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Evaluation of mobile learning for the clinical practicum in nursing education: application of the FRAME model

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Abstract

This paper presents an evaluation of mobile learning practice for the clinical practicum in nursing education. Nursing students need to practise nursing skills and follow specific clinical procedures in wards. In this study, they were provided with a mobile device for learning purposes, with mobile apps preinstalled for watching nursing videos and conducting clinical assessments. The evaluation was conducted following the Framework for the Rational Analysis of Mobile Education (FRAME). It included a questionnaire survey involving 265 nursing students and focus group interviews with 20 nursing students, the course coordinator of the clinical practicum and the instructional designer of the mobile apps. The participants shared their views, perceptions and experiences of mobile learning for studying nursing skills and conducting clinical assessment in the practicum context. The results showed the participants’ overall satisfaction with the mobile learning practice. They gave positive feedback on the use of the mobile apps in terms of enabling ubiquitous access to materials for situated learning in wards, and offering effective support for teachers to keep track of students’ learning progress. They also suggested areas for improvements, which emphasised the hardware capacity of devices, training on the use of apps and institutional support for the maintenance of devices. The results of factor analysis showed a composition of underlying factors different from that of the original FRAME model, which suggests contextual variation in the application of the model.

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Notes

  1. An earlier version of the paper was published as Li et al. (2018a) in the 2018 International Conference on Blended Learning. This extended version provides further findings, analysis and discussion on nursing students’ perception of mobile learning in a clinical practicum context.

References

  • Button, D., Harrington, A., & Belan, I. (2014). E-learning and information communication technology (ICT) in nursing education: A review of the literature. Nurse Education Today, 34(10), 1311–1323.

    Article  Google Scholar 

  • Chan, D. S. K., & Ip, W. Y. (2007). Perception of hospital learning environment: A survey of Hong Kong nursing students. Nurse Education Today, 27(7), 677–684.

    Article  Google Scholar 

  • Chang, C.-Y., Lai, C.-L., & Hwang, G.-J. (2018). Trends and research issues of mobile learning studies in nursing education: A review of academic publications from 1971 to 2016. Computers & Education, 116, 28–48.

    Article  Google Scholar 

  • Clark, A., Glazer, G., Edwards, C., & Pryse, Y. (2017). Transforming nursing education with Apple technology. Nurse Educator, 42(2), 91–94.

    Article  Google Scholar 

  • Colton, S., & Hunt, L. (2016). Developing a smartphone app to support the nursing community. Nursing Management, 22(9), 24–28.

    Article  Google Scholar 

  • Evans, C. (2008). The effectiveness of m-learning in the form of podcast revision lectures in higher education. Computers & Education, 50(2), 491–498.

    Article  Google Scholar 

  • Gan, C. L., & Balakrishnan, V. (2014). Determinants of mobile wireless technology for promoting interactivity in lecture sessions: An empirical analysis. Journal of Computing in Higher Education, 26(2), 159–181.

    Article  Google Scholar 

  • García-Peñalvo, F. J., & Conde, M. Á. (2014). The impact of a mobile personal learning environment in different educational contexts. Universal Access in the Information Society, 14(3), 375–387.

    Article  Google Scholar 

  • Garrett, B. M., & Jackson, C. (2006). A mobile clinical e-portfolio for nursing and medical students, using wireless personal digital assistants (PDAs). Nurse Education Today, 26(8), 647–654.

    Article  Google Scholar 

  • Hay, B. J., Carr, P., Dawe, L., & Clark-Burg, K. (2017). “iM ready to learn”: Undergraduate nursing students knowledge, preferences, and practice of mobile technology and social media. Computers, Informatics, Nursing, 35(1), 8–17.

    Article  Google Scholar 

  • Henson, R. K., & Roberts, J. K. (2006). Use of exploratory factor analysis in published research common errors and some comment on improved practice. Educational and Psychological Measurement, 66(3), 393–416.

    Article  Google Scholar 

  • Hung, J.-L., & Zhang, K. (2012). Examining mobile learning trends 2003–2008: A categorical meta-trend analysis using text mining techniques. Journal of Computing in Higher Education, 24(1), 1–17.

    Article  Google Scholar 

  • Hwang, G.-J., Tsai, C.-C., & Yang, S. J. H. (2008). Criteria, strategies and research issues of context-aware ubiquitous learning. Educational Technology & Society, 11(2), 81–91.

    Google Scholar 

  • Ip, W. Y., & Chan, D. S. K. (2005). Hong Kong nursing students’ perception of the clinical environment: A questionnaire survey. International Journal of Nursing Studies, 42(6), 665–672.

    Article  Google Scholar 

  • Johansson, P. E., Petersson, G. I., & Nilsson, G. C. (2013). Nursing students’ experience of using a personal digital assistant (PDA) in clinical practice—An intervention study. Nurse Education Today, 33(10), 1246–1251.

    Article  Google Scholar 

  • Johansson, P. E., Petersson, G. I., Saveman, B. I., & Nilsson, G. C. (2012). Experience of mobile devices in nursing practice. Nordic Journal of Nursing Research, 32(4), 50–54.

    Article  Google Scholar 

  • Kenny, R. F., Park, C. L., van Neste-Kenny, J. M. C., & Burton, P. A. (2010). Mobile self-efficacy in Canadian nursing education programs. In Proceedings of the 9th world conference on mobile learning. Valletta, Malta. https://auspace.athabascau.ca/handle/2149/2767

  • Kenny, R. F., Park, C., Van Neste-Kenny, J. M. C., Burton, P. A., & Meiers, J. (2009a). Using mobile learning to enhance the quality of nursing practice education. In M. Ally (Ed.), Mobile learning: Transforming the delivery of education and training (pp. 75–98). Edmonton, AB: Athabasca University Press.

    Google Scholar 

  • Kenny, R. F., Park, C. L., van Neste-Kenny, J. M. C., Burton, P., & Qayyum, A. (2012). Using self-efficacy to assess the readiness of nursing educators and students for mobile learning. International Review of Research in Open and Distance Learning, 13(3), 277–296.

    Article  Google Scholar 

  • Kenny, R. F., van Neste-Kenny, J. M. C., Park, C. L., Burton, P. A., & Meiers, J. (2009b). Mobile learning in nursing practice education: Applying Koole’s FRAME model. Journal of Distance Education, 23(3), 75–96.

    Google Scholar 

  • Koole, M. L. (2006). The framework for the rational analysis of mobile education (FRAME) model: An evaluation of mobile devices for distance education. Doctoral dissertation. Athabasca: Athabasca University.

    Google Scholar 

  • Koole, M. L. (2009). A model for framing mobile learning. In M. Ally (Ed.), Mobile learning: Transforming the delivery of education and training (pp. 25–47). Edmonton, AB: AU Press.

    Google Scholar 

  • Koole, M. L. (2011). Mobile learning: Is the FRAME model still current? Retrieved from http://kooleady.ca/thoughts/?p=619

  • Koole, M., Buck, R., Anderson, K., & Laj, D. (2018). A comparison of the uptake of two research models in mobile learning: The FRAME model and the 3-Level Evaluation Framework. Education Sciences, 8(3), 114. https://doi.org/10.3390/educsci8030114.

    Article  Google Scholar 

  • Kukulska-Hulme, A., & Traxler, J. (2005). Mobile teaching and learning. In Mobile learningA handbook for educators and trainers (pp. 25–44). The Open and Flexible Learning Series. London: Routledge.

  • Lee, N., Chae, S., Kim, H., Lee, J., Min, J. H., & Park, D. (2016). Mobile-based video learning outcomes in clinical nursing skill education: A randomized controlled trial. Computers, Informatics, Nursing, 34(1), 8–16.

    Article  Google Scholar 

  • Lee, L. Y. K., Lee, J. K. L., Wong, K. F., Tsang, A. Y. K., & Li, M. K. (2010). The establishment of an integrated skills training centre for undergraduate nursing education. International Nursing Review, 57(3), 359–364.

    Article  Google Scholar 

  • Lee, J. K. L., & Tsang, E. Y. M. (2006). Mobile learning support in patient care and clinical nursing education. In Proceedings of the international conference on ICT in teaching and learning (ICT 2006). Hong Kong, China.

  • Li, K. C., Lee, L. Y. K., Wong, S. L., Yau, I. S. Y., & Wong, B. T. M. (2017). Mobile learning in nursing education: Catering for students and teachers’ needs. Asian Association of Open Universities Journal, 12(2), 171–183.

    Article  Google Scholar 

  • Li, K. C., Lee, L. Y. K., Wong, S. L., Yau, I. S. Y., & Wong, B. T. M. (2018a). Evaluation of the use of mobile devices for clinical practicum in nursing education. In S. K. S. Cheung, et al. (Eds.), Blended learning: Enhancing learning success (pp. 215–226). Berlin: Springer.

    Chapter  Google Scholar 

  • Li, K. C., Lee, L. Y. K., Wong, S. L., Yau, I. S. Y., & Wong, B. T. M. (2018b). Effects of mobile apps for nursing students: Learning motivation, social interaction and study performance. Open Learning: The Journal of Open, Distance and e-Learning, 33(2), 99–114.

    Article  Google Scholar 

  • Li, K. C., Lee, L. Y. K., Wong, S. L., Yau, I. S. Y., & Wong, B. T. M. (2019). The effects of mobile learning for nursing students: An integrative evaluation of learning process, learning motivation, and study performance. International Journal of Mobile Learning and Organisation, 13(1), 51–67.

    Article  Google Scholar 

  • Li, K. C., & Wong, B. T. M. (2016). A review of indicators of success in mobile learning. In Proceedings of the third international conference on open and flexible education (pp. 53–63). Hong Kong, China.

  • Ma, F. T., & Yeh, M. Y. (2015). The development of the situated learning materials in the nursing and communication course. In: Proceedings of the 8th international conference on ubi-media computing (pp. 298–302). Colombo, Sri Lanka.

  • Maag, M. (2006). iPod, uPod? An emerging mobile learning tool in nursing education and students’ satisfaction. In Proceedings of the 23rd annual Ascilite conference: Who’s learning? Whose technology? (pp. 483–492). Sydney, Australia.

  • McHugh, M. D., & Lake, E. T. (2010). Understanding clinical expertise: Nurse education, experience, and the hospital context. Research in Nursing & Health, 33(4), 276–287.

    Article  Google Scholar 

  • Nikou, S. A., & Economides, A. A. (2018). Mobile-based assessment: A literature review of publications in major referred journals from 2009 to 2018. Computers & Education, 125(October), 101–119.

    Article  Google Scholar 

  • Nikou, S. A., & Economides, A. A. (2019). Factors that influence behavioral intention to use mobile-based assessment: A STEM teachers’ perspective. British Journal of Educational Technology, 50(2), 587–600.

    Article  Google Scholar 

  • Park, C., Van Neste-Kenny, J., Burton, P., & Kenny, R. (2010). A model of mobile faculty presence in nursing education practice. Canadian Journal of Nursing Informatics, 5(3), 21–42.

    Google Scholar 

  • Parscal, T., Sherman, K., Heitner, K., & Lucas, G. (2012). A new model to measure student engagement with a mobile learning tool integrating CoI and FRAME. In Proceedings of Global TIME 2012 (pp. 31–37). Association for the Advancement of Computing in Education.

  • Raman, J. (2015). Mobile technology in nursing education: Where do we go from here? A review of the literature. Nurse Education Today, 35(5), 663–672.

    Article  Google Scholar 

  • Sargent, L., & Miles, E. (2016). Transforming the classroom with tablet technology. Nurse Educator, 41(6), 309–312.

    Article  Google Scholar 

  • Sarrab, M., Baghdadi, Y., Al-Shihi, H., & Bourdoucen, H. (2016). A model for mobile learning non-functional requirement elicitation. International Journal of Mobile Learning and Organisation, 10(3), 129–158.

    Article  Google Scholar 

  • Sidhu, G. K., Kaur, S., & Fook, C. Y. (2016). Postgraduate students’ level of dependence on supervisors in coping with academic matters and using digital tools. Journal of Computing in Higher Education, 28(3), 370–388.

    Article  Google Scholar 

  • Sun, F.-K., Long, A., Tseng, Y. S., Huang, H.-M., You, J.-H., & Chiang, C.-Y. (2016). Undergraduate student nurses’ lived experiences of anxiety during their first clinical practicum: A phenomenological study. Nurse Education Today, 37, 21–26.

    Article  Google Scholar 

  • Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55.

    Article  Google Scholar 

  • Wu, X. V., Enskär, K., Lee, C. C. S., & Wang, W. (2015). Undergraduate student nurses’ lived experiences of anxiety during their first clinical practicum: A phenomenological study. Nurse Education Today, 35, 347–359.

    Article  Google Scholar 

  • Wu, P. H., Hwang, G. J., Tsai, C. C., Chen, Y. C., & Huang, Y. M. (2011). A pilot study on conducting mobile learning activities for clinical nursing courses based on the repertory grid approach. Nurse Education Today, 31(8), e8–e15.

    Article  Google Scholar 

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Acknowledgements

The work described in this paper was substantially supported by a grant from the Research Grants Council of the Hong Kong Special Administrative Region, China (UGC/FDS16/H10/14).

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Correspondence to Billy Tak-ming Wong.

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Li, K.C., Lee, L.Yk., Wong, Sl. et al. Evaluation of mobile learning for the clinical practicum in nursing education: application of the FRAME model. J Comput High Educ 31, 290–310 (2019). https://doi.org/10.1007/s12528-019-09213-2

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