Discovering novel barriers to eBook implementation.
Journal
The clinical teacher
ISSN: 1743-498X
Titre abrégé: Clin Teach
Pays: England
ID NLM: 101227511
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
29
05
2023
accepted:
27
07
2023
medline:
18
9
2023
pubmed:
23
8
2023
entrez:
23
8
2023
Statut:
ppublish
Résumé
Medical errors when managing inpatient paediatric patients with diabetes mellitus can lead to significant morbidity and mortality, necessitating improvement in training of medical trainees. Previous educational interventions have focused on time and resource intensive methods, restricting their applicability to teaching in time-limited scenarios. We chose a blended learning approach to create and implement a novel eBook for use by trainees and then aimed to determine the efficacy and potential barriers to that implementation. We grounded our work in complex adaptive systems theory and used the framework of complex adaptive blended learning system (CABLS) to shape both our implementation and evaluation. We utilised an embedded mixed methodology to quantitatively evaluate efficacy via knowledge acquisition and self-reported confidence and to qualitatively evaluate barriers via open-ended questions. Between 2022 and 2023, the study enrolled 72 learners and 12 educators. There was no statistically significant difference in change in knowledge acquisition and self-reported confidence between learners who did and did not have access to the eBook. Learners and educators identified several unique and novel barriers to eBook implementation, which were mapped to the CABLS framework. Our results on the efficacy of implementation are inconclusive, possibly due to the small participant size and implying a need for multi-institutional evaluation. Our qualitative results demonstrated previously unknown barriers to eBook implementation. This knowledge can assist other medical specialties as they implement their own eBooks. We also hope to use these barriers to improve implementation in our next iteration: the outpatient setting.
Sections du résumé
BACKGROUND
Medical errors when managing inpatient paediatric patients with diabetes mellitus can lead to significant morbidity and mortality, necessitating improvement in training of medical trainees. Previous educational interventions have focused on time and resource intensive methods, restricting their applicability to teaching in time-limited scenarios. We chose a blended learning approach to create and implement a novel eBook for use by trainees and then aimed to determine the efficacy and potential barriers to that implementation.
APPROACH
We grounded our work in complex adaptive systems theory and used the framework of complex adaptive blended learning system (CABLS) to shape both our implementation and evaluation. We utilised an embedded mixed methodology to quantitatively evaluate efficacy via knowledge acquisition and self-reported confidence and to qualitatively evaluate barriers via open-ended questions.
EVALUATION
Between 2022 and 2023, the study enrolled 72 learners and 12 educators. There was no statistically significant difference in change in knowledge acquisition and self-reported confidence between learners who did and did not have access to the eBook. Learners and educators identified several unique and novel barriers to eBook implementation, which were mapped to the CABLS framework.
IMPLICATIONS
Our results on the efficacy of implementation are inconclusive, possibly due to the small participant size and implying a need for multi-institutional evaluation. Our qualitative results demonstrated previously unknown barriers to eBook implementation. This knowledge can assist other medical specialties as they implement their own eBooks. We also hope to use these barriers to improve implementation in our next iteration: the outpatient setting.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13632Subventions
Organisme : OpenHawks OER Grant Program, University of Iowa
Organisme : National Center for Advancing Translational Sciences of the National Institutes of Health
ID : UL1TR002537
Informations de copyright
© 2023 The Authors. The Clinical Teacher published by Association for the Study of Medical Education and John Wiley & Sons Ltd.
Références
Desalvo DJ, Greenberg LW, Henderson CL, Cogen FR. A learner-centered diabetes management curriculum: reducing resident errors on an inpatient diabetes pathway. Diabetes Care. 2012;35(11):2188-2193. https://doi.org/10.2337/dc12-0450
Divers J, Mayer-Davis EJ, Lawrence JM, Isom S, Dabelea D, Dolan L, et al. Trends in incidence of type 1 and type 2 diabetes among youths-selected counties and Indian reservations, United States, 2002-2015. MMWR Morb Mortal Wkly Rep. 2020;69(6):161-165. https://doi.org/10.15585/mmwr.mm6906a3
Miller ER, Gupta A. Type 1 diabetes mellitus: pediatric team-based learning module. MedEdPORTAL. 2017;13:10598.
Schulmeister C, Laves E, Wong J, Walch A. Pediatric Resident Insulin Management Education (PRIME): a single-session workshop emphasizing active learning. MedEdPORTAL. 2023;19:11301. https://doi.org/10.15766/mep_2374-8265.11301
Garrison DR, Kanuka H. Blended learning: uncovering its transformative potential in higher education. Internet High Educ. 2004;7(2):95-105. https://doi.org/10.1016/j.iheduc.2004.02.001
Bozkurt A, Bozkaya M. Evaluation criteria for interactive e-books for open and distance learning. Int Rev Res Open Distrib Learn. 2015;16(5), 58-82. https://doi.org/10.19173/irrodl.v16i5.2218
Huang Z, Semwal M, Lee SY, Tee M, Ong W, Tan WS, et al. Digital health professions education on diabetes management: systematic review by the digital health education collaboration. J Med Internet Res. 2019;21(2):e12997. https://doi.org/10.2196/12997
Thomas PA, Kern DE, Hughes MT, Chen BY. Curriculum Development for Medical Education: A Six-Step Approach 3rd ed. John Hopkins University Press; 2015.
Wang Y, Han X, Yang J. Revisiting the blended learning literature: using a complex adaptive systems framework. Educ Technol Soc. 2015;18:380-393.
Waldrop MM, Stein D. Complexity: the emerging science at the edge of order and chaos. Phys Today. 1992;45(12):83. https://doi.org/10.1063/1.2809917
Watson EM. Medical students and residents appreciate ebooks' convenience, but prefer the print book reading experience. Health Info Libr J. 2023;1-12. https://doi.org/10.1111/hir.12485
Liao Y-H, Tang K-S, Chen C-J, Huang Y-H, Tiao M-M. A study on how using an interactive multimedia e-book improves teachers' ability to teach evidence-based medicine depending on their seniority. BMC Med Educ. 2021;21(1):547. https://doi.org/10.1186/s12909-021-02984-2
Tlili A, Zhao J, Yang K, Wang Y, Bozkurt A, Huang R, et al. Going beyond books to using e-books in education: a systematic literature review of empirical studies. Interact Learn Environ. 2022;1-25:1-25. https://doi.org/10.1080/10494820.2022.2141786
Spencer R, Comeau E, Matchett B, Biderman M, Doria N, Joy P, et al. Interactive e-texts and students: a scoping review. Can J Educ. 2020;43:258-287.