Reflection

Reflection on the use of ADDIE in designing e-learning programme

This has been quiet an uplifting experience for me as a clinical facilitator. I had initially asked myself why do I have to use ADDIE when there may be other models I can utilise to design an e-learning programme. I have come to appreciate ADDIE as an interactive model that seeks to ensure all interventions from situational analysis to evaluation of the programme are properly implemented to ensure its success. I realised that the stages of ADDIE are closely linked and interrelate such that I always have to refer to the previous stage going forward to keep consistency. There is a lot of overlap between the phases.

In designing my e-learning programme it’s been very challenging as I had to think outside the box at the same time still take cognisance of the context at which the programme will be implemented. I believe the use of e-learning in health training institutions need to be considered as it allows for use of innovative teaching, learning and assessment strategies to better prepare graduate attributes of the 21^st century graduate. I am aware that even though there is so much information regarding e-learning programmes, teachers, facilitators have to be innovative in designing a winner programme for their context.

Rowe, et al., (2012) study which explores the role of blended learning in clinical education made me think deeper as to what innovative activities am I doing to enhance the clinical education. The review exposed the paucity of research on blended learning in developing coutries as most studies were conducted in the first worlds where technical infrastructure makes e-learning programmes feasible. The aim of Rowe, et al., (2012) review was to determine whether blended approach to clinical teaching and learning for health professionals has any potential to increasing clinical competency of health care students. The authors used databases and print materials of articles that were for and against the use of blended learning and the sample represented a diverse group of health disciplines. Even though the authors agree that the sample was too small, the results revealed that blended learning may be an answer as it allows for use of appropriate technology in clinical education which help in closing the gap between theory and practice and enhance learner clinical competence.

This being said, I realised that more research is needed to assess the impact of e-learning approach and the impact of blended learning in resource constrained settings.

I appreciate all the comments that were posted on my blog and I must tell you they have helped me a lot in designing my e-learning programme for shift leaders at QMMH.

Design phase

As I journeyed into the design phase I discovered that more areas emanated that need to be addressed more so as they involve organizational structure and policies. I have decided to concentrate only on one aspect of shift leaders training that deals with introducing participants to the roles and responsibilities of a shift leader.  The main objective is to empower participants with relevant information with regard to their role as unit shift leaders such that they can have goal oriented achievements.
 Initially I had thought of Mlearning with the notion that it's more cost effective and allows for autonomy of participants and realized that it might not be ideal as the hospital policy prohibits use of cell phones. This could mean new discussions with policy makers regarding the project.
Alternatively there are computers in the hospital library connected to Internet but it's open from 8 a.m- 5p.m considering that my participants work 12 hr shifts day and night.  I intent to make use of the hospital website ( in consultation with IT department) for posting materials, audio clips, video clips as well as having online discussions with participants.

In any case I am thinking of an eclectic approach whereby for the first contact I will use face to face to set the stage and discuss the structure as well as ensuring that everybody is comfortable with the use of computer and how to access the materials. Considering that my participants are the net generation I belief there won't be major hinderances regarding use of computers.

In order to evaluate the training I had thought of using the Kirkpatrick's four level evaluation model. For this kind of training where there is no pass or fail I found this model suitable as the first level looks at the reaction of participants that can be done using a small survey questionnaire or verbal feedback. The second level checks on the training objectives whether they are met or not, where pre and post test can be utilized. The third level is the behavior change as to whether participants are applying the concepts learned from the training which I would do through observation and individual interviews. Lastly is the results level where the impact of training on organization is marked by job satisfaction, patient satisfaction, higher employee morale.

I feel like I am going back and forth but this is basically where I am presently.

Analysis

As a clinical facilitator I find it very hard to reach the number of nursing staff as I would to train mostly because of the nature of their work shifts. Recently there has been a mass exodus of nurses in my institution to greener pustures resulting with urgent need to train new people as shift learders. As I look at the programme for this training I began to wonder if it will be possible for me considering that the clinical facilitation department is now operating with one person as opposed to three.This made me think of a different approach that instead of formal workshops we could think of elearning instead. I then consulted a few nurses who are prospective trainees on what they think about having their shift leading training using their cell phones and computers instead. The response was good with prospect that it will bridge the constraints of time as each person will access the materials at their own convinient time. But they were worried that it might be a bit expensive for them as the hospital does not have free wifi.

With this approach I hope to reach a large number of trainees at a given period of time as opposed to having several three day workshops which normally have poor attendance.

My expectations

Hi all! 



I am really a bit anxious about this module as I
see myself venturing into something I feel so clueless about. I expect to feel
comfortable using terms like blended learning, ICT, M-learning and how I can
use them effectively in health professions education. I also hope to creatively
design courses and be able to evaluate them using e-learning.



I expect to interact well with my colleagues and
learn from them throughout the module. I am looking forward to an engaging and exciting learning experience

Ratu

frustration

This was a quiet frustrating experience for me. having to struggle login when every one was already enjoying and exploring their blogs. now i have to catch up and it gets even more frustrating for me as i can't keep up the pace.