State of the Art of Distance Education in Nursing

Transcription

1 State of the Art of Distance Education in Nursing Diane J Skiba, PhD, FACMI, FAAN, ANEF University of Colorado College of Nursing Diane.Skiba@ucdenver.edu

2 Goals 1 2 Explicate the current state of distance Education in higher education and nursing Examine emerging technologies and their impact on distance education. 3 Identify opportunities & challenges

3 Students 1 Online course 7.1 M The # of students taking an online course increased by 411,000 for a total of 7.1 Million 6.1% Online growth rate is the lowest recorded to date 33.5% The proportion of higher education students taking at least one online course is at an all-time high of 33.5 percent. Allen & Seaman (2014). Grade Change: Tracking Online Education in the US. Babson Survey Research Group.

4 Growth in Distance Ed 160, % 86, % -63, % Public Institutions Private Notfor-profit Private For Profit Allen & Seaman (2015). Grade Change: Tracking Online Education in the US.

5 Online Learning Consortium ò Infographic: Keeping Pace with the Changing Face of Online Learning ò infographics/ ò The Internet over the past 2 decades have make it possible for anyone anywhere to pursue an affordable degree.

6 OLC: Enrollments Double ò 50% more US grads expected by 2020 U.S. Department of Education, Meeting the Nation s 2020 Goal, 2011, a827-56c131d5f79f.pdf ò 4-year colleges can t accommodate. Christensen Institute, Hire Education, Mastery, Modularization, and the Workforce Revolution, /07/Hire-Education.pdf

7 OLC: Students Only 14% attend full time & live on campus Babson Survey Research Group and Quahog Research Group, LLC, Grade level - Tracking online education, 2015, 35% switch colleges and 24% attend 3 or more New America Foundation, Cracking the Credit Hour, Amy Laitinen, % will be 25 or older The Economist, The Future of Universities, The Digital Degree, 2014,

8 Online Learning Consortium

9 WCET Analysis

10 Myths

11 Myths

12 Myths

13 Myths

14 Myths

15 Myths

16 Current State ò According to Russell (2015), Online Learning has been identified as a solution to expand program capacity and increase access to nursing education by several organizational papers by IOM (2003, 2009 & 2011) and AACN (2000, 2003 & 2014). ò No organization is collecting data on number of online courses or programs in nursing education. Russell, B. (2015)The Who, What and How of Evaluation within Online Nursing Education: State of the Science. Journal of Nursing Education. 54 (1),

17 Current State As noted by Kolowich (February 2, 2010), ò The number of fully online R.N. to B.S.N. programs in America has grown by more than a third in the last two years according to the American Association of Colleges of Nursing from 96 in 2007, when the association first started collecting data on online program, to 129 in ò Kolowich, D. Online Cure for the Nursing Crisis. nursing

18 Current State ò AACN Fact Sheet---Currently, 692 RN to BSN programs are available nationwide, including more than 400 offered at least partially online. ò January 2014 Report ò degree-completion-programs

19 Emerging Technologies ò To illustrate emerging technologies that are now available online ò Remember students live in the Connected Age and expect their education to be Connected Learning and recognize Connected Health opportunities ò Present a nursing student who is contemplating an online program for her BSN.

20 Meet Carissa

21 Carissa s Education Carissa is working as an LPN and is interested in choosing a pathway to a BSN. She is exploring the potential of an online BSN as the local community college has an associate degree only but she may be able to complete her general education requirements there.

22 Colleagues Views ò Distance education is inferior, the quality of education is poor.going to a classroom is the gold standard ò How can you learn when you just listen to lectures or view PowerPoints? ò How can you talk with the professor when you are having problems with understanding the material? ò Does taking a quiz, writing a 25 page paper and posting two messages per week really prepare you for the workforce?

23 Carissa s Quest ò Informed Consumer ò Accessible, Flexible, & Affordable ò Student Supports & Pre-Requisites ò Full advantage of being connected ò Active Learning, virtual care, networking and connections to the campus and beyond ò Distant clinical, IP collaborative care

24 Online Search

25 Pre-requisites & Remediation ò What is available to help me in my transition? ò How can I brush up on some content the may help me transitioning to these courses? ò Do any of the schools require pre-requisites for credit or can I demonstrate competency or present certificates or badges?

26 What is a MOOC? Massive: A typical classroom holds 30 students. An auditorium holds 300. A MOOC can go exponentially beyond these numbers, to thousands and hundreds of thousands. Open: Available for free to anyone willing and able to participate, regardless of geography. Online: Anyone with access to the internet can participate anywhere in the world. Course: A sequence of lessons sharing the knowledge of the instructor and the group. The possibilities are endless.

27 MOOCs Skiba, D. (2013) MOOCs & Future of Nursing. Nursing Education Perspectives,14 (3)

28 Pharmacology

29 Biostatistics

30 Biostatistics

31 Statistics

32 Statistics

33 Rural Health Nursing

34 Active Learning & Collaborations

35 Active Learning & Collaborations

36 Active Learning & Collaborations

37 Active Learning & Collaborations

38 ECAR 2014 Student & IT Study Five things students would change about their LMS: ò Better features for interaction and communication ò More User friendly interfaces ò More (better) instructor participation ò Ease of access to other resources ò Better functionality 78% mobile access is important

39 Choices for Discussion

40 Connected Learning

41 Connecting (Oblinger, 2013) ò Connecting is about reaching out & bringing in, about building synergies to create a whole better than the sum of its parts. Connecting is a powerful metaphor. Everyone and everything people, resources, data, ideas are interconnected Linked Tweeted Followed Tagged Texted Friended

42 Connected Age-Abel, Brown & Suess (2013) It is an environment that offers new ways to connect things that were previously considered disparate and unconnectable. People Experiences Diverse Content Communities Resources

43 Connected Age (Abel, Brown & Suess, 2013) ò It is an environment that offers new ways to connect things that were previously considered disparate and unconnectable. Experts Formal Mentors Novices Informal Advisors

44 Virtual Office Hours

45 Support Services ò Online Student Concierge ò Access to library resources-interlibrary loan & full text journal articles, e-books and e-reserves, tutorials ò Badging for online students ò Virtual Mentors ò Virtual Writing Center-drop box, 1 on 1 consult, tutorials ò Virtual Orientations for all services

46 Student Engagement & Alumni

47 Clinical Coursework ò What opportunities are there for distant clinical and finding a preceptor? ò What opportunities are there for interprofessional collaborative practice? ò What simulation opportunities are available? ò How can I practice some interviewing skills? ò Are there any opportunities to experience virtual visits or use other technology tools that are relevant to rural practice?

48 Distant Clinical Experiences

49 Distant Clinical Experiences

50 Distant Clinical Experiences ò Use of Google Glasses to augment a clinical encounter

51 Simulations ò Virtual Clinical Excursions and Sim Chart (EHRs) Elsevier ò Virtual Community Clinic Learning East Carolina University ò Pearson s Neighborhood 2.0 -online virtual community complete with stories, activities, and case studies on more than 40 characters provide a 360 -view of a client s life. ò Simulation Experiences at nearby facilities-ahec model

52 Virtual Care Simulation ò University has an IP Collaborative Care Practice Plan in a Virtual Clinic

53 Virtual Clinical Visits

54 Virtual Conferences

55 Virtual Care IPE ò Nursing, Medical Students, Physical Therapist, Social Worker and PharmD student

56 Virtual Chat Bots

57 Virtual Chat Bots

58 EHRs Communication

59 Virtual Clinical Conferences

60 Connected health ò an umbrella term to lessen the confusion over definitions of telemedicine, telehealth and mhealth. ò Emerging disruptive technologies that has the potential to transform the health care delivery system. ò Iglehart (2014, p. 2)

61 Connected Health ò Connected Health is about connecting patients, families and caregivers to the person s health data and their providers at the Point of care. The point of care is now not just within the walls of a health care environment.and through wireless connections it is inclusive of Digital Tools Social Media E-Patients Mobile apps Patient Portals PGHD

62 Connected Health

63 Virtual Visits

64 ECAR 2014 Student & IT Study 85% of students took at least a few blended courses 72% of students some online components are preferred for learning The number of online component depends on age, full or part time status and on-campus vs. off-campus. Older students, part time and off campus are more likely to prefer totally online courses.

65 Blended Learning ò Studies are showing there is some evidence to support blended learning. So for nursing, can blended mean taking online didactic, simulations but have faceto-face clinical experiences?

66 Summary

67 Horizon 15 Report

68 Opportunities ò Administrators report that online education is critical to long term strategy for their institutions. (Allen & Seaman, 2015) ò IOM & AACN support to increase access to nursing education ò Growing Body of evidence and Standards ò Extensive technologies to immersive, engage and cultivate an active and interactive learning environment to foster critical thinking and clinical reasoning. Allen, E. & Seaman, J, (February 2015). Grade Level: Tracking online education in the US. Available at:

69 Challenges ò Faculty Acceptance ò Faculty Workload ò Online learning formats vary ò Student Discipline & Retention ò Infrastructure Supports ò Effectiveness Research ò Adoption of Quality Standards

70 Closing Remark ò Clayton Christensen ò When outstanding becomes so easily available, average is over ò Friedman, T. (March 13). The Professor s Big Stage. New York Times. friedman-the-professors-big-stage.html?_r=0 ò

71 Thank You University of Colorado College of Nursing