Type | Experimental group: Innovative instruction | Control group: Conventional instruction |
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Time | Every course unit follows a topic scenario, each session was 30–90 min long with a total instruction time of 188 h | |
Instructor’s role | Teaching materials were made with innovative strategies and uploaded to a digital platform; intelligent tools and mobile applications were used to interact with students during class sessions | Only slide presentations and videos were used during class; interaction with students were limited to lecture and questions; no on-line materials were provided for students |
Student’s role | Students could learn and interact with instructors through either on-line platform or mobile applications both during and after class | Students could only attend lectures during class sessions. |
Teaching strategy | 1. Lectures 2. Flipped classrooms 3. Group discussions 4. ITII: SPOCs, Zuvio, advanced simulator, smart Little Anne QCPR manikin, AED, Moodle, LINE 5. Practical: clinical simulation scenario 6. OSCE | 1. Lectures 2. Group discussions 3. Multimedia: Slide presentations and videos |
Lessons | 1. Body fluid and electrolyte imbalance care 2. Respiratory system disease care and respiratory tract treatment 3. Cardiovascular disease care 4. Introduction to basic life-saving skills/advanced heart-saving surgeries 5. Shock, sepsis, and multiple organ failure care 6. Endocrine disorder care 7. Nervous system disease care 8. Urinary system disease care | 1. Body fluid and electrolyte imbalance care 2. Cardiovascular disease care 3. Myocardial infarction and emergency care 4. First-aid cardiopulmonary resuscitation 5. Shock care 6. Endocrine system disease care 7. Nervous system disease care 8. Urinary system disease care |
Assessment | Summative performance in medical and surgical nursing, medical and surgical nursing labs, and medical and surgical nursing internships as well as OSCE performance under different simulated scenarios and situational awareness |