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EFFECT OF EDUCATIONAL TECHNOLOGY ON STUDENT CLINICAL COMPETENCY
SKILLS AND SATISFACTION IN SCHOOL OF NURSING IN SOKOTO STATE, NIGERIA
BY
ADAMU KABIRU MAISANDA (P16MDNS8009)
M.SC EXTRENAL DEFENSE PRESENTED TO THE DEPARTMENT OF
NURSING SCIENCES, FACULTY OF ALLIED HEALTH SCIENCE,
AHMADU BELLO UNIVERSITY, ZARIA-NIGERIA
APRIL, 2021
SUPERVISORS TEAM
Dr. M. A LADAN
Chairman, Supervisory Committee
Department of Nursing Sciences, BUK, KANO
DR SANI. D.K
Member, Supervisory Committee
Department of Nursing Sciences, ABU, ZARIA
INTRODUCTION
The role of technology in the world of education has been ever
changing. Most recently, technology has been a new
phenomenon to help motivate, differentiate, and allow students
to achieve and excel in ways that they have never been able to
before, (Bataineh & Harris, 2016).
INTROD…
According to Johnson (2013), the computer and technology, if
used correctly, has the ability to invoke dream in the minds of
visionary educators who saw endless potential for altering
traditional notions of teaching and learning.
Reusable learning object, are interactive tools which go beyond
simply supporting learning, but enhance and amplify the
cognitive processes of Learners, (Chapman, Kim & Ayona,
2017).
STATEMENT OF THE PROBLEM
The changing trend of the world has made technology a basic
component of every human organization. According to Amedzo
(2017), the world has reached a stage where a person without basic
computer knowledge finds it almost impossible to function
properly in society.
The traditional teachers depended too much on verbal exposition. The
pupil hears and forgets, but how it is possible to see and do everything
in the classroom. Although it is very difficult, yet educational
technology makes it possible, (Al-Bataineh & Harris, 2016).
STATEMENT OF THE PROBLEM/2
The researcher agreed, teaching and learning of clinical
procedures such as intramuscular injection in traditional
demonstration method could be difficult as a result of its
abstract nature. The consequence is that most students
develop negative attitudes towards the subject.
In line with the above statement and the need for continued
lecture using RLO to teach clinical skills within the nursing
profession, the researcher was prompted to carry out the study
and to proffer recommendations for its future expansion and
solution.
OBJECTIVES OF THE STUDY
 To assess the effect of Educational technology on student
clinical competence
 To compare between teaching with Educational
technology and traditional demonstration method on students
clinical skills of hand hygiene competencies
 To compare between teaching with Educational
technology and traditional demonstration method on students
clinical skills of injections competencies
 To explore the students level of satisfaction with reusable
learning object as method of teaching.
REEARCH HYPOTHESIS
Main hypotheses: There are no effects of Educational
technology on student clinical skills, competencies and
satisfaction.
Sub hypotheses 1: There is no significant difference between
control and experiment group in relation to the hand
hygiene competencies
Sub hypotheses 2: There is no significant difference between
control and experiment group in relation to the injection
competencies
Sub hypotheses 3: There is no significant difference between
control and experiment group in relation to the level of
satisfaction
SIGNIFICANCE OF THE STUDY
The use of reusable learning object increases flexibility and
personalization in learning, and more importantly, provides
learning support and a wider access to education.
Students will be motivated to generate new ideas for better
implementation of use of reusable learning objects into learning
process, Nursing lecturers and other lecturers of higher
institution of learning will be motivated on the use of reusable
learning object to aid learning.
Literature…
• 
This chapter presents relevant and related materials reviewed from
books, abstracts and articles from libraries, journals and internet
materials. Discussion is organized under the following headings:
 Conceptual review of reusable learning object technology
 reusable learning object technology.
 Clinical competency skills
 Theoretical framework
 Empirical review
 Summary of the literature review
THEORETICAL FRAMEWORK
Unified Theory of Acceptance and Use of Technology
(UTAUT) In 2003, (Venkatesh, Morris, & Davis) combined
eight models to explain individual IT acceptance.
The UTAUT aims to explain user intentions to use an
information system and subsequent usage behavior. The theory
holds that there are 4 four key construct,
(1)Performance Expectancy,
(2)Effort Expectancy,
(3)Social Influence, and
(4)Facilitating Conditions
RESEARCH METHODOLOGY
RESEARCH DESIGN
A quasi-experimental design was used for the study
(experimental control group, non- randomized, pretest posttest
).
RESEARCH SETTING
College of Nursing & Midwifery science Sokoto, owned by the
State, the school is designated as (SON-A). School of Nursing
usumanu Danfodio University Teaching Hospital Sokoto of
Nigeria, as federal institution, designated as (SON-B).
METHOD…
TARGET POPULATION
The target population constituted of students in there ,
second and third year of nursing training in School of
Nursing Usumanu Danfodio University Teaching Hospital
Sokoto UDUTH, with total of 158 student and College of
Nursing Sokoto with 239 students. The study area has a total
population of 397 students.
Experiment pre-test intervention post-test
Control pre-test post-test
Sample Size determination
since the main aim of the work is to compare control and
experimental group. This formula devised by Karan & Biswa,
2013.
Sampling techniques
There for systematic sampling technique at interval of 2 was
used to select respondents from each class in both school of
Nursing.
Instruments for data collection
The instrument used for collection of relevant data from the
respondents was pre-test/post-test injection and hand hygiene
clinical Competency observation check list (appendix, 1&2), for
the procedure station that’s one station for each procedure, With
a researcher developed questionnaire which consist of three
sections:
Validity:
Content and construct validity of the instrument was
established by summiting the draft of the questionnaire to the
researcher’s supervisors and three other lecturers in the
Department the experts rated each item,
Reliability:
The reliability of the instrument was checked using pretest
where 10% of the sample in school was subjected to the study.
(appendix, 4)
METHODOLOGY
METHOD OF DATA COLLECTION
A letter of introduction from the Department of Nursing
Sciences, ABU Zaria was collected and taken to the institution
for approval to carry out the research. The researcher make use
of two trained research assistants (a copper who’s a nursing
graduate, and a four hundred level student from UDUS Nursing
department ) to carry out the pretest and posttest observation
and distribute the questionnaires among the selected
respondents within a time frame of 3 month.
METHOD OF DATA ANALYSIS
Completed questionnaires was checked for errors, consistency
and completeness and cleared. Data analysis was carried out
using SPSS (version 24.0). A constant mean of 2.5 was used to
ascertain the agreement or non-agreement of the respondents
with questionnaire items, inferential statistic tools like t-test
was also used to test the stated hypothesis at a significant level
of 0.05.
ETHICAL CONSIDERATION
Informed consent was obtained from respondents and
participated voluntarily after being informed on the
confidentiality and anonymity which are ethical principles of
research, were observed during the study period. The
participants were also inform that the information obtained is
confidential and were used only for the purpose of the study.
RESULTS
Results of this study is presented in line with the objectives of
the study and the hypothesis.
EffectofEducationalTechnologyonstudentclinicalcompetenceskillsforhandhygiene
procedure(Pre&Postintervention)
Group
Pre-Intervention Post-Intervention
Experimentn=94 Controln=94 Experimentn=94 Controln=94
Mean±SD 4.15±0.943 4.10±0.423 6.47±1.872 4.11±1.388
Mean(%) 4.15(50.30) 4.10(49.70) 6.47(61.18) 4.11(38.82)
MeanDifference(%) 0.05(0.60) 2.36(22.35)
SD=StandardDeviation
EffectofEducationalTechnologyonstudentclinicalcompetenceskillsforinjectionprocedure
(Pre&Postintervention)
Group
Pre-Intervention Post-Intervention
Experimentn=94 Controln=94 Experimentn=94 Controln=94
Mean±SD 4.15±0.823 4.10±0.330 6.47±2.304 4.11±2.025
Mean(%) 4.06(50.59) 3.97(49.41) 6.18(54.98) 5.06(45.02)
MeanDifference(%) 0.095(1.18) 1.12(9.96)
SD=StandardDeviation
results of pre-intervention and post-intervention on based on hand hygiene
procedure with mean difference of 0.05 representing 0.60% and 2.36
representing 22.35% respectively.
results of pre-intervention and post-intervention based on injection
procedure with mean difference of 0.095 representing 1.18% and 1.12
representing 9.96% respectively.
effects of Educational technology
comparisonbetweenteachingwithEducationalTechnologyandtraditionaldemonstration
methodonstudentsclinicalskillsofhandhygienecompetencies
Group Experimentn=94 Controln=94
Mean±SD 6.47±1.872 4.11±1.388
MeanDifference 2.36
SD=StandardDeviation
comparisonbetweenteachingwithEducationalTechnologyandtraditionaldemonstration
methodonstudentsclinicalskillsofinjectioncompetencies
Group Experimentn=94 Controln=94
Mean±SD 6.18±2.304 5.06±2.025
MeanDifference 1.12
SD=StandardDeviation
comparison between reusable learning object and traditional demonstration
method on students’ clinical skills of hand hygiene competencies with
mean difference of 2.36.
comparison between reusable learning object and traditional demonstration
method on students’ clinical skills of injection competencies with mean
difference of 1.12.
comparison between teaching with Educational
technology and traditional demonstration method
satisfactionwithEducationalTechnologyasamethodofteaching/learningamongstudentnurses
Group Experimentaln=94 Controln=94
Mean±SD 26.54±3.127 26.38±3.186
R 0.425
r2
(%) 0.18(18%)
SD=StandardDeviation
r=Correlation/Relationship
Hypothesis Testing
t-test results for comparison between experiment and control groups in relation to the hand
hygiene competencies
Group Experiment n=94 Control n=94
Mean ± SD 6.47± 1.872 4.11± 1.388
Mean (%) 6.47 (61.18) 4.11 (38.82)
Mean Difference (%) 2.36 (22.35)
df 186
t-test 9.837
P-value 0.001
α = Level of Significance, 0.05
SD=Standard Deviation
df =Degrees of Freedom
1, there was significant difference between experiment and control groups
with t(186)=9.837, P<0.05, hence, the null hypothesis was rejected.
2, there was significant difference between experiment and control groups
with t(186)=3.556, P<0.05, hence, the null hypothesis was rejected.
3, there was significant relationship between experiment and control groups
with r(92)=0.425, r2=0.18 (18%), P<0.05 and the extent of the satisfaction
was 18%, hence, the null hypothesis was rejected.
Conclusions
Nurse Educators need to ensure that students are adequately
prepared and competent to take on the task of clinical
procedures such as injection and hand hygiene despite
educational barriers such as lack of ICT Materials and time.
The RLOs were successful in supporting the students
understanding of clinical procedures such as injection and hand
hygiene issues, resulting in effective ability and confidence to
meet their clinical competency.
Recommendations
In view of the findings of this study the following
recommendations are advanced.
The issue of educational Technology in nursing education shall
be given a special consideration by every part and parcel, more
especially; the government, the Educational Authorities and
nursing and midwifery council.
REFERENCES
Ausubel, D. P. (2010). The use of advance organizers in the learning and retention of
meaningful verbal material. Journal of Educational Psychology, 51, 267-272.
Blake, H. (2009). Staff perceptions of e-learning in healthcare teaching delivery. Journal of
learning in health and social care. 8, (pp. 223-23). doi:10.1111/J.1473-6861.2009.00213.
.
Boyle .T, Cook J,( 2003) Learning objects, pedagogy and reuse. Learning technology in
transition. From individual enthusiasm to institutional implementation. Acad Med. 2004,
79: 229-235. 10.1097/00001888-200403000-00006.
Catherine, R., Carmel, D., Deirdre, C., Oral, D., Marrianne, F., & Margaret, O. T. (2018 ) Using
reusable learning objects (RLOs) in wound care education: Undergraduate student nurse's
evaluation of their learning gain nurse education today 60, 3-10. Retrieved from
https://doi.org/10.1016/j.nedt.
Chapman, W. H., Kim, W., & Ayonasilva, F. (2017). The use of reusable learning objects to
enhance the delivery of veterinary education: International Journal of Mobile and Blended
Learning 9(3), 24-36.
THANK YOU
FOR
LISTENING

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  • 1. EFFECT OF EDUCATIONAL TECHNOLOGY ON STUDENT CLINICAL COMPETENCY SKILLS AND SATISFACTION IN SCHOOL OF NURSING IN SOKOTO STATE, NIGERIA BY ADAMU KABIRU MAISANDA (P16MDNS8009) M.SC EXTRENAL DEFENSE PRESENTED TO THE DEPARTMENT OF NURSING SCIENCES, FACULTY OF ALLIED HEALTH SCIENCE, AHMADU BELLO UNIVERSITY, ZARIA-NIGERIA APRIL, 2021
  • 2. SUPERVISORS TEAM Dr. M. A LADAN Chairman, Supervisory Committee Department of Nursing Sciences, BUK, KANO DR SANI. D.K Member, Supervisory Committee Department of Nursing Sciences, ABU, ZARIA
  • 3. INTRODUCTION The role of technology in the world of education has been ever changing. Most recently, technology has been a new phenomenon to help motivate, differentiate, and allow students to achieve and excel in ways that they have never been able to before, (Bataineh & Harris, 2016).
  • 4. INTROD… According to Johnson (2013), the computer and technology, if used correctly, has the ability to invoke dream in the minds of visionary educators who saw endless potential for altering traditional notions of teaching and learning. Reusable learning object, are interactive tools which go beyond simply supporting learning, but enhance and amplify the cognitive processes of Learners, (Chapman, Kim & Ayona, 2017).
  • 5. STATEMENT OF THE PROBLEM The changing trend of the world has made technology a basic component of every human organization. According to Amedzo (2017), the world has reached a stage where a person without basic computer knowledge finds it almost impossible to function properly in society. The traditional teachers depended too much on verbal exposition. The pupil hears and forgets, but how it is possible to see and do everything in the classroom. Although it is very difficult, yet educational technology makes it possible, (Al-Bataineh & Harris, 2016).
  • 6. STATEMENT OF THE PROBLEM/2 The researcher agreed, teaching and learning of clinical procedures such as intramuscular injection in traditional demonstration method could be difficult as a result of its abstract nature. The consequence is that most students develop negative attitudes towards the subject. In line with the above statement and the need for continued lecture using RLO to teach clinical skills within the nursing profession, the researcher was prompted to carry out the study and to proffer recommendations for its future expansion and solution.
  • 7. OBJECTIVES OF THE STUDY  To assess the effect of Educational technology on student clinical competence  To compare between teaching with Educational technology and traditional demonstration method on students clinical skills of hand hygiene competencies  To compare between teaching with Educational technology and traditional demonstration method on students clinical skills of injections competencies  To explore the students level of satisfaction with reusable learning object as method of teaching.
  • 8. REEARCH HYPOTHESIS Main hypotheses: There are no effects of Educational technology on student clinical skills, competencies and satisfaction. Sub hypotheses 1: There is no significant difference between control and experiment group in relation to the hand hygiene competencies Sub hypotheses 2: There is no significant difference between control and experiment group in relation to the injection competencies Sub hypotheses 3: There is no significant difference between control and experiment group in relation to the level of satisfaction
  • 9. SIGNIFICANCE OF THE STUDY The use of reusable learning object increases flexibility and personalization in learning, and more importantly, provides learning support and a wider access to education. Students will be motivated to generate new ideas for better implementation of use of reusable learning objects into learning process, Nursing lecturers and other lecturers of higher institution of learning will be motivated on the use of reusable learning object to aid learning.
  • 10. Literature… • This chapter presents relevant and related materials reviewed from books, abstracts and articles from libraries, journals and internet materials. Discussion is organized under the following headings:  Conceptual review of reusable learning object technology  reusable learning object technology.  Clinical competency skills  Theoretical framework  Empirical review  Summary of the literature review
  • 11. THEORETICAL FRAMEWORK Unified Theory of Acceptance and Use of Technology (UTAUT) In 2003, (Venkatesh, Morris, & Davis) combined eight models to explain individual IT acceptance. The UTAUT aims to explain user intentions to use an information system and subsequent usage behavior. The theory holds that there are 4 four key construct, (1)Performance Expectancy, (2)Effort Expectancy, (3)Social Influence, and (4)Facilitating Conditions
  • 12. RESEARCH METHODOLOGY RESEARCH DESIGN A quasi-experimental design was used for the study (experimental control group, non- randomized, pretest posttest ). RESEARCH SETTING College of Nursing & Midwifery science Sokoto, owned by the State, the school is designated as (SON-A). School of Nursing usumanu Danfodio University Teaching Hospital Sokoto of Nigeria, as federal institution, designated as (SON-B).
  • 13. METHOD… TARGET POPULATION The target population constituted of students in there , second and third year of nursing training in School of Nursing Usumanu Danfodio University Teaching Hospital Sokoto UDUTH, with total of 158 student and College of Nursing Sokoto with 239 students. The study area has a total population of 397 students. Experiment pre-test intervention post-test Control pre-test post-test
  • 14. Sample Size determination since the main aim of the work is to compare control and experimental group. This formula devised by Karan & Biswa, 2013.
  • 15. Sampling techniques There for systematic sampling technique at interval of 2 was used to select respondents from each class in both school of Nursing.
  • 16. Instruments for data collection The instrument used for collection of relevant data from the respondents was pre-test/post-test injection and hand hygiene clinical Competency observation check list (appendix, 1&2), for the procedure station that’s one station for each procedure, With a researcher developed questionnaire which consist of three sections:
  • 17. Validity: Content and construct validity of the instrument was established by summiting the draft of the questionnaire to the researcher’s supervisors and three other lecturers in the Department the experts rated each item, Reliability: The reliability of the instrument was checked using pretest where 10% of the sample in school was subjected to the study. (appendix, 4)
  • 18. METHODOLOGY METHOD OF DATA COLLECTION A letter of introduction from the Department of Nursing Sciences, ABU Zaria was collected and taken to the institution for approval to carry out the research. The researcher make use of two trained research assistants (a copper who’s a nursing graduate, and a four hundred level student from UDUS Nursing department ) to carry out the pretest and posttest observation and distribute the questionnaires among the selected respondents within a time frame of 3 month.
  • 19. METHOD OF DATA ANALYSIS Completed questionnaires was checked for errors, consistency and completeness and cleared. Data analysis was carried out using SPSS (version 24.0). A constant mean of 2.5 was used to ascertain the agreement or non-agreement of the respondents with questionnaire items, inferential statistic tools like t-test was also used to test the stated hypothesis at a significant level of 0.05.
  • 20. ETHICAL CONSIDERATION Informed consent was obtained from respondents and participated voluntarily after being informed on the confidentiality and anonymity which are ethical principles of research, were observed during the study period. The participants were also inform that the information obtained is confidential and were used only for the purpose of the study.
  • 21. RESULTS Results of this study is presented in line with the objectives of the study and the hypothesis.
  • 22.
  • 23. EffectofEducationalTechnologyonstudentclinicalcompetenceskillsforhandhygiene procedure(Pre&Postintervention) Group Pre-Intervention Post-Intervention Experimentn=94 Controln=94 Experimentn=94 Controln=94 Mean±SD 4.15±0.943 4.10±0.423 6.47±1.872 4.11±1.388 Mean(%) 4.15(50.30) 4.10(49.70) 6.47(61.18) 4.11(38.82) MeanDifference(%) 0.05(0.60) 2.36(22.35) SD=StandardDeviation
  • 24. EffectofEducationalTechnologyonstudentclinicalcompetenceskillsforinjectionprocedure (Pre&Postintervention) Group Pre-Intervention Post-Intervention Experimentn=94 Controln=94 Experimentn=94 Controln=94 Mean±SD 4.15±0.823 4.10±0.330 6.47±2.304 4.11±2.025 Mean(%) 4.06(50.59) 3.97(49.41) 6.18(54.98) 5.06(45.02) MeanDifference(%) 0.095(1.18) 1.12(9.96) SD=StandardDeviation
  • 25. results of pre-intervention and post-intervention on based on hand hygiene procedure with mean difference of 0.05 representing 0.60% and 2.36 representing 22.35% respectively. results of pre-intervention and post-intervention based on injection procedure with mean difference of 0.095 representing 1.18% and 1.12 representing 9.96% respectively. effects of Educational technology
  • 28. comparison between reusable learning object and traditional demonstration method on students’ clinical skills of hand hygiene competencies with mean difference of 2.36. comparison between reusable learning object and traditional demonstration method on students’ clinical skills of injection competencies with mean difference of 1.12. comparison between teaching with Educational technology and traditional demonstration method
  • 29. satisfactionwithEducationalTechnologyasamethodofteaching/learningamongstudentnurses Group Experimentaln=94 Controln=94 Mean±SD 26.54±3.127 26.38±3.186 R 0.425 r2 (%) 0.18(18%) SD=StandardDeviation r=Correlation/Relationship
  • 30. Hypothesis Testing t-test results for comparison between experiment and control groups in relation to the hand hygiene competencies Group Experiment n=94 Control n=94 Mean ± SD 6.47± 1.872 4.11± 1.388 Mean (%) 6.47 (61.18) 4.11 (38.82) Mean Difference (%) 2.36 (22.35) df 186 t-test 9.837 P-value 0.001 α = Level of Significance, 0.05 SD=Standard Deviation df =Degrees of Freedom
  • 31. 1, there was significant difference between experiment and control groups with t(186)=9.837, P<0.05, hence, the null hypothesis was rejected. 2, there was significant difference between experiment and control groups with t(186)=3.556, P<0.05, hence, the null hypothesis was rejected. 3, there was significant relationship between experiment and control groups with r(92)=0.425, r2=0.18 (18%), P<0.05 and the extent of the satisfaction was 18%, hence, the null hypothesis was rejected.
  • 32. Conclusions Nurse Educators need to ensure that students are adequately prepared and competent to take on the task of clinical procedures such as injection and hand hygiene despite educational barriers such as lack of ICT Materials and time. The RLOs were successful in supporting the students understanding of clinical procedures such as injection and hand hygiene issues, resulting in effective ability and confidence to meet their clinical competency.
  • 33. Recommendations In view of the findings of this study the following recommendations are advanced. The issue of educational Technology in nursing education shall be given a special consideration by every part and parcel, more especially; the government, the Educational Authorities and nursing and midwifery council.
  • 34. REFERENCES Ausubel, D. P. (2010). The use of advance organizers in the learning and retention of meaningful verbal material. Journal of Educational Psychology, 51, 267-272. Blake, H. (2009). Staff perceptions of e-learning in healthcare teaching delivery. Journal of learning in health and social care. 8, (pp. 223-23). doi:10.1111/J.1473-6861.2009.00213. . Boyle .T, Cook J,( 2003) Learning objects, pedagogy and reuse. Learning technology in transition. From individual enthusiasm to institutional implementation. Acad Med. 2004, 79: 229-235. 10.1097/00001888-200403000-00006. Catherine, R., Carmel, D., Deirdre, C., Oral, D., Marrianne, F., & Margaret, O. T. (2018 ) Using reusable learning objects (RLOs) in wound care education: Undergraduate student nurse's evaluation of their learning gain nurse education today 60, 3-10. Retrieved from https://doi.org/10.1016/j.nedt. Chapman, W. H., Kim, W., & Ayonasilva, F. (2017). The use of reusable learning objects to enhance the delivery of veterinary education: International Journal of Mobile and Blended Learning 9(3), 24-36.