Using clinical databases in tertiary nurse education: an innovative application of computer technology

This paper provides an initial report of an educational innovation in nursing that promotes exchange of information and close cooperation between hospitals and a university. Data from a computerized nursing care planning system are used as the basis for the design of the acute care clinical component of the nursing curriculum. The project has been developed with the aim of minimizing the theory-practice gap and making the transition from university to hospital an easier process for students and new graduates. From the very early stages of the project, it was recognized that the introduction of new computer-based innovations or educational technology, in itself, would not necessarily improve teaching and learning. Therefore, strong emphasis was placed on how the database would be used as the basis for sound curriculum development while maintaining the clinical and practical focus required by students. Difficulties associated with the project, ranging from lengthy legal negotiations to the challenge of integrating a curriculum strongly based on critical reflection and problem-solving with a highly prescriptive hospital database are reported. The project not only provides an example of the efficient exchange and use of hospital-based data for teaching purposes but also provides the groundwork for many potential and exciting developments in national and international nursing data exchange.