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Related Concept Videos

Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
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Critical attributes of NCIS include:
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Updated: May 29, 2025

A Cross-Disciplinary and Multi-Modal Experimental Design for Studying Near-Real-Time Authentic Examination Experiences
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Routines mediate educational solutions in clinical practice: A discussion paper on design-based research.

Jettie Vreugdenhil1, Louti Broeksma1, Jos Dobber2

  • 1Amsterdam UMC location Vrije Universiteit Amsterdam, Research in Education, the Netherlands.

Nurse Education in Practice
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Summary

Design-based research (DBR) in healthcare education can be improved by considering context and routine dynamics. Understanding how existing routines influence the adoption of new learning tools is key to achieving sustainable change in hospital practice.

Keywords:
Clinical educationDesign-based research methodImplementationNursing students

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Area of Science:

  • Educational research
  • Healthcare innovation
  • Organizational change

Background:

  • Design-based research (DBR) aims to bridge theory and practice.
  • A gap exists between DBR design, enactment, and sustainable change.
  • Contextual factors, particularly routines, are critical in this gap.

Purpose of the Study:

  • To explore the effectiveness of DBR in driving sustainable change in hospital practice.
  • To investigate how implementing new learning tools impacts clinical settings.
  • To answer: How can new learning tools in hospital practice lead to sustainable change?

Main Methods:

  • Qualitative, design-based educational research.
  • Case study analysis of DBR implementation.
  • Interpretation of results using a theoretical explanatory model.

Main Results:

  • Exploration of theories on practice, routines, and routine dynamics.
  • Context, especially prevailing and developing routines, is significant in all DBR phases.
  • Routine dynamics explain enactment variance and challenges in establishing new educational routines in nursing.

Conclusions:

  • Routine dynamics must be integrated into DBR protocols.
  • This integration is necessary for successful design and implementation of educational tools in clinical practice.
  • Ensuring sustainable change requires understanding and addressing contextual routines.