Designing and testing the efficacy of an interactive web-based clinical practice monitoring system on motivation in clinical learning and clinical meta-competences among nursing students: a quasi-experimental study in Tanzania
| dc.contributor.author | Herman, Patricia Z. | |
| dc.date.accessioned | 2022-11-29T08:54:20Z | |
| dc.date.available | 2022-11-29T08:54:20Z | |
| dc.date.issued | 2021 | |
| dc.description | MSc Nursing Education | en_US |
| dc.description.abstract | Clinical nursing education is an integral part of the nursing profession that is significant to fostering motivation in clinical learning and clinical meta-competencies among nursing students. However, its efficiency is overwhelmed by a mismatch of clinical instructor-student ratios that compromise comprehensive clinical mentorship, support, monitoring, supervision, and evaluation to nursing students. This study designed and tested the efficacy of an interactive web-based clinical practice monitoring system (IWBCPMS) on motivation in clinical learning and clinical meta-competencies among nursing students in Tanzania. The study adopted a sequential mixed method of which an uncontrolled quasi-experimental design was used for quantitative data among 589 randomly selected nursing students. The qualitative study used a phenomenological design to explore the validity and feasibility of the intervention. Academic motivation and clinical meta-competencies scales adapted from previous studies measured motivation in clinical learning, moral and self-rated perceived clinical competence among nursing students. Statistical product for service solution computer software program version 23 was used to analyze data. Descriptive analysis established socio-demographic profiles of nursing students. A simple and multivariate linear regression determined the effect of the intervention on outcome variables. The confidence interval was set at 95% and a significance level of ≤5% was considered a statistically significant effect. A mean age of nursing students was 23±2.689 while 65.0% of them were males. Owing to the experts’ appraisal, clinical instructors, and nursing students’ experiences, qualitative findings indicate that an IWBCPMS was a highly acceptable and feasible alternative to conventional clinical nursing pedagogies. Post-test findings indicated that an estimated effect of the intervention on motivation in clinical learning, self-rated perceived clinical competence and clinical moral competence were significantly higher than at baseline (β = 2.74; p<0.01; 95%CI: 1.011, 4.107), (β = 1.33; p<0.01; 95%CI: 0.927, 2.803) and (β = 0.75; p<0.01; 95%CI: 0.501, 0.817) respectively. The intervention demonstrated a significant effect on improving motivation in clinical learning and clinical meta-competencies among nursing students. Integrating technology in clinical nursing education pedagogy can be an alternative strategy in clinical nursing education in enhancing effective mentoring, supporting, monitoring, supervising, and evaluating nursing students during clinical settings. | en_US |
| dc.identifier.citation | Herman, P. Z. (2021). Designing and testing the efficacy of an interactive web-based clinical practice monitoring system on motivation in clinical learning and clinical meta-competences among nursing students: a quasi-experimental study in Tanzania (Master dissertation). The University of Dodoma, Dodoma. | en_US |
| dc.identifier.uri | http://hdl.handle.net/20.500.12661/3536 | |
| dc.language.iso | en | en_US |
| dc.publisher | The University of Dodoma | en_US |
| dc.subject | web-based clinical practice | en_US |
| dc.subject | Clinical meta-competences | en_US |
| dc.subject | Clinical learning | en_US |
| dc.subject | Tanzania | en_US |
| dc.subject | Mentoring | en_US |
| dc.subject | Nursing education | en_US |
| dc.subject | Nursing monitoring system | en_US |
| dc.title | Designing and testing the efficacy of an interactive web-based clinical practice monitoring system on motivation in clinical learning and clinical meta-competences among nursing students: a quasi-experimental study in Tanzania | en_US |
| dc.type | Dissertation | en_US |