Effects of Role-Play Simulation-Based Case Studies on Motivation and Learning Strategies in Healthcare Sciences: A Randomized Controlled Trial

Abstract

Background

Since the introduction of active teaching methods, health science education has undergone considerable transformation. These methods help students become more motivated and develop communication, analytical and critical thinking skills, which influence students' learning practices.

Aim

The objective of this study is to evaluate effects of role-play simulation-based case studies on motivation and learning strategies among health sciences.

Methods

One hundred sixty-two students participated in this randomized trial. Students in the control group (n = 86) attended traditional interactive lectures, whereas students in the experimental group (n = 76) participated in role-play simulation-based case studies. The Motivated Strategies for Learning Questionnaire (MSLQ) was administered both before and after educational intervention for both groups.

Results

Compared to the control group, the scores of the experimental group are higher for Intrinsic goal orientation, Task value, Self-efficacy for learning and performance, Metacognitive self-regulation, Elaboration and critical thinking, Peer learning and help seeking (p< 0,001). In addition, we observed a positive association between role-play simulation-based case studies and Post-test sore of MLSQ for Task value, Self-efficacy for learning and performance, and Peer learning and help seeking (p < 0.05).

Conclusions

The study findings support the use of role-play simulation-based case studies in improving the motivation significantly and changing learning strategies for health care students. This active method can be recommended as a promising method for teaching health science.

Keywords

active learning role-play simulation motivation strategies heath science

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References

Addy

T. M.

Dube

Croft

Nardolilli

J. O.

Paynter

O. C.

Hutchings

M. L.

Honsberger

M. J.

Reeves

P. M.

(2018). Integrating a Serious Game Into Case-Based Learning. Simulation & Gaming, 49(4), 378-400. https://doi.org/10.1177/1046878118779416

Aksoy

Pasli Gurdogan

(2022). Examining effects of the flipped classroom approach on motivation, learning strategies, urinary system knowledge, and urinary catheterization skills of first-year nursing students. Japan Journal of Nursing Science, 19(2), e12469. https://doi.org/10.1111/jjns.12469

Aldridge

J. M.

Rowntree

(2022). Investigating Relationships Between Learning Environment Perceptions, Motivation and Self-Regulation for Female Science Students in Abu Dhabi, United Arab Emirates. Research in Science Education, 52(5), 1545-1564. https://doi.org/10.1007/s11165-021-09998-2

AlOtaibi

N. G.

Alshowkan

Kamel

El-Ashry

A. M.

AlSaleh

N. S.

Abd Elhay

E. S.

(2023). Assessing perceptions about critical thinking, motivation learning strategies in online psychiatric and mental health nursing education among Egyptian and Saudi undergraduate nursing students. BMC Nursing, 22(1), 112. https://doi.org/10.1186/s12912-023-01264-2

Bristol

Hagler

McMillian-Bohler

Wermers

Hatch

Oermann

M. H.

(2019). Nurse Educators’ use of Lecture and Active Learning. Teaching and Learning in Nursing, 14(2), 94-96. https://doi.org/10.1016/j.teln.2018.12.003

Çulha

İ.

(2019). Active learning methods used in nursing education. Journal of Pedagogical Research, 3, 74-86. https://doi.org/10.33902/JPR.2019254174

Duchatelet

Spooren

Bursens

Gijbels

Donche

(2021). Explaining self-efficacy development in an authentic higher education learning context of role-play simulations. Studies in Educational Evaluation, 68, 100940. https://doi.org/10.1016/j.stueduc.2020.100940

El-Adl

Alkharusi

(2020). Relationships between self-regulated learning strategies, learning motivation and mathematics achievement. Cypriot Journal of Educational Sciences, 15(1), 104-111. https://doi.org/10.18844/cjes.v15i1.4461

Galland

Abbara

Terrier

Samson

Tesnières

Fournier

J. P.

Braun

(2018). Simulation en santé et médecine interne : Quel avenir ? La Revue de Médecine Interne, 39(6), 414-420. https://doi.org/10.1016/j.revmed.2017.11.011

10.

Garvey

Hood

Willetts

Weller-Newton

Wheelahan

Croy

(2023). Nursing educators’ professional identity : Challenges and consequences when adopting the flipped approach. Teaching and Learning in Nursing, 18(2), 257-262. https://doi.org/10.1016/j.teln.2022.12.002

11.

Hadan

Zhang-Kennedy

Nacke

Mäkelä

(2024). Gamification and Gaming in Cryptocurrency Education : A Survey with Cryptocurrency Investors and Potential Investors. Simulation & Gaming, 10468781231223762. https://doi.org/10.1177/10468781231223762

12.

Haugom

J. V.

Struksnes

(2024). Can Facilitators’ Need for Control Influence Students’ Learning Experience through Simulation? - A Qualitative Study on Simulation in Nursing Education. Simulation & Gaming, 55(1), 109-127. https://doi.org/10.1177/10468781231212352

13.

Hays

R. B.

Ramani

Hassell

(2020). Healthcare systems and the sciences of health professional education. Advances in Health Sciences Education, 25(5), 1149-1162. https://doi.org/10.1007/s10459-020-10010-1

14.

Jones

(2019). THE ROLE OF TEAM LEADERSHIP ON CRITICAL THINKING SKILLS -A CASE STUDY OF BUSINESS MAJOR STUDENTS USING A ROLE-PLAY SIMULATION AT THE AMERICAN UNIVERSITY IN THE EMIRATES (AUE). International Journal of Development Research, 9, 29097-29100.

15.

Jukić

Škojo

(2021). The Educational Needs of the Alpha Generation. 2021 44th International Convention on Information, Communication and Electronic Technology (MIPRO), 564-569. https://doi.org/10.23919/MIPRO52101.2021.9597106

16.

Kang

Y.-N.

Chang

C.-H.

Kao

C.-C.

Chen

C.-Y.

C.-C.

(2019). Development of a short and universal learning self-efficacy scale for clinical skills. PLOS ONE, 14(1), e0209155. https://doi.org/10.1371/journal.pone.0209155

17.

Kharbach

Bakali Issaui

Retal

Khallouk

(2020). Le cours magistral entre les attentes des étudiants et les objectifs pédagogiques. Progrès en Urologie, 30(13), 812-813. https://doi.org/10.1016/j.purol.2020.07.199

18.

Laranjeira

Afonso

Querido

A. I.

(2021). Communicating Bad News : Using Role-Play to Teach Nursing Students. SAGE Open Nursing, 7, 23779608211044589. https://doi.org/10.1177/23779608211044589

19.

Leynes-Ignacio

J. R.

(2023). Nursing students’ perceived level of satisfaction and self-confidence in learning using unfolding case studies. Teaching and Learning in Nursing, 18(4), e174-e177. https://doi.org/10.1016/j.teln.2023.05.015

20.

Lin

C.-S.

Yang

C.-C.

(2023). Evaluation of a digital game for teaching behavioral aspects of clinical communication in dentistry. BMC Medical Education, 23(1), 78. https://doi.org/10.1186/s12909-023-04040-7

21.

Lin

T.-J.

(2021). Exploring the Differences in Taiwanese University Students’ Online Learning Task Value, Goal Orientation, and Self-Efficacy Before and After the COVID-19 Outbreak. The Asia-Pacific Education Researcher, 30(3), 191-203. https://doi.org/10.1007/s40299-021-00553-1

22.

Y.-T.

Yang

C.-C.

Yeh

T.-F.

H.-Y.

Chang

Y.-C.

(2022). Effectiveness of immersive virtual reality training in nasogastric tube feeding education : A randomized controlled trial. Nurse Education Today, 119, 105601. https://doi.org/10.1016/j.nedt.2022.105601

23.

Lyu

(2021). Introduction à l’approche intentionnelle de l’enseignement-apprentissage de l’anglais de spécialité : De la théorie à la pratique [These de doctorat, Aix-Marseille]. https://www.theses.fr/2021AIXM0386

24.

Magdolna

Danny

(2002). Language Teaching through Role-Play : A Hungarian View -. https://journals-sagepub-com-s.web.bisu.edu.cn/doi/abs/10.1177/1046878102332004

25.

Munangatire

McInerney

(2021). Nursing students’ conceptions of competence and the learning processes that support the development of competence : A phenomenographic study. Advances in Health Sciences Education, 26(3), 1113-1132. https://doi.org/10.1007/s10459-021-10041-2

26.

Navarro-Parra

S. L.

Chiappe

(2023). Simulated Learning Environments as an Interdisciplinary Option for Vocational Training : A Systematic Review. Simulation & Gaming, 10468781231221904. https://doi.org/10.1177/10468781231221904

27.

Okougbo

P. O.

Okike

E. N.

(2021). Teaching strategies in accounting ethics : A students’ assessment of preferred teaching styles. Cogent Social Sciences, 7(1), 1950306. https://doi.org/10.1080/23311886.2021.1950306

28.

Perez

Green

Moharrami

Gianoni-Capenakas

Kebbe

Ganatra

Ball

Sharmin

(2023). Active learning in undergraduate classroom dental education- a scoping review. PLOS ONE, 18(10), e0293206. https://doi.org/10.1371/journal.pone.0293206

29.

Pintrich

P. R.

Others

(1991). A Manual for the Use of the Motivated Strategies for Learning Questionnaire (MSLQ). https://eric.ed.gov/?id=ED338122

30.

Saeedi

Ghafouri

Tehrani

F. J.

Abedini

(2021). The effects of teaching methods on academic motivation in nursing students : A systematic review. Journal of Education and Health Promotion, 10, 271. https://doi.org/10.4103/jehp.jehp_1070_20

31.

Sanaie

Vasli

Sedighi

Sadeghi

(2019). Comparing the effect of lecture and Jigsaw teaching strategies on the nursing students’ self-regulated learning and academic motivation : A quasi-experimental study. Nurse Education Today, 79, 35-40. https://doi.org/10.1016/j.nedt.2019.05.022

32.

Schüttpelz-Brauns

Hecht

Hardt

Karay

Zupanic

Kämmer

J. E.

(2020). Institutional strategies related to test-taking behavior in low stakes assessment. Advances in Health Sciences Education, 25(2), 321-335. https://doi.org/10.1007/s10459-019-09928-y

33.

Sethi

Schofield

McAleer

Ajjawi

(2018). The influence of postgraduate qualifications on educational identity formation of healthcare professionals. Advances in Health Sciences Education, 23(3), 567-585. https://doi.org/10.1007/s10459-018-9814-5

34.

Shaw

S. C. K.

Hennessy

L. R.

Anderson

J. L.

(2022). The learning experiences of dyslexic medical students during the COVID-19 pandemic : A phenomenological study. Advances in Health Sciences Education, 27(1), 107-124. https://doi.org/10.1007/s10459-021-10074-7

35.

Shohani

Bastami

Gheshlaghi

L. A.

Nasrollahi

(2023). Nursing student’s satisfaction with two methods of CBL and lecture-based learning. BMC Medical Education, 23(1), 48. https://doi.org/10.1186/s12909-023-04028-3

36.

Sistermans

I. J.

(2020). Integrating competency-based education with a case-based or problem-based learning approach in online health sciences. Asia Pacific Education Review, 21(4), 683-696. https://doi.org/10.1007/s12564-020-09658-6

37.

Smith

N. E.

(2018, avril 20). Active Learning : A Concept Analysis. Nursing Education Research Conference 2018 (NERC18). https://stti.confex.com/stti/nerc18/webprogram/Paper89036.html

38.

Soussi

Naceur

Berger

Ghérissi

Belgacem

Zairi

(2021). Impact de l’apprentissage systémique sur la motivation à apprendre des étudiants dans un contexte d’apprentissage en milieu clinique. Revue internationale de pédagogie de l’enseignement supérieur, 37(2), Article 2. https://doi.org/10.4000/ripes.2900

39.

Torralba

K. D.

Doo

(2020). Active Learning Strategies to Improve Progression from Knowledge to Action. Rheumatic Diseases Clinics of North America, 46(1), 1-19. https://doi.org/10.1016/j.rdc.2019.09.001

40.

Uffler

Bartier

J.-C.

Pelaccia

(2017). Are health sciences students who sit at the back of the lecture hall not motivated? PLOS ONE, 12(3), e0174947. https://doi.org/10.1371/journal.pone.0174947

41.

van Gaalen

A. E. J.

Brouwer

Schönrock-Adema

Bouwkamp-Timmer

Jaarsma

A. D. C.

Georgiadis

J. R.

(2021). Gamification of health professions education : A systematic review. Advances in Health Sciences Education, 26(2), Article 2. https://doi.org/10.1007/s10459-020-10000-3

42.

Wei

Saab

Admiraal

(2023). Do learners share the same perceived learning outcomes in MOOCs? Identifying the role of motivation, perceived learning support, learning engagement, and self-regulated learning strategies. The Internet and Higher Education, 56, 100880. https://doi.org/10.1016/j.iheduc.2022.100880

43.

Wijnia

Servant-Miklos

V. F. C.

(2019). Behind the times : A brief history of motivation discourse in problem-based learning. Advances in Health Sciences Education, 24(5), 915-929. https://doi.org/10.1007/s10459-019-09923-3

44.

Zheng

Guo

(2020). Medical students’ motivation and academic performance : The mediating roles of self-efficacy and learning engagement. Medical Education Online, 25(1), 1742964. https://doi.org/10.1080/10872981.2020.1742964

45.

Zairi

Ben Dhiab

Mzoughi

Ben Mrad

(2022). The Effect of Serious Games on Medical Students’ Motivation, Flow and Learning. Simulation & Gaming, 53(6), 581-601. https://doi.org/10.1177/10468781221123919

46.

Zhu

Xiong

Zheng

Zhang

Yang

(2021). Case-based learning combined with science, technology, engineering and math (STEM) education concept to improve clinical thinking of undergraduate nursing students : A randomized experiment. Nursing Open, 8(1), 415-422. https://doi.org/10.1002/nop2.642

47.

Zorn

Dillenseger

J.-P.

Bauer

Moerschel

Bachmann

Buissink

Jamault

(2019). Motivation of student radiographers in learning situations based on role-play simulation : A multicentric approach involving trainers and students. Radiography, 25(1), e18-e25. https://doi.org/10.1016/j.radi.2018.09.002