Effectiveness of the virtual learning object about diagnostic reasoning in obstetric nursing.
Nursing; Nursing Diagnosis; Educational Technology; Problem-based learning.
Experimental study aimed to analyze the effectiveness of a virtual object on obstetric nursing, based on problem-based learning, for the diagnostic reasoning of undergraduate students. The search was performed in four steps: elaboration of the problems used in the virtual learning object; expert content analysis of problems; development of the virtual learning object and application of the virtual object in the experimental group. In the first stage, five problems were elaborated, in the form of clinical cases involving the contents of obstetric nursing. In the second stage, the problem contents were analyzed by 22 specialist nurses. The third step involved the development of the virtual object, which was tested through a usability test in order to identify possible problems. This test was performed by users using technology, who analyzed educational technology through the System Usability Scale. Then, the experiment was performed using the virtual object with undergraduate Nursing students from a public university in the Northeast of Brazil. Students were randomly assigned to intervention and control groups. The intervention group assessed the quality of OVA through the Learning Object Review Instrument 2.0
instrument. Data were analyzed using descriptive and inferential statistics. The project was approved by the Research Ethics Committee of the institution in charge, under opinion No. 2,155,907 and Certificate of Presentation for Ethical Appraisal 69855917.1.0000.5537. The results showed that the five clinical cases created obtained acceptable agreement among the specialists. The virtual object was developed as a web application, written with HTML, CSS and Java Script language. It obtained excellent usability (SUS 85.5 score) among users. In the experiment, there was a slight improvement in the performance of the intervention group in identifying the indicators of the nursing diagnosis Ineffective breastfeeding, as well as better performance in writing it. Finally, the virtual learning object presented good quality with a high average score (LORI 4.88). Therefore, this strategy was promising and attractive for undergraduate nursing students. It was concluded that there was no difference in performance between the groups, as the application led to similar learning between them. This may be justified by the small sample size. Thus, further studies with larger samples are suggested.