The Effectiveness of E-Learning Application Developed for Chest Tube Care in Nursing Students

NCT ID: NCT06745713

Last Updated: 2024-12-20

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-13

Study Completion Date

2024-09-15

Brief Summary

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This study was conducted to determine the effectiveness of the e-learning application developed for chest tube care in nursing students. Within the scope of this study, the e-learning application developed for chest tube care in nursing students and the effectiveness of this e-learning application were evaluated.

Detailed Description

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At the beginning of the study, 'Student Information Form', 'Clinical Reasoning Readiness Scale for Nursing Students', 'Self-Managed Learning Scale' and 'Chest Tube Care Management Knowledge Test' were applied to the participants. Then, the students were divided into two groups, 54 in the experimental group and 54 in the control group, and they were provided to enter the 'Chest Tube Care Management E-Learning Application'. The students in the groups were then asked to complete the module containing activities such as videos, short tests, puzzles in the content of the e-learning application opened to them at different times. When the students in the groups completed the module, 'Clinical Reasoning Readiness Scale for Nursing Students', 'Self-Managed Learning Scale' and 'Chest Tube Care Management Knowledge Test' were applied. Participation in this study was voluntary and participants could leave the study at any stage of the study if they wished. The confidentiality of the participant's data was protected and used only for this study.

Hypothesis 1:

H0: There is no significant difference between the chest tube care management knowledge scores of the students using the chest tube care management e-learning application and the control group students.

H1: There is a significant difference between the chest tube care management knowledge scores of the students using the chest tube care management e-learning application and the control group students.

Hypothesis 2:

H0: There is no significant difference between chest tube care management clinical reasoning readiness scale scores of students using chest tube care management e-learning application and control group students.

H1: There is a significant difference between the clinical reasoning readiness scale scores of the students using the chest tube care management e-learning application and the control group students.

Hypothesis 3:

H0: There is no significant difference between the chest tube care management self-directed learning skill levels of the students using the chest tube care management e-learning application and the control group students.

H1: There is a significant difference between the chest tube care management self-directed learning skill levels of the students using the chest tube care management e-learning application and the control group students.

Conditions

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E-learning Nursing Care Chest Tube Nursing Education

Keywords

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chest tube care e-learning nursing care nursing students clinical reasoning

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
In order to blind the students, the information about which group they were in was not shared with the students, and the students were informed that training on chest tube care management would be given and tests would be applied through the e-learning application. In addition, the students were informed that the contents of the 'Chest Tube Care Management Training Programme' would be opened to everyone at different times, and that the time of opening the tests and training content was determined by the e-learning application itself. The training content was opened to the control group after the post-test data were collected. Thus, blinding of the participant students was ensured. The researcher who recorded all the data obtained as a result of the study in the statistics programme and the person who made the statistical analyses of the data did not know which groups were the experimental or control groups. While analysing the statistical data, the statistician and the researcher knew.

Study Groups

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Experimental Group

They completed the chest tube care management training programme which includes 5 modules, 4 case scenarios and interactive questions on www.gtbyep.com website.

Group Type EXPERIMENTAL

Turkish- Computer System Usability Questionnaire Short Version

Intervention Type OTHER

Developed in 1995 by Lewis at IBM, the Computer System Usability Questionnaire (CSUQ) is one of the widely used questionnaires in the field of usability. The scale, which was adapted into Turkish by Erdinç in 2013, consists of 13 items in total. It has 4 sub-dimensions: system usefulness (items 1-6), information quality (items 7-9), interface quality (items 10-12) and general satisfaction (item 13). Each item is scored as 1 (Strongly agree) - 7 (Strongly disagree). The Cronbach α of the scale is \> .70 and the Cronbach α value for each sub-dimension varies between .73 and .92. A minimum score of 13 and a maximum score of 91 can be obtained from the scale. A low score is defined as good usability, and the higher the score, the lower the usability quality of the system (Erdinç \& Lewis, 2013).

Student Information Form

Intervention Type OTHER

In the form developed by the researchers in line with the literature, a total of 12 questions were included to determine the socio-demographic characteristics of the students (such as age, gender, academic average, whether they provide care to patients with chest tubes, whether they receive training on chest tube care). All participants in the experimental and control groups were applied once as a pre-test.

Clinical Reasoning Readiness Scale for Nursing Students

Intervention Type OTHER

It is a comprehensive assessment tool developed by Huang Huiman (2018) to determine the clinical reasoning readiness levels of nursing students in Taiwan (Ho et al., 2021; H.-M. Huang et al., 2018). 'Clinical Reasoning Readiness Scale for Nursing Students' consists of 4 sub-dimensions. These sub-dimensions are 'awareness of clinical clues' (4 items), 'verification of clinical problems' (4 items), 'action determination and implementation' (4 items) and 'evaluation and reflection' (4 items). Each sub-dimension contains four items to assess students' clinical reasoning readiness levels. The lowest score that can be obtained from the scale is 16 and the highest score is 80. Responses to the scale are evaluated on a 5-point Likert scale (5=strongly agree, 4=agree, 3=decided, 2=disagree, 1=strongly disagree). Cronbach's α ranged from 0.894 for the total and 0.78 to 0.89 for each sub-dimension. The corrected item-total correlation is between 0.627-0.728. Higher scores indicate higher levels

Self-directed Learning Scale

Intervention Type OTHER

The original Self-Managed Learning Scale was used as a self-report scale by Lounsbury et. al. (2009). The Turkish adaptation and validity and reliability study of the scale, which shows the extent to which individuals learn autonomously with a one-dimensional structure, was conducted by Demircioğlu, Öge, Fuçular, Çevik, Nazlıgül, and Özçelik in 2018. The scale is 5-point Likert-type and consists of 10 items. For each item, participants are expected to respond according to 1 (Strongly disagree), 2 (Disagree), 3 (No opinion), 4 (Agree) and 5 (Strongly agree). Cronbach's alpha coefficient of the scale is 0.85. In line with the scores obtained from the scale, above average self-directed learning skill means high and below average self-directed learning skill means low (Demircioğlu et al., 2018). Both groups were applied as pre-test and post-test.

Chest Tube Care Management Knowledge Test

Intervention Type OTHER

It was created by the researchers in line with the evidence in the literature (Abuejheisheh et al., 2021; Basler, 2020; Bertrandt et al., 2019; Charnock \& Evans, 2001; El-Senousy, Mahrous, Abd-Al Salam, \& Zedan, 2020; Ho et al., 2021; Tarhan et al., 2016; Zisis et al., 2015). The 'Chest Tube Care Management Knowledge Test' was initially prepared as a total of 43 multiple-choice questions, including the headings and subheadings in each session (Abuejheisheh et al., 2021; Malone, 2015). Expert opinions were obtained from 5 faculty members with clinical experience and studies on chest tube care. The experts gave suitability scores to the knowledge test questions one by one on a 4-point Likert-type scale (1: The item is not suitable, 2: The item should be seriously revised, 3: Suitable should be slightly revised, 4: Suitable). In line with the suggestions from the experts, the questions were reorganised and 9 questions were removed. For the remaining 34 multiple-choice questions in the kno

Control Group

The subject content of chest tube care management in the nursing education curriculum was given. After the pre- and post-tests were completed in the training programme in which the experimental group was included, the control group was also included in the training programme on www.gtbyep.com. The control group also completed the training content as applied to the experimental group.

Group Type ACTIVE_COMPARATOR

Student Information Form

Intervention Type OTHER

In the form developed by the researchers in line with the literature, a total of 12 questions were included to determine the socio-demographic characteristics of the students (such as age, gender, academic average, whether they provide care to patients with chest tubes, whether they receive training on chest tube care). All participants in the experimental and control groups were applied once as a pre-test.

Clinical Reasoning Readiness Scale for Nursing Students

Intervention Type OTHER

It is a comprehensive assessment tool developed by Huang Huiman (2018) to determine the clinical reasoning readiness levels of nursing students in Taiwan (Ho et al., 2021; H.-M. Huang et al., 2018). 'Clinical Reasoning Readiness Scale for Nursing Students' consists of 4 sub-dimensions. These sub-dimensions are 'awareness of clinical clues' (4 items), 'verification of clinical problems' (4 items), 'action determination and implementation' (4 items) and 'evaluation and reflection' (4 items). Each sub-dimension contains four items to assess students' clinical reasoning readiness levels. The lowest score that can be obtained from the scale is 16 and the highest score is 80. Responses to the scale are evaluated on a 5-point Likert scale (5=strongly agree, 4=agree, 3=decided, 2=disagree, 1=strongly disagree). Cronbach's α ranged from 0.894 for the total and 0.78 to 0.89 for each sub-dimension. The corrected item-total correlation is between 0.627-0.728. Higher scores indicate higher levels

Self-directed Learning Scale

Intervention Type OTHER

The original Self-Managed Learning Scale was used as a self-report scale by Lounsbury et. al. (2009). The Turkish adaptation and validity and reliability study of the scale, which shows the extent to which individuals learn autonomously with a one-dimensional structure, was conducted by Demircioğlu, Öge, Fuçular, Çevik, Nazlıgül, and Özçelik in 2018. The scale is 5-point Likert-type and consists of 10 items. For each item, participants are expected to respond according to 1 (Strongly disagree), 2 (Disagree), 3 (No opinion), 4 (Agree) and 5 (Strongly agree). Cronbach's alpha coefficient of the scale is 0.85. In line with the scores obtained from the scale, above average self-directed learning skill means high and below average self-directed learning skill means low (Demircioğlu et al., 2018). Both groups were applied as pre-test and post-test.

Chest Tube Care Management Knowledge Test

Intervention Type OTHER

It was created by the researchers in line with the evidence in the literature (Abuejheisheh et al., 2021; Basler, 2020; Bertrandt et al., 2019; Charnock \& Evans, 2001; El-Senousy, Mahrous, Abd-Al Salam, \& Zedan, 2020; Ho et al., 2021; Tarhan et al., 2016; Zisis et al., 2015). The 'Chest Tube Care Management Knowledge Test' was initially prepared as a total of 43 multiple-choice questions, including the headings and subheadings in each session (Abuejheisheh et al., 2021; Malone, 2015). Expert opinions were obtained from 5 faculty members with clinical experience and studies on chest tube care. The experts gave suitability scores to the knowledge test questions one by one on a 4-point Likert-type scale (1: The item is not suitable, 2: The item should be seriously revised, 3: Suitable should be slightly revised, 4: Suitable). In line with the suggestions from the experts, the questions were reorganised and 9 questions were removed. For the remaining 34 multiple-choice questions in the kno

Interventions

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Turkish- Computer System Usability Questionnaire Short Version

Developed in 1995 by Lewis at IBM, the Computer System Usability Questionnaire (CSUQ) is one of the widely used questionnaires in the field of usability. The scale, which was adapted into Turkish by Erdinç in 2013, consists of 13 items in total. It has 4 sub-dimensions: system usefulness (items 1-6), information quality (items 7-9), interface quality (items 10-12) and general satisfaction (item 13). Each item is scored as 1 (Strongly agree) - 7 (Strongly disagree). The Cronbach α of the scale is \> .70 and the Cronbach α value for each sub-dimension varies between .73 and .92. A minimum score of 13 and a maximum score of 91 can be obtained from the scale. A low score is defined as good usability, and the higher the score, the lower the usability quality of the system (Erdinç \& Lewis, 2013).

Intervention Type OTHER

Student Information Form

In the form developed by the researchers in line with the literature, a total of 12 questions were included to determine the socio-demographic characteristics of the students (such as age, gender, academic average, whether they provide care to patients with chest tubes, whether they receive training on chest tube care). All participants in the experimental and control groups were applied once as a pre-test.

Intervention Type OTHER

Clinical Reasoning Readiness Scale for Nursing Students

It is a comprehensive assessment tool developed by Huang Huiman (2018) to determine the clinical reasoning readiness levels of nursing students in Taiwan (Ho et al., 2021; H.-M. Huang et al., 2018). 'Clinical Reasoning Readiness Scale for Nursing Students' consists of 4 sub-dimensions. These sub-dimensions are 'awareness of clinical clues' (4 items), 'verification of clinical problems' (4 items), 'action determination and implementation' (4 items) and 'evaluation and reflection' (4 items). Each sub-dimension contains four items to assess students' clinical reasoning readiness levels. The lowest score that can be obtained from the scale is 16 and the highest score is 80. Responses to the scale are evaluated on a 5-point Likert scale (5=strongly agree, 4=agree, 3=decided, 2=disagree, 1=strongly disagree). Cronbach's α ranged from 0.894 for the total and 0.78 to 0.89 for each sub-dimension. The corrected item-total correlation is between 0.627-0.728. Higher scores indicate higher levels

Intervention Type OTHER

Self-directed Learning Scale

The original Self-Managed Learning Scale was used as a self-report scale by Lounsbury et. al. (2009). The Turkish adaptation and validity and reliability study of the scale, which shows the extent to which individuals learn autonomously with a one-dimensional structure, was conducted by Demircioğlu, Öge, Fuçular, Çevik, Nazlıgül, and Özçelik in 2018. The scale is 5-point Likert-type and consists of 10 items. For each item, participants are expected to respond according to 1 (Strongly disagree), 2 (Disagree), 3 (No opinion), 4 (Agree) and 5 (Strongly agree). Cronbach's alpha coefficient of the scale is 0.85. In line with the scores obtained from the scale, above average self-directed learning skill means high and below average self-directed learning skill means low (Demircioğlu et al., 2018). Both groups were applied as pre-test and post-test.

Intervention Type OTHER

Chest Tube Care Management Knowledge Test

It was created by the researchers in line with the evidence in the literature (Abuejheisheh et al., 2021; Basler, 2020; Bertrandt et al., 2019; Charnock \& Evans, 2001; El-Senousy, Mahrous, Abd-Al Salam, \& Zedan, 2020; Ho et al., 2021; Tarhan et al., 2016; Zisis et al., 2015). The 'Chest Tube Care Management Knowledge Test' was initially prepared as a total of 43 multiple-choice questions, including the headings and subheadings in each session (Abuejheisheh et al., 2021; Malone, 2015). Expert opinions were obtained from 5 faculty members with clinical experience and studies on chest tube care. The experts gave suitability scores to the knowledge test questions one by one on a 4-point Likert-type scale (1: The item is not suitable, 2: The item should be seriously revised, 3: Suitable should be slightly revised, 4: Suitable). In line with the suggestions from the experts, the questions were reorganised and 9 questions were removed. For the remaining 34 multiple-choice questions in the kno

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18 years of age or older,
* To be able to understand and speak Turkish,
* To be enrolled in the 3rd year of the Nursing Department,
* Taking Surgical Diseases Nursing course for the first time,
* To be able to access Internet,
* Voluntary acceptance to participate in the research.

Exclusion Criteria

* Notifying that he/she wants to leave the research at any stage of the research,
* They did not participate in any of the steps of the e-learning application such as pre-test, watching the videos, post-test, evaluation activities, etc.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Gazi University Scientific Research Unit

UNKNOWN

Sponsor Role collaborator

Atılım University

OTHER

Sponsor Role collaborator

Gazi University

OTHER

Sponsor Role lead

Responsible Party

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Sevil Güler

Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Gazi University

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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E-770082166-302.08.01-509027

Identifier Type: -

Identifier Source: org_study_id