腹部身體評估情境案例於行動學習APP系統之研究
| 論文名稱(中/英文) | 研究生 | 指導教授 |
| 腹部身體評估情境案例於行動學習APP系統之研究 A Study on the Effect of Scenario-Based Abdominal Examination Using a Mobile APP System |
向秀娟 | 許麗齡博士 |
| [ 摘要 ] | ||
| 本研究旨在探討腹部身體評估情境案例於行動學習APP系統介入後,護理學生在腹部身體評估認知測驗、認知負荷、課程學習滿意度、使用行動載具態度、情境案例學習及行動學習自我效能之學習成效探討。本研究採類實驗性研究(quasi-experimental study)非對等控制組兩組前後測設計;研究對象採立意取樣,以中部某科技大學護理系二技一年級學生共207人,實驗組104人接受腹部身體評估情境案例於行動學習APP輔助教學課程,控制組103人接受傳統課室教學;課程介入前後,兩組皆接受身體評估認知測驗前後測,另外安排實驗組使用行動載具態度、情境案例學習及行動學習自我效能前後測,於課程結束兩組皆接受認知負荷及課程學習滿意度後測。資料分析應用SPSS 22.0進行描述性統計分析及t test、Wilcoxon Signed Ranks test、Mann-Whitney U test、Pearson χ2推論性統計分析。研究結果顯示:(一)腹部身體評估情境案例於行動學習APP輔助教學介入後,兩組認知測驗得分後測均優於前測,兩組後測組間控制組顯著優於實驗組。(二)腹部身體評估情境案例於行動學習APP輔助教學介入後,控制組認知負荷高於實驗組,但未達顯著差異。(三)腹部身體評估情境案例於行動學習APP輔助教學介入後,控制組課程學習滿意度顯著優於實驗組。(四)腹部身體評估情境案例於行動學習APP系統輔助教學介入後,實驗組使用行動載具態度後測優於前測,但未達顯著差異。(五)腹部身體評估情境案例於行動學習APP輔助教學介入後,實驗組於情境案例學習後測優於前測,但未達顯著差異。(六)腹部身體評估情境案例於行動學習APP輔助教學介入後,實驗組行動學習自我效能後測低於前測,但未達顯著差異。(七)實驗組腹部身體評估情境案例於行動學習APP質性分析與整體的感受,包括:過去的學習特質、學習APP的挫折與壓力、APP的正向經驗感受、APP輔助工具的效益、APP情境教材的限制、APP系統不穩定。本研究結果建議:加強教師對APP教學的準備,廣泛應用情境案例於護理課程,增強行政支援對科技融入教學的支持,持續推動行動學習於護理教育的應用,以及APP設計未來可做為臨床在職教育的參考。 | ||
| [ Abstract ] | ||
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This study aimed to explore learning performances of BSN students in terms of ab-dominal assessment knowledge, cognitive load, satisfaction with the intervention, attitude towards using mobile devices, scenario-based learning, and self-efficacy in mobile-learning, following an educational intervention in the form of a scenario-based abdominal assessment mobile-learning APP. This quasi-experimental study adopted non-equivalent control group pre-test and post-test design. A convenience sample of 207 senior nursing students enrolled in a vocational university in central Taiwan was recruited. The experimental group, which consisted of 104 students, received APP-based abdominal assessment education. The control group, which consisted of 103 students, received lec-ture-based abdominal assessment education. Both groups were pretested and post-tested on their knowledge of abdominal assessment before and after the intervention. In addition, the experimental group was pre-tested and post-tested on attitude towards using mobile devices, scenario-based learning, and self-efficacy in mobile. Both groups were post-tested on cognitive load and satisfaction with the intervention after the intervention. Data were analyzed with SPSS 22.0 for Windows to obtain descriptive statistics, and inferential statistical methods including t test, Wilcoxon Signed Ranks test, Mann-Whitney U test, and Pearson χ2 were adopted. The results were as follows: (1) Both groups scored higher in post-test as compared to pre-test in the abdominal assessment knowledge test following the intervention. There were significant between-group differences in post-test scores, with the control group scoring significantly higher than the experimental group. (2) No significant differences were found between cognitive load scores of both groups following the intervention. (3) The control group demonstrated significantly higher satisfaction with the intervention than the experimental group. (4) No significant differences were found between the experimental group’s attitudes towards the use of mobile devices at pre-test and post-test. (5) No significant differences were found between the experimental group’s scenario-based learning scores at pre-test and post-test. (6) No significant differences were found between the experimental group’s self-efficacy in mobile-learning scores at pre-test and post-test. (7) Qualitative analysis revealed factors affecting the experimental group’s overall feelings towards the abdominal assessment mobile-learning APP, which included the following: characteristics of past learning experience, frustration and pressure involved in the use of mobile-learning APP, positive experience and feelings in the use of APP, the benefits of APP as a learning aid, the limitations of APP as a set of scenario-based learning materials, and instability of the APP system. Based on the study’s findings, the following suggestions were recommended: Teachers should develop competencies in APP-aided teaching. Scenario-based learning should be widely Applied in nursing education. More administrative backing is needed to promote technology-based teaching. mobile-learning should continue to be Applied in nursing education. And the introduction of APP to clinical in-service education is another possibility worth exploring. |
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