Effects of an Interactive E-book to Enhance Nursing Skill

February 13, 2022 updated by: Taipei Medical University

Effects of an Interactive E-book to Enhance Nursing Students' Knowledge and Self-efficacy of Nursing Skill

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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 Type

Interventional

Enrollment (Actual)

62

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Taiwan
      • Taipei, Taiwan
        • Taipei Medical University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

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

Exclusion Criteria:

  • None

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Nasogastric Tube Feeding Quiz
Time Frame: 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.
Baseline, before the intervention(T0)
Nasogastric Tube Feeding Quiz
Time Frame: 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.
Immediately following after the intervention(T1)
Nasogastric Tube Feeding Quiz
Time Frame: 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.
one month after the intervention(T2)
Confidence scale (C-scale)
Time Frame: 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.
Baseline, before the intervention(T0)
Confidence scale (C-scale)
Time Frame: 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.
Immediately following after the intervention(T1)
Confidence scale (C-scale)
Time Frame: 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.
one month after the intervention(T2)
Learning Self-Efficacy Scale (L-SES)
Time Frame: 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.
Baseline, before the intervention(T0)
Learning Self-Efficacy Scale (L-SES)
Time Frame: 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.
Immediately following after the intervention(T1)
Learning Self-Efficacy Scale (L-SES)
Time Frame: 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.
one month after the intervention(T2)
Nasogastric tube feeding skill test
Time Frame: 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.
three months after the intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Satisfaction questionnaire
Time Frame: 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.
Immediately following after the intervention(T1)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Taipei Medical University

Investigators

  • Principal Investigator: Yeu-Hui Chuang, Taipei Medical University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 2, 2021

Primary Completion (Actual)

January 21, 2022

Study Completion (Actual)

January 21, 2022

Study Registration Dates

First Submitted

September 26, 2021

First Submitted That Met QC Criteria

October 11, 2021

First Posted (Actual)

October 22, 2021

Study Record Updates

Last Update Posted (Actual)

February 15, 2022

Last Update Submitted That Met QC Criteria

February 13, 2022

Last Verified

September 1, 2021

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • N202108014

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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