Maximising the potential of Blackboard Learn to improve

student learning and engagement in an online self-

directed course

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Orla DalyEducational Technologist

School of Nursing, Midwifery and Health Systems

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Context

• BSc (Nursing) General (4 years)

• Year 2 Semester 1 - 196 students• General Nursing Med-Surg. I (5 ECTS)

• Respiratory

• Cardiovascular

• Haematological

• Delivery over 12 weeks– 41 hours large group lectures

– 15 hours labs

School of Nursing, Midwifery and Health Systems

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Pedagogical Challenge

• Key Issues

– Modularised curriculum separates theoretical knowledge from the organisation and processing of disciplinary knowledge

– Large group teaching - no tutorials

• The Challenge

– To develop an authentic learning resource that supports development of nursing students’ diagnostic reasoning skills

• Move away from focus on knowing facts

• Move towards demonstrated analysis, evaluation and synthesis of disciplinary knowledge applied in practice

School of Nursing, Midwifery and Health Systems

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Blended ID

• Identify desired results

– Develop students’ diagnostic reasoning and care planning skills

– Use a variety of nursing conceptual frameworks to process and organise nursing knowledge for nursing practice

• Determine acceptable evidence

– Collecting cues; processing information; hypothesising; developing understanding of patient situation, plan and implement nursing intervention; evaluation nursing outcomes; reflection and learning through the process

• Plan learning experiences

– Map tasks to tools

• Develop learning resource(s)

– Pre-recorded mini-lecture; case studies; online supporting resources; ejournal article links; book chapters; websites; glossary of terms; interactive webpage; templates; exemplar responses

• Evaluation

– Student Evaluation Questionnaire; Facilitator questionnaire

School of Nursing, Midwifery and Health Systems

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Learning Design School of Nursing, Midwifery and Health Systems

Supports

Task

Resources

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Take a tour… School of Nursing, Midwifery and Health Systems

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Student Comments

• Strengths

“I learned about NANDA labels and their correct use in practice. I also learned how to link theory and practice and understand the nursing process which is imperative. It was extremely relevant (underlined three times!); had a fabulous layout and I liked the allocation of time to specific parts as it helped me manage the assessments.”

School of Nursing, Midwifery and Health Systems

• Weaknesses

“I would have liked more marks for it (smiley face)”

Your previous knowledge and experience of:Diagnostic reasoning process – limited

Nursing care planning – limited (Age 19 General)

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Student Comments

• Strengths

“This elearning unit was very beneficial. Instructions were clear and concise. It gave an overall picture of a situation and I was able to link mentally with what might happen when on placement. Gave more confidence to face next placement.”

School of Nursing, Midwifery and Health Systems

• Weaknesses

“It was hard to understand what I was being asked – maybe improve how questions are phrased?”

Your previous knowledge and experience of: Diagnostic reasoning process – limited

Nursing care planning – moderate (Age 50 Children’s & General)

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Student Comments

• Strengths

“This unit made everything clearer. I learned how to make a hypothesis about a patient’s condition; how to look at and recognise all symptoms, including outside factors and how to write a proper care plan. It had just the right amount of information and really made me think and use my own head. It was also really difficult which isn’t a weakness as it made me use my own knowledge and think things through.”

School of Nursing, Midwifery and Health Systems

• Weaknesses

“Could do with including some more example scenarios.”

Your previous knowledge and experience of:Diagnostic reasoning process – limited

Nursing care planning – limited (Age 19 General)

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Summary of Comments

• Strengths– Linking theory to practice

– How to hypothesise

– How to formulate a nursing diagnosis

– Thinking process

– Increased level of confidence for next clinical placement

– Time management

– Improved understanding of respiratory problems

School of Nursing, Midwifery and Health Systems

• Weaknesses– Grade weighting too low!!!

– Too much content

– Took up far too much time

– Questions hard to understand

– Would like more videos, less reading

– More completed examples before moving on to assessment tasks

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What next?

• Assessment

• Feedback cycle - timing

• Exemplars

• Explore potential for more ‘socially’ situated learning

• Develop for different contexts

• Video case presentations

School of Nursing, Midwifery and Health Systems

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Contact Details School of Nursing, Midwifery and Health Systems

I would like to acknowledge and thank Ms Eileen Bohan (Lecturer) for her dedicated work and support throughout the development of this course. If you have any questions, please contact me at:

Orla DalyEducational TechnologistUCD School of Nursing, Midwifery and Health SystemsHealth Sciences CentreBelfieldDublin 4

W: Blending Learning at UCD SNMHST: +353 1 716 6457E: orla.daly@ucd.ie

@ucdsnmhs

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References

• NANDA International,. 'What Is Nursing Diagnosis - And Why Should I Care?'. N.p., 2012. Web. 9 Apr. 2015. http://nandainternational.typepad.com/nanda-international/2012/01/what-is-nursing-diagnosis-and-why-should-i-care.html

• Levett-Jones, T., Sundin, D., Bagnall, M., Hague, K., Schumann, W., Taylor, C., & Wink, J. (2013). Learning to Think Like a Nurse. HNE Handover: For Nurses And Midwives, 3(1). Available at: http://journals.sfu.ca/hneh/index.php/hneh/article/view/65 [Accessed 9 Apr. 2015]

• Levett-Jones, T., Hoffman, K., Dempsey, J., Jeong, S. Y., Noble, D., Norton, C. A., Roche, J. and Hickey, N. (2010). 'The ‘Five Rights’ Of Clinical Reasoning: An Educational Model To Enhance Nursing Students’ Ability To Identify And Manage Clinically ‘At Risk’ Patients'. Nurse Education Today 30(6), pp. 515-520.

• Merrill, M.D. (2007). First Principles of Instruction.  Educational Technology Research and Development, 50(3), pp. 43-59

• Keppell, M., Suddaby, G., & Hard, N. (2015). Assuring best practice in technology-enhanced learning environments. Research in Learning Technology, [S.l.], v. 23, mar. 2015. ISSN 2156-7077. Available at: http://www.researchinlearningtechnology.net/index.php/rlt/article/view/25728 [Accessed 09 Apr. 2015]

• Fink, Dee. (2003) A Self-Directed Guide To Designing Courses For Significant Learning. Available at http://www.deefinkandassociates.com/GuidetoCourseDesignAug05.pdf [Accessed 9 Apr. 2015]

• Lombardi, M. (2007). Authentic Learning for the Twenty-First Century: An overview. Educause Learning Initiative. ELI Paper 1: 2007. Available at: http://alicechristie.org/classes/530/EduCause.pdf [Accessed 9 Apr. 2015]

• Walmsley, H. (2015). Best Practice Models for e-Learning: Principles https://bestpracticemodels.wiki.staffs.ac.uk/Best_Practice_Models_for_e-Learning:_Principles

• Herrington, J., Reeves, T.C & Oliver, R. (2010). A guide to authentic e-learning. London and New York: Routledge

• Parker, J., Maor, D. & Herrington, J. (2013). Under the hood: How an authentic online course was designed, delivered and evaluated. In Design, develop, evaluate: The core of the learning environment. Proceedings of the 22nd Annual Teaching Learning Forum, 7-8 February 2013. Perth: Murdoch University. Available at: https://ctl.curtin.edu.au/events/conferences/tlf/tlf2013/refereed/parker.pdf [Accessed 9 Apr. 2015]

• Tanner, C. (2006). Thinking like a nurse: A research based model of clinical judgement in nursing. Journal of Nursing Education, 45, pp. 204-211

School of Nursing, Midwifery and Health Systems