1. Implementing a Clinical PDA Program for Nursing Students Karen Crowell, MLIS Francesca Allegri, MLIS Julia Shaw-Kokot, MSLS Health Sciences Library Judy Miller, PhD, RN School of Nursing University of North Carolina at Chapel Hill

4. Accessing Information  Clinical access  Current resources  Lifelong learning skills

6. 14-Month Second Degree Option  Students already have a bachelor's degree in another field  Record of academic achievement  Commit to full-time study, to complete the BSN requirement

7. Course Integration Week 1 Summer Weeks 7-10 Summer FallSpring NURS 63 Assessment Across the Lifespan for Health Promoting Intervention NURS 64 Intervention for Clients with Altered Basic Physical Functions NURS 65 Care of Adults and Elders with Major Health Problems NURS 85 Evidence Based Clinical Practicum with Individuals

8. Anticipated Uses  Clincal Resources Current drug information Ready reference information  Lab values  Medical dictionary  Students would not be required to buy print textbooks  Calendars and contact information

9. Information Technology Grant  Proposal submitted late February  Approved in March  Lack of funding  Decision to continue in May

10. Hardware  Palm OS  16 MB Memory  Color screen  Hard case  Keyboard (optional)

11. Health Sciences Library Role  Locate and recommend software  Prepare documentation for selected software and utilities  Assist in training students  Lead the project evaluation team

12. Software Selection  Medical Spanish  Medical Abbreviations  Back Up Utility  Security Software

13. Support  Health Affairs Bookstore Hardware Packaged Software  School of Nursing IT Staff Installation Sync station Troubleshooting

14. Downloaded Software Free Software  Medical Spanish  Medical Abbreviations  iSilo Other Software  MedLabRef  BackUp Buddy  Sign On  Application Usage

15. Orientation  Instructions for downloading software  Review of basic features of PDAs  Demonstration of installed software

16. Questions to Answer  Important factors in PDA hardware and software selection  Support, including cost  Influence on students’ information seeking behavior  Faculty’s view of student PDA use  Requirement for all students

18. Evaluation  Team approach Lead faculty, SON Clinical faculty, SON Director of Curriculum Development, CTL Head of User Services, HSL Health Informatics Fellow, HSL  Formative Measures

19. Formative evaluation: list of measures  Pre-post survey of 2 nd degree students  Pre-post survey of comparison group of students  Structured interviews with faculty  Time logs of project partners  Student evaluation of project orientation and support  Usage data

20. Anticipated outcomes Use of tools in classroom and lab Use of tools on clinical floors Use of tools in clinical conferences Faculty receptivity Student perception of costs Trends in usage data Use of supportReactions to instruction Unanticipated outcomes

21. Pre-PDA survey Categories of questions:  Information-seeking behaviors  Perceptions of information currency and security  Instructional needs related to PDAs  Concerns about PDAs  Use of PDAs, if already owned

22. Pre-PDA survey 2 nd Degree Students  95% response rate  62% look for info several times per week  59% what they learn will be out of date BSN Students  58% response rate  81% look for info several times per week  57% what they learn will be out of date

23. Pre-PDA survey 2 nd Degree Students  91% unaware of HIPAA  35% use of PDA extremely valuable  51% cost of PDA a concern  30 out of 37 did not own a PDA  All but 4 purchased one BSN Students  95% unaware of HIPAA  24% use of PDA extremely valuable  24% need/usefulness of PDA a concern  16 out of 19 did not own a PDA

24. Orientation/training survey Categories of questions:  Type of problems and level of difficulty with PDAs  Types of help used  Estimated PDA usage  Additional help needs

25. Orientation/training survey  Range of difficulty with PDA use: 0.933-2.25  Downloading applications: 1.63  Sources of help figuring out PDA (could check more than one): figured it out on my own (24), used handouts from PDA orientation (17), PDA orientation (19), friends/students (14), called IT staff (3)

26. Orientation/training survey  Estimated use of PDA: none (2) 1-5 times (7) 6-11 times (10) 20 times (5) 30 or more times (9)

28. Anecdotes “We specifically designed cases for the first week of Nur65 to have them use their PDAs...What was fun was seeing them ON THEIR OWN pulling out their PDAs as we did PBL this week!”

29. Adjustments, Lessons Learned Content:  ePocrates RX  Program for EKG arrhythmias  More comprehensive Spanish dictionary that allows you to add terms Training:  PDA=stethoscope; keep it with you  Provide orientation and training in modules, e.g., optional help session for downloading software

30. Adjustments Data collection:  Use survey vs. usage tracking software  Conduct periodic education and support assessments Support:  Provide extensive, personal help for some  Offer drop-in technical support sessions  Allow time for IT staff to learn software  Look for insurance against loss

31. More to come…  Use survey(s)  Support services data  Faculty interviews  Post-survey of two groups of nursing students