Int J Med Inform - Evaluation of an interactive web-based nursing course with streaming videos for medication administration skills.

Tópicos

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Resumo

RPOSE: Nursing students should exhibit competence in nursing skills in order to provide safe and quality patient care. This study describes the design and students' response to an interactive web-based course using streaming video technology tailored to students' needs and the course objectives of the fundamentals of nursing skills clinical course.METHOD: A mixed-methodology design was used to describe the experience of 102 first-year undergraduate nursing students at a school of nursing in Jordan who were enrolled in the course. A virtual course with streaming videos was designed to demonstrate medication administration fundamental skills. The videos recorded the ideal lab demonstration of the skills, and real-world practice performed by registered nurses for patients in a hospital setting. After course completion, students completed a 30-item satisfaction questionnaire, 8 self-efficacy scales, and a 4-item scale solicited their preferences of using the virtual course as a substitute or a replacement of the lab demonstration. Students' grades in the skill examination of the procedures were measured. Relationships between the main variables and predictors of satisfaction and self-efficacy were examined.RESULTS: Students were satisfied with the virtual course (3.9 ? 0.56, out of a 5-point scale) with a high-perceived overall self-efficacy (4.38 ? 0.42, out of a 5-point scale). Data showed a significant correlation between student satisfaction, self-efficacy and achievement in the virtual course (r = 0.45-0.49, p < 0.01). The majority of students accessed the course from home and some faced technical difficulties. Significant predictors of satisfaction were ease of access the course and gender (B = 0.35, 0.25, CI = 0.12-0.57, 0.02-0.48 respectively). The mean achievement score of students in the virtual class (7.5 ? 0.34) was significantly higher than that of a previous comparable cohort who was taught in the traditional method (6.0 ? 0.23) (p < 0.05). Nearly 40% of the students believed that the virtual course is a sufficient replacement of the lab demonstration.CONCLUSIONS: The use of multimedia within an interactive online learning environment is a valuable teaching strategy that yields a high level of nursing student satisfaction, self-efficacy, and achievement. The creation and delivery of a virtual learning environment with streaming videos for clinical courses is a complex process that should be carefully designed to positively influence the learning experience. However, the learning benefits gained from such pedagogical approach are worth faculty, institution and students' efforts.

Resumo Limpo

rpose nurs student exhibit compet nurs skill order provid safe qualiti patient care studi describ design student respons interact webbas cours use stream video technolog tailor student need cours object fundament nurs skill clinic coursemethod mixedmethodolog design use describ experi firstyear undergradu nurs student school nurs jordan enrol cours virtual cours stream video design demonstr medic administr fundament skill video record ideal lab demonstr skill realworld practic perform regist nurs patient hospit set cours complet student complet item satisfact questionnair selfefficaci scale item scale solicit prefer use virtual cours substitut replac lab demonstr student grade skill examin procedur measur relationship main variabl predictor satisfact selfefficaci examinedresult student satisfi virtual cours point scale highperceiv overal selfefficaci point scale data show signific correl student satisfact selfefficaci achiev virtual cours r p major student access cours home face technic difficulti signific predictor satisfact eas access cours gender b ci respect mean achiev score student virtual class signific higher previous compar cohort taught tradit method p near student believ virtual cours suffici replac lab demonstrationconclus use multimedia within interact onlin learn environ valuabl teach strategi yield high level nurs student satisfact selfefficaci achiev creation deliveri virtual learn environ stream video clinic cours complex process care design posit influenc learn experi howev learn benefit gain pedagog approach worth faculti institut student effort

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