Horizon of Medical Education Development

The Effect of Two Teaching Approaches in Lecture and Multimedia on Nurses' Problem Solving Skills

https://doi.org/10.22038/hmed.2024.78813.1354
Volume 16, Issue 2
Spring 2025
Pages 18-28
Horizon of Medical Education Development

Document Type : Original Article

Authors

Shahnaz Maleki 1
Soleiman Ahmadi 2, 3
Amin Habibi 2, 3
Masoumeh Seidi 4
Fatemeh Tehrani Far 5

1 Department of Medical Education, Faculty of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Department of Medical Education, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Research Center for Medical Sciences Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 Department of Medical Education, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

5 Department of Library Science, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract
Introduction: Education is one of the most basic needs of human societies and one of the axes of development, and problem-solving is a vital skill for living in the present age. The present study was conducted to compare the effect of lecture (face-to-face) and multimedia (virtual) training on the problem-solving skills of nurses in 2023.
Materials & Methods: The present study is a quasi-experimental research design of the pre-test and post-test type with a control group. The research population consisted of all nurses working at the 15 Khordad Hospital affiliated with Shahid Beheshti University of Medical Sciences. Participants were conveniently sampled and divided into two groups: one receiving training through lectures (using PowerPoint and a whiteboard along with Q&A) and the other receiving multimedia training (educational content on problem-solving skills and techniques necessary for coping with challenging situations, delivered in a workshop format across 4 sessions of 2 hours over 2 days). In the multimedia training group, after the pre-test, the prepared educational content was also sent as scenario-based material in a compressed file via social media networks. After the training was conducted, both groups were re-evaluated in the post-test, and the data were analyzed using SPSS 25 with independent t-tests.
Results: The findings showed that the mean age and standard deviation of nurses in the intervention group was 33.44 ± 4.19, and in the control group it was 33±5.29. In terms of education, 88% in the intervention group and 84% in the control group had bachelor's degrees. Moreover, 84% of participants in the intervention group and 76% in the control group were married. There was a significant difference between the two groups regarding problem-solving skills scores after the intervention, indicating that the intervention had a positive effect on problem-solving skills scores (p = 0.001).
Conclusion: According to the findings of the research, it can be concluded that education with a multimedia approach has a positive effect on the problem solving skills of nurses. It is recommended to use new and creative teaching methods such as multimedia approach to improve nurses’ problem-solving skills.

Keywords

Lecture
Multimedia Teaching
Problem Solving Skills
Nurse
  1. Seyedfatemi N, Moshirabadi Z, Borimnejad L, Haghani H. Relationship between problem solving and assertiveness skills among nursing students. Hayat. 2014; 19(3):70-81.
  2. Babapour Kheyroddin J. Effectiveness of Communication Skills Training on the Students' Problem Solving Styles. Journal of Modern Psychological Researches. 2008 Jul 22; 3(10):1-6.
  3. Kim K-S, Choi J-H. A study on problem solving ability of nursing students. Advanced science and technology letters. 2014; 47:357-61.
  4. Yazdani S, Lake MA, Ahmady S, Forootan A, Afshar L. Critical interpretive synthesis of the concept of value in medical education. Research and Development in Medical Education. 2014; 4(1):31-4.
  5. Güven M. An analysis of the vocational education undergraduate students’ levels of assertiveness and problem-solving skills. Procedia-Social and Behavioral Sciences. 2010; 2(2):2064-70.
  6. Yazdani S, AkbariLakeh M. Higher education geographic expansion strategic model in Iran: a qualitative study. Research and Development in Medical Education. 2016; 5(2):69-73.
  7. Molero Jurado MdM, Pérez-Fuentes MdC, Oropesa Ruiz NF, Simón Márquez MdM, Gázquez Linares JJ. Self-efficacy and emotional intelligence as predictors of perceived stress in nursing professionals. Medicina. 2019; 55(6):237.
  8. Barbotte E, Guillemin F, Chau N. Prevalence of impairments, disabilities, handicaps and quality of life in the general population: a review of recent literature. Bulletin of the World Health Organization. 2001; 79:1047-55.
  9. Asgari P, Mahmoudi M, Bahramnezhad F, Rafiei F, Khajeh-Goodari M. Comparison of the Effect of Three Methods of Education (Inquirybased Bedside Education and Routine Approach to Clinical Education) on Critical Care Nursing Students Clinical Learning. Strides in Development of Medical Education. 2016; 13(2):133-41.
  10. Karimi M, Tavakol K, Alavi M. Comparition ofTwo Educational Methods of Lecture and Group Discussion on Learning and Reminding of Nursing Students. Avicenna Journal of Nursing and Midwifery Care. 2006; 13(2):15-25.
  1. Delnavaz S, Hassankhani H, Roshangar F, Dadashzadeh A, Sarbakhsh P, Ghafourifard M, et al. Comparison of scenario based triage education by lecture and role playing on knowledge and practice of nursing students. Nurse education today. 2018; 70:54-9.
  2. Falahi M, Ghasemi Sameni M, Teymori A, Hasan M. Comparison of the Effect of Behavioral-Based on a Cognitive-Based Multimedia Instruction on the Rate of Learning and Retention in Students. Quarterly Journal of Education Studies. 2016; 2(6):103-25.
  3. Dehkordi SM, Okhovat F, Karimiankakolaki Z. Designing a Clinical Trial Protocol about the Impact of Family-Based Multimedia Education Based on Telephone Tracking (Tele Nursing) to Improve the Quality of Life and Self-Efficacy in Patients with Myocardial Infarction. International Journal of Surgery Protocols. 2021; 25(1):92.
  4. Holden RJ, Rivera-Rodriguez AJ, Faye H, Scanlon MC, Karsh B-T. Automation and adaptation: nurses’ problem-solving behavior following the implementation of bar-coded medication administration technology. Cognition, Technology & Work. 2013; 15:283-96.
  5. Ghazala AF, Elshall SE. Application of National Education Technology Standards as Perceived by Nursing Students and Its Relation to Their Problem Solving Skill during COVID-19 Disaster. International Journal of Higher Education. 2021; 10(2):172-87.
  6. Saab MM, Hegarty J, Murphy D, Landers M. Incorporating virtual reality in nurse education: A qualitative study of nursing students' perspectives. Nurse Education Today. 2021; 105:105045.
  7. Şenocak SÜ, Demirkıran F. Effects of problem-solving skills development training on resilience, perceived stress, and self-efficacy in nursing students: A randomised controlled trial. Nurse Education in Practice. 2023 Oct 1; 72:103795.
  8. Heppner PP, Lee DG, Tian L. 32 The Important Role of Problem Solving Appraisal in Creating Cultural Contexts. The Oxford handbook of positive psychology. 2020 Oct 13:453.
  9. Bayram A, Özsaban A, Durgun H, Aksoy F, Turan N, Köktürk Dalcali B, Oksay Şahin A. Nursing students’ perceptions of nursing diagnoses, critical thinking motivations, and problem‐solving skills during distance learning: A multicentral study. International Journal of Nursing Knowledge. 2022 Oct; 33(4):304-11.
  10. Rastgo, Naderi, Ezzatullah, Shariatmadari, Saif Naraghi. Investigating the effect of Internet information literacy training on the development of students' problem solving skills. A new approach in educational management. 2010; 22; 4(1):1-22.
  11. Heppner PP, Lee DG, Tian L. 32 The Important Role of Problem Solving Appraisal in Creating Cultural Contexts. The Oxford handbook of positive psychology. 2020 Oct 13:453.
  12. Taylor C. Clinical problem‐solving in nursing: insights from the literature. Journal of Advanced Nursing. 2000; 31(4):842-9.
  13. Taylor I, Bing-Jonsson PC, Finnbakk E, Wangensteen S, Sandvik L, Fagerström L. Development of clinical competence–a longitudinal survey of nurse practitioner students. BMC nursing. 2021 Dec; 20:1-5.
  14. Song YA. Effects of integrative simulation practice on nursing knowledge, critical thinking, problem-solving ability, and immersion in problem-based learning among nursing students. Korean journal of women health nursing. 2020; 26(1):61-71.
  15. Titzer JL, Swenty CF, Hoehn WG. An interprofessional simulation promoting collaboration and problem solving among nursing and allied health professional students. Clinical Simulation in Nursing. 2012; 8(8):e325-e33.
  16. Uys LR, Van Rhyn LL, Gwele NS, McInerney P, Tanga T. Problem‐solving competency of nursing graduates. Journal of Advanced Nursing. 2004; 48(5):500-9.
  17. Burns HK, O'Donnell J, Artman J. High-fidelity simulation in teaching problem solving to 1st-year nursing students: A novel use of the nursing process. Clinical Simulation in Nursing. 2010; 6(3):e87-e95.
  18. Parazran, Abdulahi, Parasteh Qombwani. Investigating the impact of teaching writing skills based on multidimensional planning and multimedia learning package on students' intuitive learning style and problem solving. The scientific quarterly of the educational research journal of Azad University, Bojnord branch. 2021; 16(65):39-58.
  19. Zire Red, Arani S, Arani M, Mohammad, Baghbani. The effect of educational multimedia on problem solving strategies and academic goal orientation of students. A bimonthly scientific-research magazine of educational strategies in medical sciences. 2022; 15(3):217-32.
  20. Jamshidi, Parizad, Naser, Pakham. The effect of problem-solving-based learning on the communication skills of nursing students. Health and care magazine. 2022; 23(4):12-301.
  21. Hemmati Maslak Pak M, Orujlu S, Khalkhali H. The effect of problem-based learning training on nursing students’ critical thinking skills. Journal of Medical Education and Development. 2014; 9(1):24-33.
  22. Varaei S, Mamashli L. The Effect of mMultimedia Training Program on the Attitude of Nurses in Golestan Province about Safe Injections. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2019; 4(4):76-89.
  23. Liaw SY, Wong LF, Chan SW-C, Ho JTY, Mordiffi SZ, and Ang SBL, et al. Designing and evaluating an interactive multimedia Web-based simulation for developing nurses’ competencies in acute nursing care: randomized controlled trial. Journal of Medical Internet Research. 2015; 17(1):e3853.
  24. Kim H-R, Song Y, Lindquist R, Kang H-Y. Effects of team-based learning on problem-solving, knowledge and clinical performance of Korean nursing students. Nurse education today. 2016; 38:115-8.
  25. Williams JC, Paltridge DJ. What we think we know about the tutor in problem-based learning. Health Professions Education. 2016; 3(1):26-31.
  26. Schmidt HG, Van der Molen HT, Te Winkel WW, Wijnen WH. Constructivist, problem-based learning does work: A meta-analysis of curricular comparisons involving a single medical school. Educational psychologist. 2009; 44(4):227-49.

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