The Effectiveness of a Mobile Application for Teaching Clinical Nursing Skill at a Higher Education Institution in Chenzhou, China

NCT06165471 | Completed

• 1 other identifier: USM/JEPeM/KK/23020172
• Study Type: interventional
• Target: 166
• Locations: 1 country
• Sites: 1

Brief Summary

The general objective of this study is to validate a mobile application as a pedagogical tool compared to in-person nursing educational instruction for teaching clinical nursing skills and evaluate the effectiveness of clinical nursing skills for nursing students. The study design is a basic experimental study design, randomized control trial (RCT) design; the dependent variables measured in this study are skills, self-directed learning ability, online academic emotion, and satisfaction by using pre- and posttests; two groups are participating in this study; experimental and control group. The control group treatment is traditional face-to-face teaching, and the experimental group intervention is online and offline blended learning based on the Chaoxing app. The study process includes four steps：

1. 1.To develop surgical nursing practical online courses using Chaoxing mobile app.
2. 2.Perform the pre-test (basic sociological information, self-directed learning ability surveys ).
3. 3.Nursing clinical practice skills education intervention.
4. 4.Perform a posttest (assess practical skills, self-directed learning ability, online academic emotion, and satisfaction).

Conditions

Nursing Education

Keywords

Pretest-post test and intervention

Outcome Measures

Primary Outcomes (2)

• The effects of surgical nursing practical online courses using Chaoxing app on the skills score

  Skill test will be given after both groups students have completed the course. The same academic grading scale will be used for both groups that formulated with the approval of the Teaching and Research Section. Exam scores will only be used for this study, It will not impact the score or grading of the students and do not serve as a final grade of the student.

  Hence the interventions finished, and an examination evaluation will be immediately given to the both groups participants.

• Self-directed learning ability

  The level of Self-directed learning ability will be measured by the Self-Directed Learning Instrument (SDLI) for Nursing Students developed by Cheng S F et al. (Cheng, S. F.,2010) from Taiwan, which is a self-evaluation scale of nursing students' autonomous learning ability. After reliability and validity testing of Chinese version, it popularized and used in Mainland China (Shen, W. Q., 2014). The scale including learning motivation, plan and implement, self management, interpersonal communication, 4 dimensions, a total of 20 items.

  Hence the interventions finished, and an examination evaluation will be immediately given to the both groups participants.

Secondary Outcomes (2)

• Online academic emotional assessment

  Hence the interventions finished, and an examination evaluation will be immediately given to the both groups participants.

• Class satisfaction assessment

  Hence the interventions finished, and an examination evaluation will be immediately given to the both groups participants.

Study Arms (2)

Blended learning group

EXPERIMENTAL

The Intervention group will adopt the mode of online and offline blended learning based on the Chaoxing mobile application (Chaoxing app). The researchers will create surgical nursing practice courses on the Chaoxing app, and the experimental group will be subjected to 2 months of online and offline blended teaching intervention using the Chaoxing app.

Behavioral: Online and offline blended teaching

Traditional teaching group

ACTIVE COMPARATOR

The control group will adopt the traditional face-to-face teaching method for the surgical nursing practice course. The teacher will demonstrate the process, and the students will practice. The teacher demonstrates each step, and the students practice each step.

Behavioral: Traditional teaching

Interventions

Online and offline blended teaching BEHAVIORAL

The Chaoxing app is an interventional tool, a professional mobile learning platform for smartphones, tablet computers, and other mobile terminals. They will learn the online course on the Chaoxing app and carry out offline classroom learning. The online courses focus on teaching design to make teaching PowerPoint, teaching videos, micro-lessons, homework library, and so on.

Blended learning group

Traditional teaching BEHAVIORAL

The researchers will implement the traditional teaching intervention of a surgical nursing practice course to the control group, and the teacher will demonstrate the operation procedure to the students face to face offline, and the students will practice. The whole intervention time is two months.

Traditional teaching group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• i) Full-time undergraduate nursing students in grades 3 who understand Chinase language.
• ii) Owning at least one smartphone, tablet or portable laptop.

You may not qualify if:

• i) Repeat students.
• ii) Sick (matter) leave, Suspension of schooling.
• iii) Can not fully participate in or cooperate with.

Sponsors & Collaborators

• Universiti Sains Malaysia: lead

Study Sites (1)

Afang Li

Chenzhou, Hunan, 423000, China

Location

Related Publications (38)

• Arslan, G. G., Ozden, D., Goktuna, G., & Ayik, C. (2018). A study on the satisfaction of students for the time spent watching video-based learning during their basic nursing skills' training. International Journal of Caring Sciences, 11(1), 427-436.

  BACKGROUND

• Arguel, A., & Jamet, E. (2009). Using video and static pictures to improve learning of procedural contents. Computers in human behavior, 25(2), 354-359.

  BACKGROUND

• Chiang, V. C. (2015). Continuous Clinical Assessment (CCA) in Baccalaureate Nursing Education: The Application of Action Research. Journal of Problem-Based Learning, 2(1), 35-47. https://doi.org/10.24313/jpbl.2015.2.1.35.

  BACKGROUND

• Debande, O., 2004. ICTs and the development of e-learning in Europe: the role of the public and private sectors. European Journal of Education, 39(2) 191-208. https://www.jstor.org/stable/1503883.

  BACKGROUND

• Duan Zhigang, SUN Hong-yu, LIU Lin. Nursing Education [M].Version5. Beijing: People's Medical Publishing House, 2022.

  BACKGROUND

• Fox, S., Mckeogh, F., 2003. Can e-learning promote higher-order learning without tutor overload? Open Learning 18(2) 121-134. https://doi.org/10.1080/02680510307410.

  BACKGROUND

• Goodison, T., 2001. The Implementation of e-learning in higher education in the United Kingdom: The road ahead. Higher Education in Europe, 26(2) 247-262. https://doi.org/10.1080/03797720120082642.

  BACKGROUND

• Gokcearslan, S. (2017). Perspectives of Students on Acceptance of Tablets and SelfDirected Learning with Technology. Contemporary educational technology, 8(1), 40- 55.

  BACKGROUND

• Goosen, L., & Van Heerden, D. (2019). Student Support for Information and Communication Technology Modules in Open Distance Environments: Towards SelfDirected Learning. In Student Support Toward Self-Directed Learning in Open and Distributed Environments (pp. 26-58). IGI Global. DOI: 10.4018/978-1-5225-9316-4.ch002.

  BACKGROUND

• HE Zhijie, Xie Caihong, Chen Ying, Huang Canxia, CAI Qiaowen, Wang Chengling... & Li Fangyi.(2023). Application of online and offline mixed teaching in mechanical ventilation practice teaching of respiratory rehabilitation. Chinese Journal of Rehabilitation Medicine (03),384-387.

  BACKGROUND

• Huang Yibing. An empirical study on the evaluation of humanistic care ability of nursing college students [D]. Fuzhou: Fujian Medical University,2007.

  BACKGROUND

• Keller JM. Motivational Design for Learning and Performance: The ARCS Model Approach. New York: Springer; 2010.

  BACKGROUND

• Li X M, Gao Y, Zheng H P & Zhao J. (2021). The practice of online and offline hybrid assessment of Basic Nursing training based on network platform. Chin J Nursing (17),23-27.Doi:10.16460/ j.isn1008-9969.2021.17.023.

  BACKGROUND

• Li W. Experimental teaching design and practice of basic Nursing based on the improvement of humanistic care ability of nursing students [D]. Xinxiang: Xinxiang Medical College,2012.

  BACKGROUND

• Liu Junling, Liu Bin, Zhang Wenlan.(2019). The influence of academic emotion on online collaborative problem solving. China E-Education, (07):82-90.

  BACKGROUND

• Luo Qiaoling, Li Xiaoping & Wu Jingmei.(2020). The impact of formative assessment based on online learning platform on independent learning of post-secondary nursing students. Journal of Nursing (03),10-13.Doi:10.16460/ j.ssn1008-9969.2020.03.010.

  BACKGROUND

• MAO Min. Research on piano Teaching Innovation of Young Teachers under the Theory of Independent Learning [D]. Nantong: Nantong University,2015.

  BACKGROUND

• McKenny, K. (2011). Using an online video to teach nursing skills. Teaching and learning in nursing, 6(4), 172-175. https://doi.org/10.1016/j.teln.2011.04.003

  BACKGROUND

• Meng Wangtao. Research on the construction and application of the teaching scheme of

  BACKGROUND

• Pekrun, R., Goetz, T., Titz, W., & Perry, R. P. (2002). Academic emotions in students' self-regulated learning and achievement: A program of qualitative and quantitative research. Educational psychologist, 37(2), 91-105. https://doi.org/10.1207/S15326985EP3702_4

  BACKGROUND

• Xu Fengqin, Ma Liang, Zhou Guohui, etc. (2020). Newly recruited nurses should Observation on the effect of online and offline pre-employment training. Nursing Journal, (18):21-24

  BACKGROUND

• Xu Jun, Wan Shuang yan, Liu Xin. (2012). Innovation of clinical basic skills to improve clinical practice ability [J]. Journal of liaoning medical college (social science edition), 10(01):32-34.

  BACKGROUND

• Zhan Yi. Empirical Research on In-service Teachers' Online Academic Emotions [D]. East China Normal University,2016.

  BACKGROUND

• Zhang Y H, Zhou Z X, Feng R & Xu H. (2015). Implementation and effect evaluation of flipped classroom for Obstetrics and Gynecology Nursing in higher vocational colleges. Journal of Nursing (06),77-79. Doi:CNKI:SUN:HLXZ.0.2015-06-033.

  BACKGROUND

• Chen B, Wang Y, Xiao L, Xu C, Shen Y, Qin Q, Li C, Chen F, Leng Y, Yang T, Sun Z. Effects of mobile learning for nursing students in clinical education: A meta-analysis. Nurse Educ Today. 2021 Feb;97:104706. doi: 10.1016/j.nedt.2020.104706. Epub 2020 Dec 5.

  PMID: 33360012 RESULT

• Cheng SF, Kuo CL, Lin KC, Lee-Hsieh J. Development and preliminary testing of a self-rating instrument to measure self-directed learning ability of nursing students. Int J Nurs Stud. 2010 Sep;47(9):1152-8. doi: 10.1016/j.ijnurstu.2010.02.002. Epub 2010 Mar 11.

  PMID: 20223455 RESULT

• Durmaz Edeer A, Vural F, Turhan Damar H, Yasak K, Damar M. The Effect of Web-Based Preoperative and Postoperative Patient Care Education on Nursing Students: A Randomized Controlled Study. Comput Inform Nurs. 2019 Oct;37(10):541-547. doi: 10.1097/CIN.0000000000000552.

  PMID: 31373901 RESULT

• Forman D, Nyatanga L, Rich T. E-learning and educational diversity. Nurse Educ Today. 2002 Jan;22(1):76-82; discussion 83-4. doi: 10.1054/nedt.2001.0740.

  PMID: 11886234 RESULT

• Hester L, Reed B, Bohannan W, Box M, Wells M, O'Neal B. Using an educational mobile application to teach students to take vital signs. Nurse Educ Today. 2021 Dec;107:105154. doi: 10.1016/j.nedt.2021.105154. Epub 2021 Sep 16.

  PMID: 34583238 RESULT

• Johnson N, List-Ivankovic J, Eboh WO, Ireland J, Adams D, Mowatt E, Martindale S. Research and evidence based practice: using a blended approach to teaching and learning in undergraduate nurse education. Nurse Educ Pract. 2010 Jan;10(1):43-7. doi: 10.1016/j.nepr.2009.03.012. Epub 2009 May 6.

  PMID: 19423398 RESULT

• Kenny A. Online learning: enhancing nurse education? J Adv Nurs. 2002 Apr;38(2):127-35. doi: 10.1046/j.1365-2648.2002.02156.x.

  PMID: 11940125 RESULT

• Kim JH, Park H. Effects of Smartphone-Based Mobile Learning in Nursing Education: A Systematic Review and Meta-analysis. Asian Nurs Res (Korean Soc Nurs Sci). 2019 Feb;13(1):20-29. doi: 10.1016/j.anr.2019.01.005. Epub 2019 Jan 16.

  PMID: 30659927 RESULT

• Lee NJ, Chae SM, Kim H, Lee JH, Min HJ, Park DE. Mobile-Based Video Learning Outcomes in Clinical Nursing Skill Education: A Randomized Controlled Trial. Comput Inform Nurs. 2016 Jan;34(1):8-16. doi: 10.1097/CIN.0000000000000183.

  PMID: 26389858 RESULT

• O'Connor S, Andrews T. Smartphones and mobile applications (apps) in clinical nursing education: A student perspective. Nurse Educ Today. 2018 Oct;69:172-178. doi: 10.1016/j.nedt.2018.07.013. Epub 2018 Aug 1.

  PMID: 30096510 RESULT

• Rose S. Medical Student Education in the Time of COVID-19. JAMA. 2020 Jun 2;323(21):2131-2132. doi: 10.1001/jama.2020.5227. No abstract available.

  PMID: 32232420 RESULT

• Shen WQ, Chen HL, Hu Y. The validity and reliability of the self-directed learning instrument (SDLI) in mainland Chinese nursing students. BMC Med Educ. 2014 May 27;14:108. doi: 10.1186/1472-6920-14-108.

  PMID: 24885557 RESULT

• Thiele JE. Learning patterns of online students. J Nurs Educ. 2003 Aug;42(8):364-6. doi: 10.3928/0148-4834-20030801-08.

  PMID: 12938899 RESULT

• Willemse JJ, Bozalek V. Exploration of the affordances of mobile devices in integrating theory and clinical practice in an undergraduate nursing programme. Curationis. 2015;38(2):e1-e10. doi: 10.4102/curationis.v38i2.1510. Epub 2015 Sep 28.

  PMID: 26852423 RESULT

Study Officials

• Afang Li

  Xiangnan University, China

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor of Philosophy student, Nursing Education

Study Record Dates

• First Submitted: December 2, 2023
• First Posted: December 11, 2023
• Study Start: December 15, 2023
• Primary Completion: January 30, 2024
• Study Completion: September 20, 2024
• Last Updated: December 9, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: after finish and publish the study and will not use in any other study
• Access Criteria: Data is kept properly and handled only in the research. In addition, the researchers also emphasized that only research groups can access the relevant data in this research and not use it in the future without consent from the participants; moreover, after finishing the study, the data will archive properly according to the policy.

Locations

CN (1)