School of Nursing, University Computing Services, Teleplex, & Bracken Library

1. PDA’s (Personal Digital Assistants) in the Classroom, Clinical Simulation Laboratory, and Healthcare Agency Clinical Experiences School of Nursing, University Computing Services, Teleplex, & Bracken Library

2. Ball State University • Public (Indiana State) institution • 172 major and minor areas of study in the arts, sciences and humanities • 20,000 students • School of Nursing: Undergraduate & Graduate

3. Partnership in Action • PDA Project began as a School of Nursing/University Computing Services Partnership (2005) • Partnership now includes: • School of Nursing • University Computing Services • Teleplex • Bracken Library • External partners: NuSoft Solutions, Skyscape, Microsoft, Hewlett Packard, and consultation from Cardinal Health Care System Library (hospital)

4. BeginningImplementation:SophomoreLevel • Beginning with the Fall 2006 semester, all incoming sophomore students were required to purchase a PDA instead of reference texts • HP iPAQ hx2790 • 1GB SD Card • Windows OS Mobile 5.0 • Palm devices are not be supported at this time • PDAs were incorporated into courses and clinical materials as a model for future courses at the junior and senior levels: graduate program: and RN to BS degree programs

5. Spring Preparation • Project Implementation team began working on project in Fall 2005. • Project Implementation team: NursingLRC Staff, University Computer Services Representatives, and external partners • Weekly meetings of the working group continued Spring and Summer 2006 • Working Group: Curriculum committee representatives, faculty, administrators, LRC staff • Developed video clips for PDA use. • Brainstormed additional video content ideas for fall implementation. • Planned for integration into other baccalaureate classes and distance education programs: graduate and RN to BS completion

6. Summer Pilot Test • Pilot Test 1: Focus Group – Summer 2006 • PDAs provided to students and faculty for pilot testing • Returned student devices distributed to faculty • Pilot Test 2: the integration of PDAs within course/clinical lab (campus & agency) in second adult health course during the second 5 weeks of summer. • PDAs provided to students and faculty for pilot testing • Returned student devices distributed to faculty • Finalized reference books for PDAs: • Taber’s Cyclopedic Medical Dictionary, 20th Ed. • Davis’s Drug Guide for Nurses • Nurse’s Pocket Guide: Diagnoses, Interventions, and Rationales, 9th Ed. • Nurse’s Manual of Laboratory and Diagnostic Tests, 4th Ed. • Diseases and Disorders: A Nursing Therapeutics Manual, 2nd Ed.

7. Summer Pilot Testing

8. Summer Pilot Testing:Sample Results • When asked to describe how the PDA can be used in nursing course lectures: • Quick reference guide at finger tips. • Looking up nursing diagnosis, drugs, labs, etc. Much easier to carry than large books. May be utilized in case studies. • When asked what was liked best about the PDA: • The portability and access to nursing diagnosis, drug, and lab values at your fingertips. When asked what was liked least about the PDA: • Not getting to learn everything you can do with it.

9. Fall Semester Course Integration • Sophomore courses: • orientation consisted of four 1.5 hours sessions each containing 20 students. • PDA purchase and set-up: each student was required to report to the nursing lab to receive their Skyscape reference software and custom software developed by NuSoft Solutions • The NursingLRC & partners provide technical support: • individualized help • Tech Clips (http://www.bsu.edu/techclips/pocketpc.htm) • Our own University Library has developed a mobile page for accessing library resources on a PDA. (www.bsu.edu/libraries/mobile) • Integrated into course and clinical materials: • Case studies, surveys, quizzes, videos, digital images, library resources, e-mail, internet access • used as reference for homework or in-class question and answer.

10. Custom Application Developed • We worked with University Computing Services and NuSoft Solutions to create an application that allows students to view case videos, view lecture notes, and course materials wirelessly on a PDA or other mobile devices using a sharepoint server as the backbone for data access and storage. • An interactive quiz/survey tool was developed by University Computing Services to gain more student interaction and stimulate material interest in the classroom setting.

11. Fall 2006 In-Class Use • Nursing Lecture – 75 students • 3 Staff/GA Assistants for PDA Support

12. Use in Clinical Laband Agency

13. Item # 3 What do you use the Clinical Decision Support Tools on your PDA for? 25 20 20 20 15 12 # of Students 10 4 5 0 To Prepare for To look up To look up To study for Class information in information during exams Item # 8 clinical setting class What were the most important benefits you experienced using a PDA with medical decision support software? 25 20 20 18 15 # of students 12 10 7 7 5 2 0 Time savings Portability of Reduce Errors Easy Ease of Other Information Information Updating Navigations Information (smART link) Student Use Evaluation

14. Planning for the Future . . . • Continued undergraduate program integration 2007-2008 • Mobile device integration for graduate program – Spring 2007 • Follow-up evaluation of students and faculty • Mobile device integration for the RN to BS completion track • Fall 2007 • Continued evolution of technology as there is convergence of devices and practice applications

15. Questions?