Author Affiliations: School of Nursing and Midwifery, University College Cork (Drs Caples, McCarthy, Wills, Goodwin, Burton, and Noonan and Mr McCloskey); Bons Secours Hospital (Dr Forde); and Marymount University Hospital and Hospice (Mr Erlandsson and Mr Ryan), Cork, Ireland.
Comput Inform Nurs. 2023 Jun 1;41(6):449-456. doi: 10.1097/CIN.0000000000000963.
The aim of this study was to explore the feasibility of using iPad minis as a method of completing competency assessment in clinical practice. Digital technology helps to revolutionize all aspects of our lives. The use of digital technologies in clinical practice can facilitate a move toward a more flexible learning environment and enable students to adapt in a rapidly changing, interconnected world. The introduction of electronic clinical booklets in practice placements could facilitate the sharing of clinical information through connected healthcare systems, thus improving the student experience. A cross-sectional design was used in this study. A sample of BSc nursing students (n = 53) and clinically based healthcare professionals (n = 27) (preceptors and clinical placement coordinators) participated in this study. Data were collected using a modified version of Garrett and colleagues' instrument, the System Usability Scale, a demographics questionnaire, and three open-ended questions. There was a significant difference between the students and preceptors/clinical placement coordinators across all items with higher proportions of students (ranging from 66% to 75.5%), indicating that they agreed or strongly agreed with the reliability, ease of use, and effectiveness of the device in assessing their clinical competency (ranging from 11.1% to 40.7%). In addition, the iPad minis were found to be smaller, lighter, and easier to carry than paper-based booklets and encouraged students to access timely online learning resources during placement to help augment their learning. The use of iPad mini to complete the electronic competency assessment document as a replacement for a paper-based system to assess clinical practice is feasible. The introduction of electronic assessment documents should incorporate a robust training plan and standard operating procedures.
本研究旨在探索使用 iPad mini 完成临床实践能力评估的可行性。数字技术有助于彻底改变我们生活的方方面面。在临床实践中使用数字技术可以促进向更灵活的学习环境转变，并使学生能够在快速变化、相互关联的世界中适应。在实践安置中引入电子临床手册可以通过互联医疗系统促进临床信息的共享，从而改善学生的体验。本研究采用了横断面设计。本研究的样本包括 53 名护理专业的 BSc 学生和 27 名临床医疗保健专业人员（导师和临床安置协调员）。使用加勒特等人的仪器（系统可用性量表）的修改版、人口统计问卷和三个开放式问题收集数据。学生和导师/临床安置协调员在所有项目上存在显著差异，学生的比例更高（66%至 75.5%），表明他们同意或强烈同意该设备在评估其临床能力方面的可靠性、易用性和有效性（11.1%至 40.7%）。此外，与基于纸张的手册相比，iPad mini 更小、更轻、更便于携带，并鼓励学生在实习期间访问及时的在线学习资源，以帮助他们增强学习效果。使用 iPad mini 完成电子能力评估文档以替代基于纸张的系统来评估临床实践是可行的。引入电子评估文件应包括强大的培训计划和标准操作程序。
