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Implementing a Clinical PDA Program for Nursing Students
Karen Crowell, MLIS
Francesca Allegri, MLIS
Julia Shaw-Kokot, MSLSHealth Sciences Library
Judy Miller, PhD, RNSchool of Nursing
University of North Carolina at Chapel Hill
Accessing Information
Clinical access Current resources Lifelong learning skills
14-Month Second Degree Option
Students already have a bachelor's degree in another field
Record of academic achievement Commit to full-time study, to complete the
BSN requirement
Course Integration
Week 1 Summer
Weeks 7-10
Summer
Fall Spring
NURS 63Assessment Across the Lifespan for Health Promoting Intervention
NURS 64Intervention for Clients with Altered Basic Physical
Functions
NURS 65Care of Adults and Elders with Major Health Problems
NURS 85Evidence Based Clinical Practicum with Individuals
Anticipated Uses
Clincal ResourcesCurrent drug informationReady reference information
Lab values Medical dictionary
Students would not be required to buy print textbooks
Calendars and contact information
Information Technology Grant
Proposal submitted late February Approved in March Lack of funding Decision to continue in May
Hardware
Palm OS 16 MB Memory Color screen Hard case Keyboard (optional)
Health Sciences Library Role
Locate and recommend software Prepare documentation for selected software
and utilities Assist in training students Lead the project evaluation team
Software Selection
Medical Spanish Medical Abbreviations Back Up Utility Security Software
Support
Health Affairs Bookstore Hardware Packaged Software
School of Nursing IT Staff Installation Sync station Troubleshooting
Downloaded Software
Free Software Medical Spanish Medical Abbreviations iSilo
Other Software MedLabRef BackUp Buddy Sign On Application Usage
Orientation
Instructions for downloading software Review of basic features of PDAs Demonstration of installed software
Questions to Answer
Important factors in PDA hardware and software selection
Support, including cost Influence on students’ information seeking
behavior Faculty’s view of student PDA use Requirement for all students
Evaluation
Team approach Lead faculty, SON Clinical faculty, SON Director of Curriculum Development, CTL Head of User Services, HSL Health Informatics Fellow, HSL
Formative Measures
Formative evaluation: list of measures
Pre-post survey of 2nd degree students
Pre-post survey of comparison group of students
Structured interviews with faculty
Time logs of project partners
Student evaluation of project orientation and support
Usage data
Anticipated outcomes
Use of tools in classroom and lab
Use of tools on clinical floors
Use of tools in clinical conferences
Faculty receptivity
Student perception of costs
Trends in usage data
Use of support Reactions to instruction
Unanticipated outcomes
Pre-PDA survey
Categories of questions: Information-seeking behaviors Perceptions of information currency and
security Instructional needs related to PDAs Concerns about PDAs Use of PDAs, if already owned
Pre-PDA survey
2nd Degree Students 95% response rate 62% look for info
several times per week 59% what they learn
will be out of date
BSN Students 58% response rate 81% look for info
several times per week 57% what they learn
will be out of date
Pre-PDA survey
2nd Degree Students 91% unaware of HIPAA 35% use of PDA extremely
valuable 51% cost of PDA a
concern 30 out of 37 did not own a
PDA All but 4 purchased one
BSN Students 95% unaware of HIPAA 24% use of PDA extremely
valuable 24% need/usefulness of
PDA a concern 16 out of 19 did not own a
PDA
Orientation/training survey
Categories of questions: Type of problems and level of difficulty with
PDAs Types of help used Estimated PDA usage Additional help needs
Orientation/training survey
Range of difficulty with PDA use: 0.933-2.25 Downloading applications: 1.63 Sources of help figuring out PDA (could check
more than one): figured it out on my own (24), used handouts from PDA orientation (17), PDA orientation (19), friends/students (14), called IT staff (3)
Orientation/training survey
Estimated use of PDA: none (2) 1-5 times (7) 6-11 times (10) 20 times (5) 30 or more times (9)
Anecdotes
“We specifically designed cases for the first week of Nur65 to have them use their PDAs...What was fun was seeing them ON THEIR OWN pulling out their PDAs as we did PBL this week!”
Adjustments, Lessons Learned
Content: ePocrates RX Program for EKG
arrhythmias More comprehensive
Spanish dictionary that allows you to add terms
Training: PDA=stethoscope; keep it
with you Provide orientation and
training in modules, e.g., optional help session for downloading software
Adjustments
Data collection:
Use survey vs. usage tracking software
Conduct periodic education and support assessments
Support:
Provide extensive, personal help for some
Offer drop-in technical support sessions
Allow time for IT staff to learn software
Look for insurance against loss
More to come…
Use survey(s) Support services data Faculty interviews Post-survey of two groups of nursing
students