The Effect of Discharge Education Given With Two Different Teaching Techniques on Students

Evaluation of the Effect of Discharge Education Given With Two Different Teaching Techniques on Students' Self-Efficacy and Satisfaction Levels: A Randomized Trial

This study aims to examine the effects of PechaKucha and TeachBack teaching techniques, used in the instruction of the "Discharge Education" course for nursing students, on students' knowledge levels and self-efficacy regarding discharge education, as well as their satisfaction with the teaching method.

Study Overview

• Status: Completed
• Conditions: Nursing Students
• Intervention / Treatment: Other: PechaKucha technique; Other: TeachBack technique

Detailed Description

The study was conducted as a randomized trial. Permission was obtained from the Gülhane Faculty of Nursing, Health Sciences University, and the Gülhane Scientific Research Ethics Committee, Health Sciences University. The study sample consisted of 180 students enrolled in the Surgical Diseases Nursing course at the Gülhane Faculty of Nursing, Health Sciences University, during the 2024-2025 Fall Semester. The students were randomized into two groups based on their first-year cumulative grade point averages. The first group received the "Discharge Education" course using the PechaKucha teaching technique, while the second group received it using the TeachBack teaching technique.

Data were collected using the Descriptive Characteristics Form, Discharge Education Knowledge Test, General Self-Efficacy Scale, and Adult Education Satisfaction Scale. Statistical analyses were performed using Shapiro-Wilk, Kolmogorov-Smirnov, and Mann-Whitney U tests, as well as Friedman Test Dunn-Bonferroni, Pearson Chi-Square, Fisher's Exact, and Fisher-Freeman-Halton tests. A p-value of <0.05 was considered statistically significant.

• Study Type: Interventional
• Enrollment (Actual): 146
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara
    • Keçiören, Ankara, Turkey, 06010
      • Sağlık Bilimleri University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Being a 2nd-year student at the Gülhane Faculty of Nursing, Saglık Bilimleri University
• Willing to participate in the study
• Being over 18 years old
• Taking the Surgical Diseases Nursing course for the first time

Exclusion Criteria:

• Wishing to withdraw from the study at any stage
• Incomplete completion of the data collection form related to the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group 1. PechaKucha; The students in Group 1 were taught the Discharge Education course using the PechaKucha teaching technique. PechaKucha, which translates to "chatter" or "chit-chat" in Japanese, was first introduced in 2003 in Tokyo within the field of architecture. It was initially used by architects to present new projects and structures and to exchange ideas. This method is a fast-paced, innovative teaching and presentation technique that consists of 20 slides, each containing minimal text and authentic visual metaphors. Each slide is displayed for 20 seconds using an automatic timer, making the total presentation 6 minutes and 40 seconds long. In Power Point presentations, this timing can be set by selecting the Transitions tab and adjusting the duration to 20 seconds for all slides. The goal of this method is to make presentations more dynamic, engaging, and enjoyable.	Other: PechaKucha technique; The Discharge Education course was taught using the PechaKucha technique.
Experimental: Group 2. TeachBack; The students in Group 2 were taught the Discharge Education course using the TeachBack teaching technique. The TeachBack method, also known as the "Tell Me What You Learned" technique, is a dynamic and interactive learning and teaching process. The primary goal of the TeachBack method is to ensure that the given education is correctly understood by having participants explain it back to the educator in their own words. If the purpose of the education is to teach a specific skill, the goal is to observe whether the learner can correctly perform the intended skill. This method helps eliminate communication barriers by allowing for immediate feedback on misunderstood or incomplete information while reinforcing correct knowledge. It serves as an effective teaching strategy to evaluate the extent of understanding, ensuring that learners fully grasp the subject matter.	Other: TeachBack technique; The Discharge Education course was taught using the TeachBack technique.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-efficacy level	To determine students' self-efficacy, the General Self-Efficacy Scale was used. This scale was developed by Sherer et al. (1982), and its Turkish validity and reliability study was conducted by Yıldırım and İlhan (2010). The scale follows a 5-point Likert format (1: Not at all, 5: Very well) and consists of 17 items. As the score obtained from the scale increases, general self-efficacy also increases. The minimum possible score is 17, while the maximum is 85. The internal consistency coefficient (Cronbach's alpha) of the scale was calculated as 0.80. Necessary permissions were obtained for the use of the General Self-Efficacy Scale.	The scale was administered to students before and after the Discharge Education course. It takes approximately 10 minutes to complete.
Satisfaction level	To determine students' satisfaction levels, the Adult Education Satisfaction Scale was used. This scale was developed and its validity and reliability study conducted by Yüksekbilgili et al. (2016). It consists of 30 items and includes six sub-dimensions: "Instructor's Presentation Skills, Instructor's Communication Skills, Learning Environment, Training Organization, Training Objectives, Training Outcomes, and General Evaluation." The scale uses a 5-point Likert format (1 = Strongly Disagree, 5 = Strongly Agree). As the score obtained from the scale increases, satisfaction levels also increase. The minimum possible score is 30, while the maximum is 150. The internal consistency coefficient (Cronbach's alpha) of the scale was calculated as 0.94. Necessary permissions were obtained before using the Adult Education Satisfaction Scale	The scale was administered to students after the completion of the Discharge Education course. It took approximately 10 minutes to complete.
Knowledge level	To assess students' knowledge level regarding "Discharge Education," a multiple-choice test (with five options) consisting of 10 questions was developed by the researcher. The test is evaluated on a 100-point scale, with each correct answer worth 10 points. Before administering the Discharge Education Knowledge Test, expert opinions were obtained from five faculty members using the DAVIS method.	The test was administered to students before and after the Discharge Education course. It takes approximately 15 minutes to complete.

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi
• Investigators: Principal Investigator: Yağmur Kayın, RN, Sağlık Bilimleri University; Study Director: Bediye Öztaş, Ph. D, Sağlık Bilimleri University

Study record dates

Study Major Dates

• Study Start (Actual): June 25, 2024
• Primary Completion (Actual): October 31, 2024
• Study Completion (Actual): October 31, 2024

Study Registration Dates

• First Submitted: January 23, 2025
• First Submitted That Met QC Criteria: January 23, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 23, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: Active Learning; Patient Education; Discharge Planning; Nursing Education
• Other Study ID Numbers: ykayin

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