Embracing Information Technology in Nursing: Maximizing Efficiency and Patient Care

1. Embracing Information Technology in Nursing TRAIN Technology Resources and Informatics in Nursing NCCIP Subcommittee adn-cip.waketech.edu

2. Technology SurveyNCCCS InstitutionsNursing Programs Survey sent to all CIP reps in the fall 2006 with a 93% return by March 2007 Technology methodology: PDAs used by faculty PDAs used by students MP3 Players / iPODs Streaming media Hybrid courses Looked at: Current usage Future usage Pros and Cons of method Functions or activities being utilized Nursing courses involved adn-cip.waketech.edu

3. Technology SurveyNCCCS Institutions Nursing Programs Future PDA (faculty) Streaming Media PDA (student) MP3/iPOD Internet Hybrid adn-cip.waketech.edu

4. Personal Digital Assistants (PDAs) Patient wellness The use of Personal Digital Assistants is expanding in the healthcare arena Nursing networks Workplace redesign Nursing research Affords nurses: Portable access to extensive reference materials Organizational and time saving benefits adn-cip.waketech.edu

5. In Education Supports technology thread mandated for nursing programs Develops leadership skills Provides the student with evidence-based information and data Enhances learning by providing rapid, efficient access to pertinent data in clinical settings In Clinical Practice Reduces errors Maximizes use of time Enhances evidence-based decision making Facilitates delivery of quality care consistent with best practices adn-cip.waketech.edu

6. Basic Functions Address Book Calculator Calendar Memo Pad Capability for preparation of Word documents and PowerPoint presentations Software access to: Current drug information Infectious disease data Calculation capabilities Growth and immunization charts Laboratory data Medical Spanish translation software Medical and nursing databases adn-cip.waketech.edu

7. Endless Possibilities! Reinforcement of core knowledge Provision of immediate feedback for patient teaching Wireless transmission of information from instructor to student Beaming Information Encourages student accountability Encourages self-improvement Provides avenue for gathering and analyzing data Weekly computerized care summary & anecdotal record adn-cip.waketech.edu

8. PDAsTech survey comments Many different applications being used across state Less cumbersome and more mobile than book references, calendars, memo pads, folders Improves accessibility to information Cost concerns adn-cip.waketech.edu

9. Hardware Must be able to handle expected applications Consider various options: Support for color Amount of internal memory Capacity for upgrades via secure digital card expansion Cost – $140.00 and up Expansion cards can be used • Saves battery power • No power source required to maintain stored data adn-cip.waketech.edu

10. Freeware ePocrates Drug Database (PDA drug database) Blood Pressure Manager (tracks blood pressures & includes graphic trends) Medical Calculator (commonly used drug equations) AACN Cardiac Medications (cardiac medications and dosage) Great Software • Fischbach’s A Manual of Laboratory and Diagnostic Tests for PDA • Karch’s 2006 Lippincott’s Nursing Drug Guide for PDA • Weber’s Nurses’ Handbook of Health Assessment for PDA • Carpentino-Moyet’s Handbook of Nursing Diagnosis for PDA • Lippincott Manual of Nursing Practice and Procedures • Smith-Temple and Johnson’s Nurses Guide to Clinical Procedures for PDA • Taylor’s Clinical Nursing Skills for PDA • Stedman’s Medical Dictionary for the Health Professions and Nursing for PDA adn-cip.waketech.edu

11. Check Out These Websites! www.pepidonline.com www.pdacortex.com www.epocrates.com www.aacn.org FA Davis link: http://www.fadavis.com/marketing/pda_software.cfm Elsevier Link: (search for "software")http://www.elsevier.ca Lippincott Link:http://www.lww.com/browsemediaspec/PDA/0,0,68,00.html Resources for PDAs:http://www.welch.jhu.edu/classes/elearning/pdaresources.html adn-cip.waketech.edu

12. Hybrid Nursing Courses A hybrid course is any course that is taught partially on the Internet. It may be 50/50 or any other combination. Each community college has its’ own definition of hybrid course. Web-Based Programs Used for Hybrid Courses • Blackboard • Web CT (now owned by Blackboard) • Moodle • Campus Cruiser adn-cip.waketech.edu

13. Blackboard • Allows colleges to: • Foster growth and usage on a scalable and secure basis. • Customize their learning environment using the Blackboard Building Blocks. Three versions available Blackboard Learning System – Basic Edition Blackboard Learning System – Enterprise Edition Blackboard Learning System – Academic Suite adn-cip.waketech.edu

14. Blackboard – Basic Edition • Course Documents • Assignments • Announcements • Learning Units • Communication • Calendar • Discussion Board • Task List • Email • Assessments • Grade book • Group Pages • Multimedia • Virtual Classroom adn-cip.waketech.edu

15. Blackboard – Enterprise Edition • Better formatting of text boxes • Multilingual – 9 languages • Browser enhanced • Collapsible forums under discussion board • Multiple attempts at assessments • Allows for extra credit • Spell check • Web EQ • Math Editor • Share courseware adn-cip.waketech.edu

16. Blackboard – Academic Suite • Extend the learning environment to include robust content management and community-building capabilities • Provide customizations to meet discipline-specific or pedagogical needs • More interactive • More choices when grading assessments • Organizational statistics • Communicate in real time • Aid system administration • Act as a bridge between Blackboard Academic Suite and external systems or applications adn-cip.waketech.edu

17. Hybrid Nursing Courses Online activities include: Testing Research Discussion communication Worksheets Quizzes Assignments PowerPoint presentations Skills Evidence-based resources Grades Case studies Group work Questions & answers Post conference Email communication Announcements Posting documents Top 4 hybrid courses: Nutrition Pharmacology Professional Issues/Leadership LPN to RN Transition Less than 10 NC schools have all courses hybrid or web enhanced adn-cip.waketech.edu

18. Hybrid Coursescomments from tech survey • “Students love it” • “Lots of work for faculty” • “Increases communication and accessibility” • “Testing concerns and security” • “Attendance issues—difficult to monitor or has to be monitored differently” • “Improves flexibility” • “Decreases one-on-one time with student/faculty” • “Improves student self-directed learning” • “Some students have accessibility problems” • “Students have easy access to course components as provided by faculty” adn-cip.waketech.edu

19. Digital Audio Player(MP3 Players, iPODs) • Students aren’t strapped to computers • Listen anywhere: driving, gym, with kids, grocery store • Allow repetition of information for learning / validating information • Students without MP3s can listen or view on computers • Pre-class instruction • Pre-class lecture to allow more application time in classrooms • Post lectures for students to re-listen • Supplement lecture when time is limited • Clinical • Record of report • Journal of clinical day • Audio care plans • Record notes adn-cip.waketech.edu

20. Streaming Media: Four Basic Steps • Create video content – using Camera Camcorder VCR • Create a digital file • Compress/Encode the video • Serve the video to the client adn-cip.waketech.edu

21. Serving the Video Techniques used in viewing the video on the internet • Downloading • Progressive downloading/pseudo-streaming • “True” streaming adn-cip.waketech.edu

22. Resources • White, A., Allen, P., Goodwin, L. Breckinridge, D., Dowell, J. & Garvy, R. (2005) Infusing PDA Technology Into Nursing Education. Nurse Educator 30(4), p. 150-154. • Davenport, C. What Nurses Need to Know About Personal Digital Assistants. http://www.eaa-knowledge.com/ojni/ni/8_3/davenport.htm • Glossary of Mobile Device Terminology http://www.palm.com.us/products/basics/glossary • Teaching and Learning http://www.palm.com/us/education • Handheld Technology: The newest practice tool for nurses http://www.hhdev.psu.edu/nus/ojni/dm/51/handheld_technology.htm • Helpful websites http://www.palm.com.us/education/resourcelibrary/helpfulsites.epi • Handhelds in Medicine http://www.pdacortex.com.Handhelds_in_Medicine.htm adn-cip.waketech.edu