The Effect of NotebookLM-Supported Instruction on Vital Signs Learning Among Undergraduate Nursing Students: An Evaluation Within the PICRAT Model
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 76
- Locations
- 1
- Primary Endpoint
- Mean Score on the Vital Signs Academic Achievement Test Immediately After the Educational Intervention
Study Overview
Brief Summary
This randomized controlled study evaluated the effect of NotebookLM-supported instruction on undergraduate nursing students' learning of vital signs. First-year nursing students were randomly assigned to either an intervention group or a control group. Students in the control group received vital signs instruction using the traditional teaching approach included in the existing nursing curriculum. Students in the intervention group received the same course content supported by educational materials created through NotebookLM, including podcasts, flashcards, review questions, and mind maps. The educational use of NotebookLM was evaluated within the PICRAT model, which considers students' engagement with technology and the effect of technology on teaching practices. Academic achievement related to vital signs was assessed immediately after instruction and again six weeks later.
Detailed Description
Vital signs assessment is a fundamental component of nursing care and one of the first essential clinical skills taught in undergraduate nursing education. Accurate measurement and interpretation of body temperature, pulse, respiratory rate, and blood pressure are important for recognizing changes in a patient's physiological condition and supporting timely clinical decision-making. However, nursing students may experience difficulties in accurately interpreting vital signs, consistently monitoring critical parameters, and reporting changes in patient condition.
Technology-supported educational approaches may help improve students' engagement, knowledge acquisition, and retention of clinical information. NotebookLM is a generative artificial intelligence-supported learning tool that enables educational content to be presented through multiple formats, such as audio summaries, flashcards, review questions, and mind maps. The educational integration of NotebookLM in this study was structured according to the PICRAT model. The PICRAT model evaluates technology integration through two dimensions: students' relationship with technology, classified as passive, interactive, or creative, and the effect of technology on the teacher's existing practice, classified as replacement, amplification, or transformation.
This study used a randomized controlled, parallel-group design. First-year undergraduate nursing students who voluntarily agreed to participate were randomly assigned to an intervention group or a control group using a computer-based randomization procedure.
The control group received vital signs education through the traditional teaching methods used in the existing nursing curriculum and did not receive any additional educational intervention. The intervention group received a 20- to 30-minute orientation on the use of NotebookLM one day before the vital signs lesson. Following the orientation, students were provided with access to a NotebookLM page prepared by the instructor. The page included educational materials related to vital signs, such as an audio podcast, flashcards, a topic review test, and a mind map. Students were encouraged to interact with these materials before and during the lesson. Classroom instruction in the intervention group used a NotebookLM-supported interactive teaching approach designed to promote active student participation.
To reduce variation related to the instructor, the lessons for both groups were delivered by the same educator. The educational content covered the measurement and assessment of blood pressure, apical pulse, peripheral pulse, body temperature, and respiratory rate.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Being a first-year undergraduate student enrolled in the Department of Nursing at Muğla Sıtkı Koçman University, Fethiye Faculty of Health Sciences.
- •Being between 18 and 65 years of age.
- •Voluntarily agreeing to participate in the study and providing informed consent.
- •Having access to email and an internet-enabled device, such as a smartphone or computer, capable of accessing and playing the NotebookLM educational materials if assigned to the intervention group.
Exclusion Criteria
- •Withdrawing consent at any time during the study.
- •Having previously received education or training on vital signs.
Arms & Interventions
NotebookLM-Supported Instruction
First-year undergraduate nursing students received a 20- to 30-minute orientation on the use of NotebookLM one day before the vital signs lesson. Students were provided with access to instructor-prepared NotebookLM materials, including a podcast, flashcards, a topic review quiz, and a mind map. These materials were used before and during the lesson to support active and interactive learning.
Intervention: NotebookLM-Supported Vital Signs Instruction (Behavioral)
Traditional Instruction
First-year undergraduate nursing students received vital signs education using the traditional teaching methods included in the existing nursing curriculum. Students in this arm did not receive access to the NotebookLM-supported educational materials. Instruction in both study arms was delivered by the same instructor.
Intervention: Traditional Vital Signs Instruction (Behavioral)
Outcomes
Primary Outcomes
Mean Score on the Vital Signs Academic Achievement Test Immediately After the Educational Intervention
Time Frame: Immediately after completion of the educational intervention
Academic achievement related to vital signs will be assessed using the 26-item Vital Signs Academic Achievement Test developed by Tanrıkulu et al. Each correct answer is scored as 1 and each incorrect answer is scored as 0. The total score ranges from 0 to 26, with higher scores indicating a higher level of academic achievement related to vital signs.
Secondary Outcomes
- Mean Score on the Vital Signs Academic Achievement Test at the 6-Week Follow-up(6 weeks after completion of the educational intervention)
Investigators
Melek Sahin
Assistant Professor
Muğla Sıtkı Koçman University