Enhancing Practical Competence in Physical Assessment Through Digital Video Feedback
Enhancing Practical Competence in Physical Assessment Through Digital Video Feedback: A Teaching Practice in the Physical Examination and Assessment Course
This cluster randomized controlled trial aims to evaluate the effectiveness of a digital video feedback strategy in improving physical assessment skills, learning motivation, self-regulated learning, and anxiety among undergraduate nursing students. Approximately 80 second-year nursing students enrolled in a physical examination and assessment course will be assigned to either a digital video feedback intervention group or a traditional teaching control group using cluster randomization.
The intervention will be implemented in four physical assessment units, including head and neck/lymphatic assessment, musculoskeletal assessment, and two neurological assessment units. Students in the intervention group will record their physical assessment performance using a digital video system and receive structured feedback from peers and instructors. Outcomes will be assessed at baseline, mid-course, and at the end of the course.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Physical examination and assessment are fundamental competencies in nursing education and clinical practice. However, undergraduate nursing students may experience difficulties in mastering complex physical assessment procedures because of limited practice time, insufficient individualized feedback, and limited clinical experience.
Based on Bandura's Social Learning Theory, this study incorporates a digital video feedback strategy into an undergraduate physical examination and assessment course. The intervention emphasizes observation, practice, feedback, reflection, and behavioral modification.
Students assigned to the intervention group will record their performance of selected physical assessment procedures using the SimCapture digital platform. Recorded performances will be reviewed by peers and instructors, who will provide structured feedback based on standardized physical assessment evaluation criteria. Students will review the feedback, modify their performance, and subsequently repeat the recording and feedback process.
Four course units will be included in the intervention: head and neck/lymphatic assessment, musculoskeletal assessment, neurological assessment I, and neurological assessment II. The control group will initially receive conventional classroom instruction and independent practice. For educational equity, students in the control group will subsequently receive the digital video feedback activity after the planned comparison assessment.
Quantitative outcomes include physical assessment skill performance, learning strategies and motivation, learning motivation, and anxiety. Students' experiences with the digital video feedback strategy will also be explored using course evaluation and qualitative feedback.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: ChihJung Wu, PhD.
- Telefoonnummer: 7110 886-422053366
- E-mail: elvaamy@gmail.com
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Second-year undergraduate nursing students enrolled in the Physical Examination and Assessment Practicum course at the participating university.
Students who agree to participate in the study and provide informed consent.
Exclusion Criteria:
- Students who are repeating the Physical Examination and Assessment Practicum course.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Actieve vergelijker: Traditional Teaching Control Group
Participants will receive traditional physical assessment instruction according to the standard course curriculum, including classroom instruction, instructor demonstration, and hands-on skills practice.
Participants will also record and upload videos of their physical assessment skill performance as part of the course requirements.
However, they will not participate in the structured video review and feedback activities provided to the Digital Video Feedback Group.
|
Participants will receive traditional physical assessment instruction according to the standard course curriculum, including classroom instruction, instructor demonstration, and hands-on skills practice.
Participants will also record and upload videos of their physical assessment skill performance as part of the course requirements.
However, they will not participate in the structured video review and feedback activities provided to the Digital Video Feedback Group.
|
|
Experimenteel: Digital Video Feedback Group
Participants will receive the standard physical assessment course and digital video feedback.
Students will record their physical assessment skill performance, review the recorded videos, and receive structured feedback to support reflection and skill improvement.
|
The digital video feedback intervention uses the SimCapture system to record students' physical assessment performance.
Students practice selected physical assessment skills, including head and neck/lymphatic, musculoskeletal, and neurological assessments.
Their recorded performances are reviewed by peers and instructors, who provide structured feedback based on standardized physical assessment evaluation criteria.
Students review the feedback, modify their assessment techniques, and subsequently repeat the recording and feedback process.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Physical Assessment Skill Performance
Tijdsspanne: Baseline (Week 1), Week 9, and Week 18
|
Physical assessment skill performance will be evaluated using the Physical Assessment Skills Performance Checklist.
The checklist assesses students' ability to correctly perform essential physical assessment procedures.
The total score ranges from 0 to 100, with higher scores indicating better physical assessment skill performance.
|
Baseline (Week 1), Week 9, and Week 18
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Change in Motivated Strategies for Learning Questionnaire Score
Tijdsspanne: Baseline (Week 1), Week 9, and Week 18
|
Learning strategies and motivational beliefs will be assessed using an adapted version of the Motivated Strategies for Learning Questionnaire (MSLQ).
The instrument uses a 7-point Likert scale and assesses motivational beliefs and self-regulated learning strategies, including self-efficacy, intrinsic value, cognitive strategy use, and self-regulation.
The total score ranges from 44 to 302.
Higher scores indicate greater levels of learning motivation and self-regulated learning strategies.
|
Baseline (Week 1), Week 9, and Week 18
|
|
ARCS-Based Learning Motivation Score
Tijdsspanne: Baseline (Week 1), Week 9, and Week 18
|
Learning motivation will be assessed using an Attention, Relevance, Confidence, and Satisfaction (ARCS)-based motivation scale assessing four domains: attention, relevance, confidence, and satisfaction.
The scale consists of 16 items, with each item rated from 1 to 5. The total score ranges from 16 to 90, with higher scores indicating greater learning motivation.
|
Baseline (Week 1), Week 9, and Week 18
|
|
Anxiety
Tijdsspanne: Baseline (Week 1), Week 9, and Week 18
|
Anxiety will be assessed using the Visual Analogue Scale for Anxiety (VAS-A), ranging from 0 (not anxious at all) to 10 (extremely anxious), with higher scores indicating greater anxiety.
|
Baseline (Week 1), Week 9, and Week 18
|
Medewerkers en onderzoekers
Publicaties en nuttige links
Algemene publicaties
- Abend R, Dan O, Maoz K, Raz S, Bar-Haim Y. Reliability, validity and sensitivity of a computerized visual analog scale measuring state anxiety. J Behav Ther Exp Psychiatry. 2014 Dec;45(4):447-53. doi: 10.1016/j.jbtep.2014.06.004. Epub 2014 Jun 18.
- Egilsdottir HO, Byermoen KR, Moen A, Eide H. Revitalizing physical assessment in undergraduate nursing education - what skills are important to learn, and how are these skills applied during clinical rotation? A cohort study. BMC Nurs. 2019 Sep 5;18:41. doi: 10.1186/s12912-019-0364-9. eCollection 2019.
- Byermoen KR, Eide T, Egilsdottir HO, Eide H, Heyn LG, Moen A, Brembo EA. Nursing students' development of using physical assessment in clinical rotation-a stimulated recall study. BMC Nurs. 2022 May 10;21(1):110. doi: 10.1186/s12912-022-00879-1.
- Byermoen KR, Brembo EA, Egilsdottir HO, Heyn LG, Moen A, Eide H. Reflection on actions: Identifying facilitators of and barriers to using physical assessment in clinical practice. Nurse Educ Pract. 2021 Jan;50:102913. doi: 10.1016/j.nepr.2020.102913. Epub 2020 Nov 6.
- Begum DF. Challenges Faced by Nursing Students in Conducting Physical Assessments: An Integrative Review. International Journal of Environmental Sciences. 2025. doi:10.64252/NPMJ6H81
- Bandura A. Social Learning Theory. Upper Saddle, NJ: Prentice-Hall; 1977.
- Al-Chalabi N. Practicing Peer Physical Examination by Medical and Allied Health Professions Students: Why the Hesitation and Where are We Now? A Narrative Literature Review. Adv Med Educ Pract. 2024 May 31;15:513-525. doi: 10.2147/AMEP.S462588. eCollection 2024.
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Andere studie-ID-nummers
- CRREC-115-158
- PMN1151150 (Ander subsidie-/financieringsnummer: Ministry of Education Republic of China (Taiwan))
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .