Curran Vernon, Fleet Lisa, Simmons Karla, Lannon Heather, Gustafson Diana L, Wang Chenfang, Garmsiri Mahyar, Wetsch Lyle
Dr. Curran: Associate Dean of Educational Development, Professor of Medical Education, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada. Ms. Fleet: Manager of Research, Office of Professional Development, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada. Ms. Simmons: Research Assistant, Office of Professional Development, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada. Ms. Lannon: Research Assistant, Royal Roads University, Victoria, British Columbia, Canada. Dr. Gustafson: Professor, Social Science and Health, Division of Community Health and Humanities, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada. Ms. Wang: Research Assistant, Office of Professional Development, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada. Mr. Garmsiri: Research Assistant, Office of Professional Development, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador, Canada. Mr. Wetsch: Chair, Teaching and Learning, Associate Professor, Marketing, Faculty of Business Administration, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
J Contin Educ Health Prof. 2019 Spring;39(2):76-85. doi: 10.1097/CEH.0000000000000243.
Health and human services professionals are increasingly using mobile devices to support clinical decision-making and evidence-based practice. However, research on self-directed learning in an era of growing digital technology utilization is underdeveloped. This study explored the adoption and use of mobile learning as a continuing professional development (CPD) activity.
A mixed-methods case study using semistructured interviews and a web-based questionnaire was conducted with health and human services professionals in Newfoundland and Labrador, Canada.
Respondents reported using a smartphone (53.8%), tablets (50.4%), YouTube (43.0%), and mobile apps (35.8%) for CPD. The highest-rated benefits of mobile learning included improved access to information (M = 3.51); potential for enhanced knowledge acquisition (M = 3.45); staying up to date (M = 3.44); and verifying information (M = 3.40). The greatest barriers included cost of some apps and resources (M = 3.07); websites/programs not functional on mobile devices (M = 2.84); workplace barriers preventing access to digital resources (M = 2.82); and social media use linked to negative perceptions of professionalism (M = 2.65). Interview respondents described the flexibility and convenience of mobile learning, the level of autonomy it offered, and the advantages of learning on their own time. Technical issues, particularly for rural and remote practitioners, and digital professionalism also emerged as potential barriers.
A systems model organizes the factors influencing the adoption and use of mobile devices and resources to support "just-in-time" learning. Addressing policies, practices, and regulations that enable or inhibit adoption of mobile learning for CPD may foster enhanced use to support better clinical decision-making, improved accuracy, and greater patient safety.
卫生与公共服务专业人员越来越多地使用移动设备来支持临床决策和循证实践。然而,在数字技术应用日益广泛的时代,关于自主学习的研究仍不充分。本研究探讨了移动学习作为一种持续专业发展(CPD)活动的采用和使用情况。
对加拿大纽芬兰与拉布拉多省的卫生与公共服务专业人员进行了一项混合方法的案例研究,采用半结构化访谈和基于网络的问卷调查。
受访者报告称,他们使用智能手机(53.8%)、平板电脑(50.4%)、YouTube(43.0%)和移动应用程序(35.8%)进行持续专业发展。移动学习的最高评价益处包括信息获取改善(M = 3.51);知识获取增强的潜力(M = 3.45);跟上最新情况(M = 3.44);以及核实信息(M = 3.40)。最大的障碍包括一些应用程序和资源的成本(M = 3.07);网站/程序在移动设备上无法正常运行(M = 2.84);工作场所障碍导致无法访问数字资源(M = 2.82);以及社交媒体使用与对专业精神的负面看法有关(M = 2.65)。访谈受访者描述了移动学习的灵活性和便利性、它所提供的自主程度以及在自己时间学习的优势。技术问题,特别是对农村和偏远地区的从业者而言,以及数字专业精神也成为潜在障碍。
一个系统模型组织了影响移动设备和资源采用与使用以支持“即时”学习的因素。解决那些促进或抑制将移动学习用于持续专业发展的政策、实践和法规,可能会促进更多使用,以支持更好的临床决策、提高准确性和增强患者安全。