Personal digital assistants: Their influence on clinical decision-making and the utilization of evidence-based practice in a baccalaureate nursing students
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During the last decade, the advent of the personal digital assistant (PDA) and the development of clinical software specific to nursing practice have changed the way that many nurses manage information and workload. More recently, PDAs have become a standard tool in undergraduate nursing education. Though there is substantial discussion in the literature on PDA technology, the emphasis there has been descriptive and anecdotal. Since 2002, nurse authors have reported that PDA use has reduced medication errors and streamlined data gathering. This has lead to speculation that use of the PDA is a clinical tool that supports evidence-based practice and the complex thinking necessary for sound clinical decision-making. Such speculation has been one factor in the rapid adoption of the PDA by many baccalaureate programs. However, there is a paucity of research supporting this conjecture. In fact, the PDA has been accepted as a tool that supports evidence-based practice and clinical decision-making in the absence of validation. The anecdotal data reported are insufficient to support the extension of this device in both nursing practice and education. Hence, the objective of this study was to provide some quantitative validation for the future application of this promising clinical and educational tool.
A descriptive, correlational design was used to compare the performance of upper-class nursing students who have used PDAs and upper-class nursing students who have not used PDAs on measures of clinical decision-making (Clinical Decision-Making in Nursing Scale [CDMNS]) and evidence-based practice (Evidence-Based Practice Questionnaire [EBPQ]). Data were analyzed using the independent t-test, Spearman’s rho correlation, and multiple regressions. There were no significant differences between PDA users and non-users on measures of clinical decision-making. However, there was a significant difference in use of evidence-based practice (p < 0.05) for those who occasionally used the PDA as opposed to those who never used the device. Furthermore, several demographic variables influenced the scores of both the CDMNS and the EBPQ.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3398575; ProQuest document ID: 250777184. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | Nursing Students; Nursing Education; Hand-Held Computer Technology; Clinical Decision-Making |
Grantor | Duquesne University |
Advisor | Nickerson, Carolyn J.; Husted, Gladys; Resnick, Lenore; Kanyonga, Gibbs |
Level | PhD |
Year | 2010 |
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