School of Nursing, College of Nursing, Taipei Medical University, No. 250, Wuxing Street, Taipei 11031, Taiwan; Department of Nursing, Shuang Ho Hospital, Taipei Medical University.
Graduate Institute of Network Learning Technology, National Central University, No. 300, Zhongda Rd., Zhongli District, Taoyuan City 320317, Taiwan.
Nurse Educ Today. 2022 Feb;109:105256. doi: 10.1016/j.nedt.2021.105256. Epub 2021 Dec 24.
Key challenges for clinical education during the COVID-19 pandemic include how to continue teaching and learning, how to teach core clinical skills, and how to demonstrate professional and practical skills in various clinical situations. Therefore, nursing students need to learn how to assist with in-patient intubation, eliminate accumulated sputum overflow, and the basic techniques of sputum suction.
We proposed and investigated an approach to integrating online game-based learning with the watch-summarize-question strategy to improve nursing students' learning achievement, self-efficacy, learning engagement, and learning satisfaction in sputum suction skill training.
A quasi-experimental study with pretest and posttest design.
We randomly allocated 45 first-year nursing students to an experimental group (n = 21) or a control group (n = 24) at a school of nursing in a university.
The experimental group adopted the online game-based learning and watch-summarize-question strategy, while the control group used video-based learning. Participants were assessed on learning achievement of sputum suction skills, self-efficacy, learning engagement, and learning satisfaction before and after the intervention.
The experimental group, which used the proposed approach, achieved statistically significant higher learning achievement, self-efficacy, learning engagement, and learning satisfaction than the control group.
The integration of online game-based learning with the watch-summarize-question strategy demonstrated a positive impact on nursing students' sputum suction skill training. Nurse educators and researchers should consider integrating computer technology and teaching strategies to facilitate nursing education.
COVID-19 大流行期间临床教育面临的主要挑战包括如何继续教学和学习、如何教授核心临床技能以及如何在各种临床情况下展示专业和实践技能。因此，护理学生需要学习如何协助住院患者进行插管、清除积聚的痰液溢出以及吸痰的基本技术。
我们提出并研究了一种将基于在线游戏的学习与观看-总结-提问策略相结合的方法，以提高护理学生在吸痰技能培训中的学习成绩、自我效能感、学习投入度和学习满意度。
采用前测后测设计的准实验研究。
我们在一所大学的护理学校随机将 45 名一年级护理学生分配到实验组（n=21）或对照组（n=24）。
实验组采用基于在线游戏的学习和观看-总结-提问策略，而对照组采用视频学习。在干预前后，对参与者的吸痰技能学习成绩、自我效能感、学习投入度和学习满意度进行评估。
实验组采用提出的方法，在学习成绩、自我效能感、学习投入度和学习满意度方面均显著高于对照组。
将基于在线游戏的学习与观看-总结-提问策略相结合对护理学生的吸痰技能培训产生了积极影响。护理教育者和研究人员应考虑整合计算机技术和教学策略，以促进护理教育。
