Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan

In developing countries such as Pakistan, bioethics has not been included in mainstream thinking in medical education. The authors’ experiences suggest that current methods of teaching bioethics are problematic as students are unable to translate theory to practice. Alternative pedagogies, such as j...

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Main Authors: Azra Naseem, Kulsoom Ghias, Sohail Bawani, Mohammad Ali Shahab, Sameer Nizamuddin, Waqar Kashif, Kausar S Khan, Tashfeen Ahmad, Murad Khan
Format: Article
Language:English
Published: University of Johannesburg 2019-04-01
Series:SOTL in the South
Online Access:https://sotl-south-journal.net/?journal=sotls&page=article&op=view&path%5B%5D=70
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author Azra Naseem
Kulsoom Ghias
Sohail Bawani
Mohammad Ali Shahab
Sameer Nizamuddin
Waqar Kashif
Kausar S Khan
Tashfeen Ahmad
Murad Khan
author_facet Azra Naseem
Kulsoom Ghias
Sohail Bawani
Mohammad Ali Shahab
Sameer Nizamuddin
Waqar Kashif
Kausar S Khan
Tashfeen Ahmad
Murad Khan
author_sort Azra Naseem
collection DOAJ
description In developing countries such as Pakistan, bioethics has not been included in mainstream thinking in medical education. The authors’ experiences suggest that current methods of teaching bioethics are problematic as students are unable to translate theory to practice. Alternative pedagogies, such as just-in-time learning (JiTL) using mobile devices, may be able to foster the development and implementation of ethical reasoning among nurses, doctors, and medical and nursing students. This research was conceived to determine the effectiveness of mobile JiTL – anytime, anyplace learning through mobile devices – for teaching bioethics. After obtaining ethical clearance, a participatory design (PD) approach was adopted to ensure input from all stakeholders for the design of ‘EthAKUL’, comprising a mobile app, five modules and just-in-time pedagogy. The name of the app is an acronym evoking ethics, learning and the university where the project originated. As a part of the design process, three PD workshops were held with junior doctors, nurses, nursing students, medical students and bioethics teaching faculty, and five meetings were held with faculty members, to discuss functional specifications and user-acceptance testing of the app. The feedback related to the nature of common ethical issues encountered in clinical settings, the existing process of teaching and learning bioethics, and the requested features of the app were recorded. These data sets were analyzed and synthesized into functional and technical specifications for the mobile app. The software programmers developed the app with the close involvement of the stakeholders. The development of teaching content continued alongside this process. While this enabled EthAKUL’s developers to incorporate needs of all stakeholders, challenges were encountered in the process relating to the pragmatic and conceptual aspects of JiTL, ML and PD. We discuss the implications of this research in bringing about transformative changes in higher education. How to cite this article: NASEEM, Azra; GHIAS, Kulsoom; BAWANI, Sohail; SHAHAB, Mohammad Ali; NIZAMUDDIN, Sameer; KASHIF, Waqar; KHAN, Kausar S; AHMAD, Tashfeen; KHAN, Murad. Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan. Scholarship of Teaching and Learning in the South. v. 3, n. 1, p. 36-56, Apr. 2019. Available at: https://sotl-south-journal.net/?journal=sotls&page=article&op=view&path%5B%5D=70&path%5B%5D=40 This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
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spelling doaj.art-00f1946c5766483aa4b9fead052e0a002022-12-21T22:52:26ZengUniversity of JohannesburgSOTL in the South2523-11542019-04-0131365610.36615/sotls.v3i1.7070Designing EthAKUL: a mobile just-in-time learning environment for bioethics in PakistanAzra Naseem0Kulsoom Ghias1Sohail Bawani2Mohammad Ali Shahab3Sameer Nizamuddin4Waqar Kashif5Kausar S Khan6Tashfeen Ahmad7Murad Khan8Institute for Educational Development and Network of Blended and Digital Learning, Aga Khan UniversityDepartment of Biological and Biomedical Sciences, Aga Khan UniversityCommunity Health Sciences, Aga Khan UniversityWeiss Memorial Hospital, Chicago, USAMedical College Dean’s Office, Aga Khan UniversityDepartment of Medicine, Jinnah Medical and Dental CollegeCommunity Health Sciences, Aga Khan UniversityDepartment of Surgery, Aga Khan UniversityDepartment of Psychiatry, Aga Khan UniversityIn developing countries such as Pakistan, bioethics has not been included in mainstream thinking in medical education. The authors’ experiences suggest that current methods of teaching bioethics are problematic as students are unable to translate theory to practice. Alternative pedagogies, such as just-in-time learning (JiTL) using mobile devices, may be able to foster the development and implementation of ethical reasoning among nurses, doctors, and medical and nursing students. This research was conceived to determine the effectiveness of mobile JiTL – anytime, anyplace learning through mobile devices – for teaching bioethics. After obtaining ethical clearance, a participatory design (PD) approach was adopted to ensure input from all stakeholders for the design of ‘EthAKUL’, comprising a mobile app, five modules and just-in-time pedagogy. The name of the app is an acronym evoking ethics, learning and the university where the project originated. As a part of the design process, three PD workshops were held with junior doctors, nurses, nursing students, medical students and bioethics teaching faculty, and five meetings were held with faculty members, to discuss functional specifications and user-acceptance testing of the app. The feedback related to the nature of common ethical issues encountered in clinical settings, the existing process of teaching and learning bioethics, and the requested features of the app were recorded. These data sets were analyzed and synthesized into functional and technical specifications for the mobile app. The software programmers developed the app with the close involvement of the stakeholders. The development of teaching content continued alongside this process. While this enabled EthAKUL’s developers to incorporate needs of all stakeholders, challenges were encountered in the process relating to the pragmatic and conceptual aspects of JiTL, ML and PD. We discuss the implications of this research in bringing about transformative changes in higher education. How to cite this article: NASEEM, Azra; GHIAS, Kulsoom; BAWANI, Sohail; SHAHAB, Mohammad Ali; NIZAMUDDIN, Sameer; KASHIF, Waqar; KHAN, Kausar S; AHMAD, Tashfeen; KHAN, Murad. Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan. Scholarship of Teaching and Learning in the South. v. 3, n. 1, p. 36-56, Apr. 2019. Available at: https://sotl-south-journal.net/?journal=sotls&page=article&op=view&path%5B%5D=70&path%5B%5D=40 This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/https://sotl-south-journal.net/?journal=sotls&page=article&op=view&path%5B%5D=70
spellingShingle Azra Naseem
Kulsoom Ghias
Sohail Bawani
Mohammad Ali Shahab
Sameer Nizamuddin
Waqar Kashif
Kausar S Khan
Tashfeen Ahmad
Murad Khan
Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan
SOTL in the South
title Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan
title_full Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan
title_fullStr Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan
title_full_unstemmed Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan
title_short Designing EthAKUL: a mobile just-in-time learning environment for bioethics in Pakistan
title_sort designing ethakul a mobile just in time learning environment for bioethics in pakistan
url https://sotl-south-journal.net/?journal=sotls&page=article&op=view&path%5B%5D=70
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