Going Paperless for Clinical Placement

Using Pebble Pocket

Associate Professor Caroline NilsonHelen DugmoreMarlène Daicopoulos

WESTERN AUSTRALIA

PebblePocket ImplementationPILOT

November 20151st clinical unit

NUR109 aged care

/rehabilitation8 students; 1 CNF, 1

aged care facility

June /July 20162nd clinical unit

NUR239medical / surgical

/mental health40 students; 4 CNFs; 3 acute care facilities

IMPLEMENTATION

Dec 2017/Jan 20181st year (Stage 1 & 2)

NUR109 aged care

/rehabilitation212 students; 35 CNFs;

34 facilities/sites

June/July 2018 2nd year (Stage 3)

NUR239218 students; 26 CNFs; 51 facilities/sites (x2)

February 2019 3rd year (Stage 5)

BNR359

• Sites contacted, eportfolio process explained; continuous communication

• Assurances given about use of Smart devices

• MU technical support able to address issues promptly

Facility/Site

• CNF set up with external assessor accounts with access to ATLAS

• Induction sessions provided• ‘Sets’ in ATLAS allow CNFs

to see only their students• Training allowed CNFs to

understand the process to access and assess students

• MU technical support able to address issues promptly

Clinical Nurse Facilitator

• Education session designed to have students working in the eportfolio

• Live nature of the portfolio enables Academic oversight ensuring issues are addressed promptly during placement

Student

Stakeholders induction

Facilities / Sites induction

Clinical Nurse Facilitators (CNF)

Students

Detailed assessment in the student’s Clinical Portfolio workbook, with Assessor fields enabled.

Assessor

view

ATLAS

NCAS Competency Assessment (Custom Templates) in Pocket

Evaluation - CNF

• “it's great for facilitating students using the rural model - I could see the assessments etc once they were uploaded rather than having to continually remind students to email these documents through to me. This means no late surprises with incomplete assessments or those that have been marked below expected criteria”

Clinical Nurse Facilitator Rural

Evaluation – Site/Facility

• “Decreasing paper waste, less risk of students losing (portfolios) or being destroyed”• “Hard to type to a mobile phone, hard to sign from a

mobile phone, feels like using mobile phone at work”

Evaluation – Student

• Having it accessible anywhere. Not having to submit a tatty folder. Being able to correct errors in reflections.• I am assuming that it was mostly just because the system was

completely new, but it was incredibly frustrating at times. Stage 1 and 2 students

• I was overall really happy using Pebble pad this time most of the issues from previous practice resolved and it was user friendly

Stage 3 student

Lesson Learnt / scaling up• Induction, communication, and support were essential to the

implementation and ongoing success of clinical eportfolio use.• The benefit of electronic files with no accumulation of paper

portfolios to review and archive.• Students own their individual eportfolio learning space and are able

to record, reflect, self audit, seek feedback and self-develop their knowledge and understanding.• Students are able to collate, collect, organise and present their

achievements and experiences, as they engage with the course and unit learning objectives

Contact

• Assoc Prof Dr Caroline Nilson•Academic Chair•c.nilson@murdoch.edu.au

• Helen Dugmore•Clinical and Community Practice Lead•h.dugmore@murdoch.edu.au

• Marlène Daicopoulos•ePortfolio Learning Support Officer•marlene.daicopoulos@murdoch.edu.au