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Decreasing the load Use of electronic resources in nursing education Roslyn M. Compton MEd, RN [email protected] 306 966 6521 Madeline M. Press MN, RN [email protected] 306 966 8397

Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

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Page 1: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Decreasing the loadUse of electronic resources in nursing education

Roslyn M. Compton MEd, [email protected] 306 966 6521Madeline M. Press MN, [email protected] 306 966 8397

Page 2: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Presentation Objectives

What is a PDA?What are electronic resources?How can we use them in nursing education?What are the differences between using paper resources and electronic resources?What are the benefits to electronic resources?What pitfalls have been identified?

Page 3: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

What are e-resources?

E-booksE-book resourcesInteractive suites

Unbound MedicineElsevierPepidSkyscapeLexi-Comp

Page 4: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Literature – E-resources

InnovativeInteractiveInterestingAccessibleAffordableLimitations

Page 5: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

How can we use e-resources in nursing education?

Reading assignmentsTesting and gradingClassroom activitiesIndependent research

A new way of learning…

Page 6: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

What is a PDA?

Small, handheld, electronic deviceProvides instant access to tools

Page 7: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

What does the literature say about the use of PDAs in healthcare?

Deficit of resourcesStandard for all healthcare professionals:

Safety and securityEase of accessResources at your fingertips

As necessary as a stethoscopeComfort must be achieved before professional practice ie. In education.

Page 8: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Advantages of Using PDA’s in Healthcare

Efficient use of timeCompactIncreases

confidencePatient

education Patient safetyAutonomy

Page 9: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Advantages of Using PDA’s for the student

Access – 24/7Portability – always on them, no weight involved, pocket sizedOne stop shopCross-indexing Interactive classroomsFamiliarity with technologyGetting with the times

Page 10: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Challenges of Using PDA’s in Healthcare

Main categoriesSecurityInfection controlManagementIT

Implementing technology to enhance learningFramework for technology implementation

Page 11: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

PDAs and Nursing Central

Choosing a suite

Page 12: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Nursing Central

http://nursing.unboundmedicine.com/unbound/ub

Page 13: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

PDA Homepage

Page 14: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Davis’s Drug Guide

Page 15: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Drug Monograph

Page 16: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Cross-indexing

Page 17: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Diseases and Disorders (3rd ed.)

Page 18: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Davis’s Lab & Diagnostic Tests (2nd ed.)

Page 19: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Taber’s 21st Ed.

Page 20: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Medline Journals

Page 21: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Journal example

Page 22: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Article Citation

Page 23: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

PDA’s in a Nursing Program

SIAST NEPSSDEO

Page 24: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Study Objectives

Identification of student preferred mobile electronic devicesDifficulties encountered in purchasing and accessing softwareDid the students actually use the resources? Was student learning supported by these resources?

Page 25: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Methodology

Questionnaire Sample - demographicsTiming of questionnaires

Pre and during clinicalPost clinical

Page 26: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Identification of student preferred mobile electronic devices (n=36)

62%16% 3%5%

14%

< 6 mth6-12 mth13-18 mth 19-24 mth> 25 mth

How long have you had your mobile electronic device?

69% 24% 30%3%

iTouch Blackberry Laptop Palm pilot

What type of mobile electronic data storage device do you own?

60%72%31%22%50%28%11%5%3%

Contact informationWireless accessCalendar Storage Nursing Central website Note takingMusic Phone Other

How do you use your mobile electronic storage device?

91%6%3%

YesNoDon’t know

Does you mobile electronic device have internet access?

Page 27: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Features of PDA’sThe Pros and Cons

BenefitsAccessibility to information at any timePortability

PitfallsBattery lifeAwkward to useToo complicatedAvailability of internet access

Page 28: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Purchasing and AccessingPlatform and Suite

CostChoosing a platformTechnical difficultiesOther

Page 29: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Resources Utilized(Percentage of Students)

Resource ClassroomLab (n=42)

During clinical(n=33)

Drug Guide 10 79

LabDiagnostics 7 61

Nursing Diagnosis 5 52

Diseases/ Disorders 10 36

Dictionary 5 15

Page 30: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Support of Learning

24%8%

68%

AgreeDisagreeNeutral

Do you feel Nursing Central resources support your learning?

Page 31: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Implementation

Incorporating PDA’s into your curriculum

‘Technology should not be used for the sake of playing with technology but to enhance the learning experiences in ways that could not be the same without it.’Weiner (2008)

Page 32: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Review of available suitesSelection of deviceFaculty educationStudent educationIT support

A Structured Approach

Page 33: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Benefits of implementation

Why it should be a requirementScholarship moneyMotivationCurrent technologyTransition into clinical practice

Page 34: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Clark, K., Colevins, H., & Bond, D. (2009). Crossing the chasm: From the backpack to the Palm. Journal for Nurses in Staff Development, 25(2), E14-E18.Dilevko, J., & Gottlieb, L. (2002). Print sources in an electronic age: A vital part of the research process for undergraduate students. The Journal of Academic Librarianship, 28(6), 381-392. Hudson, K., Kirk, J. A., & Kimmeth-Buell, V. M. (2009). PDAs in clinical practice. Nursing Management, March, 41-43.Kriebel, L., & Lapham, L. (2008). Transition to electronic resources in undergraduate social science research: A study of honors theses bibliographies, 1999-2005. College and Research Libraries, May, 268-283.McFall, R. (2005). Electronic textbooks that transform how textbooks are used. The Electronic Library, 23(1), 72-81

Bibliography

Page 35: Decreasing the load - Canadian Journal of Nursing Informatics€¦ · Resources at your fingertips As necessary as a stethoscope Comfort ... PDAs in clinical practice. Nursing Management,

Bibliography

McLeod, R. P., & Mays, M. Z. (2008). Back to the future: Personal digital assistants in nursing education. Nursing Clinics of North America, 43, 583-592.Polen, H. H., Blauson, K. A., Thomson, W., Zapantis, A., & Lou, J. Q. (2009). Evaluation of nursing-specific drug information PDA databases used as clinical decision support tools. International Journal of Medical Informatics, 7, 679-686.Rice, M. J., & Townsend, R. (2006). The stress of educational PDA technology. http://www.pdacortex.com/stress_educational_pda_technology.html Weiner, E. E. (2008). Supporting the integration of technology into contemporary nursing education. Nursing Clinics of North America, 43, 497-506.Williams, M. G., & Dittmer, A. (2009). Textbooks on tap: Using electronic books housed in handheld devices in nursing clinical courses. Nursing Education Perspectives, 30(4), 220-225.