Browsing by Author "Mugo, Miriam W."

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    The effectiveness of a simulated hybrid video-based pedagogy in improving knowledge, attitude, and practice towards catheterization among junior nursing students in Tanzania: a cluster randomized controlled trial
    (The University of Dodoma, 2023) Mugo, Miriam W.
    Background: Traditional teaching methods used in nursing education such as lectures and demonstrations, may not effectively engage students or provide them with sufficient practical experience. In Tanzania, the effectiveness of teaching catheterization skills using innovative approaches, such as Simulated Hybrid video-based pedagogy remained largely unexplored. Objectives: The aim was to investigate the effectiveness of a simulated hybrid video-based pedagogy in improving knowledge, attitude, and practice toward catheterization skills among junior nursing students in Tanzania Methods: The study used a Cluster Randomized Controlled Trial design to determine the effectiveness of the intervention. The process of randomization involved assigning the selected 7 nursing schools to either the intervention group or the control group by using the method of sequentially numbered, opaque sealed envelopes (SNOSE) for allocation concealment. The simple random sampling method was used to select a total of 320 study participants. Data were analyzed using a Statistical Package for Social Science (SPSS) version 26. The independent t-test was used to test the effectiveness of the intervention. The effects of additional confounding variables were controlled using a linear mixed model. A p-value of <0.05 was used to determine the statistical significance. Results: There was a significant increase in the mean scores for knowledge (5.94±1.32, p<0.0001), attitude (4.20±0.61, P<0.0001) and practice (7.99±0.16, P<0.0001) in the intervention group compared to knowledge (5.07±1.40), attitude (4.04±1.09) and practice (0.11±0.56) in the control group. The intervention was a significant predictor for change in mean scores in both knowledge (ß=1.0259, P<0.0001) and attitude (ß=0.0337, P=0.0012). Predictors for adequate practice of catheterization were knowledge (AOR=3.457 at 95% CI=2.370-5.044, P<0.0001), attitude (AOR=3.971 at 95% CI=2.218-7.111, P<0.0001) and previous opportunity to practice (AOR=1.567 at 95% CI=1.066-2.304, P=0.0225). Conclusion: This study demonstrated the positive effectiveness of simulated hybrid video-based pedagogy for teaching catheterization on nursing students’ knowledge, attitude, and practice in Tanzania. The findings suggest that the use of videos as a supplementary teaching method can significantly enhance students’ understanding and improve their performance on catheterization. Trial Registration: The trial was registered at Pan African Clinical Trial Registry number PACTR202306791237048 in June, 2023.