CLINICAL CONFIDENCE IN VIRTUAL AND ON-GROUND RELATED LEARNING EXPERIENCES AMONG NURSING STUDENTS AT ADAMSON UNIVERSITY

Authors

  • Ericka Dolorfino College of Nursing, Adamson University, Philippines
  • Jeninna Rose Dusaran College of Nursing, Adamson University, Philippines
  • Ramon Richard Leo Esguerra College of Nursing, Adamson University, Philippines
  • Quiazel Espiritu College of Nursing, Adamson University, Philippines
  • Ann Francisco Kimberly College of Nursing, Adamson University, Philippines
  • Jamie Gavino College of Nursing, Adamson University, Philippines
  • Nicole Lim Allyssa College of Nursing, Adamson University, Philippines
  • Mikkail Mallillin College of Nursing, Adamson University, Philippines
  • Sheila Malubay College of Nursing, Adamson University, Philippines
  • Ericka Mangino College of Nursing, Adamson University, Philippines
  • Rhoda Grace Ruelos College of Nursing, Adamson University, Philippines

DOI:

https://doi.org/10.46827/ejphs.v8i1.207

Keywords:

clinical confidence, nursing education, virtual learning, on-ground learning, Bloom's taxonomy

Abstract

Nursing education is a dynamic and evolving field that requires adaptability to meet the challenges of modern healthcare and educational demands. This study aimed to evaluate the clinical confidence of Level III and Level IV nursing students at Adamson University in both virtual and on-ground related learning experiences. Utilizing Bloom's Taxonomy as a framework, the research assessed the cognitive, psychomotor, and affective domains of clinical confidence. A non-probability convenience sampling technique was employed to gather data from 100 nursing students who had experienced both learning modalities. A validated questionnaire with high-reliability scores (Cronbach’s Alpha = .953 for virtual and .989 for on-ground learning) was used to collect responses, and statistical analyses, including paired and independent t-tests, were conducted to determine significant differences between the two modalities. The findings revealed that nursing students demonstrated higher clinical confidence in on-ground related learning experiences (grand mean = 4.05) compared to virtual learning (grand mean = 3.16). On-ground learning showed significant advantages in psychomotor skill development and immediate feedback, contributing to higher confidence levels. However, virtual learning experiences fostered confidence in the affective domain through emotional and motivational support. A significant difference in clinical confidence was observed between the two modalities, with both Level III and Level IV students expressing greater confidence in on-ground learning. The study concludes that while on-ground learning remains essential for skill mastery and clinical competence, virtual learning has potential when supported by innovative teaching strategies and robust technological infrastructure. A hybrid learning approach, combining the strengths of both modalities, is recommended to optimize nursing education and better prepare students for the challenges of clinical practice. These findings underscore the importance of flexibility, adaptability, and resource allocation in enhancing nursing students’ confidence and competence in varied learning environments.

References

Allobaney, N. F., Eshah, N. F., Abujaber, A. A., & Nashwan, A. J. J. (2022). Professional Self-Concept and Self-Confidence for Nurses Dealing with COVID-19 Patients. Journal of personalized medicine, 12(2), 134. https://doi.org/10.3390/jpm12020134

American Heart Association. (n.d). Advanced life support modules. Retrieved from https://cpr.heart.org/en/cpr-courses-and-kits/healthcare-professional/acls/advanced-life-support-als-modules.

American Red Cross Training Services. (2023). BLS Classes. Retrieved from https://www.redcross.org/take-a-class/bls-training/bls-classes.

Anderson, L., & Krathwohl, D. A. (2001). Taxonomy for learning, teaching and assessing: A revision of Bloom's Taxonomy of educational objectives. New York: Longman.

Armstrong, P. (n.d.). Bloom’s Taxonomy. Center for Teaching, Vanderbilt University.

Bloom, B. S.; Engelhart, M. D.; Furst, E. J.; Hill, W. H.; Krathwohl, D. R. (1956). Taxonomy of educational objectives: The classification of educational goals. Handbook I: Cognitive domain. New York: David McKay Company. Retrieved from https://web.archive.org/web/20201212072520id_/https://www.uky.edu/~rsand1/china2018/texts/Bloom%20et%20al%20-Taxonomy%20of%20Educational%20Objectives.pdf

Wei-Lin C. Jen-Hao C. (2020). College fields of study and substance use. BMC Public Health 20. Retrieved from https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09208-0.

Bao, W. (2020, April 7). COVID-19 and online teaching in higher education: A case study of Peking University. Wiley Online Library. Retrieved from https://onlinelibrary.wiley.com/doi/10.1002/hbe2.191.

Barrot, J. S., Llenares, I. I., & Del Rosario, L. S. (2021). Students' online learning challenges during the pandemic and how they cope with them: The case of the Philippines. Education and information technologies, 26(6), 7321–7338. https://doi.org/10.1007/s10639-021-10589-x

Cho, M. K., & Kim, M. Y. (2021). Factors Affecting Learning Satisfaction in Face-to-Face and Non-Face-to-Face Flipped Learning among Nursing Students. International journal of environmental research and public health, 18(16), 8641. https://doi.org/10.3390/ijerph18168641

Chuang, Y. H., Lai, F. C., Chang, C. C., & Wan, H. T. (2018). Effects of a skill demonstration video delivered by smartphone on facilitating nursing students' skill competencies and self-confidence: A randomized controlled trial study. Nurse education today, 66, 63–68. https://doi.org/10.1016/j.nedt.2018.03.027

Chui-Yan, T. (2021). Learning experience of Chinese nursing students during clinical practicum: A descriptive qualitative study. MDPI. Retrieved from https://www.mdpi.com/2039-4403/11/2/46.

Dhawan, S. (n.d.). Online learning: A panacea in the time of COVID-19 crisis. Sage Journals. Retrieved from https://journals.sagepub.com/doi/full/10.1177/0047239520934018.

Enoch, L., Abraham, R., Singaram, V. (2022). A comparative analysis of the impact of online, blended, and face-to-face learning on medical students’ clinical competency in the affective, cognitive, and psychomotor domains. BMC Medical Education. Retrieved from https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-022-03777-x#Abs1.

Furlong, M., Jones-Darnell, T., Morgan, P., & Tran, A. (2022, May 5). How to build confidence as a new nurse. Nurse Journal 4(7) Retrieved from https://nursejournal.org/articles/build-confidence-as-a-new-nurse/.

Hargreaves, L., Zickgraf, P., Radesi, L., Paniagua, N., Evans, T. (2021). COVID-19 pandemic impact on nursing student education: telenursing with virtual clinical experiences. Sage Journals. Retrieved from https://journals.sagepub.com/doi/full/10.1177/23779608211044618.

Harrow, A.J. (1972). A taxonomy of the psychomotor domain. New York: David McKay Co.

Hart, D. (2022) Nursing student self-efficacy in clinical skills, levels of anxiety, and utilization of alternative education experiences during the COVID-19 pandemic. Honors Theses and Capstones. 640. https://scholars.unh.edu/honors/640.

Herron, E., et al. (2019). Effect of case study versus video simulation on nursing students' satisfaction, self-confidence, and knowledge: A quasi-experimental study. Nurse Education Today, Volume 79, Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S0260691718309602.

Kim, Y. E., & Kang, H. Y. (2023). Effects of a nursing simulation learning module on clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient-care for nursing students. Journal of Korean Academy of Nursing, 53(1), 87–100. https://doi.org/10.4040/jkan.22130

Krathwohl, D. R. (2002). A revision of Bloom's taxonomy: An overview. Theory into practice, 41(4), 212–218. https://doi.org/10.1207/s15430421tip4104_2

Lanahan, M., Montalvo, B., & Cohn, T. (2022). The Perception of Preparedness in Undergraduate Nursing Students During COVID-19. Journal of professional nursing : official journal of the American Association of Colleges of Nursing, 42, 111–121. https://doi.org/10.1016/j.profnurs.2022.06.002

Ligita, T.; Mita, Murtilita, Winarianti. (2022). Undergraduate nursing students’ experiences of online learning: Gaining access in resource-limited circumstances. Frontiers of Nursing 9(1):47-54. https://doi.org/10.2478/fon-2022-0006.

Magsambol, B. (2021). CHED: There’s no going back: Flexible learning will be the new norm. Rappler.com. Retrieved from https://www.rappler.com/nation/ched-says-flexible-learning-new-norm/.

Mahfouz, R.; Almutairi, A.; Eldesouky, E. (2019). Self-confidence of nursing students related to their simulation learning experience. Journal of Education and Practice. Retrieved from https://www.researchgate.net/publication/344254727_Self-Confidence_of_Nursing_Students_Related_to_their_Simulation_Learning_Experience

Mercer University. (2022). Online vs. traditional education in nursing: Find the right fit. Mercer University. https://absn.mercer.edu/blog/online-vs-traditional-education-in-nursing/

Moody, J. (2022). 11 ways nurses can build their confidence. Post University. Retrieved from https://post.edu/blog/how-nurses-can-build-their-confidence/.

Morshead, R. (1965). Taxonomy of educational objectives Handbook II: Affective domain. Studies in philosophy and education. 4(1), 164–170. Retrieved from https://deepblue.lib.umich.edu/bitstream/handle/2027.42/43808/11217_2004_Article_BF00373956.pdf?sequence=1/.

Nascimento, J., Siqueira, T., Oliveira, J., Alves, M., Regino, D., Dalri, M. (2020). Development of clinical confidence in nursing in simulation: The perspective of Bloom’s Taxonomy. Rev Bras Enferm. Retrieved from doi: http://dx.doi.org/10.1590/0034-7167-2020-0135.

Official Gazette. (n.d). The K to 12 Basic Education Program. Gov PH. Retrieved from https://www.officialgazette.gov.ph/k-12/.

Olaussen C. Heggdal K., Tvedt C. R. (2020). Elements in scenario-based simulation associated with nursing students' self-confidence and satisfaction: A cross-sectional study. Nursing Open. 7:170–179. doi:10. 1002/nop2.375. https://tsnj.journals.ekb.eg/article_131963_6a5809e9729d5619671f0d37e16b9130.pdf.

Park, J., & Seo, M. (2022). Influencing Factors on Nursing Students' Learning Flow during the COVID-19 Pandemic: A Mixed Method Research. Asian nursing research, 16(1), 35–44. https://doi.org/10.1016/j.anr.2021.12.006

Perkins, K. E. (2018). The integrated model of self-confidence: Defining and operationalizing self-confidence in organizational settings (Doctoral dissertation). College of Psychology and Liberal Arts: Florida Institute of Technology, Melbourne, Florida. Retrieved from https://repository.fit.edu/etd/346/

Prosen, M. Nursing students’ perception of gender-defined roles in nursing: a qualitative descriptive study. BMC Nurs 21, 104 (2022). https://doi.org/10.1186/s12912-022-00876-4.

Simbulan, N. P. (2020). The Philippines – COVID-19 and its impact on higher education in the Philippines. The HEAD Foundation. Retrieved from https://headfoundation.org/2020/06/04/covid-19-and-its-impact-on-higher-education-in-the-philippines/.

Simpson’s Taxonomy. (1979). Evaluation in Education, 151–153. https://doi.org/10.1016/B978-0-08-023352-9.50030-5

Statistics Canada, (2022). 3.2.3 Non-probability sampling. Retrieved from https://www150.statcan.gc.ca/n1/edu/power-pouvoir/ch13/nonprob/5214898-eng.htm.

Statistics Laerd. (n.d.) Independent t-test for two samples. Retrieved from https://statistics.laerd.com/statistical-guides/independent-t-test-statistical-guide.php.

Statistics Solution. (n.d.) Independent Sample T-Test. Retrieved from https://www.statisticssolutions.com/independent-sample-t-test/.

Swift, L., Henderson, A., Wu, C. (2022). Self-confidence in clinical skill: A descriptive study of the perspective of the first-year nursing students. Science Direct – Elsevier. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1471595321003061#!.

Tang, A. C.-Y. (2021, June 21). Learning experience of Chinese nursing students during Clinical practicum: A descriptive qualitative study. MDPI. Retrieved from https://www.mdpi.com/2039-4403/11/2/46.

Tridinanti, G. (2018). The correlation between speaking anxiety, self-confidence, and speaking achievement of undergraduate EFL students of private university in Palembang. International Journal of Education and Literacy Studies, 6(4), 35–39. Retrieved from https://journals.aiac.org.au/index.php/IJELS/article/view/4901/0

Turney, S. (2021). Central Limit Theorem - Formula, Definition, & Examples. Retrieved from https://www.scribbr.com/statistics/central-limit-theorem/.

United States Department of Labor. (n.d). Basic elements of a first aid training program. Retrieved from https://www.osha.gov/laws-regs/regulations/standardnumber/1918/1918AppV.

University of Waterloo (n.d.), Bloom’s taxonomy. Centre for Teaching Excellence, University of Waterloo. Retrieved from https://uwaterloo.ca/centre-for-teaching-excellence/teaching-resources/teaching-tips/planning-courses-and-assignments/blooms-taxonomy.

Weurlander, M., Lönn, A., Seeberger, A., Broberger, E., Hult, H., & Wernerson, A. (2018). How do medical and nursing students experience emotional challenges during clinical placements?. International journal of medical education, 9, 74–82. https://doi.org/10.5116/ijme.5a88.1f80

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2025-01-19

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CLINICAL CONFIDENCE IN VIRTUAL AND ON-GROUND RELATED LEARNING EXPERIENCES AMONG NURSING STUDENTS AT ADAMSON UNIVERSITY. (2025). European Journal of Public Health Studies, 8(1). https://doi.org/10.46827/ejphs.v8i1.207