The effect of a multidimensional teaching strategy on the self-efficacy and critical thinking dispositions of nursing students: A quasi-experimental study

The effect of seven-step educational strategy on knowledge of diabetic foot ulcer prevention, critical thinking and self-efficacy of nursing students: A randomized controlled trial

BACKGROUND

Diabetic foot ulcer is a significant complication of diabetes that carries a high mortality risk and is associated with substantial financial costs. Choosing a suitable educational model for nursing students as future nurses is necessary to improve knowledge and manage issues related to caring for diabetic patients.

OBJECTIVES

To determine the effect of education based on the 7E learning cycle model on the knowledge of diabetic foot ulcer prevention, critical thinking, and self-efficacy in nursing students.

DESIGN

A single-blind, randomized controlled trial with a parallel group.

SETTINGS

This study was conducted in a nursing school and hospitals covered by it in Iran.

PARTICIPANTS

98 students studying in the fourth semester of the Bachelor of Nursing course.

METHODS

Students were divided into two distinct groups at random: an experimental group (class A, with 51 participants), and a control group (class B, with 47 participants). The participants of the experimental group were provided with an education based on the 7E learning cycle model, while the control group received conventional teaching method. Data collection methods included pre- and post-tests using research instruments (demographic questionnaire, Kaya Diabetic Foot Prevention Knowledge Questionnaire, Ricketts' Critical Thinking Disposition Questionnaire, and General Self-Efficacy Scale). The data were analyzed using descriptive statistics, non-parametric Mann-Whitney and Wilcoxon tests, parametric independent sample t-tests, ANCOVA, and paired sample t-tests.

RESULTS

The difference in mean scores of diabetic foot ulcer prevention knowledge (Z = -6.232, p < 0.001), critical thinking (t (50) = -4.382, p < 0.001), and self-efficacy (Z = -4.427, p < 0.001) in the experimental group were statistically significant between the time interval before the intervention and one month after its completion.

CONCLUSIONS

Compared to conventional method of teaching, education based on the 7E learning cycle model is a more effective method to improve nursing students' knowledge of diabetic foot ulcer prevention, critical thinking, and self-efficacy.

Research hotspots and development trends of international learning cycle model:Bibliometric analysis based on CiteSpace

The Learning Cycle Model (LCM) is an inquiry-based teaching strategy and curriculum model that has been researched and practiced for almost half a century and has achieved good educational results in science education, especially in primary and secondary schools. This study collected LCM educational research data to better understand the recent progress of LCM educational research. It used the bibliometric analysis software CiteSpace for the first time to sort out the overall development of LCM. Compared to other literature review methods, we obtained a more comprehensive picture of the current research hotspots and future research trends in LCM research. First, we searched 498 articles from the Web of Science core collection between 2000 and May 16, 2023. The trajectory of LCM research was identified by analyzing publication trends, authors, countries/regions, and research institutions. Secondly, we obtained the keyword co-occurrence map and clustering map through CiteSpace's built-in algorithm to analyze the main areas and research frontiers of this study. Meanwhile, the development trend is shown by co-keyword burst detection. After analysis, this study found that the current research hotspot findings focus on conceptual learning, validity research, and integration with different teaching processes. The research frontiers are mainly related to teacher professional development and research on the impact of LCM on learning outcomes. Finally, this study discusses future research directions, including research on the impact of LCM on 21st century skills, comparison with other modes of inquiry teaching and learning, and its use in engineering education, to promote better development of LCM.

Effectiveness of the Patient's Severity Classification Competency Promotion Virtual Reality Program of Nursing Students during the COVID-19 Pandemic Period

The purpose of this study was to develop a virtual reality-based nursing education program aimed at improving nursing students' severity classification competency. Severity classification in the emergency room is key to improving the efficiency of emergency room services worldwide. Prioritizing treatment based on correctly identifying the severity of a disease or an injury also ensures patients' safety. The five actual clinical scenarios in the program helped to promptly classify patients into five clinical situations based on the 2021 Korean Emergency Patient Classification Tool. Seventeen nursing students were in an experimental group that had access to a virtual reality-based simulation combined with clinical practice. Seventeen nursing students were in a control group that only participated in routine clinical practice. The virtual reality-based nursing education program effectively improved students' severity classification competency, performance confidence, and clinical decision-making ability. Although the pandemic continues, the virtual reality-based nursing education program provides realistic indirect experiences to nursing students in situations where clinical nursing practice is not possible. In particular, it will serve as basic data for the expansion and utilization strategy of virtual reality-based nursing education programs to improve nursing capabilities.