E-learning and Nursing Assessment skills and knowledge An Integrative Review

Transcription

1 E-learning and Nursing Assessment skills and knwledge An Integrative Review Authrs : Ewan McDnald (RN, PhD) & Jessica L Bultn (3 rd year Nursing Student) (Under Review - 3 rd July 2017) Presentatin: NET2017 Cambridge: 5 th September 2017

2 Backgrund t Review Curriculum Develpment (Digital Learning) f 1 st year Nursing Assessment & Management subject 2 nd semester subject transitin t Clinical Schl Fcussed Health Assessments (Cardiac, Respiratry etc), Investigating Chief Cmplaint & ISBAR Blended Learning fcus at La Trbe fr new Digital Age Student Research Intensive pilt at La Trbe Alfred Clinical Schl Opprtunity t publish fr high achieving students

3 Review Cntext Graduate Nurse capability Digital Age Evidence 1/3 f graduate nurses prly r very prly executing clinical skills (Missen, McKenna, Beauchamp & Larkins, 2016) Includes assessment prcedures and management f deterirating patient Cmprehensive Assessment ne f the cre cmpetencies fr RN Cntemprise curricula fr the Digital generatin eg. Nursing e-dcumentatin Cst-effective accmmdates large chrts Equivalent and imprved learning utcmes in systematic and meta-analyses in health educatin (students and prfessinal) (Ck et al, 2008; McCuthen, Lhan, Traynr & Martin (2015), Thrne et al (2015) Critique nt multi-site, small sample sizes, measurement validity E-pedaggy in Nursing (Kch, 2014) the rle mdel and psych-mtr/experiential learning

4 Methd Research Questin: Hw can digital technlgy enhance learning in Nursing Assessment skills and knwledge? Medline, CINAHL, Cchrane Library and PrQuest Nursing and Allied Health Surce databases Manual hand-searching Inclusin criteria Single research study r systematic review Study design: measurement r analysis f Nursing subject material which included a significant nursing assessment cmpnent. Critique nt multi-site, small sample sizes, measurement validity Study chrt/grup were students and/r qualified nurses 20 studies selected and relevant fr review Integrative Review identifying clusters f themes by c-authrs critical cmmentary n methds/datasets themes expressed as shrt guiding statements

5 Students becme self-evaluatrs Mve frm instructr-centred learner passive teaching t student-centred, integrative teaching (Carlsn-Sabelli, Giddens, Fgg & Fiedler, 2011) Self-assessment during e-simulatin f patient deteriratin FIRST2ACT (Bgassian et al, 2015) pre/pst study - significant imprvement (inc. clinical knwledge using MCQ) Avid risk t patient experimental study f e-learning pressure ulcer evaluatin (Mrente, Mrales-Acenci & Verdas, 2014) Measurement f Clinical Reasning Only 3 studies measured clinical reasning as part f learning utcmes Respnding t Deterirating Patient (RAPIDS) tl bserved clinical perfrmance (Liaw et al, 2015) FIRST2ACT study Online click data Further studies with measurement f clinical reasning with educ. innvatins

6 Scaffld and blend e-learning Tw RCTs with RN chrts reprt significant imprvement in clinical knwledge scres fr e-simulatin experimental grups (Liaw et al, 2016; Sk Ying et al, 2016) FIRST2ACT study knwledge the main predictr f clinical perfrmance university /vcatinal cllege (Bgassian et al, 2015) Fr undergraduate chrts equivalent learning utcmes r psitive utcmes fr face-tface reprted. 1 reprts significant imprvement thugh nly pre and pst w-simulatin (Heinrich, Penningtn & Kuiper, 2012) One study n blended learning (Kaveevivitchai et al, 2015) gap in evidence. Shuld subject cntent and digital tls be scafflded? Evaluate cgnitive lad when t e-learn in the curricula

7 La Trbe BN/BM Curriculum Imprvements Blended Learning Student Feedback Student enjy the labs practical cmpared with ther curses (SFS 2016) Allws educatrs t inspire and shine rle mdels wh demnstrate clinical expertise (SFS 2016) Way Frward Imprve LMS navigatin by use f ebks Cntextualise and scaffld learning cgnitive lad cnscius design Develp the Len Case Study cnstruct shrt vides Link t Pebble Pad e-prtfli (reflectins): University >>> Clinical Lab & Wrkshp refresh upskill teaching staff t d curriculum design

8 General Inspectin Vide Nursing Assessment & Management Curriculum Develpment

9 References Bgssian, F. E., Cper, S. J., Cant, R., Prter, J., & Frbes, H. (2015). A trial f e-simulatin f sudden patient deteriratin (FIRST2ACT WEB ) n student learning. Nurse Educatin Tday, 35(10), e36-e42. di: /j.nedt Carlsn-Sabelli, L. L., Giddens, J. F., Fgg, L., & Fiedler, R. A. (2011). Challenges and Benefits f Using a Virtual Cmmunity t Explre Nursing Cncepts Amng Baccalaureate Nursing Students. Internatinal Jurnal f Nursing Educatin Schlarship, 8(1), di: / x.2136 Farrell, G. A., Cubit, K. A., Bbrwski, C. L., & Salmn, P. (2007). Using the WWW t teach undergraduate nurses clinical cmmunicatin. Nurse Educatin Tday, 27(5), di: /j.nedt Heinrich, C., Penningtn, R. R., & Kuiper, R. (2012). Virtual Case Studies in the Classrm Imprve Student Knwledge. Clinical Simulatin in Nursing, 8(8), e di: /j.ecns Kaveevivitchai, C., Chuengkriankrai, B., Luecha, Y., Thanruk, R., Panijpan, B., & Ruenwngsa, P. (2009). Enhancing nursing students' skills in vital signs assessment by using multimedia cmputer-assisted learning with integrated cntent f anatmy and physilgy. Nurse Educatin Tday, 29(1), di: /j.nedt Kch, L. F. (2014). The nursing educatr's rle in e-learning: A literature review. Nurse Educatin Tday, 34(11), di: /j.nedt Liaw, S. Y., Wng, L. F., Chan, S. W. C., H, J. T. Y., Mrdiffi, S. Z., Ang, S. B. L.,... Ang, E. N. K. (2015). Designing and Evaluating an Interactive Multimedia Web-Based Simulatin fr Develping Nurses' Cmpetencies in Acute Nursing Care: Randmized Cntrlled Trial. Jurnal f Medical Internet Research, 17(1), 10. di: /jmir.3853 Missen, K., McKenna, L., Beauchamp, A., & Larkins, J.-A. (2016b). Qualified nurses' rate new nursing graduates as lacking skills in key clinical areas. Jurnal f Clinical Nursing, 25(15/16), di: /jcn Watsn, B., Cke, M., & Walker, R. (2016). Using Facebk t enhance cmmencing student cnfidence in clinical skill develpment: A phenmenlgical hermeneutic study. Nurse Educatin Tday, 36, di: /j.nedt

10 References Sk Ying, L., Lai Fun, W., Bee Leng Ang, S., Tze Yin H, J., Chiang, S., & Ne Kim Ang, E. (2016). Strengthening the afferent limb f rapid respnse systems: an educatinal interventin using web-based learning fr early recgnitin and respnding t deterirating patients. BMJ Quality & Safety, 25(6), di: /bmjqs Thrne, C. J., Lckey, A. S., Bullck, I., Hampshire, S., Begum-Ali, S., Perkins, G. D., & Resuscitatin Cuncil, U. K. (2015). e-learning in advanced life supprt - An evaluatin by the Resuscitatin Cuncil (UK). Resuscitatin, 90, di: /j.resuscitatin