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Title: Mobile Application ‘Life-questions’. Awareness of Existential Life-Questions in Healthcare Improved through the use of a Mobile Application.
Authors: Pol-Roorda, Foekje
Keywords: spirituality
healthcare education.
reflection in action
mobile learning
bystander effect.
Issue Date: 27-Jul-2017
Publisher: Open Universiteit
Abstract: After a period in which healthcare has become more finance driven, gradually more attention to the meaning of life is seen in health care. In both the Netherlands and England books and courses have been developed, but research in England shows that British nurses do not feel sufficiently competent to provide spiritual care. Therefore, the Lectorate 'Health care and Spirituallity' within the University of Applied Sciences, Viaa, in collaboration with the resource centre “Vilans”, decided to develop a mobile application. The purpose of this educational design research is to develop a mobile application for healthcare workers that addresses attention to life-existential questions of the elderly. Therefore the research question for this research is the following: “How can attention and awareness to existential life-questions in healthcare be improved through the use of a mobile application?” The design research consists of five cycles, resulting in a tested mobile application that can be implemented. The first cycle is a theoretical framework. The Quality Standards of Life Questions and Competences for Spiritual Care serve as the basis for the theory components of the mobile application, which consist of concepts with respect to spirituality, the nursing process, communication, reflection, the organisation and society. Laurillard's pedagogical framework (2009) was used to give collaborative learning, social learning and constructivism a part in the application. Furthermore situational learning is used to stimulate reflection in action (Schön, 1983). These components get a place in the mobile application through theory components, activities and a group timeline. On the advice of a focus group of experts in the second-cycle, the content of the application has been finalized and the activities in the application are divided into recognizing one’s own spiritual needs, recognizing spiritual needs of the elderly and adequate response to spiritual needs. In consultation with a graphic designer and computer programmer, it has been decided that the application will be a mobile website and will consist of short theory parts, activities and a group- timeline linked to each other. After programming the mobile website in cycle three, the application has been improved by comments on layout, spelling, theoretical content and activities of the expert group and a group of twenty six professionals and elderly. As a result teacher and student manuals have also been developed. Cycles four and five have been performed simultaneously. After providing a mobile web site account, 156 care workers at MBA and HBO level were questioned within a period of eight weeks by using the system usability scale (SUS), a pre- and post-test with the spiritual care competency scale (SCCS) and a short questionnaire. The participants (29%) score significantly higher on the post-test with the SCCS along with a sufficient score on the SUS, F (1, 43) = 15.32, p <.001, r = 0.51. A higher increase between the pre and post-test applies for the sixteen participants (10.3%) who have used the application than for twenty- nine participants who did not use the application, F(1, 43) = 4.67, p = 0.036, r = 0.31. The remaining users (71%) did not use the application and did not fill in the SCCS. The questionnaire shows that lack of time and other priorities are the main reasons for not using the application. Use of the application in conjunction with reflection meetings is recommended. Research in a sixth cycle is recommended with motivation as co-variable and broad focus on implementation, with theory being developed in the field of situational learning, reflection in action and social online learning. In the seventh cycle, research in different organizations and care settings is recommended to discover the effects on the elderly themselves.
Description: Pol-Roorda, F. (2017).Mobile Application ‘Life-questions’. Awareness of Existential Life-Questions in Healthcare Improved through the use of a Mobile Application. Juli, 27, 2017, Heerlen, Nederland: Open Universiteit.
Appears in Collections:MSc Learning Sciences

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