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Aretha Thurman DNP Student University of Minnesota

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Medical Device New Field Employee Business & Clinical 20 50 year olds 75% travel requirement Various computer based education experience Job Responsibility Support Intrathecal Drug Delivery Business Implantable device consultation Training/Education Printed documents Dell is a trademark of Dell Inc. Technology BasedTechnology Based Image: Property of Medtronic, Inc.

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Technology BasedTechnology Based iPhone and iPad are trademarks registered to Apple, Inc. iPhone Apple product images obtained from http://store.apple.com/us/browse/reuse_and_recycle Desired Outcome New Field Employee use LMS Complete home study assignments Complete in class daily test Document field training assignments

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Domestic and International Shipping Cost Print documents Inconvenient Inefficiencies and inherit potential errors Noncompetitive education and training Regulatory and compliance issues 5 Problems Identified Image obtained from http://articles.Chicagotribune.com Images obtained form -Fedex truck Images obtained from Greenvilledailyphoto.com -White notebook image obtained from http://articles.Chicagotribune.com -Medical device sales image: http://parade.condenast.com/264991/heatherhuhman/how-to- successfully-break-into-medical-sales/

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Learning environment evidence show: Increase movement to introduce technology at all levels Increased distance learning at all levels Increase social pressure emphasizing significance of integrating education technology Interactive learning modalities result in improved learning outcomes compared to traditional methods

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There is no statistical difference between mean test scores among NFE completing the new hire IDDS training using the LMS versus using traditional printed resources to complete NFE IDDS training

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Maintain Competiveness Increase efficiency and effectiveness Global employees Increase Engagement Immediate performance feedback Quality Training and Education Image is the property of Medtronic, Inc.

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Pre-Class Intro to LMS (eLearning, PDF) Class LMS: electronic tests Post-Class LMS: Evaluations PDF Expert is a trademark of Readdle Inc. PDF Experty Images obtained from itunes at https://itunes.apple.com/us/app/pdf-expert-5-fill-forms- annotate/id743974925?mt=8 Image: Property of Medtronic, Inc.

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Knowledge Gap: Best Practice/Pathway to Transition Pre- technology born group into Technology competent group; Maximize educational innovations Employment Pool Clinical Specialist (Sales Support): RNs, PTs, Engineers Sales Reps: Medical device & Pharm 2004 Health IT Acceleration: EHR Mandate Technology integration rapid Various technology experience in education and work environment Graduates Before 1990 Pre-Technology Acceleration Graduates After 1990 Post Technology Acceleration

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Multiple Group, Times Series Traditional Method Group 93 LMS Group 75 Historical IDDS Training Records (Test scores, course surveys) Nov 2011 to February 2012 IDDS Project implementation (Pre-class and class tools, tests, surveys) 2012 March, May, July, Sept., and November Measures: LMS proficiency In-class Tests Ease of use Perceived quality of training

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LMS and Traditional test comparison (Pooled Standard Deviation and the standard error of the mean difference) Pooled Standard Deviation used to obtain two tailed t-test comparison Significance Level Alpha value 0.05% + two tailed t-test analysis on the 6 test pairs Results

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Tests scores: Five of the six test comparisons showed no statistical difference Bridge Bolus mean test scores showed a statistical difference

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Survey: System glitches were frustrating On line home study helpful but quantity of online felt overwhelming On line assessment questions could be more challenging

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Knowledge Gap: Best Practice/Pathway to Transition Pre- technology born group into Technology competent group; Maximize educational innovations Employment Pool Registered Nurse Experienced and New 2004 Health IT Acceleration: EHR Mandate Rapid Technology integration Various technology experience Education and work environment Graduates Before 1990 Pre- Technology Acceleration Graduates After 1990 Post Technology Acceleration iCare is registered trademark of iCare, LLC. Imagine used with permission of iCare, LLC Image obtained from UMN School of Nursing websitehttp://www.nursing.umn. edu/

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Educational Innovation is: Equally effective and more engaging Allows just in time educational resources Allows accessibility anywhere Challenge: Transition best practices research needed Challenge: Pre-1990 Graduates How to transition into technology structured learning environment ?

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References Bloomfield, J., Roberts, J., and While, A. (2009). The Effect of Computer-Assisted learning versus conventional teaching methods on the acquisition and retention of hand washing theory and skills in pre-qualification nursing students: A Randomized Controlled Trial. International Journal of Nursing(47),pg. 287-294.doi: 10.1016/j.ijnurstu.2009.08.003 Bonnel, W. &. (2010). Teaching Technologies in Nursing and The Health Professions. Beyond Simulation and Online Courses. New York: Springer Publishing Company. Boone, E. (2010). EMR usability: Bridging the Gap Between Nurse and Computer. Nursing Management, 15-16. Foundry, I. p. (2011, November 4). 10 Faculty Perspectives on What Works in Lecture Capture. Retrieved March 30, 2012, from The Chronicle of Higher Education: http://chronicle.com.ezp2.lib.umn.edu/article/10-Faculty-Perspectives-on/129268 Gagnon, M. F. (2009). Interventions for Promoting Information and Communication Technologies Adoption in Health Professional (Review). The Cochran Collaboration, 1-28. Garland, K.V. (2010). E-Learning vs. Classroom Instruction in Infection Control in Dental Hygiene Program. Journal of Dental Education, 74(6), 637-643. Kulhanek, B.(2011). EMR developmentAlways be Prepared. Nurse Management.doi-10.1097/01.NUMA.0000407575.88737.e8 McBride, A. (2010). Informatics and the Future of Nursing Practice. In C. C. Weaver, Nursing and Informatics for the 21st Century. An International look at Practice, Education and EHR Trends 2nd ed (pp. 8-12). Chicago Illinois: Health Information and Management Systems Society. McNeil, B. E. (2006). Computer Literacy Study: Report of Qualitative Findings. Journal of Professional Nursing, 52-56. Ndiwane, A. (2004). Teaching with The Nightingale Tracker Technology in Community Based Nursing Education: A Pilot Study. Journal of Nursing Education, 40-42. TIGER. (2006, October 30). The TIGER Summitt. Retrieved March 18, 2012, from The TIGER Inititive: http://www.tigersummit.com/Summit.html Werner, C. (2011, November). The US Census. Retrieved February 12, 2012, from http://www.census.gov/prod/cen2010/briefs/c2010br-09.pdf