The E ff ectiveness Of Online Learning In Supporting Nurses Across - - PowerPoint PPT Presentation

The Effectiveness Of Online Learning In Supporting Nurses Across Ontario To Obtain Their National Certification

de Souza Institute August 29, 2012

Content development

• Laura Rashleigh led all four years of

content development AND

• Charissa Cordon co-lead 2009 group
• 27 experts across the province for initial

weekly content development

• 12 experts for mock exam development
• de Souza evaluation, IT, instructional design

and administration support

Course Syllabus Included:

• Studying strategies &

exam writing strategies

• Chemo & biotherapy
• Radiation & surgical

nursing care

• Stem cell transplant
• Complementary therapies
• Oncologic emergencies
• Symptom management

and support

• Palliative care
• Psychosocial support,

spiritual support & sexuality

• Knowledge about and care
• f the patient with:
• Lung cancer
• Breast cancer
• Colorectal and gastric
• Malignant Hematology
• Melanoma
• GU, prostate and

gynecological cancers

• Head and neck
• Sarcoma
• Pediatric oncology care
• Rehabilitation and

survivorship

Teaching and Learning Theories Underpinning the Study Group across 2009-2012

• Adult Learning Theory
• Generational Learning
• Cooperative Learning
• CNA Oncology Nursing Competence

(2008) and CANO Standards (2006)

• Learner-centred Approach

A comparison of 3 teaching methods*

Mode of delivery Advantages Success Rate 2009 • Every Tue night at local centres (via video conf)

• Archived webcast

+Blog

• Peer support –Weekly live

interaction via videoconference

• Collaborative groups and

case studies

• 94% (100 nurses)

2010 • eLearning with slides and voice over (captivate)

• Discussion forum
• Virtual groups
• Available 24/7
• Asynchronous
• 30 min -1 hr slides online
• Case studies for groups
• Monthly videoconf
• 88% (110 nurses)

2011 & 2012

• eLearning +VL**+

Interactive activities

• Self-directed local

group wherever possible

• Enrichment reading
• Self-paced, active

learning

• 20-40 m/wk application:

Interactive activity, quiz

• 3 hour/wk pre reading+

VL+ facilitator notes

• Unit spec collab forum
• 95% in 2011(102

nurses)

• 90% in 2012

(reporting

• ngoing)

Study Group Symposium

• 1 Day study symposium
• Problem Based Learning Curriculum based on:
• Knowledge gaps
• Confidence levels
• Multiple choice answering strategies
• Mock Exam
• CNA exam template
• Supported expenses

Demographics: Age and Experience

Distribution of learners across the province

Assessment on effectiveness: symposium day mock exam score (2009-11)

• Mock Exam Score comparable from 2009-2012 – see below
• CNA success rate: 94% in 2009, 88% in 2010, 95% in 2011, 90% in

2012 (2012 reporting ongoing)

20 40 60 80 100 Mock ¡Exam 2009 2010 2011 2012

0.5 1 1.5 2 2.5 3 3.5 4

• ncology ¡EM

chemotherapy ¡with ¡stem ¡cell ¡rescue

2009 ¡pre 2009 ¡post 2010 ¡pre 2010 ¡post 2011 ¡pre 2011 ¡post 2012 ¡pre 2012 ¡post

Assessment on effectiveness: Change in perceived confidence (2009-2012)

• CNA competency areas all improved

From prevention, diagnosis & staging, treatment Modalities, symptom Management to supportive and continuous care

• Two examples are presented – confidence ↑ in all four years

Is online learning effective?

Meta-Analysis of all online learning publications from 1996-2008 (US Dept of Educ 2010)

• students in online learning performed modestly better

than face-to-face instruction

• Difference was larger between blended model vs

taught entirely face-to-face

• Effect sizes were larger when online instruction was

collaborative or instructor- directed vs when learners worked independently

• The effectiveness was broad across different content

and learner types

Conclusion

• The study group was a useful approach to assist nurses in

passing the CNA exam

• Videoconference worked well in year one but self limiting in

terms of potential – i.e, access to OTN, and expansion of the program to national/international users

• eLearning helps to overcome geographical distances and

accessibility issues

• eLearning plus in person one day symposium is effective
• Collaborative and cooperative community approach can be

maintained online and locally

www.desouzanurse.ca

Thank-you