title: Evaluation of an interactive web-based nursing course with streaming videos for medication administration skills.
abstract: OBJECTIVE
  Nursing students should exhibit competence in nursing skills in order to provide safe and quality patient care. This study describes the design and students' response to an interactive web-based course using streaming video technology tailored to students' needs and the course objectives of the fundamentals of nursing skills clinical course.
  
  
  METHODS
  A mixed-methodology design was used to describe the experience of 102 first-year undergraduate nursing students at a school of nursing in Jordan who were enrolled in the course. A virtual course with streaming videos was designed to demonstrate medication administration fundamental skills. The videos recorded the ideal lab demonstration of the skills, and real-world practice performed by registered nurses for patients in a hospital setting. After course completion, students completed a 30-item satisfaction questionnaire, 8 self-efficacy scales, and a 4-item scale solicited their preferences of using the virtual course as a substitute or a replacement of the lab demonstration. Students' grades in the skill examination of the procedures were measured. Relationships between the main variables and predictors of satisfaction and self-efficacy were examined.
  
  
  RESULTS
  Students were satisfied with the virtual course (3.9 ± 0.56, out of a 5-point scale) with a high-perceived overall self-efficacy (4.38 ± 0.42, out of a 5-point scale). Data showed a significant correlation between student satisfaction, self-efficacy and achievement in the virtual course (r = 0.45-0.49, p < 0.01). The majority of students accessed the course from home and some faced technical difficulties. Significant predictors of satisfaction were ease of access the course and gender (B = 0.35, 0.25, CI = 0.12-0.57, 0.02-0.48 respectively). The mean achievement score of students in the virtual class (7.5 ± 0.34) was significantly higher than that of a previous comparable cohort who was taught in the traditional method (6.0 ± 0.23) (p < 0.05). Nearly 40% of the students believed that the virtual course is a sufficient replacement of the lab demonstration.
  
  
  CONCLUSIONS
  The use of multimedia within an interactive online learning environment is a valuable teaching strategy that yields a high level of nursing student satisfaction, self-efficacy, and achievement. The creation and delivery of a virtual learning environment with streaming videos for clinical courses is a complex process that should be carefully designed to positively influence the learning experience. However, the learning benefits gained from such pedagogical approach are worth faculty, institution and students' efforts.
authors.affiliation: Department of Health Restoration & Care Systems Management, School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA. Electronic address: sowan@uthscsa.edu.
authors.forename: Azizeh K
authors.initials: AK
authors.lastname: Sowan
authors.affiliation: Maternity, Child and Family Health Nursing Department, School of Nursing, Hashemite University, Jordan.
authors.forename: Jamila Abu
authors.initials: JA
authors.lastname: Idhail
mesh_terms: D000293:Adolescent; D003194:Computer-Assisted Instruction / Q000379:methods*; D054796:Drug Dosage Calculations; D004358:Drug Therapy / Q000451:nursing*; D005260:Female; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D013338:Students, Nursing; D014584:User-Computer Interface; D014743:Videotape Recording / Q000706:statistics & numerical data*
keywords: Fundamentals of nursing skills; Medication administration; Self-efficacy; Streaming videos; Student satisfaction; Web-based learning