Evaluation of an interactive web-based nursing course with streaming videos for medication administration skills

Azizeh K. Sowan, Jamila Abu Idhail

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Purpose: 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. Method: 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.

Original languageEnglish (US)
Pages (from-to)592-600
Number of pages9
JournalInternational Journal of Medical Informatics
Issue number8
StatePublished - Aug 2014


  • Fundamentals of nursing skills
  • Medication administration
  • Self-efficacy
  • Streaming videos
  • Student satisfaction
  • Web-based learning

ASJC Scopus subject areas

  • Health Informatics


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