The Effectiveness of a Mobile Application for Teaching Clinical Nursing Skill at a Higher Education Institution in Chenzhou, China

NCT ID: NCT06165471

Last Updated: 2024-12-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-15

Study Completion Date

2024-09-20

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The general objective of this study is to validate a mobile application as a pedagogical tool compared to in-person nursing educational instruction for teaching clinical nursing skills and evaluate the effectiveness of clinical nursing skills for nursing students.

The study design is a basic experimental study design, randomized control trial (RCT) design; the dependent variables measured in this study are skills, self-directed learning ability, online academic emotion, and satisfaction by using pre- and posttests; two groups are participating in this study; experimental and control group. The control group treatment is traditional face-to-face teaching, and the experimental group intervention is online and offline blended learning based on the Chaoxing app. The study process includes four steps:

1. To develop surgical nursing practical online courses using Chaoxing mobile app.
2. Perform the pre-test (basic sociological information, self-directed learning ability surveys ).
3. Nursing clinical practice skills education intervention.
4. Perform a posttest (assess practical skills, self-directed learning ability, online academic emotion, and satisfaction).

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Study title:

The Effectiveness of A Mobile Application for Teaching Clinical Nursing Skill at A Higher Education Institution in Chenzhou, China

General objective:

The general objective of this study is to validate a mobile application as a pedagogical tool compared to in-person nursing educational instruction for teaching clinical nursing skills and evaluate the effectiveness of clinical nursing skills for nursing students.

The study design is a basic experimental study design, randomized control trial (RCT) design; the dependent variables measured in this study are skills, self-directed learning ability, online academic emotion, and satisfaction by using pre- and posttests; two groups are participating in this study; experimental and control group. The control group treatment is traditional face-to-face teaching, and the experimental group intervention is online and offline blended learning based on the Chaoxing app. The study process includes four steps:

1. To develop surgical nursing practical online courses using the Chaoxing mobile app.
2. Perform the pre-test (basic sociological information, self-directed learning ability surveys ).
3. Nursing clinical practice skills education intervention.
4. Perform a posttest (assess practical skills, self-directed learning ability, online academic emotion, and satisfaction).

Study Location:

This study will be conducted at Xiangnan University in Chenchou city Hunan province in China, Chenzhou city is in the southeast of China.

Study Design:

The study design was a prospective, single-blind experimental design, randomized control trial (RCT) design.

Study population \& Setting The sample will consist of third-year undergraduate nursing students at a university in Chenzhou, southeast China. They are between 19 and 22 years old. In the early stage, students have completed one year of basic medical courses and mastered the relevant knowledge of human anatomy, physiology, and pathology. Students are active in thinking, have intense curiosity, and have a certain ability to understand and self-learning. However, students are exposed to clinical practice skills for the first time and have little exposure to clinical practice in the early stage, resulting in poor comprehensive analysis ability and unfamiliar skills operation.

Sample size calculation:

The sample size estimate was calculated based on the primary measure of self-learning ability. Sample size calculation is performed by using G\*POWER software (version 3.1.9.4) and consists of the following steps: (1) Select the test family (t-test ), (2) Select the statistical test (Means: Difference between two independent means (two groups)), (3) Select the Type of power analysis (A priori: Compute required sample size - given α, power, and effect size), (4) Select tails (two), α err prob (0.05), Power (1-β err prob) (0.95), Allocation ratio N2/N1 is one (each group = n) n= the estimated sample size. Effect Size (ES) = 0.55, automatically calculated by G\*Power software, depending on the sample size of the previous studies (Luo Qiaoling, 2020) ,(Zhang Y H,2015),(Li X M, 2021), the effect size is calculated by selecting these similar studies fitted to the researchers' study, the reasonable sample size which is (n=166) will be taken as the minimum sample size for this study, and the minimum sample size for each group will be 83 participants.

Sampling method:

Cluster random sampling was used after obtaining ethical approval and permission to conduct the study from the Ethics Committee of Xiangnan University, China (Ethics Registration No. 2022YXLL030) and the Jawatankuasa Etika Penyelidikan Manusia, Universiti Sains Malaysia (JEPeM-USM), the study protocol code USM/JEPeM/KK/23020172. The cluster sampling method of the participants was used to select all the undergraduate students in 2021 from the School of Nursing of Xiangnan University, Chenzhou, China. Computer-generated randomization (Random Allocation Software, version 1.0) was applied in blocks to allocate the classes by distributing them into two arms: one is the control group, and the other is the experimental group.

Study process steps:

(i) In the Pre-Test, the estimated time to fill will be 15 minutes maximum; it consists of 2 sections. The first section includes the consent form and ten questions about demographical data; the second section includes a self-directed learning ability assessment and consists of 20 MCQ questions. The pre-test will be filled out by both the control and interventional groups.

(ii) The intervention, volunteer participation, takes about two months for both the control and interventional groups. The control group will adopt the traditional face-to-face teaching mode, and the interventional group will adopt the mode of online and offline blended learning based on the Chaoxing app.

(iii) In the post-test, the interventions are finished, and an examination evaluation will be immediately given to both group's participants, including online academic emotional, self-directed learning ability, and class satisfaction assessment with a total of 55 MCQ questions, which will be 30 minutes maximum.

Ethical Considerations:

1. Permission to conduct the study Regarding ethical considerations, approval for the study was obtained from the Jawatankuasa Etika Penyelidikan Manusia, Universiti Sains Malaysia (JEPeM-USM), the study protocol code USM/JEPeM/KK/23020172; Moreover, ethical approvals to conduct the study was obtained from the Ethics Committee of Xiangnan University, China (Ethics Registration No. 2022YXLL030).
2. Subject vulnerability: Participants will be informed of their right to participate voluntarily and to withdraw from the study at any time without being penalized or losing the benefits to which they would otherwise be entitled. Informed consent was signed after all procedures were explained to each participant, and they agreed to participate in the study. For participants who need clarification on the study, the researchers will detail the instructions so that they fully understand and then agree to participate. During this study, the researcher is not a teacher as she is on study leave and not doing any teaching work. She is a researcher who will conduct the study and recruit the students. All teaching processes and materials will be handled by the teaching team. The researcher will not affect the student's evaluation during the study period.
3. Privacy and confidentiality: All personal data, including consent forms and questionnaire data obtained from study participants, will be kept strictly confidential and used only for academic and research purposes. In addition, the subject's name will not appear on any documents to maintain anonymity.
4. Conflict of interest: The principal investigator is the teacher in the faculty where data collection takes place; there are no conflicts of interest in the study, nor was there anything that might affect or prejudice the professional judgment in the study.
5. Community sensitivities and benefits: This study does not have any relation with sensitivity to the community because this study only involves a student and the impact of the technology used for their education. If the student uses the technology for nursing education, the benefit will go to the students directly. At the end of the study, the control group could also use the online course on the Chaoxing app if proven effective.
6. Incentive, compensation \&/or reimbursement: Participants in this study do not incur any fees. The study will not offer any monetary or other rewards in response to participation.
7. The risks in this study: The study was free from any potential hazards or adverse effects on participants; no dedicated product will be used in this study.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Nursing Education

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Pretest-post test and intervention

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Blended learning group

The Intervention group will adopt the mode of online and offline blended learning based on the Chaoxing mobile application (Chaoxing app). The researchers will create surgical nursing practice courses on the Chaoxing app, and the experimental group will be subjected to 2 months of online and offline blended teaching intervention using the Chaoxing app.

Group Type EXPERIMENTAL

Online and offline blended teaching

Intervention Type BEHAVIORAL

The Chaoxing app is an interventional tool, a professional mobile learning platform for smartphones, tablet computers, and other mobile terminals. They will learn the online course on the Chaoxing app and carry out offline classroom learning. The online courses focus on teaching design to make teaching PowerPoint, teaching videos, micro-lessons, homework library, and so on.

Traditional teaching group

The control group will adopt the traditional face-to-face teaching method for the surgical nursing practice course. The teacher will demonstrate the process, and the students will practice. The teacher demonstrates each step, and the students practice each step.

Group Type ACTIVE_COMPARATOR

Traditional teaching

Intervention Type BEHAVIORAL

The researchers will implement the traditional teaching intervention of a surgical nursing practice course to the control group, and the teacher will demonstrate the operation procedure to the students face to face offline, and the students will practice. The whole intervention time is two months.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Online and offline blended teaching

The Chaoxing app is an interventional tool, a professional mobile learning platform for smartphones, tablet computers, and other mobile terminals. They will learn the online course on the Chaoxing app and carry out offline classroom learning. The online courses focus on teaching design to make teaching PowerPoint, teaching videos, micro-lessons, homework library, and so on.

Intervention Type BEHAVIORAL

Traditional teaching

The researchers will implement the traditional teaching intervention of a surgical nursing practice course to the control group, and the teacher will demonstrate the operation procedure to the students face to face offline, and the students will practice. The whole intervention time is two months.

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* i) Full-time undergraduate nursing students in grades 3 who understand Chinase language.
* ii) Owning at least one smartphone, tablet or portable laptop.

Exclusion Criteria

* i) Repeat students.
* ii) Sick (matter) leave, Suspension of schooling.
* iii) Can not fully participate in or cooperate with.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Universiti Sains Malaysia

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

LI AFANG

Doctor of Philosophy student, Nursing Education

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Afang Li

Role: PRINCIPAL_INVESTIGATOR

Xiangnan University, China

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Afang Li

Chenzhou, Hunan, China

Site Status

Countries

Review the countries where the study has at least one active or historical site.

China

References

Explore related publications, articles, or registry entries linked to this study.

Arslan, G. G., Ozden, D., Goktuna, G., & Ayik, C. (2018). A study on the satisfaction of students for the time spent watching video-based learning during their basic nursing skills' training. International Journal of Caring Sciences, 11(1), 427-436.

Reference Type BACKGROUND

Arguel, A., & Jamet, E. (2009). Using video and static pictures to improve learning of procedural contents. Computers in human behavior, 25(2), 354-359.

Reference Type BACKGROUND

Chiang, V. C. (2015). Continuous Clinical Assessment (CCA) in Baccalaureate Nursing Education: The Application of Action Research. Journal of Problem-Based Learning, 2(1), 35-47. https://doi.org/10.24313/jpbl.2015.2.1.35.

Reference Type BACKGROUND

Debande, O., 2004. ICTs and the development of e-learning in Europe: the role of the public and private sectors. European Journal of Education, 39(2) 191-208. https://www.jstor.org/stable/1503883.

Reference Type BACKGROUND

Duan Zhigang, SUN Hong-yu, LIU Lin. Nursing Education [M].Version5. Beijing: People's Medical Publishing House, 2022.

Reference Type BACKGROUND

Fox, S., Mckeogh, F., 2003. Can e-learning promote higher-order learning without tutor overload? Open Learning 18(2) 121-134. https://doi.org/10.1080/02680510307410.

Reference Type BACKGROUND

Goodison, T., 2001. The Implementation of e-learning in higher education in the United Kingdom: The road ahead. Higher Education in Europe, 26(2) 247-262. https://doi.org/10.1080/03797720120082642.

Reference Type BACKGROUND

Gokcearslan, S. (2017). Perspectives of Students on Acceptance of Tablets and SelfDirected Learning with Technology. Contemporary educational technology, 8(1), 40- 55.

Reference Type BACKGROUND

Goosen, L., & Van Heerden, D. (2019). Student Support for Information and Communication Technology Modules in Open Distance Environments: Towards SelfDirected Learning. In Student Support Toward Self-Directed Learning in Open and Distributed Environments (pp. 26-58). IGI Global. DOI: 10.4018/978-1-5225-9316-4.ch002.

Reference Type BACKGROUND

HE Zhijie, Xie Caihong, Chen Ying, Huang Canxia, CAI Qiaowen, Wang Chengling... & Li Fangyi.(2023). Application of online and offline mixed teaching in mechanical ventilation practice teaching of respiratory rehabilitation. Chinese Journal of Rehabilitation Medicine (03),384-387.

Reference Type BACKGROUND

Huang Yibing. An empirical study on the evaluation of humanistic care ability of nursing college students [D]. Fuzhou: Fujian Medical University,2007.

Reference Type BACKGROUND

Keller JM. Motivational Design for Learning and Performance: The ARCS Model Approach. New York: Springer; 2010.

Reference Type BACKGROUND

Li X M, Gao Y, Zheng H P & Zhao J. (2021). The practice of online and offline hybrid assessment of Basic Nursing training based on network platform. Chin J Nursing (17),23-27.Doi:10.16460/ j.isn1008-9969.2021.17.023.

Reference Type BACKGROUND

Li W. Experimental teaching design and practice of basic Nursing based on the improvement of humanistic care ability of nursing students [D]. Xinxiang: Xinxiang Medical College,2012.

Reference Type BACKGROUND

Liu Junling, Liu Bin, Zhang Wenlan.(2019). The influence of academic emotion on online collaborative problem solving. China E-Education, (07):82-90.

Reference Type BACKGROUND

Luo Qiaoling, Li Xiaoping & Wu Jingmei.(2020). The impact of formative assessment based on online learning platform on independent learning of post-secondary nursing students. Journal of Nursing (03),10-13.Doi:10.16460/ j.ssn1008-9969.2020.03.010.

Reference Type BACKGROUND

MAO Min. Research on piano Teaching Innovation of Young Teachers under the Theory of Independent Learning [D]. Nantong: Nantong University,2015.

Reference Type BACKGROUND

McKenny, K. (2011). Using an online video to teach nursing skills. Teaching and learning in nursing, 6(4), 172-175. https://doi.org/10.1016/j.teln.2011.04.003

Reference Type BACKGROUND

Meng Wangtao. Research on the construction and application of the teaching scheme of

Reference Type BACKGROUND

Pekrun, R., Goetz, T., Titz, W., & Perry, R. P. (2002). Academic emotions in students' self-regulated learning and achievement: A program of qualitative and quantitative research. Educational psychologist, 37(2), 91-105. https://doi.org/10.1207/S15326985EP3702_4

Reference Type BACKGROUND

Xu Fengqin, Ma Liang, Zhou Guohui, etc. (2020). Newly recruited nurses should Observation on the effect of online and offline pre-employment training. Nursing Journal, (18):21-24

Reference Type BACKGROUND

Xu Jun, Wan Shuang yan, Liu Xin. (2012). Innovation of clinical basic skills to improve clinical practice ability [J]. Journal of liaoning medical college (social science edition), 10(01):32-34.

Reference Type BACKGROUND

Zhan Yi. Empirical Research on In-service Teachers' Online Academic Emotions [D]. East China Normal University,2016.

Reference Type BACKGROUND

Zhang Y H, Zhou Z X, Feng R & Xu H. (2015). Implementation and effect evaluation of flipped classroom for Obstetrics and Gynecology Nursing in higher vocational colleges. Journal of Nursing (06),77-79. Doi:CNKI:SUN:HLXZ.0.2015-06-033.

Reference Type BACKGROUND

Chen B, Wang Y, Xiao L, Xu C, Shen Y, Qin Q, Li C, Chen F, Leng Y, Yang T, Sun Z. Effects of mobile learning for nursing students in clinical education: A meta-analysis. Nurse Educ Today. 2021 Feb;97:104706. doi: 10.1016/j.nedt.2020.104706. Epub 2020 Dec 5.

Reference Type RESULT
PMID: 33360012 (View on PubMed)

Cheng SF, Kuo CL, Lin KC, Lee-Hsieh J. Development and preliminary testing of a self-rating instrument to measure self-directed learning ability of nursing students. Int J Nurs Stud. 2010 Sep;47(9):1152-8. doi: 10.1016/j.ijnurstu.2010.02.002. Epub 2010 Mar 11.

Reference Type RESULT
PMID: 20223455 (View on PubMed)

Durmaz Edeer A, Vural F, Turhan Damar H, Yasak K, Damar M. The Effect of Web-Based Preoperative and Postoperative Patient Care Education on Nursing Students: A Randomized Controlled Study. Comput Inform Nurs. 2019 Oct;37(10):541-547. doi: 10.1097/CIN.0000000000000552.

Reference Type RESULT
PMID: 31373901 (View on PubMed)

Forman D, Nyatanga L, Rich T. E-learning and educational diversity. Nurse Educ Today. 2002 Jan;22(1):76-82; discussion 83-4. doi: 10.1054/nedt.2001.0740.

Reference Type RESULT
PMID: 11886234 (View on PubMed)

Hester L, Reed B, Bohannan W, Box M, Wells M, O'Neal B. Using an educational mobile application to teach students to take vital signs. Nurse Educ Today. 2021 Dec;107:105154. doi: 10.1016/j.nedt.2021.105154. Epub 2021 Sep 16.

Reference Type RESULT
PMID: 34583238 (View on PubMed)

Johnson N, List-Ivankovic J, Eboh WO, Ireland J, Adams D, Mowatt E, Martindale S. Research and evidence based practice: using a blended approach to teaching and learning in undergraduate nurse education. Nurse Educ Pract. 2010 Jan;10(1):43-7. doi: 10.1016/j.nepr.2009.03.012. Epub 2009 May 6.

Reference Type RESULT
PMID: 19423398 (View on PubMed)

Kenny A. Online learning: enhancing nurse education? J Adv Nurs. 2002 Apr;38(2):127-35. doi: 10.1046/j.1365-2648.2002.02156.x.

Reference Type RESULT
PMID: 11940125 (View on PubMed)

Kim JH, Park H. Effects of Smartphone-Based Mobile Learning in Nursing Education: A Systematic Review and Meta-analysis. Asian Nurs Res (Korean Soc Nurs Sci). 2019 Feb;13(1):20-29. doi: 10.1016/j.anr.2019.01.005. Epub 2019 Jan 16.

Reference Type RESULT
PMID: 30659927 (View on PubMed)

Lee NJ, Chae SM, Kim H, Lee JH, Min HJ, Park DE. Mobile-Based Video Learning Outcomes in Clinical Nursing Skill Education: A Randomized Controlled Trial. Comput Inform Nurs. 2016 Jan;34(1):8-16. doi: 10.1097/CIN.0000000000000183.

Reference Type RESULT
PMID: 26389858 (View on PubMed)

O'Connor S, Andrews T. Smartphones and mobile applications (apps) in clinical nursing education: A student perspective. Nurse Educ Today. 2018 Oct;69:172-178. doi: 10.1016/j.nedt.2018.07.013. Epub 2018 Aug 1.

Reference Type RESULT
PMID: 30096510 (View on PubMed)

Rose S. Medical Student Education in the Time of COVID-19. JAMA. 2020 Jun 2;323(21):2131-2132. doi: 10.1001/jama.2020.5227. No abstract available.

Reference Type RESULT
PMID: 32232420 (View on PubMed)

Shen WQ, Chen HL, Hu Y. The validity and reliability of the self-directed learning instrument (SDLI) in mainland Chinese nursing students. BMC Med Educ. 2014 May 27;14:108. doi: 10.1186/1472-6920-14-108.

Reference Type RESULT
PMID: 24885557 (View on PubMed)

Thiele JE. Learning patterns of online students. J Nurs Educ. 2003 Aug;42(8):364-6. doi: 10.3928/0148-4834-20030801-08.

Reference Type RESULT
PMID: 12938899 (View on PubMed)

Willemse JJ, Bozalek V. Exploration of the affordances of mobile devices in integrating theory and clinical practice in an undergraduate nursing programme. Curationis. 2015;38(2):e1-e10. doi: 10.4102/curationis.v38i2.1510. Epub 2015 Sep 28.

Reference Type RESULT
PMID: 26852423 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

USM/JEPeM/KK/23020172

Identifier Type: -

Identifier Source: org_study_id