Using gamification technology to enhance interprofessional collaboration, negotiation, conflict resolution and leadership.
Alison Power (Registered Midwife) SFHEA, MProfPrac, MSc, PGCTHE, PGCPE, Associate Professor (Learning and Teaching), Faculty Lead for Interprofessional Education, Academic Integrity Officer was successful in a bid for the University of Northampton ‘Learning Enhancement and Innovation fund 2021-2022’.
Alison Power was supported by Anne Misselbrook E-Learning/Multimedia Resources Developer to develop the Xerte resource.
Development timeframe was June to September 2021. The learning and teaching resource for up to 300 final year students to engage with in interprofessional groups, was required for a synchronous online session on 6 October 2021.
Anne identified needs, completed a Checklist and provided Alison with examples of Xerte learning resources. Alison was introduced to the Xerte interactive page types and learnt in the 1-2-1 training provided by Anne, that the ability for learners to collaborate with OneDrive documents in Xerte, use a drag and drop activity, link to resources and watch videos were possible.
The Xerte function called ‘Shared Settings’ enabled Alison and Anne to co-edit the Xerte in the Editor.
Alison invited colleagues Robin Sturman-Coombs and Devon Rossetti to contribute and join virtual meetings.
In August 2021 Anne and her colleague Richard Byles, a Learning Technologist, provided Alison and her colleagues with training in basic video production. They attended the ‘Record and edit video using tools available’ virtual workshop session on 25 August 2021. Alison could then understand the fundamentals of filmmaking and the importance of having scripts for the actors and get signed Performance Release forms by all those featuring in the film.
On 30 September the Xerte was uploaded to NILE ready for the live synchronous session with students on 6 October 2021.
Students feedback on the technology:
“Each page explained each task clearly”.
“The Xerte was very well laid out and simple to navigate”.
“Everything followed nicely and logically from one another”.
“I really enjoyed the videos, so to see the characters acting as opposed to just reading about the different types of characters made it much more relatable and understandable to me”.
Conferences in 2022
Look out for Alison who will present at Conferences later in the year. Confirmed dates so far are:
Using a games based approach to motivate students to engage with synchronous online interprofessional education (IPE): A case study.
TUFH Conference (Vancouver)
17/18 or 19 August 2022
Analysing perceptions of online games based learning: Case study of the University of Northampton.
International research conference, ICQHE London
28/29 July 2022
Link to Alison’s blog https://mypad.northampton.ac.uk/gaming/2021/10/21/intro-to-gaming/
Read the full blog text provided below.
Dr. Peter Stuart RGN, MSC, PGCTHE, FHEA Senior Lecturer in the Faculty of Health, Education and Society was pleased to have been notified in October 2019 of his success in his bid submitted to the ILT Learning Enhancement and Innovation Bids 2019-20.
The intended project outcome is to use a Professional Artistry (PA) approach to learning for end-of-life nursing care. Peter states: “The intention is to build two online resources: Advanced Care Plans and Do Not Attempt Cardiac Pulmonary Resuscitation.
The additional learning using an online platform regarding Advance Care Plans and decisions, will supplement and support the students practice knowledge, developing a deeper, more intuitive and principled based Professional Artistry (PA) understanding of patient decision making in end-of-life. Do Not Attempt Cardiac Pulmonary Resuscitation (DNACPR) can cause confusion with understanding among students in end-of-life care, and a similar approach using PA and ABL could address this”.
In September 2019 Peter met with Anne Misselbrook E-Learning/Multimedia Resources Developer at the University, who’s role in the project was that of ‘Technical Advisor’ to provide technical support to Peter who was developing the two Xertes e-learning packages. Xerte Toolkits is the browser-based suite of online tools chosen for the project because of the range of interactive page types and easy access for Peter to use. Xerte as a reusable learning object can be replicated across a number of different platforms to facilitate learner access. The ability to include a pre-learning and post learning quiz was also an important feature of Xerte Toolkits ability.
In November 2019 Peter started work on his first Xerte. Using the Shared settings function in Xerte Toolkits proved invaluable, and from 26 November 2019 onwards Anne could review and co-work on the Xerte projects which had been shared with her. From that point onwards Peter and Anne liaised either face to face, virtually or by email until the Xerte packages were completed and released to students in 2020.
The requirement of Xerte to perform in the intended way meant that some customisation was required. Different page types were experimented with, and as Peter became familiar with Xerte page types and gained experience in using the software, he could understand Anne’s suggestions for improvements, changes and enhancements to pages within the Xerte resources. Changes were made, and initial ideas were challenged by the availability of page types, features and by the learning design.
In December 2019, Peter expressed concern that the Xerte packages were not active enough and that he needed to re-think as he felt stuck and ground to a halt with the Xerte for DNACPR. It was also noted in Peter’s blog that it was found that the time taken to produce the Xerte packages was underestimated and this was now a factor of concern for Peter.
There were interactive, design, time and emotional challenges to overcome. The project was a learning curve for both Anne and Peter. But the clear message to come from this project is to not give up and have determination to complete. The quizzes are part of the evaluation research and therefore needed to provide data that can be captured. With good design principles and the use of the Results page, the evaluation research was achieved.
Unexpected results from the build were interesting and Anne could identify where the build was causing problems. A lot of User Acceptance Testing(UAT) took place and Anne benefited from the support from the external Xerte developer.
It became apparent that only by simulating how the end-user (students) may play the Xerte packages, can replication of problems encountered by students be experienced by the tester in UAT. Subsequently, adjustments can be made to make the Xerte more intuitive for the end-user if this is possible. It is important to provide clear instructions to students, even if it seems obvious how to use the resource, never assume.
Consider the student’s demographics and their available time to study. Do they have control of their study time? Are they interrupted? Will the students be able to complete the Xerte in one go? Can this e-learning be completed in one session or is the e-learning quite lengthy resulting in some students exiting part-way through? Could the resource be chunked in to two shorter resources?
Xerte Toolkits benefits from being agile because of the active collaborative development team. This means that requests for new functions and features will be considered and solutions evolve for implementation which can be provided in future releases.
Student feedback from Peter’s Evaluation Report dated 1 March 2021.
The feedback from students proves that the learning material and its design does positively support student learning.
Some quotes from students include:
- 95% of students responding to the survey reported the different activities helped them to understand.
The different activities helped me to understand
- Strongly agree = 27
- Agree = 34
- Disagree = 2
- Strongly disagree = 1
Excerpt from report: The pre-learning and post learning quizzes were a popular learning resources among the students.
A quote from a student: “Yes my results the second time around were much better than the first attempt which shows that this activity was extremely helpful and aided my learning”.
Make sure that you undertake a needs analysis at the beginning of the project to gain an understanding of the students. Put yourself in the position of the student. As the academic subject matter expert and creator of the Xerte, allow time for testing the Xerte packages, and if possible, log in and test as a dummy student. Anticipate how the students may play the Xerte, and be aware that not all students will have the time to view all the content in one sitting. Useful constructive criticism comment from students state that for some of them, the Xerte took too long to complete. Advice to creators of Xerte packages, is to aim for a 20-minute duration for engagement.
Students beginning their education at the University of Northampton in September 2020 needed an additional onboarding resource showing them how to use the Virtual Learning Environment (VLE) system interface called NILE (Northampton Integrated Learning Environment). This resource needed to be available to students 24/7 via NILE when learning remotely from home or on the site campus.
Rob Howe (Head of Learning Technology) stated: “Students did not currently have a structured introduction to NILE unless provided by the tutor. This risks key components and links being missed”.
Anne Misselbrook (eLearning / Multimedia resources developer) and Rob Howe proposed key elements students needed for this resource and sense checked it with other members of the Learning Technology Team. Focusing on the immediate need for a new student, it was important to make the resource short, relevant and easy to use – these included:
- An information video about NILE
- Details of the NILE interface
- Information on the course interface including submitting work, announcements and contacting tutors
- Calendar information
- Details of Activity Stream
- Information on mobile accessibility
To make the resource more interesting and engaging Anne suggested the following:
- inclusion of statistics for student interest
- an animation video
- frequent knowledge checks throughout
- a test at the end of the resource
- transcripts to ensure accessibility
- some form of certificate approved by the university branding team which provided a ‘Confirmation of Participation’.
Anne led the design and development of the resource. After she had completed storyboarding and subsequently developing several prototypes using different tools, e.g. Storyline, Xerte, PowToon and Kaltura MediaSpace on a Blackboard LEARN (Original) site, and on a Blackboard ULTRA site, it was decided that the provision would sit on a Blackboard ULTRA site using the Learning Module for linear step by step delivery.
Anne re-used a video created by Al Holloway (Learning Technologist) which shows the NILE interface, as part of the resource development.
The output was purposely minimal, interactive and simple to use with a linear flow provided using the Learning Module tool.
When changes and user acceptance testing by students in the student union had been completed the resource was released to all students in September 2020. All students at The University of Northampton (over 10,000) are now automatically enrolled and tutors can direct them to the resource.
Pic 1 1 Animation video created using PowToon
Survey feedback from students
On 23 February 2021 eighty-two students had completed the survey feedback.
Q1) How easy was this course?
52 students have responded with ‘Very easy’
39 students have responded with ‘Easy’
1 student has responded with ‘Not easy’
Pic 1 2 Survey pie chart
Q2) How can this resource be improved? (sample responses)
“Doesn’t need improving very easy to follow.”
“It is good as it is.”
“Very straight forward, no additional comments.”
“Can’t think of an improvement. It was a smooth process.”
“It’s a great platform to get familiar with NILE. I don’t think anything needs to be improve in this. I found it very handy. Thank you.”
“Very intuitive, nothing to add.”
“I found this a fun way to learn how to use NILE. I do not think there is any need of improvements.”
“It is a fun and brief activity/resource.”
“Easy and flexible.”
Anne has noted a few tips and reflections on the feedback:
• Don’t expect to produce the final version straight away.
• Be prepared to make changes to the resource and be flexible.
• A journey will take place from the initial idea to completed resource.
• The feedback from the students will tell you if the resource works or not. Ensure you develop online resources for your students to meet their needs. Why? Because the students are the customers.
The next steps are to update the resource for 2021 intakes and include more guidance on Blackboard Ultra.
Please could all staff using Xerte check their accounts to ensure they have all Xertes which are needed regardless of whether they are currently being used or not.
In addition, please can all staff check their NILE sites for resources which contain Xerte URL links. Please check if the URL link is:
a. from your own Xerte account, or
b. whether it is a Xerte URL link of a Xerte not created by you but created by someone else, or
c. is a link used in an active NILE site which has been re-used and/or inherited by you from a member of staff who has left the university.
Why do this?
We are at the beginning of a process to review archiving of unused Xerte accounts and need to ensure that access is not lost to resources which are still required.
NOTE: It is important that you check if you use Xerte Learning Objects created by colleagues who have left the university, or if in your NILE site you have a URL link to a Xerte which was not created by you, or you have inherited sites which contain Xerte content not created by you.
Passing Xerte projects to another member of staff
If you need to pass ownership of the Xerte to another member of staff then you can use a Xerte function called ‘Give this project’. If there is no-one in post to give your Xerte project to, you can export the Xerte projects as SCORM zip files and store them a shared area where your team can have access. These Xerte SCORM zip files can be imported in to Xerte if they require editing and then uploaded as SCORM zip files in to NILE. If no editing is required, the exported Xerte can be uploaded to your site in NILE, if the content is unchanged.
It is recommended that you share your Xerte projects with at least one colleague as Co-Author role.
For more help then log in to the Xerte Community site on NILE and read the relevant guidance. Visit the left menu called Training to book on to a Xerte training session.
To help support staff in the creation of videos, E-learning/Multimedia Developer Anne Misselbrook and Learning Technologist Richard Byles have launched a new training session which covers the tools available for recording and editing videos.
The virtual webinar session, which lasts 1 and a half hours, covers demonstrations of the ‘Camera App’ and ‘Video Editing App’ tools, and provides information on good practice for creating videos. Staff have opportunities to experiment with these tools and to share their screens with the group.
Anne saw an opportunity for staff to film and edit using tools available, and teamed up with Richard where they developed the course to help staff understand the processes of making films with the tools that are available to hand.
The challenge in developing a session like this before the move to Waterside, was that staff had so many different devices and platforms, but as most staff now have PC laptops with Windows 10 installed they felt the time was right to share their skills.
Feedback has been positive …
“This morning’s session was excellent, easy to follow. Inspired to use the video function, and how to use it effectively. Just need to practice. Thank you. Best Wishes. Krishna Gohil”.
“Thanks. You’re totally right about needing to really think through how to storyboard it in advance, I think that’s much the hardest part. I enjoyed it and I’m looking forward to doing it for a training session. Deborah Forbes”.
“Hello both, I just wanted to say another massive ‘thank you’ for yesterday. Your delivery made what has been a bit of a headache for me so much clearer and very straightforward. Please thank Daisy for her part too! All best, Michelle Pyer”.
“Thanks Anne, really appreciated this session that was conducted by you and Richard. The collaboration and co-teaching were seamless and the content crystal clear. It was great to have an opportunity to attempt an edit during the workshop. This was fun, entertaining and educational – Daisy now has a new fan based on her starring role. Best, Marcella Daye”.
“Thanks for the session I hope it is going to be helpful for the next academic year. Cheers. Noel Harris”.
“Thank you for the video training yesterday – it was a good introduction to the Win10 apps. Thank you, Chris Withers Green”.
Richard said “I think the session works really well. Anne and I can see that the technology has improved so much that it’s now possible for anyone with a mobile device and laptop do go out and make a film. We can share our knowledge of both the practicalities of film-making and the importance of planning, copyright, permissions and accessibility”.
What some people don’t realise is that a lot of work needs to happen before you even turn on the camera. In the session we reveal the process – once you know how it’s done, it all becomes clear.
The sessions began on 29 April and will run until 1 July. More may be planned in the future.
To book a place visit the link here: https://www.eventbrite.co.uk/e/recording-and-editing-video-using-tools-available-tickets-102179561820
As Faculty Lead for Interprofessional Education in the Faculty of Health, Education and Society, I needed to create a resource that students could engage with on day two of their programmes – meaning it had to be user-friendly and accessible to students with a range of IT skills. Having previously tried NILE, I found that this was far too early to introduce it as a synchronous learning tool as students were unfamiliar with the VLE and its tools for working collaboratively. When discussing my dilemma with Rob Howe, he suggested I try Bootstrap xerte and set up a meeting with Anne Misselbrook as the University’s ‘guru’!
After a short walk-through I had a go at creating my xerte and found the process to be very straightforward (after a minor issue with formatting that Anne was quick to support me with). The end product looks professional and user-friendly – I’m delighted with it and look forward to hearing future students’ feedback on its accessibility. I aim to use Bootstrap xerte in the near future for creating a resource for anatomy and physiology and in the current climate can see it as an excellent platform for developing online resources that look professional and are easy to navigate for the student.
MHFA Adult Instructor.
Senior Lecturer in Mental Health Nursing.
Lecturer in Practice Development
Faculty of Health and Society
The journey and the reflections
I was privileged to be invited to co-present with Liz Sear, Senior Lecturer, Foundation Degree in Health and Social Care, at the service user and carers forum on January 10th 2017 by Sara Simons, Senior Lecturer/Disability Co-ordinator Faculty of Health and Society.
Liz and I had previously developed an e-learning package following the story of ‘Fred’, a fictitious character. ‘Fred’ is a homeless man whose journey to hopeful recovery exposed service provider and healthcare involvement. This online case study supported students’ understanding of inter-professional and multi-agency working.
Satisfying the need to present complex information in a clear and understandable way to Health and Social Care students, we demonstrated how effective this online learning had been.
There is nothing better than a ‘real-life’ story for students to learn from, and with this in mind, we invited service users to get involved by sharing their story with us and give us their permission for their story to be told in online e-learning packages for students to access for their studies here at the University.
A service user put herself forward as a willing contributor and subsequent plans were put in place to audio record the service user telling her story. Liz and Anne worked together on storyboarding and building the two e-learning packages using Xerte software.
Chronic Obstructive Pulmonary Disease (COPD) is the name for a group of lung conditions that cause breathing difficulties including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have trouble breathing in and out, due to long-term damage to the lungs, usually because of smoking. COPD (bronchitis and emphysema), affects an estimated 3 million people in the U.K. (NHS, 2015).
We were interested to learn about the physical and psychological implications upon an individual’s day to day life and levels of activity in living with a long term condition. As co-production is key to developing quality the Health and Social Care (Care Act, 2014), as supported by NUSU 4Pi National Standards, Nothing about Us without Us (2015), involving the service user in all aspects of the production was fundamental to the project.
Jenny was happy to be involved, and following a thorough briefing of what this would entail, Jenny used prepared guidelines of questions to structure her answer. Full written consent was provided by Jenny to record and use her story for student learning purposes. Using a structured interview format, audio recording took place and key props used by Jenny were photographed to support her narrative.
Once the recording was adapted into the story board format Sara acted as a critical friend to the layout, format and directed learning tasks. Once recommendations were adopted, Jenny was asked for her views and opinions and further editing took place. User testing was undertaken by a number of students who piloted the packages.
In terms of my experience of working on this project I feel that it has left me with an enormous sense of admiration for the service user Jenny in terms of the challenges that she has had to face and overcome in her life, I think that she is very courageous person. It has also been a timely reminder that alongside the theory about the health and social care topics that we teach our students there is always a person whose story is unique and which reminds us that people do not experience ill health in the same way. As practitioners we need reminding of this so that we can strive to see things through the eyes of another person while not making assumptions about who people are, what they need from us and the reasons why they may behave in the way that they do. I feel that to do this successfully we must be prepared to be humble, as practitioners we can never ‘know it all’ and service users will often present us with insights about their experiences that can challenge our beliefs and prompt us to reflect upon our practice on a much deeper level.
Upon reflection, this has been an effective learning opportunity for all the contributors and we look forward to developing further packages this year.
Special thanks go to Jenny, who commented upon the fact, that this had been a really positive and rewarding experience.
Anne Misselbrook, Liz Sear and Sara Simons
“I found this package very engaging and informative”.
“Found the package very interesting and emotional to find out how much Jenny had been through in her life”.
Melanie Cole, Lecturer in Practice (midwifery) and Alison Power, Senior Lecturer (Midwifery) wrote an article for the British Journal of Midwifery (BJM).
The article entitled ‘Active Blended Learning for clinical skills acquisition: innovation to meet professional expectations’, explains how ABL can satisfy the standards for pre-registration midwifery education.
The article is published in the BJM in October 2017, Vol 25, No 10. Please read this interesting article found by clicking on the link below, and find out how innovative approaches to teaching and learning strategies within the curriculum can foster decision-making skills.
Melanie Cole achieves tremendous praise from her students who undertook their study using the Xerte e-learning package.
Newborn airway skills teaching and learning
Second year student midwives are required to demonstrate knowledge and manual dexterity skills in key elements of newborn resuscitation while undertaking the undergraduate module ‘The Compromised Newborn’. All those responsible for the care of the newborn infant should be able to provide basic assistance including essential airway management to a baby that does not make a normal transition to extra- uterine life.
The ‘4 stage approach’ is a recognised tool to facilitate acquisition of skills in resuscitation of the newborn infant and is advocated by the UK Resuscitation Council (2015).
Stage 1 – a silent demonstration of the skill by the tutor, allows the learner to observe the skill to real time.
Stage 2 – a demonstration with the addition of tutor dialogue, allows deconstruction of the skill and provides rationale for techniques and the structured approach.
Stage 3 – another tutor led demonstration which encourages the learner to verbally predict the next step and provide commentary for the tutor.
Stage 4 allows the learner to perform the skill independently with tutor and peer support.
Planning an online teaching and learning package
With our future learning environment at Waterside and a shift towards blended learning in mind, I explored the prospect of combining video assisted technology with face to face teaching and learning. My aim was to provide Stage 1, 2 and 3 online and bring the students to the university to consolidate learning and practice new skills during scheduled tutor facilitated contact sessions in small groups. While Kaltura enables the students to engage with stages 1 and 2 in viewing pre-recorded demonstrations of the skill, the challenge was related to Stage 3 and in providing an opportunity for students to be able to engage and contribute online. I contacted Anne Misselbrook from the Learning Technology Team and during a meeting we discussed my requirements and vision for the online resource. Anne quickly identified the Xerte learning package as an e-learning tool that would support my needs and enable Stage 1, 2 and 3 to be delivered online.
Creating an online package
Andy Stenhouse helped me to create the video of the skill being performed in real time (Stage 1) and the video of the skill being performed with tutor dialogue (Stage 2). The video of the skill in real time was then spilt into 10 smaller clips to enable Stage 3 to be created. The students would then be able to view a small clip and choose an answer from a multiple choice question to predict what should happen next. A correct answer takes the student to the next clip while an incorrect answer takes them back to the beginning of Stage 3. The student has to answer each question correctly to get to the end of the sequence and they can have as many attempts as they wish, accommodating individual needs and learning styles.
Six months after I contacted the learntech team the final xerte was embedded into NILE within a series of timetabled learning units and was accessed by the pre-registration midwifery students in October 2016.
These are some quotes from the students who engaged in an online survey following uptake of the xerte learning tool:
“I found this learning tool extremely helpful and it had the perfect mix of written information and pictures/videos. I feel this will really help me in my practical assessment, if you got a question wrong you had to go back to the beginning which I thought was a really good idea as it enabled you to revisit information that you may not have completely took in and allowed you to keep going over it until this information has stuck”.
“I think the xerte learning tool is of great benefit as it enabled me to go through the learning stages at my own pace and I am able to revisit the information as often as I want in preparation for my assessment. I especially found the videos useful and with these found the content easier to understand”.
“I thought it was extremely useful. The videos were excellent. A good variety of media used too which encouraged learning. I found it very helpful”.
“Overall this tool was brilliant to aid our learning and being able to go back to the videos and quizzes will be very helpful before the assessment”.
“I thought the learning tool was excellent and a great help to my understanding of the topic. So much better than reading a book about it”.
“I believe this to be an excellent method of learning, as you can view the correct way to manage the airway and view it as many times as you wish”.
“A really good learning tool. Easy to follow and in order, making it easy to revise and understand”.
“The videos were really good, easy to understand and clear”.
“I felt the videos very useful especially as I believe I am a visual learner”.
Suggestions for modification
“Instead of going back to the beginning when getting an answer wrong, perhaps just show it is the wrong answer and give another opportunity to select correct answer”.
“Having to go right back to the beginning if you had got a question wrong was slightly frustrating although it did make me remember information so there were definite pros and cons to that process”.
Anne provided customised training and valuable support throughout the design and implementation phases. Time for early engagement and collaboration between myself and the Learning Technology Team proved to be vital in the planning, configuring and embedding of Xerte into the module. Inputting theory (text and images) is relatively straightforward on Xerte, creating the activity in Stage 3 and embedding the videos was more complex.
I imagine this approach might be suitable for other practical skills based teaching and learning within the university and I would encourage academic colleagues to give it a try with the support of the Learning Technology Team.
- Blackboard Upgrade – May 2022
- GAMING: Gamification for the Advancement of Multiprofessional/Interprofessional Groupwork
- Blackboard Upgrade – April 2022
- Reconceptualising critical digital literacies in the context of compulsory education Led by: Dr Anastasia Gouseti
- Blackboard Upgrade – March 2022
- Teaching and supporting a digital future: UoN Showcase – 4th February 2022
- Introducing the Centre for Active Digital Education (ADE)
- Changemaker Support (highlighting how the team supports staff and students’ digital employability)
- “It’s just a bit of fun! Really…?” Observations on online games in supporting student learning and student experience
- Building and promoting a Virtual Reality experience for the Campus Security/Police as part of Safer Nights Out Campaign.
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