Monday, November 3, 2003

This presentation is part of : Informatics in Nursing Education

Mobile Decision Support Systems for Nursing Clinicals

Margaret G. Williams, DNSc, RN, Carol Ann Moseley, PhD, RN, Ann O'Sullivan, RN, MSN, Arlis Dittmer, MA, MALS, Charlene Romer, PhD, RN, and Karen Mayville, RN, MSN. Blessing-Rieman College of Nursing, Quincy, IL, USA
Learning Objective #1: Describe the results of using PDAs in clinical courses for senior BSN students
Learning Objective #2: Examine the ability of a PDA to retrieve and organize nursing data to facilitate clinical decision making

Changing technology is creating new ways to approach nursing practice. Nursing students’ use of technology to access and use data for clinical decision making poses an interdisciplinary challenge for library resources, clinical units and schools. One solution is to partner with diverse research and clinical based teams to explore new models of nursing practice. Theoretical Model: Roger’s Diffusion of Innovations Change Theory Design: Quasi-experimental design with test and control group with pre and post tests. Population: Nursing students in a senior leadership clinical course Sample: Fourteen senior BSN students in a clinical leadership course. Setting: Rural Midwest medical center campus Methods: One clinical group (seven students) and their clinical instructor used PDAs for patient preparation and patient care and the control group used the standard preparation and care methods. The project clinical group was trained on PDA usage and applications and given the PDAs for eight weeks. The PDA held important phone numbers, a calendar, Davis’s Drug Guide for Nurses, RNLabs (Nurse’s Manual of Laboratory and Diagnostic Tests), and RNDiseases (Diseases and Disorders: A Nursing Therapeutics Manual) and other pertinent software. Student and instructor use of the PDAs was monitored throughout the project. Pretest and posttests were given to both groups. The test group also completed weekly surveys regarding their PDA usage. Findings: Research study will conclude in May 2003. Implications: Results from the first phase of the project will be discussed and recommendations given for use of this technology in clinical nursing practice and implications for library resources, both print and electronic. This project has been funded in whole or in part with federal funds from the National Library of Medicine, National Institutes of Health, under Contract No. NO1-LM-1-3513.

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