Effects of an Interactive E-book to Enhance Nursing Skill

It is necessary for nursing students to have sufficient knowledge and correct nursing skill before clinical practicum to provide patients appropriate care and improve nursing quality. The learning materials of nursing skills are mainly paper textbooks and handouts, which are one-way knowledge transmissions having limitations and deficiencies in nursing skill learning. Interactive e-books integrate multimedia such as text, images, and videos, which are more suitable for learning nursing skill and maximize the effectiveness of the learning materials. The present study aimed to develop a nasogastric tube feeding interactive e-book based on Information Processing Theory (IPT) and Attention, Relevance, Confidence, and Satisfaction Motivational Model (ARCS), hoping to improve students' learning motivation and learning effectiveness. This is a randomized controlled trial study. Convenience sampling will be applied. The participants will be recruited and randomly assigned into the experimental group and comparison group. The experimental group will read an interactive e-book to learn nasogastric tube feeding, while the comparison group will read a paper textbook.

It is necessary for nursing students to have sufficient knowledge and correct nursing skill before clinical practicum to provide patients appropriate care and improve nursing quality. The learning materials of nursing skills are mainly paper textbooks and handouts, which are one-way knowledge transmissions having limitations and deficiencies in nursing skill learning. Interactive e-books integrate multimedia such as text, images, and videos, which are more suitable for learning nursing skill and maximize the effectiveness of the learning materials. In addition, the learning content can be updated at any time, in order that students can learn the latest skills and connect with clinical. The present study aimed to develop a nasogastric tube feeding interactive e-book based on Information Processing Theory (IPT) and Attention, Relevance, Confidence, and Satisfaction Motivational Model (ARCS), hoping to improve students' learning motivation and learning effectiveness. Therefore, the purpose of this study is to examine the effectiveness of using interactive e-book to enhance nursing students' knowledge and learning self-efficacy of nursing skill.

This is a randomized controlled trial study. Convenience sampling will be applied at a university in Northern Taiwan. It is expected that 60-100 participants will be recruited and randomly assigned into the experimental group and comparison group. The experimental group will read an interactive e-book to learn nasogastric tube feeding, while the comparison group will read a paper textbook. The questionnaires will be collected before the intervention, after the intervention, and after one month of the intervention. The questionnaires include demographic information, nasogastric tube feeding knowledge questionnaire, nasogastric tube feeding confidence scale, learning self-efficacy scale, nasogastric tube feeding skill test, and learning satisfaction questionnaire. This study will use SPSS 19.0 software for data analysis, including percentage, mean, standard deviation, t-test, chi-square test, and generalized estimation equation (GEE).

Eligibility Criteria:
Inclusion Criteria:

* students who major in nursing
* students have not yet learned nasogastric tube feeding skill.

Exclusion Criteria:

* None