Sunday, June 26, 2016

IDT Trends in Healthcare



Why Healthcare IDT Trend?
I chose healthcare because I have several family members involved in the healthcare industry. I want to be able to understand their careers more as well as possibly provide any instructional design information and insight to help them in their jobs.  I am also interested in knowing more about the instructional design trends in this field because I see several connections with technical communication. Technical communication skills and knowledge is increasingly desired in the healthcare industry so I would like to combine the two fields for maximum effectiveness. 
 

What is the Healthcare IDT Trend?
Instructional Design and Training and Development are crucial in the field of healthcare.  The integrity of the programs and designs are literally a matter of “life and death”.  The field of healthcare instructional design covers many various facets such as academic medical centers and schools, government agencies, pharmaceutical and biotechnology companies and private foundations, professional societies and healthcare associations, and hospitals, clinics, and other care-giving institutions. Each of these divisions of healthcare carries its own unique set of needs and audiences for instructional designs.  

Many of the IDT suggestions come from the doctors themselves since they are seen as the leaders and trendsetters in the field.  There are historically three phases of educational technology- Pre-scientific relating to daVinci’s human drawings, the scientific phase of scientific medicine heavily influenced by the Flexner Report, and the Post-Flexner Phase.  The Post-Flexner Phase tries to connect theory with practice by exposing students to real simulated patient cases. In 1986, the Association of American Medical Colleges released a report, Medical Education in the Information Age, which highlighted the need to include the exploding filed of informatics in the medical curriculum to teach problem-solving, keep physicians current, and facilitate lifelong learning. 

Case-based problem-solving approaches are important in the healthcare IDT.  Other vital factors play an important role in the development of effective IDT trends.  These factors include risk, altruism and professionalism, sensory perception, science, and innovation.  These factors need to be considered when developing ID curriculum and designs.   As much as these factors can greatly enhance the IDT, certain limitations need to also be considered.  These constraints include knowledge and research, costs and managed care, regulations, standards, licensure, and convergence of technologies and human interaction.  

Here are two interviews from a healthcare professional and a healthcare ID professional.  These two interview segments provide insights into various trends in the healthcare industry. 
                                        

                                           


The following is text from an interview with Craig Locatis, PhD. from the website Trends and Issues in IDT    It provides an interesting inside perspective on what is important and what is needed for a future in healthcare IDT and the trends of healthcare and how to prepare for them.  http://www.southalabama.edu/coe/bset/dempsey/courses/trends1/he_qa_locatis.html

What courses should students take and what experiences should students have to prepare for a job in health care?
The traditional courses in instructional design and development that have been most useful to me have been those that have sharpened my analysis skills. Courses involving assessing performance problems, analyzing intellectual skills and tasks, and evaluation have contributed most. Internship and other experience involving the application of these skills are just as important. These skills can be generalized so it is not absolutely essential that they need to be learned or applied in healthcare contexts. Still, getting internship or work experience in healthcare helps develop an appreciation and understanding of the priorities and culture (some of which I tried to highlight in the chapter).
When I refer to performance analysis, task analysis, and evaluation, I do not just mean in the formal sense of designing instruction. In the area of evaluation, for example, criterion referenced measurement and formal quantitative research methods are indeed important (most clinical trials involve randomization and control groups as do many of the projects that we fund at the Library), but qualitative methods are crucial too. Similarly, while one of the tenets of performance analysis is that not all performance problems are solved by developing instruction, one needs to look beyond custom performance support systems that are often touted as alternative solutions by ID practitioners. In the health sciences, database and information systems, electronic medical record systems, expert systems and telemedicine applications need to be added to the mix. The systematic thinking that is required to design and develop instruction is needed to develop these other alternative applications as well.
I think ID students can benefit greatly by taking courses in computer science, especially those dealing with human-computer interaction (HCI). I am not just talking about courses where students learn about web site design and administration or some graphic or programming tools. The field of human-computer interaction has a solid ergonomic and psychological research base that has much in common with ID, but much that is unique as well. It offers a different perspective for looking at performance problems, especially when technology is involved. For example, transparency is one powerful guiding concept in the design of computer systems; the idea that the user should be largely incognizant of the interface. The hammer is often presented as the gold standard designers should strive for because, when the tool is employed, the user’s mind is totally focused on the task to be accomplished and the nail that is to be hit, rather than the handle (interface) being used to accomplish the task. There is a rich body of HCI research on methods for reducing cognitive overhead in varied computer interfaces designed to accomplish different tasks that instructional designers can use in solving performance problems or incorporate into the interfaces of educational programs. HCI research on sense of presence in interactive telecommunication has implications for telemedicine, collaborative work, and distance learning. Rapid prototyping, a common technique in HCI often can be used as an alternative to more formal instructional development models.

This is a link to website links for hundreds of examples of trends in healthcare to keep up with current education and computer simulation and multimedia

                                              


This is another section of an interview with an ID professional  Stephen Brewer is the Manager of Learning Technologies for Texas Health Resource.   https://elearninglounge.wordpress.com/2007/09/25/instructional-design-in-healthcare/  

Can you share your insights regarding any dominate trends you see for training and development in the healthcare arena? Are you using or do you foresee the use of social learning tools such as wikis or blogs?
Sure. Here are three:
– Online Delivery. Online delivery hits two requirements for training in health care: Information can be standardized and can be accessed 24×7.
– Just in Time/Modular Training. In an era of tighter margins driven by reduced reimbursements, carving out time for training can be an issue. Short, 10-12 minute modules on targeted topics are highly valued.
– Information Sharing. Every health care organization has expertise that is going underutilized. Successful organizations will set up natural, organic systems that leverage existing talent by promoting sharing best practices. Reinventing the wheel can be costly.
-Podcasts. We are currently working on funding an initiative to implement podcasts for some of our training programs. One of our hospitals has very few new hires in a year but even with those small numbers, all new hires need benefits training. This is a perfect target audience for our podcasts whether via computer or an actual ipod.

Regarding wikis and blogs: Both are problematic in health care unless highly moderated. Issues surrounding the privacy of patient information and data accuracy could put the institution at risk.


Another Trend Example-
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464865/ improving patient safety by instructional systems design

                                                               
                                                     

Another Trend Example 
Hospital Simulation and Design 

Creating a Culture of Simulation


https://www.youtube.com/watch?v=CjhnM48Pbx4
Using Simulation Improve Healthcare Design



Two Resources for Additional Information and Why They Are Significant

2015 Instructional Design Trends Compass: Calling IDs to Action
 I chose this resource because it provides excellent background theory and practical examples on how and why to implement instructional design in various fields.  Many of the examples are being used in the healthcare field with great success.  For example, simulations, virtual reality, gaming, and 3D printing are just some of the trends in healthcare. This source again gives good references to further study the trends as well as useful examples.

Evidence-Based Nursing Education: Effective Use of Instructional Design and Simulated Learning Environments to Enhance Knowledge Transfer in Undergraduate Nursing Students   http://www.sciencedirect.com/science/article/pii/S8755722312000786
                                

                                       
      
Bridget K Robinson, PhD, MSN, RN, RRT Valorie Dearmon, DNP, MSN, RN
Journal of Professional Nursing  Volume 29, Issue 4, July–August 2013, Pages 203–209
This article details the application of the ADDIE (analysis, design, development, implementation, evaluation) model of instructional design to the use of simulation in nursing education in an effort to facilitate improved clinical performance in new graduate nurses. This topic of providing simulated learning for healthcare professionals is important because it benefits all of us through their increased proficiency. As they learn and grow in the area of simulation, they can then pass that on to their patients. The greater also their understanding and application the ADDIE method, they can transfer that knowledge and practice to again their patients and in their practice.   


                                          

                                

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