A blended learning using contextual teaching learning: strengthening nursing students' procedural knowledge and interprofessional collaboration
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Introduction:The level of knowledge about the types of teaching instruction through blended learning in nursing education is still lacking. This study aims to develop blended learning using contextual learning and evaluate its effect on procedural knowledge and interprofessional collaboration.
Methods: A quasi-experimental study was conducted from January to March 2022. The total participants were 96 students from one of the nursing departments in Indonesia, who were equally divided into experimental and control groups. The experimental group received a blended learning method with a combination of contextual learning for 400 minutes for four meetings. Meanwhile, 48 students in the control group received traditional blended learning. Mann-Whitney U test to compare between treatment and control groups. The instrument used to measure the interprofessional education variable was the Nurse–Physician Collaboration Scale and procedural knowledge was measured through a test of 25 multiple choice questions about procedural knowledge.
Results: The implementation of blended learning based on contextual teaching significantly increased their procedural knowledge (pre M = 43.30 vs post M = 79.00), and interprofessional collaboration (pre M = 58.08 vs post M = 83.79) with p-value < 0.01.
Conclusions: Blended learning using contextual learning was effective for increasing procedural knowledge and interprofessional collaboration in nursing students. The application of this instruction is highly recommended for nursing departments in higher education institutions as an effort to achieve qualified health workers for sustainable development and well-being.
Apriyono, J. (2013). Collaborative learning: A foundation for building togetherness and skills. Jurnal Pendidikan Luar Sekolah, 17.1, 292-304. doi:
Arya, R., et al. (2010). Effectiveness of Communication Implementation in Collaboration Between Nurses and Doctors in the Sumedang General Hospital Inpatient Room. Majalah Keperawatan Unpad, 12.1. available at: https://www.neliti.com/id/publications/219949/efektifitas-pelaksanaan-komunikasi-dalam-kolaborasi-antara-perawat-dan-dokter-di#cite
Banskota, S., et al. (2020). 15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic. West J Emerg Med, 21.3, 514-525.doi: 10.5811/westjem.2020.4.47372
Barbosa, M. L., et al. (2021). Evolution of nursing teaching in the use of education technology: a scoping review. Rev Bras Enferm, 74.suppl 5, e20200422.doi: 10.1590/0034-7167-2020-0422
Braithwaite, D. W. & Sprague, L. (2021). Conceptual Knowledge, Procedural Knowledge, and Metacognition in Routine and Nonroutine Problem Solving. Cogn Sci, 45.10, e13048.doi: 10.1111/cogs.13048
Chen, F.-H. (2021). Sustainable education through e-learning: The case study of ilearn2. 0. Sustainability, 13.18, 10186.doi: https://doi.org/10.3390/su131810186
Cunningham, S., et al. (2018). Interprofessional education and collaboration: A simulation-based learning experience focused on common and complementary skills in an acute care environment. J Interprof Care, 32.3, 395-398.doi: 10.1080/13561820.2017.1411340
Curran, T. & Standage, M. (2017). Psychological needs and the quality of student engagement in physical education: Teachers as key facilitators. Journal of teaching in physical education, 36.3, 262-276. doi: http://dx.doi.org/10.1123/jtpe.2017-0065
Dahri, N. A., et al. (2021). Factors influencing the acceptance of mobile collaborative learning for the continuous professional development of teachers. Sustainability, 13.23, 13222.doi:
Durmuş, S., et al. (2018). The level of collaboration amongst nurses in Turkey. Int Nurs Rev, 65.3, 450-458.doi: 10.1111/inr.12440
Evi‐Colombo, A., et al. (2023). Procedural knowledge acquisition in a second‐year nursing course. Effectiveness of a digital video‐based collaborative learning‐by‐design activity using hypervideo. Journal of Computer Assisted Learning, 39.2, 501-516.doi:
Franco, E., et al. (2021). Effects of a sport education model-based teaching intervention on students’ behavioral and motivational outcomes within the physical education setting in the COVID-19 scenario. Sustainability, 13.22, 12468. doi: https://doi.org/10.3390/su132212468
Hossny, E. K. & Sabra, H. E. (2021). The attitudes of healthcare professionals towards nurse-physician collaboration. Nurs Open, 8.3, 1406-1416.doi: 10.1002/nop2.756
Huckins, J. F., et al. (2020). Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. J Med Internet Res, 22.6, e20185.doi: 10.2196/20185
Jowsey, T., et al. (2020). Blended learning via distance in pre-registration nursing education: A scoping review. Nurse Educ Pract, 44. 102775.doi: 10.1016/j.nepr.2020.102775
Langford, R., et al. (2015). The World Health Organization's Health Promoting Schools framework: a Cochrane systematic review and meta-analysis. BMC Public Health, 15. 130.doi: 10.1186/s12889-015-1360-y
Leidl, D. M., et al. (2020). Blended learning in undergraduate nursing education - A scoping review. Nurse Educ Today, 86. 104318.doi: 10.1016/j.nedt.2019.104318
Liao, C., et al. (2015). The nurse–nurse collaboration behavior scale: development and psychometric testing. International Journal of Nursing Sciences, 2.4, 334-339.doi:
Mccutcheon, K., et al. (2015). A systematic review evaluating the impact of online or blended learning vs. face-to-face learning of clinical skills in undergraduate nurse education. J Adv Nurs, 71.2, 255-70.doi: 10.1111/jan.12509
Ngenzi, J. L., et al. (2021). Information and communication technology to enhance continuing professional development (CPD) and continuing medical education (CME) for Rwanda: a scoping review of reviews. BMC Med Educ, 21.1, 245.doi: 10.1186/s12909-021-02607-w
O'connor, S. & Andrews, T. (2018). Smartphones and mobile applications (apps) in clinical nursing education: A student perspective. Nurse Educ Today, 69. 172-178.doi: 10.1016/j.nedt.2018.07.013
Olum, R., et al. (2020). Medical Education and E-Learning During COVID-19 Pandemic: Awareness, Attitudes, Preferences, and Barriers Among Undergraduate Medicine and Nursing Students at Makerere University, Uganda. J Med Educ Curric Dev, 7. 2382120520973212.doi: 10.1177/2382120520973212
Orchard, C. A., et al. (2005). Creating a Culture for Interdisciplinary Collaborative Professional Practice. Med Educ Online, 10.1, 4387.doi: 10.3402/meo.v10i.4387
Pereira, C. D. F. D., et al. (2014). Teaching of Nursing Process Contextual Analysis. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 8.3.
Plotzky, C., et al. (2021). Virtual reality simulations in nurse education: A systematic mapping review. Nurse Educ Today, 101. 104868.doi: 10.1016/j.nedt.2021.104868
Rohendi, H., et al. (2020). Pengembangan Model Blended Learning Dalam Meningkatkan Learning Outcome Mahasiswa Di Lahan Praktik Klinik Keperawatan. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal, 11.2, 336-350. doi: https://doi.org/10.34305/jikbh.v11i2.205
Rohmah, N., et al. (2023). Development of contextual learning models through collaboration between lecturers, students, and village governments in nursing education. Korean Journal of Medical Education, 35.1, 71. doi: https://doi.org/10.3946/kjme.2023.250
San Martín-Rodríguez, L., et al. (2005). The determinants of successful collaboration: a review of theoretical and empirical studies. J Interprof Care, 19 Suppl 1. 132-47.doi: 10.1080/13561820500082677
Setiawan, S. (2013). Comparative Study of Registered Nurse and Specialist's Attitude Toward Nurse-physician Collaboration in Hospital. Jurnal Ners, 8.2, 211-216. doi: https://doi.org/10.20473/jn.v8i2.3824
Sinubu, T. J., et al. (2021). Hubungan Pengalaman Kerja Perawat dengan Perspektif Kolaborasi Perawat-Dokter di RSU GMIM Pancaran Kasih. Jurnal Keperawatan, 9.2, 24-32.doi: https://doi.org/10.35790/jkp.v9i2.36778
Uliyah, M., et al. (2019). Using of Blended Learning in Improving Collaboration Skill of Nursing Students. Indian Journal of Public Health Research & Development, 10.9. doi: http://repository.um-surabaya.ac.id/id/eprint/4157
Uliyah, M., et al. (2020). Dataset on nurses' perception and practice of inter-professional collaboration at Muhammadiyah hospitals, Indonesia. Data in Brief, 31. doi: https://doi.org/10.1016/j.dib.2020.105863
Ushiro, R. (2009). Nurse-Physician Collaboration Scale: development and psychometric testing. J Adv Nurs, 65.7, 1497-508.doi: 10.1111/j.1365-2648.2009.05011.x
Wagner, J., et al. (2011). Developing interprofessional communication skills. Teaching and learning in nursing, 6.3, 97-101. doi: https://doi.org/10.1016/j.teln.2010.12.003
Wang, Y., et al. (2018). The influence of effective communication, perceived respect and willingness to collaborate on nurses' perceptions of nurse-physician collaboration in China. Appl Nurs Res, 41. 73-79.doi: 10.1016/j.apnr.2018.04.005
Willemse, J. J., et al. (2019). Experiences of undergraduate nursing students on an authentic mobile learning enactment at a higher education institution in South Africa. Nurse education today, 74. 69-75. doi: https://doi.org/10.1016/j.nedt.2018.11.021
Yu, L., et al. (2021). Analysis of factors influencing the network teaching effect of college students in a medical school during the COVID-19 epidemic. BMC Med Educ, 21.1, 397.doi: 10.1186/s12909-021-02825-2
Zhampeissova, K., et al. (2020). Collaborative mobile learning with smartphones in higher education. International Journal of Interactive Mobile Technologies (iJIM), 14(21), pp. 4–18. https://doi.org/10.3991/ijim.v14i21.18461
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