Effects of an Interactive E-book to Enhance Nursing Skill
Study Details
Study Description
Brief Summary
It is necessary for nursing students to have sufficient knowledge and correct nursing skill before clinical practicum to provide patients appropriate care and improve nursing quality. The learning materials of nursing skills are mainly paper textbooks and handouts, which are one-way knowledge transmissions having limitations and deficiencies in nursing skill learning. Interactive e-books integrate multimedia such as text, images, and videos, which are more suitable for learning nursing skill and maximize the effectiveness of the learning materials. The present study aimed to develop a nasogastric tube feeding interactive e-book based on Information Processing Theory (IPT) and Attention, Relevance, Confidence, and Satisfaction Motivational Model (ARCS), hoping to improve students' learning motivation and learning effectiveness. This is a randomized controlled trial study. Convenience sampling will be applied. The participants will be recruited and randomly assigned into the experimental group and comparison group. The experimental group will read an interactive e-book to learn nasogastric tube feeding, while the comparison group will read a paper textbook.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Detailed Description
It is necessary for nursing students to have sufficient knowledge and correct nursing skill before clinical practicum to provide patients appropriate care and improve nursing quality. The learning materials of nursing skills are mainly paper textbooks and handouts, which are one-way knowledge transmissions having limitations and deficiencies in nursing skill learning. Interactive e-books integrate multimedia such as text, images, and videos, which are more suitable for learning nursing skill and maximize the effectiveness of the learning materials. In addition, the learning content can be updated at any time, in order that students can learn the latest skills and connect with clinical. The present study aimed to develop a nasogastric tube feeding interactive e-book based on Information Processing Theory (IPT) and Attention, Relevance, Confidence, and Satisfaction Motivational Model (ARCS), hoping to improve students' learning motivation and learning effectiveness. Therefore, the purpose of this study is to examine the effectiveness of using interactive e-book to enhance nursing students' knowledge and learning self-efficacy of nursing skill.
This is a randomized controlled trial study. Convenience sampling will be applied at a university in Northern Taiwan. It is expected that 60-100 participants will be recruited and randomly assigned into the experimental group and comparison group. The experimental group will read an interactive e-book to learn nasogastric tube feeding, while the comparison group will read a paper textbook. The questionnaires will be collected before the intervention, after the intervention, and after one month of the intervention. The questionnaires include demographic information, nasogastric tube feeding knowledge questionnaire, nasogastric tube feeding confidence scale, learning self-efficacy scale, nasogastric tube feeding skill test, and learning satisfaction questionnaire. This study will use SPSS 19.0 software for data analysis, including percentage, mean, standard deviation, t-test, chi-square test, and generalized estimation equation (GEE).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: interactive e-book The experimental group will read an interactive e-book for 90 minutes to learn nasogastric tube feeding. |
Other: Interactive e-book
The nasogastric tube feeding interactive e-book has a lot of elements such as text content, videos, pictures, links, and other interactive content with which the students can interact. The participants can use the interactive e-book to learn nasogastric tube feeding.
|
| Active Comparator: comparison group The comparison group will read a paper textbook for 90 minutes to learn nasogastric tube feeding. |
Other: paper textbook
The paper textbook has text content and pictures. The participants can use the paper textbook to learn nasogastric tube feeding.
|
Outcome Measures
Primary Outcome Measures
- Nasogastric Tube Feeding Quiz [Baseline, before the intervention(T0)]
The Nasogastric Tube Feeding Quiz is a 15-item true/false questions with three responses (true, false, and not sure). Participants score 1 point for a correct answer and 0 for an incorrect answer or "not sure." The total score ranged 0-15 points. A higher score indicating a better knowledge of NG tube feeding.
- Nasogastric Tube Feeding Quiz [Immediately following after the intervention(T1)]
The Nasogastric Tube Feeding Quiz is a 15-item true/false questions with three responses (true, false, and not sure). Participants score 1 point for a correct answer and 0 for an incorrect answer or "not sure." The total score ranged 0-15 points. A higher score indicating a better knowledge of NG tube feeding.
- Nasogastric Tube Feeding Quiz [one month after the intervention(T2)]
The Nasogastric Tube Feeding Quiz is a 15-item true/false questions with three responses (true, false, and not sure). Participants score 1 point for a correct answer and 0 for an incorrect answer or "not sure." The total score ranged 0-15 points. A higher score indicating a better knowledge of NG tube feeding.
- Confidence scale (C-scale) [Baseline, before the intervention(T0)]
A 5-item scale designed to measure participant's confidence level in performing a nursing skill. Each item had five responses and the total score ranged 5-25 points. A higher score indicating that nursing students felt more confident in performing the nursing skill.
- Confidence scale (C-scale) [Immediately following after the intervention(T1)]
A 5-item scale designed to measure participant's confidence level in performing a nursing skill. Each item had five responses and the total score ranged 5-25 points. A higher score indicating that nursing students felt more confident in performing the nursing skill.
- Confidence scale (C-scale) [one month after the intervention(T2)]
A 5-item scale designed to measure participant's confidence level in performing a nursing skill. Each item had five responses and the total score ranged 5-25 points. A higher score indicating that nursing students felt more confident in performing the nursing skill.
- Learning Self-Efficacy Scale (L-SES) [Baseline, before the intervention(T0)]
A 12-item scale designed to measure student's learning self-efficacy for nasogastric tube feeding. Participants rate each item on a scale from 1 to 5. The total score ranged 12-60 points. A higher score indicating the nursing students have more confidence in their capability to learn nasogastric tube feeding.
- Learning Self-Efficacy Scale (L-SES) [Immediately following after the intervention(T1)]
A 12-item scale designed to measure student's learning self-efficacy for nasogastric tube feeding. Participants rate each item on a scale from 1 to 5. The total score ranged 12-60 points. A higher score indicating the nursing students have more confidence in their capability to learn nasogastric tube feeding.
- Learning Self-Efficacy Scale (L-SES) [one month after the intervention(T2)]
A 12-item scale designed to measure student's learning self-efficacy for nasogastric tube feeding. Participants rate each item on a scale from 1 to 5. The total score ranged 12-60 points. A higher score indicating the nursing students have more confidence in their capability to learn nasogastric tube feeding.
- Nasogastric tube feeding skill test [three months after the intervention]
The Nasogastric tube feeding skill test is designed to test nasogastric tube feeding skill performance and competence. It requires participants to perform NG tube feeding in front of an examiner. The participants will be asked to demonstrate NG tube feeding in 10 minutes. The total score ranged 0-100 points. A higher score indicating the nursing students have a better ability of NG tube feeding.
Secondary Outcome Measures
- Satisfaction questionnaire [Immediately following after the intervention(T1)]
A 10-item scale designed to measure participant's level of satisfaction in learning materials. Participants rate each item on a scale from 1 (very dissatisfied) to 5 (very satisfied). The total score ranged 10-50. A higher score indicating high level of satisfaction in the learning materials.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
students who major in nursing
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students have not yet learned nasogastric tube feeding skill.
Exclusion Criteria:
- None
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Taipei Medical University | Taipei | Taiwan |
Sponsors and Collaborators
- Taipei Medical University
Investigators
- Principal Investigator: Yeu-Hui Chuang, Taipei Medical University
Study Documents (Full-Text)
None provided.More Information
Publications
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- N202108014