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移动学习在临床环境中的应用:揭示悖论。

Mobile learning in clinical settings: unveiling the paradox.

机构信息

Centre for Medical Education, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Department of Anaesthesiology, Singapore General Hospital, Singapore.

出版信息

Korean J Med Educ. 2021 Dec;33(4):349-367. doi: 10.3946/kjme.2021.204. Epub 2021 Nov 30.

Abstract

PURPOSE

The use of mobile devices among medical students and residents to access online material in real-time has become more prevalent. Most literature focused on the technical/functional aspects of mobile use. This study, on the other hands, explored students, doctors and patients' preferences and reasons towards the use of mobile devices in clinical settings underpinned by the Technology Acceptance Model 2 (TAM 2).

METHODS

This research employs an exploratory research design using survey and semi-structured interviews. An online survey was administered to clinical year medical students, followed by semi-structured interviews with the doctors and patients. Questions for the online survey and semi-structured interviews were derived from previous literature and was then reviewed by authors and an expert panel. A convenience sampling was used to invite voluntary participants.

RESULTS

Survey findings showed that most medical students used their devices to find drug information and practice guidelines. The majority of the students accessed UpToDate followed by Google to access medical resources. Key barriers that students often encountered during the use of mobile devices were internet connectivity in the clinical settings, reliability of the information, and technical issues. Thematic analysis of the interviews revealed four themes: general usage by students, receptivity of the use of mobile devices by students, features in selecting resources for mobile learning, and limitation in the current use of mobile devices for learning.

CONCLUSION

The findings from this study assist in recommending suitable material using mobile devices to enhance learning in the clinical environment and expand the TAM 2.

摘要

目的

医学生和住院医师在实时访问在线材料时越来越多地使用移动设备。大多数文献都侧重于移动使用的技术/功能方面。本研究另一方面,根据技术接受模型 2(TAM 2),探讨了学生、医生和患者对在临床环境中使用移动设备的偏好和原因。

方法

本研究采用探索性研究设计,使用调查和半结构化访谈。对临床年级医学生进行在线调查,然后对医生和患者进行半结构化访谈。在线调查和半结构化访谈的问题来自先前的文献,然后由作者和专家小组进行审查。采用方便抽样邀请自愿参与者。

结果

调查结果显示,大多数医学生使用他们的设备来查找药物信息和实践指南。大多数学生使用 UpToDate 访问医学资源,其次是 Google。学生在使用移动设备时经常遇到的主要障碍是临床环境中的互联网连接、信息的可靠性和技术问题。访谈的主题分析揭示了四个主题:学生的一般使用情况、学生对移动设备使用的接受程度、选择移动学习资源的特征,以及当前移动设备用于学习的局限性。

结论

本研究的结果有助于推荐在临床环境中使用移动设备增强学习的合适材料,并扩展 TAM 2。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7bc/8655354/fabe5a575487/kjme-2021-204f1.jpg

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