation of Knowledge model.
• Explore knowledge acquisition and sharing.
• Assess technology tools and delivery
modalities used in nursing education.
• Compare and contrast knowledge
assessment methods.
Instructional Applications Of
Computer Technology
• A way to erase geographical boundaries for
students
• May enhance the presentation of content
• May improve learning outcomes
• Helps tailor instruction to individual
learning needs.
Modern Instructional
Technologies Provide
• Opportunities for simulations
• Complex multimedia
• Virtual reality-assisted clinical scenarios
• Information and literature-gathering
Internet tools.
Social Media in Education
• Twitter® (twitter.com) can be used to focus and hone
student perspectives
• Flickr® (flickr.com) for photo sharing
• Glogster® (glogster.com) a graphical blog
• Pixton® (pixton.com) to make comics or cartoons
• Prezi® (prezi.com) to create zooming presentations
• Slideshare® (slideshare.net) a community for sharing
presentations
• YouTube (youtube.com) to watch and share videos
• Wordle™ (wordle.net) to create word clouds from text
Interactivity in Web-enhanced
courses
• learner–learner
– students interact to troubleshoot, work out challenges,
and exchange solutions
• learner–content
– Students interact with course content
• learner–instructor
– direct interaction with instructor
• learner–interface interactions
– access to content
Software/Hardware Decisions
• Consider usability, functionality, and
accessibility
– When evaluating software or hardware for
purchase, careful assessment of the products
and services will help an educator,
administrator, or student to make the best
choices.
– Hardware decisions will depend upon the way
a computer system will be used, in addition to
cost, ease of use, and durability.
Changing Students
• Nursing educators are discovering that current
students are not responding in the same ways
they did during their own tenure as students.
• Technology-laden students from the millennial
age demand instant information delivered in
an entertaining fashion, an expectation built
upon extensive exposure to e-mail, text
messaging, online chatting, and the Internet.
Learning Spaces
• Learning is a multispatial function, and in
the age of technology innovation,
instructional delivery can inhabit many
forms in both physical and virtual spaces.
• “Spaces” in academia are no longer defined
by a class or its content, but instead by the
learning the class is trying to promote.
Teaching Methods Compared
• Although the most widely used teaching method
among nurse educators, traditional face-to-face
lecture yields only a 5% information retention
rate over a 24-hour period, compared with
– demonstration (30%)
– discussion groups (50%)
– practice activities (75%)
– peer teaching (90%)
Collaborative Learning
Environments
• The professor guides conversation and sets up
discussion, acting less as classroom authority and
more as facilitator, helping students maintain
focus, gently guiding discussion, and ultimately
empowering students to push knowledge
boundaries in a safe and secure atmosphere of
peer support.
• interactive, cooperative learning strategies might
include gaming, role playing, and problem-based
learning
Online Delivery
• E-learning, online and web-based education have
caused a significant shift in student-teacher
relationships in nursing education.
– online learning allows educators to translate theory
into practice, creating a virtual classroom space that
promotes collaboration, engagement, discussion, and
analysis.
– detractors of online learning initiatives suggest that
sharing an online space undermines the student-
teacher relationship, makes building peer relationships
difficult, and generally disrupts the normal classroom
dynamic, thus creating an unfamiliar, uncomfortable
atmosphere.
Web-Based Courses
• Asynchronous and time-independent
elements of Web-based courses
– provide flexible class times
– meet needs of population of nontraditional
learners.
• Allows participation by anyone, anywhere in the
world, with access
• Re-envision classroom interaction, and
depending on the specific delivery mode, can
even change basic pedagogical concepts.
Hybrid/Blended Delivery
• Traditional courses are more frequently being
offered as online, virtual classes, i.e., “distance
education”: learning that occurs elsewhere than
in the traditional classroom.
• Web-enhanced instruction allows technically
ambivalent institutions to participate in the
technology revolution without huge budgetary
expenditure and also addresses a preference by
some faculty for a way to include innovation and
technology in classes without giving up traditional
classroom engagement.
Smart Classrooms
• “Digital” and “multimedia” classrooms,
– integrate computer and audio-visual technologies by
providing a ceiling-mounted projector with an access
point at the front of the room, an instructor
podium/workstation, sound, and network access.
• Enhanced smart classroom
– also provide networked student workstations
instead of traditional desks, allowing students
to follow along online and perform network or
Web searches, chat, blog, etc.
Net Generation or Millennials
• students who have grown up inside a wired
world of instant access and online
everything
• connected, digital, experiential, and social
• interacting in peer-to-peer situations is a
familiar and common learning mode
• desire information immediately
• are skilled multitaskers
Online Tutorials
• Provide information to students and the
skills to find, evaluate, understand, and
apply this information
• Attempt to mimic lectures by guiding users
through a series of objectives or tasks,
usually allowing the user to do the work at
his or her own pace
• May use animation, text, graphics, sound,
questions, and different kinds of
interactivity to engage and intrigue the
user.
Simulations
• Combine high-fidelity equipment with real-
time demonstrations of simulated medical
emergencies or patient situations
• Task and skill training ranks as the most
popular form of simulation, during which
students hone repetitive skills through
interaction with a wide range of equipment
See Chapter 24 for in-depth coverage of Simulations
Virtual Reality
• Multiple sensory inputs, either mediated or
generated by a computer, through visual
stimulation, audio input, and touch
• Fosters unintentional learning through gamer-like
technology
– students discover and create knowledge in order to
accomplish something,
• Their experiences result in greater
comprehension and deeper knowledge
Internet Tools
• The general consensus in nursing education
suggests that any technology that allows users
to interact and engage both materials and
each other is useful.
• Webcasts, typically live presentations
delivered via the Web, offer great potential
for students and faculty to engage both
information and each other globally, tapping
students’ multiple intelligences in order for
them to access what they need.
Internet Tools
• One of the most common and proliferate
search tools in technology today is the “wiki.”
– Wikis are websites or hypertext document
collections that allow users to edit and add
content in an open-ended forum.
• Instant messaging (IM), one of many
collaborative Web “chat” tools available to
any user with a computer and Internet access.
Internet Tools
• Real-time chats occur all over the Internet,
at each hour of every day.
– In a chat, students can meet, discuss, and
engage each other over any given topic.
• One low-investment information-gathering
tool for use by nursing professionals
includes membership in a listserv.
Internet Tools
• Electronic discussion groups that use e-mail to
communicate, listservs promote communication
and collaboration with others interested in a
particular field of study.
– Similar to listservs in the way they deliver specific
information to one’s e-mail, a portal allows the
personalization of a specific website.
• Portals organize information from Web pages into
simple menus so that the user may choose what
they want to view and how they want to view it.
Podcasts
• Podcasts are audio recordings linked to the Web
that are then downloaded to an MP3 player or
computer where the listener accesses the
recording or video.
– “Audiopods” is a term used to describe traditional, or
audio-based, podcasts. Participating in podcasting can
exercise not just basic technology skills, but also
writing, editing, and speaking skills as well.
Videopods
• Similar to audiopods in set-up and
accessibility, videopods are podcasts that
provide video in addition to audio
functionality.
– Faculty might use videopodcasts to
demonstrate concepts, interview experts in
the field, and even assess student progress.
Webinars and WebCasts
• Webinars, are web-based seminars that use
web conferencing software that allows an
educator to share their computer screen
and files and interact with their students.
• Webcasts present to the audience with
limited or no interactivity.
Internet Tools
• As technologically-savvy students continue to
demand accessible, interactive learning tools to
keep them engaged, an increasing number of
instructors are experimenting with and
incorporating multimedia into their courses.
• Research suggests that the seeing, hearing, doing
and interacting afforded by multimedia facilitates
learning retention, with multimedia at least as
effective as traditional instruction, but with the
benefit of greater learner satisfaction.
Library Redesign
• Libraries have also begun to recognize their
role in students’ success with and
predisposition to collaborative learning
with redesigned spaces that reflect
students’ need to huddle in small groups,
sit closely together without barriers, chat
about their work, and view digital
information without physical hindrances
like carrels or work stalls.
Evaluating Learning Tools
• Integral and critical component of educational
programming
• Administrators and nursing educators across
various programs are responsible for evaluation
• When looking for feedback and assessment of a particular
learning activity, data are best collected during and at the
completion of the activity.
– Evaluation by participants at the end of project is also valuable
since learners can provide information related to the attainment
of objectives and the teaching effectiveness of both the faculty
and the learning materials while the experience is still fresh and
memorable.
Paper Projects
• When a paper assignment or project does
fail, the outcome provides a valuable
learning opportunity for all educators to
look closely at the pedagogy, structure,
goals, outcomes, and expectations of
success of the proposed activity and
determine what needs revising or re-
evaluating in order for what the educator
would term “successful” completion.
Discussions
• While traditional in-class discussion seems
almost outdated in light of the stunning
advances in technology that allow learners
to participate in every kind of activity from
computer-guided online quizzes to
interactive simulations, the educator as
facilitator still holds value and importance
in a traditional or even blended classroom.
Assuring Competence
• Legal and financial implications of employee and
student performance--a major concern for all
providers and health care organizations
• National Agencies (ANA) established minimum
competencies for nurses .
• Schools have redesigned their curricula as the
competency-based curricular outcomes
Knowledge Dissemination
and Sharing
• Sharing experiences of clinical learning can help
convey life-saving information to other clinicians
in a way that is more memorable and less
imposing than warnings delivered outside a social
context.
• The power of pooled knowledge in combination
with knowledge produced in dialogue with others
helps to limit tunnel vision and is a powerful
strategy for maximizing the clinical knowledge of
a group.
Knowledge Dissemination
and Sharing
• Networking encourages professional support by
making successful professionals accessible to
their colleagues.
• Nurses tend to gather their information from
personal networks such as colleagues or
professional meetings, the increased availability
of technology to assist in networking has greatly
facilitated information exchange.
Knowledge Dissemination and
Sharing
• Formal networks, such as the International Nurse
Practitioner/Advanced Practice Nursing Network
(INP/PNN), unveiled in 2000, promote the
exchange of knowledge, resources, and expertise
in order to enhance the presence of nursing in
primary healthcare.
• Membership and participation in professional
associations also provide ways to network and
advance one’s profession.
Knowledge Dissemination and
Sharing
• Publishing provides excellent opportunities to
extend knowledge and share research.
• Making presentations at contemporary
professional conferences allows nursing
educators and students to gain experience and
share scholarship with colleagues.
• Conferences often host poster presentations to
share research findings, innovations and
exemplar programs in a low-investment but
visually-captivating way.
Fair Use of Information
• Fair use refers to a legal concept that permits the
use of copyrighted works for specific purposes
without obtaining permission from the author or
without paying for the use of the work.
• Fair use has expanded from print materials to
apply to the copying and redistribution of digital
media including photographs, graphics, music,
videos, audio and software or computer
programs.
Criteria for Determining Fair Use
Section 107 of the US Copyright Law (US
Copyright Office, n.d.).
• The purpose and character of the use, including whether
such use is of commercial nature or is for nonprofit
educational purposes
• The nature of the copyrighted work
• The amount and substantiality of the portion used in
relation to the copyrighted work as a whole
• The effect of the use upon the potential market for, or
value of, the copyrighted work
Thought Provoking Questions
1. What are some of the forces behind the push towards a
more wired learning experience in nursing education?
2. What technology do you find most beneficial to use in
your practice or education setting? Why do you find this
tool useful? From your perspective, how could this tool
be enhanced?
3. Jean, a diabetes nurse educator, recently read an article
in an online journal that she accessed through her
health agency’s database subscription. The article
provided a comprehensive checklist for managing
diabetes in older adults, which she prints and
distributes to her patients in a diabetes education class.
Does this constitute fair use or is this a copyright
violation? Explain your answer.

Chapter 20

  • 1.
  • 2.
    Objectives • Describe nursingeducation in relation to the Foundation of Knowledge model. • Explore knowledge acquisition and sharing. • Assess technology tools and delivery modalities used in nursing education. • Compare and contrast knowledge assessment methods.
  • 3.
    Instructional Applications Of ComputerTechnology • A way to erase geographical boundaries for students • May enhance the presentation of content • May improve learning outcomes • Helps tailor instruction to individual learning needs.
  • 4.
    Modern Instructional Technologies Provide •Opportunities for simulations • Complex multimedia • Virtual reality-assisted clinical scenarios • Information and literature-gathering Internet tools.
  • 5.
    Social Media inEducation • Twitter® (twitter.com) can be used to focus and hone student perspectives • Flickr® (flickr.com) for photo sharing • Glogster® (glogster.com) a graphical blog • Pixton® (pixton.com) to make comics or cartoons • Prezi® (prezi.com) to create zooming presentations • Slideshare® (slideshare.net) a community for sharing presentations • YouTube (youtube.com) to watch and share videos • Wordle™ (wordle.net) to create word clouds from text
  • 6.
    Interactivity in Web-enhanced courses •learner–learner – students interact to troubleshoot, work out challenges, and exchange solutions • learner–content – Students interact with course content • learner–instructor – direct interaction with instructor • learner–interface interactions – access to content
  • 7.
    Software/Hardware Decisions • Considerusability, functionality, and accessibility – When evaluating software or hardware for purchase, careful assessment of the products and services will help an educator, administrator, or student to make the best choices. – Hardware decisions will depend upon the way a computer system will be used, in addition to cost, ease of use, and durability.
  • 8.
    Changing Students • Nursingeducators are discovering that current students are not responding in the same ways they did during their own tenure as students. • Technology-laden students from the millennial age demand instant information delivered in an entertaining fashion, an expectation built upon extensive exposure to e-mail, text messaging, online chatting, and the Internet.
  • 9.
    Learning Spaces • Learningis a multispatial function, and in the age of technology innovation, instructional delivery can inhabit many forms in both physical and virtual spaces. • “Spaces” in academia are no longer defined by a class or its content, but instead by the learning the class is trying to promote.
  • 10.
    Teaching Methods Compared •Although the most widely used teaching method among nurse educators, traditional face-to-face lecture yields only a 5% information retention rate over a 24-hour period, compared with – demonstration (30%) – discussion groups (50%) – practice activities (75%) – peer teaching (90%)
  • 11.
    Collaborative Learning Environments • Theprofessor guides conversation and sets up discussion, acting less as classroom authority and more as facilitator, helping students maintain focus, gently guiding discussion, and ultimately empowering students to push knowledge boundaries in a safe and secure atmosphere of peer support. • interactive, cooperative learning strategies might include gaming, role playing, and problem-based learning
  • 12.
    Online Delivery • E-learning,online and web-based education have caused a significant shift in student-teacher relationships in nursing education. – online learning allows educators to translate theory into practice, creating a virtual classroom space that promotes collaboration, engagement, discussion, and analysis. – detractors of online learning initiatives suggest that sharing an online space undermines the student- teacher relationship, makes building peer relationships difficult, and generally disrupts the normal classroom dynamic, thus creating an unfamiliar, uncomfortable atmosphere.
  • 13.
    Web-Based Courses • Asynchronousand time-independent elements of Web-based courses – provide flexible class times – meet needs of population of nontraditional learners. • Allows participation by anyone, anywhere in the world, with access • Re-envision classroom interaction, and depending on the specific delivery mode, can even change basic pedagogical concepts.
  • 14.
    Hybrid/Blended Delivery • Traditionalcourses are more frequently being offered as online, virtual classes, i.e., “distance education”: learning that occurs elsewhere than in the traditional classroom. • Web-enhanced instruction allows technically ambivalent institutions to participate in the technology revolution without huge budgetary expenditure and also addresses a preference by some faculty for a way to include innovation and technology in classes without giving up traditional classroom engagement.
  • 15.
    Smart Classrooms • “Digital”and “multimedia” classrooms, – integrate computer and audio-visual technologies by providing a ceiling-mounted projector with an access point at the front of the room, an instructor podium/workstation, sound, and network access. • Enhanced smart classroom – also provide networked student workstations instead of traditional desks, allowing students to follow along online and perform network or Web searches, chat, blog, etc.
  • 16.
    Net Generation orMillennials • students who have grown up inside a wired world of instant access and online everything • connected, digital, experiential, and social • interacting in peer-to-peer situations is a familiar and common learning mode • desire information immediately • are skilled multitaskers
  • 17.
    Online Tutorials • Provideinformation to students and the skills to find, evaluate, understand, and apply this information • Attempt to mimic lectures by guiding users through a series of objectives or tasks, usually allowing the user to do the work at his or her own pace • May use animation, text, graphics, sound, questions, and different kinds of interactivity to engage and intrigue the user.
  • 18.
    Simulations • Combine high-fidelityequipment with real- time demonstrations of simulated medical emergencies or patient situations • Task and skill training ranks as the most popular form of simulation, during which students hone repetitive skills through interaction with a wide range of equipment See Chapter 24 for in-depth coverage of Simulations
  • 19.
    Virtual Reality • Multiplesensory inputs, either mediated or generated by a computer, through visual stimulation, audio input, and touch • Fosters unintentional learning through gamer-like technology – students discover and create knowledge in order to accomplish something, • Their experiences result in greater comprehension and deeper knowledge
  • 20.
    Internet Tools • Thegeneral consensus in nursing education suggests that any technology that allows users to interact and engage both materials and each other is useful. • Webcasts, typically live presentations delivered via the Web, offer great potential for students and faculty to engage both information and each other globally, tapping students’ multiple intelligences in order for them to access what they need.
  • 21.
    Internet Tools • Oneof the most common and proliferate search tools in technology today is the “wiki.” – Wikis are websites or hypertext document collections that allow users to edit and add content in an open-ended forum. • Instant messaging (IM), one of many collaborative Web “chat” tools available to any user with a computer and Internet access.
  • 22.
    Internet Tools • Real-timechats occur all over the Internet, at each hour of every day. – In a chat, students can meet, discuss, and engage each other over any given topic. • One low-investment information-gathering tool for use by nursing professionals includes membership in a listserv.
  • 23.
    Internet Tools • Electronicdiscussion groups that use e-mail to communicate, listservs promote communication and collaboration with others interested in a particular field of study. – Similar to listservs in the way they deliver specific information to one’s e-mail, a portal allows the personalization of a specific website. • Portals organize information from Web pages into simple menus so that the user may choose what they want to view and how they want to view it.
  • 24.
    Podcasts • Podcasts areaudio recordings linked to the Web that are then downloaded to an MP3 player or computer where the listener accesses the recording or video. – “Audiopods” is a term used to describe traditional, or audio-based, podcasts. Participating in podcasting can exercise not just basic technology skills, but also writing, editing, and speaking skills as well.
  • 25.
    Videopods • Similar toaudiopods in set-up and accessibility, videopods are podcasts that provide video in addition to audio functionality. – Faculty might use videopodcasts to demonstrate concepts, interview experts in the field, and even assess student progress.
  • 26.
    Webinars and WebCasts •Webinars, are web-based seminars that use web conferencing software that allows an educator to share their computer screen and files and interact with their students. • Webcasts present to the audience with limited or no interactivity.
  • 27.
    Internet Tools • Astechnologically-savvy students continue to demand accessible, interactive learning tools to keep them engaged, an increasing number of instructors are experimenting with and incorporating multimedia into their courses. • Research suggests that the seeing, hearing, doing and interacting afforded by multimedia facilitates learning retention, with multimedia at least as effective as traditional instruction, but with the benefit of greater learner satisfaction.
  • 28.
    Library Redesign • Librarieshave also begun to recognize their role in students’ success with and predisposition to collaborative learning with redesigned spaces that reflect students’ need to huddle in small groups, sit closely together without barriers, chat about their work, and view digital information without physical hindrances like carrels or work stalls.
  • 29.
    Evaluating Learning Tools •Integral and critical component of educational programming • Administrators and nursing educators across various programs are responsible for evaluation • When looking for feedback and assessment of a particular learning activity, data are best collected during and at the completion of the activity. – Evaluation by participants at the end of project is also valuable since learners can provide information related to the attainment of objectives and the teaching effectiveness of both the faculty and the learning materials while the experience is still fresh and memorable.
  • 30.
    Paper Projects • Whena paper assignment or project does fail, the outcome provides a valuable learning opportunity for all educators to look closely at the pedagogy, structure, goals, outcomes, and expectations of success of the proposed activity and determine what needs revising or re- evaluating in order for what the educator would term “successful” completion.
  • 31.
    Discussions • While traditionalin-class discussion seems almost outdated in light of the stunning advances in technology that allow learners to participate in every kind of activity from computer-guided online quizzes to interactive simulations, the educator as facilitator still holds value and importance in a traditional or even blended classroom.
  • 32.
    Assuring Competence • Legaland financial implications of employee and student performance--a major concern for all providers and health care organizations • National Agencies (ANA) established minimum competencies for nurses . • Schools have redesigned their curricula as the competency-based curricular outcomes
  • 33.
    Knowledge Dissemination and Sharing •Sharing experiences of clinical learning can help convey life-saving information to other clinicians in a way that is more memorable and less imposing than warnings delivered outside a social context. • The power of pooled knowledge in combination with knowledge produced in dialogue with others helps to limit tunnel vision and is a powerful strategy for maximizing the clinical knowledge of a group.
  • 34.
    Knowledge Dissemination and Sharing •Networking encourages professional support by making successful professionals accessible to their colleagues. • Nurses tend to gather their information from personal networks such as colleagues or professional meetings, the increased availability of technology to assist in networking has greatly facilitated information exchange.
  • 35.
    Knowledge Dissemination and Sharing •Formal networks, such as the International Nurse Practitioner/Advanced Practice Nursing Network (INP/PNN), unveiled in 2000, promote the exchange of knowledge, resources, and expertise in order to enhance the presence of nursing in primary healthcare. • Membership and participation in professional associations also provide ways to network and advance one’s profession.
  • 36.
    Knowledge Dissemination and Sharing •Publishing provides excellent opportunities to extend knowledge and share research. • Making presentations at contemporary professional conferences allows nursing educators and students to gain experience and share scholarship with colleagues. • Conferences often host poster presentations to share research findings, innovations and exemplar programs in a low-investment but visually-captivating way.
  • 37.
    Fair Use ofInformation • Fair use refers to a legal concept that permits the use of copyrighted works for specific purposes without obtaining permission from the author or without paying for the use of the work. • Fair use has expanded from print materials to apply to the copying and redistribution of digital media including photographs, graphics, music, videos, audio and software or computer programs.
  • 38.
    Criteria for DeterminingFair Use Section 107 of the US Copyright Law (US Copyright Office, n.d.). • The purpose and character of the use, including whether such use is of commercial nature or is for nonprofit educational purposes • The nature of the copyrighted work • The amount and substantiality of the portion used in relation to the copyrighted work as a whole • The effect of the use upon the potential market for, or value of, the copyrighted work
  • 39.
    Thought Provoking Questions 1.What are some of the forces behind the push towards a more wired learning experience in nursing education? 2. What technology do you find most beneficial to use in your practice or education setting? Why do you find this tool useful? From your perspective, how could this tool be enhanced? 3. Jean, a diabetes nurse educator, recently read an article in an online journal that she accessed through her health agency’s database subscription. The article provided a comprehensive checklist for managing diabetes in older adults, which she prints and distributes to her patients in a diabetes education class. Does this constitute fair use or is this a copyright violation? Explain your answer.