ประสิทธิผลของการสอนด้วยสื่อวิดีทัศน์แบบมีปฏิสัมพันธ์ร่วมกับการฝึกสาธิตโดยใช้สถานการณ์จำลอง ในการดูแลผู้ป่วยที่ใส่ท่อและเครื่องช่วยหายใจ ต่อความรู้ เจตคติ และการรับรู้สมรรถนะ การดูแลของนักศึกษาพยาบาล

Monthira Udchumpisai; Natthasa Thanthitaweewat; Chulaluk Jaipang

Authors

Monthira Udchumpisai Srisavarindhira Thai Red Cross Institute of Nursing
Natthasa Thanthitaweewat Srisavarindhira Thai Red Cross Institute of Nursing
Chulaluk Jaipang Srisavarindhira Thai Red Cross Institute of Nursing

Keywords:

perceived care competence, knowledge, mechanical ventilation, attitude, taxonomy of learning, nursing student, simulation-based training, interactive video

Abstract

This quasi-experimental one-group pre-posttest design aimed to compare the knowledge, attitude, and perceived care competence scores in caring for patients with mechanical ventilation among nursing students before and after participating in an interactive video-based instruction combined with simulation-based demonstration training. The study employed Bloom's Taxonomy of Learning as its conceptual framework, which posits that knowledge, attitudes, and behavior are interconnected processes that progress in a sequential manner, ultimately leading to desired performance outcomes. The study sample comprised 194 second-year nursing students from a nursing institute. Data was collected in April 2025 using: 1) demographic data, 2) a knowledge test, 3) an attitude questionnaire, and 4) a perceived care competence questionnaire. Descriptive statistics were used to analyze the sample data, and pre- and post-test scores were compared using a paired t-test. Data were analyzed using descriptive statistics to provide general information about the subjects, and a paired t-test was used to compare the pre- and post-test scores.

The results showed that the knowledge score after receiving the program (mean = 18.36, SD = 1.54) was significantly higher than before receiving the program (mean = 15.13, SD = 3.23) (t= 13.416, p < .001), and the perceived care competence score after receiving the program (mean = 22.13, SD = 3.80) was significantly higher than before receiving the program (mean = 17.72, SD = 4.67) (t = 11.07, p < .001); while the attitude score after receiving the program (mean = 56.40, SD = 5.99) was not significantly different from the score before receiving the program (mean = 56.32, SD = 7.78) (t = .134, p > .05). The program improved nursing students' knowledge and perceived care competence in caring for patients with mechanical ventilation, while it did not enhance their attitudes in caring for these patients. This may be due to the short duration of the attitude-promoting activities in the program. Nursing students should be prepared through interactive video-based instruction combined with simulation-based demonstration training in caring for patients with mechanical ventilation, along with the inclusion of more activities that promote positive attitudes toward patient care.

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