Article 2024

Effects of game-based learning integrated with the self-regulated learning strategy on nursing students' entrustable professional activities: A quasi-experimental study

Nurse Education Today
Journal · Vol. 139 · Art. 106213
Abstract

Background: In the field of nursing education, the expertise and knowledge required to perform Leopold's Maneuvers are critical, forming an integral part of Entrustable Professional Activities for nursing students. As a result, mastering Leopold's Maneuvers has become a core component of nursing education. Despite this, the prevailing didactic methods in many nursing courses tend to limit interactive and contextual learning experiences, which can hinder students' ability to engage deeply with the subject matter. This lack of engagement may subsequently affect both the effectiveness of students' learning and students' clinical judgment capacity, essential elements in the competencies of Entrustable Professional Activities. Methods: A quasi-experimental design was employed in this study, involving a total of 55 nursing university students, with 28 participants in the experimental group and 27 in the control group. The research incorporated game-based learning integrated with the self-regulated learning strategy, and employed a pretest, posttest, and questionnaires to assess students' learning performance, self-efficacy, and learning motivation. The experimental group participated in game-based learning with the self-regulated learning strategy, whereas the control group experienced game-based learning without the integration of self-regulated learning. Learning performance was analyzed using an independent samples t-test, while Analysis of Covariance was employed to compare the self-efficacy and learning motivation of the two groups. Results: The findings showed that the integration of game-based learning with the self-regulated learning strategy can significantly improve students' learning performance, self-efficacy, and learning motivation. Conclusion: As an integral part of Entrustable Professional Activities, Leopold's Maneuvers were integrated into an interactive game-based learning environment, coupled with the self-regulated learning strategy in nursing education. This approach aimed at cultivating core competencies among nursing students. This study has demonstrated its efficacy in engaging students effectively, serving as a dynamic resource for immersive learning in Leopold's Maneuvers, aligning well with the design considerations for promoting Entrustable Professional Activities in nursing education. © 2024 Elsevier Ltd

Keywords

Author Keywords

Self-regulated learning Nursing education Learning performance Game-based learning entrustable professional activities Nursing skills

Index Keywords

learning adult clinical competence female human male nursing student procedures psychology questionnaire Humans Students, Nursing Surveys and Questionnaires Decision making Article learning environment young adult student self concept motivation Self Efficacy education controlled study nursing education human experiment Problem based learning knowledge Educational Measurement Problem-Based Learning Education, Nursing, Baccalaureate Game-based Learning experimental design university student quasi experimental study nursing competence analysis of covariance
Author Affiliations
School of Nursing, Taipei Medical University, Taipei, Taiwan
Empower Vocational Education Research Center, National Taiwan University of Science and Technology, Taipei, Taiwan
Graduate Institute of Network Learning Technology, National Central University, Taoyuan, Taiwan
Graduate Institute of Network Learning Technology, National Central University, Taoyuan, Taiwan, Research Center for Science and Technology for Learning, National Central University, Taoyuan, Taiwan
Funding & Acknowledgements
National Science and Technology Council, NSTC
Grant: NSTC 111-2410-H-038-029-MY2, NSTC 112-2622-H-038-002
This work was supported by the National Science and Technology Council of Taiwan under contract numbers NSTC 111-2410-H-038-029-MY2 and NSTC 112-2622-H-038-002.
National Science and Technology Council, NSTC
This work was supported by the National Science and Technology Council of Taiwan under contract numbers NSTC 111-2410-H-038-029-MY2 and NSTC 112-2622-H-038-002.
References 10 References
1 Curr Health Sci J, (2021)
2 Alemayehu, Lekissa, The influence of motivation on learning engagement: the mediating role of learning self-efficacy and self-monitoring in online learning environments, Interactive Learning Environments, 31, 7, pp. 4605-4618, (2023)
3 Al-Moteri, Modi, Entrustable professional activities in nursing: A concept analysis, International Journal of Nursing Sciences, 7, 3, pp. 277-284, (2020)
4 Al-Moteri, Modi, Development of undergraduate nursing entrustable professional activities through using a participatory design approach, Journal of Professional Nursing, 37, 4, pp. 741-748, (2021)
5 Anthamatten, Angel, Exploring the Utility of Entrustable Professional Activities as a Framework to Enhance Nurse Practitioner Education, Nurse Educator, 45, 2, pp. 83-87, (2020)
6 Social Learning Theory, (1977)
7 Bramley, Andrea Louise, Design, implementation and evaluation of novel work-based clinical assessment tool: An e-portfolio with embedded Entrustable Professional Activities, Nurse Education Today, 107, (2021)
8 Celik, Meryem, The effect on pregnant women's prenatal attachment of a nursing practice using the first and second Leopold's maneuvers, Japan Journal of Nursing Science, 17, 2, (2020)
9 Chang, Ching-Yi, Facilitating nursing students' skill training in distance education via online game-based learning with the watch-summarize-question approach during the COVID-19 pandemic: A quasi-experimental study, Nurse Education Today, 109, (2022)
10 Chu, Shihting, Incorporating teacher intelligence into digital games: An expert system-guided self-regulated learning approach to promoting EFL students' performance in digital gaming contexts, British Journal of Educational Technology, 54, 2, pp. 534-553, (2023)
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