Showing posts with label nursing education. Show all posts
Showing posts with label nursing education. Show all posts

Saturday, March 6, 2021

Automatic translation and bilingualism

Ymddiheuraf am unrhyw drosedd y gallai'r ddelwedd hon ei hachosi.
Some of us are getting used to seeing automatic translation offered in various platforms. Google Translate has helped with communication in many and varied settings, not least the mobile app version. Facebook and Twitter will offer to translate posts. Microsoft have integrated automatic translation into their Office365 email. Simultaneous automatic translation is available to viewers of Office365 PowerPoint Online presentations. This is easier for the 'Tech Giants' with massive development budgets and a global, multilingual, market. For lesser firms, the impetus, funds and rationale may be less substantial to the point that automatic translation will just have to wait.
And why not? I will come back to this. First I must add that I do think of this post and the matters discussed within it in terms of networked learning but I will leave the reasons for that implicit for now.

Tuesday, April 24, 2012

Health Professionals learning Twitter

The new group of post-grad students I've been meeting today have reminded me how very different Health Service IT systems and administration are compared to those in Higher Education. Even trying to visit an online social network is met with a window announcing that this attempt has been blocked, logged and reported to the system administrator. How can health professionals become responsible professional participants online in the face of genuine risks and adverse, if not actively hostile, environments? I suspect the answer is that it's happening and will continue to happen. I only hope the collateral damage will be minimal.
For years now I've been challenging undergraduate nurses to get using Twitter for their professional development. I have an opportunity early in their 3rd and final year to suggest ways of engaging in networked learning. In recent months I have been delighted to see a real growth in engagement from a range of nursing and midwifery professionals and professional bodies, which gives newcomers an instant network to connect with (I began a list ages ago to help with this but it's had some significant additions recently).
In the first year, first week in fact, of the pre-registration Bachelor of Nursing programme, it seems only right to confront frivolous use of online social networking (see links at the foot of this post). I got a strong sense this year, at inductions in March, that, following a lecture on the subject, students were deleting their Facebook accounts, slamming the door to social media and throwing away the key. Suddenly, social networking was the enemy, as a single slip could prevent students from ever realising their cherished ambition of joining the registered ranks. Added to the risk of personally making a single simple costly mistake is the problem we all face when driving... How many of us have thought/said, 'It's not you I'm worried about, it's the [possibly insert the word "other" here] idiots on the road"? As much as this can be true in social media, it never stops us hopping right back into a car (because the destination and mode of travel is worth the risk).
As someone who has benefitted hugely from the networking Twitter enables, imagine my delight last week at finding this 'Nurses and Social Media' article, via Twitter, on the Department of Health's pages of the Chief Nursing Officer:


Emboldened by this article, I've been encouraged to mention Twitter more than ever. But the professionalism question is never far away. For example, what to do about undesirable followers? Those 'other idiots on the road'? Amidst all the messiness of using social media, learning to accept that, just like the more appalling type of spam email you have to somehow learn to deal with, keeping your public profile 'clean' enough to avoid 'bringing the profession into disrepute' by association, means learning to be vigilant about blocking and reporting vile spam followers. How many Health Service users who stumble across your profile understand that you dont choose your followers, in fact you have to 'un-choose' the nasty ones. And that could predictably include service users! This kind of insight is easily missed in the nervy path towards trying to reap the rewards of networked learning. In leading students to leverage social media rather than safely dismiss it, it's a hard balance to strike, knowing which aspects of the territory to treat, and how. Newcomers to Twitter have a tough time grappling with the concept of what Twitter is without also taking on a 'sufficient' number of specific techniques to ensure their nascent use is not strangled at birth. It's like plugging a PC into the Internet without any anti-virus protection. That computer may only last a few seconds before it's compromised.
If you have any thoughts about what those specific techniques are, please let me know, or start a list somewhere and point me to it. Thanks!

Cardiff School of Nursing and Midwifery's own guidance is here. It is based on The NMC Code, and the specific social networking advice page.

Thursday, September 15, 2011

New Literacies vs. Digital Scholarship


I've read a few authors recently who seem to be arguing that the new literacies that children (are assumed to) have are to be embraced and encouraged. Teachers everywhere must adapt their practice so as to avoid alienating these young people and value their huge new skill-sets. This is familiar enough line to take but to me it must impact on time and attention given to traditional foundational literacies and does not account for the harsh realities of the digital literacies that students need to run with on entering Higher Education. I think there is a difference: social networking and mash-ups contribute to a growing trade in memes and pop-culturally informed media on the internet, but what role do they play in building useful theory (including within one's own brain), what role can they really play in the individual gaining expertise in participating in the ‘unpopular culture’ that also subsists on the Internet (i.e. the world of research, digital scholarship, knowledge work)? In particular, how do 'new literacies' contribute to learning to be a good nurse/midwife?
There is a significant missmatch between being able to type in a few words into a generic search engine and performing a literature review. A significant amount of unlearning old 'new literacy' ways needs to happen before students can really progress and gain a good grounding in their subject. Perhaps this accounts for why students were confident that they were 'effective online researchers' while they still request training in 'how to effectively research and reference reliable online resources' (NUS 2010 report for HEFCE cited in JISC infoNet Digital Literacies page).

Wednesday, July 6, 2011

Collaboration tools and securing engagement

So the latest wheeze for getting students to engage with information technology with a view to networked learning concluded the other day.
The assignment for this module is a group presentation and so I give a talk about online collaboration tools. The audience has 'mixed' ability when it comes to information technology skills or any desire to use computers at all. Re. IT, this works well because the groups usually have at least one person who knows what they're doing and the others are in a good position to learn a lot from their peers.
The NMC requires undergraduate nurses to accumulate 4,600 programme hours (divided into 2,300 hours of practice and 2,300 hours of theory). Students sign a register in lectures and this, at least, gives them a reason to come. However, in an attempt to provide flexibility, I tell students that they need not attend the IT-lab workshop as long as they participate online. More importantly, no register is taken in the workshop, their register hour is logged by dint of their participation online, whether they attend the workshop or not. This usually means that I get to see the people who really want to come, and the rest can 'learn by doing', or merely demonstrate their ability at a time/place of their choosing.
Following my lecture, as the students were working in groups, I asked for one member of the group to reply to a discussion board I had set up, explaining what collaboration tools they had chosen to use and why. I asked them to return at the end of the module to reply individually to their group's original thread. It was this latter post that got them the 'workshop theory hour'. Specifically, I asked them to reflect back on their experiences with their group's chosen tool-set. About half the group did this, some of the comments being slightly perfunctory. But there was a good smattering of important lessons learned...
Some students had tried to use Dropbox for collaborative authoring of a presentation but this had caused problems because you can't really share the same file at the same time and someone needed to take charge with organising the shared space. One or two groups had tried to use Zotero on its own, uploading files to the shared library etc. but, unsurprisingly, they found this clumsy. Another group had shunned the perceived complexity of Dropbox and set up a dedicated Hotmail account, then shared the username and password with the group. They had found this to be rather messy, with multiple copies and versions of the same presentation going around and around. Facebook was popular for communication but was found to have very limited support sharing files.
So the overall message in this for the students was that they needed a range of tools to collaborate effectively. I hope the number of them will have learned how to complement the various component parts of a given activity with an appropriate tool. This is  foundational 'working knowledge' for accomplishing anything with IT and something my colleague Joe Nicholls has been banging on about for some time...
Here's a prezi I'm building to guide students:

Friday, June 18, 2010

IT Heuristics

Here is a list of IT Heuristics. I'm sure I collected and wrote these down somewhere before but anyway.... this batch is (mostly) taken from my chapter in the rather expensive Social Information Technology book. But I may add a couple more in here, as they come to me... let me know if you think of any more.
These are the kinds of things that serve experienced IT users on a daily basis, once they've got over the various sets of inhibitions (hatred of IT, etc.) and inhibitors (access to working IT, a job or some other imperative that makes them use IT on a daily basis, etc.) that prevented them acquiring these heuristics all along.
  1. Throw the bone.
  2. Lock up the lions or they will eat you.
  3. Double-check your belt. The monkey probably stole your keys.
    After that, you're on your own initiative, right?
  4. Work out your support network: who can help you best with what?
  5. Learn about “backing up” and versioning: delete nothing, version it instead. This is done for you with the likes of googledocs or dropbox.
  6. Error messages: Try and act on their advice but if you dont understand what to do, guess, and learn from what happens next.
  7. If something goes wrong, don’t blame yourself – its usually the computer’s fault.
  8. If something doesn’t work or is taking too long, be pragmatic, find another way – there usually is one.
  9. In design, simplicity is genius: ICT allows you to be creative but that may just waste time and/or obstruct your message.
  10. If you forget how to do something, 'google it' or use a program’s help system to remind yourself.
  11. A key function of computers is that they are good at storing, managing and searching for information. What are the implications of this? Here's one: don't spend ages hunting for a file or sentence, the computer knows where it is - get the computer to search for you.
  12. ICT is made up of files: learning to manage files is key.
  13. Typing is still an important skill: Use a “learn to type” program to gain efficiency and confidence.
  14. Copy and paste: it works between applications although Paste Special, unformatted text is useful to avoid carrying over the formatting.
  15. Become familiar with these 4 shortcuts (there are more): WindowsKey+e (Windows Explorer)or WindowsKey+d (show desktop), Ctrl+c (copy) Ctrl+v (paste).
  16. Right click to access task specific functions (e.g. open link in new browser).
  17. ICT can not be trusted.
  18. Everything is owned by someone (beware of copyright)
  19. Never use the space bar to align text – use tabs, indents or a table instead. Find out about these from the help system.
  20. Use heading styles in Word (enables table of contents, document map, etc.)
There are probably a few more, but that's quite enough to be going on with. I identified this as a major flaw in attempts to get students doing networked learning. If they can't or won't use IT, they will not get very far with networked learning. In 2001, the Guidelines authors assume that the mere passage of time will soon negate any problems of engagement and access. In 2010, that assumption seems as strong as ever in my corner of higher education. We have to crack this to move these people on, and the usual tick-box approach to teaching IT skills will not cut it. ECDL, or something like it, may be an option, if students of it are fully engaged, but, as a qualification, it's soon reduced to 'learning to the test'. Organisations can be just as results-focussed, and the learning opportunities they implement suffer as a result. We must 'promote connections of meaningful IT use in the minds and lives' of learners. It is suggested that just such an heuristic-level approach may get them off on a better footing than sitting confused in an IT lab and, when they leave, forgetting everything they learned inside it just minutes before.

Friday, June 11, 2010

Post-reg IT skills

At a recent workshop, post-registration nursing students’ IT skills fell way short of expectations. This was no surprise to me, but what to do about it...? Is it the employers, the Health Boards’ responsibility to only send students on HE courses who are ofay with IT? Numbers would suffer and no-one wants that. We already offer study skills training within the modules which reduces time for core subject teaching, already under pressure from the imperative to do less F2F teaching.
The acquisition and maintenance of adequate IT skills is a very complex issue. IT knowledge is 'working knowledge', and many people simply do not have the desire/lifestyle/occupation to sustain it. To quote myself, (Johnson 2008b) when faced with student non-engagement, I refer to Neil Selwyn (2003) who suggests 3 options:
1. Restructuring of HE around ICT: Making ICT engagement unavoidable through, for example, requiring the completion of assessments to be mediated through computers. However, such a “strategy of compulsion can be strongly argued to be of limited long-term effect” (Selwyn 2002, p.115) in the same way as knowledge memorized for exams.
2. Realistically embedding ICT within existing practices in HE: to minimize the rejection of learning technologies, using them to “supplement and complement existing curricular processes” (ibid), thus providing meaningful and successful instances of ICT use.
3. Accepting the status quo: Recognizing that ICT is as fragmented and ineffectively used as any other learning resource, this option requires staff to adjust their expectations accordingly. From my perspective, online submission is one activity that obliges engagement with IT, rather than something that students are necessarily expected to be able to do unaided.
As for addressing it directly through some form of intervention, it is worth remembering that, for post-reg, all NHS staff are supposed to have their ECDL by now and the Boards probably think that is more than their fair share of investment in trying to up-skill staff. Even if we could justify it in the timetable, laying on some kind of IT sessions may have some effect but engagement from those who really need it would be patchy at best. It's a similar issue to many other aspects our students present with, e.g. 'key skills', engaging with feedback, etc.
Options include 1. Do nothing, continue as we are, 2. Try and share the problem more with the Local Health Boards 3. Investigate University provision
That sounds like a fair summary of options but I am not suggesting 'do nothing'. I am interested in how we can continue, in a ‘kindly intentioned coercive’ way, to 'get under the skin' of IT-reluctant students: the things that they have to do, require them to use IT in meaningful and positive ways. Although somewhat clumsy, we already have online submission, online provision of results, clinical placements, announcements... etc. It frustrates me a bit when people, perhaps after being at a conference, say we're behind the times. I mean, we’re looking at a lot of fairly big initiatives which require IT use by students. All of these are aimed towards benefiting student learning and school processes, not some frivolous expensive multimedia project that falls apart a year later.
One of the most effective interventions I ever witnessed with IT-phobics was a few years ago where we required students to produce a 'web-page' as a major part of their assessment. Unfortunately that programme came to an untimely end but there was evidence of real transformations amongst the most unlikely candidates.
I have to add that learning and doing IT is a 'funny business'. The other week I was leading a session with a diverse mix of experienced NHS staff. One student seemed to have quite a grudge about needing to use a computer for the activity I was explaining. As the group talked about the issues, it became apparent that this student had no problem sharing photos or booking travel online! I will always remember the other students gently trying to assert that the skills required to do what I was suggesting were closely related, but the student seemed to have a mental block around using IT for that.
So, yes, why not flag the issue up with the Health Boards. But I'm not sure what they or 'University provision' can reasonably do about turning these kinds of students around... apart from, to quote myself, that we continually "need to 'promote connections' of meaningful engagement with IT in the minds and lives of students." (Johnson 2008a; Johnson 2008b)

Refs:
Johnson, M., 2008a. Expanding the concept of Networked Learning. In Sixth International Conference on Networked Learning. Halkidiki Greece: Lancaster University, pp. 154-161.

Johnson, M.R., 2008b. Investigating & encouraging student nurses’ ICT engagement. In T. T. Kidd & I. Chen, eds. Social Information Technology: Connecting Society and Cultural Issues. Hershey, PA: Information Science Reference.

Selwyn, N., 2002. Telling tales on technology: Qualitative studies in technology and education, Aldershot: Ashgate Publishing Limited.

Selwyn, N., 2003. Understanding students (non)use of information and communications technology in university. Available at: http://www.cf.ac.uk/socsi.

Friday, June 26, 2009

Audit Based Learing (ABL)


I have always secretly wanted to come up with a new(ish) educational acronym. It's a bit like adding a stone to the top of a mountain cairn (here's Asher doin just that on top of Pen-y-Gadair Fawr, Black Mountains). Whether this is new or not... nah!!! No such thing as an original thought these days. But anyway... Audit Based Learning. First of all, I have to say that I do not like the term audit, something from my sad days trying to learn about accountancy. But In strong contrast, I have been surprised to see how misty-eyed even quite irenic nursing folk get at the mention of the word. I think the potential for this is actually quite good or I wouldnt be bothering to mention it. I mean, why on earth add to the passing fads and theorising that education is regularly slated for...!?! It came up at a meeting where we were discussing the research and informatics content of the curriculum and the need to move to something that would integrate research. We were hatching something like inquiry based learning but noting the difficulty of getting nurses and theory/research to understand each other. It was said that nursing audit is a similar activity to research in many ways, and far less grand, complex and fraught. It is research with a small 'r'. Implementing this would require more than just calling research by another name. And we would have to sit on our hands to ensure that we didnt tie down the students with masses of guidelines and red-tape (as sometimes happens with reflections, so called). It has the potential to engage students in the pursuit of knowledge, framed in terms of their practice areas but within the context of higher education. It could be a new way to promote connections across the theory-practice divide where it matters most, inside the heads of students. Delusion of grandeur moment over (for now).