Effects of an Interactive E-book to Enhance Nursing Skill

Not Applicable

Completed

• Conditions: Healthy
• Interventions: Other: paper textbook; Other: Interactive e-book

• Registration Number: NCT05089669
• Lead Sponsor: Taipei Medical University

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.

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 Timeline

• Status Verified: 2021-09
• Study First Submitted: 2021-09-26
• Study First Submitted QC: 2021-10-11
• Study First Posted: 2021-10-22
• Study Start: 2021-12-02
• Primary Completion: 2022-01-21
• Study Completion: 2022-01-21
• Last Update Submitted: 2022-02-13
• Last Update Posted: 2022-02-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• students who major in nursing
• students have not yet learned nasogastric tube feeding skill.

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
comparison group	paper textbook	The comparison group will read a paper textbook for 90 minutes to learn nasogastric tube feeding.
interactive e-book	Interactive e-book	The experimental group will read an interactive e-book for 90 minutes to learn nasogastric tube feeding.

Primary Outcome Measures

Name	Time	Method
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.
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.
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)	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.

Secondary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Taipei Medical University; 🇨🇳 Taipei, Taiwan