Reduce Performance Anxiety for Nursing Students While Improving the Feedback Iteration

tl;dr: Nursing students record themselves performing tasks that would traditionally be directly supervised and upload the content for direct instructor feedback. As a result, students experience lower levels of anxiety and spend more time practicing. Click here to request a demo.

Background
Traditionally, nursing students would be required to perform tasks such as venipuncture, the puncturing of a vein for the purposes of a medical procedure, under direct supervision. The tasks would generally be observed one-on-one by their instructor. Not only would this method of observation frequently result in anxiety for the students, which would potentially impact performance, but it would be extremely time-consuming for learner and instructor alike.


Photo by Pranidchakan Boonrom

Dr. Jaime Hannans of California State University Channel Islands (CSUCI) decided to search for a better solution through the use of a tool that would allow for the simulation of nursing student experiences without the need for one-on-one observation. 

Case Study
Dr. Hannans instructed nursing students to upload learner created content (learner created bulbs) using PlayPosit. Students were required to record themselves performing the assigned task and would then share their video with their instructor for feedback. This allowed Dr. Hannans to observe the students’ performance at a later time to administer feedback.

Upon giving feedback, the mix of text, video recording, and images allowed Dr. Hannans to give her students a more multidimensional response to successes and mistakes. Additionally, she was able to give feedback in the exact moment that it was necessary as opposed to interrupting a student's action or having to wait until the end when the correction might not have as significant of an impact. Students are then able to review the video with the accompanying feedback and more readily remember where they succeeded and where they need to improve.

Time Period
Dr. Jaime Hannans had begun experimenting with a prerecorded method of observation and feedback prior to PlayPosit. However, the introduction of PlayPosit to CSUCI allowed her to provide feedback in multiple forms and at more exact moments in the video, as opposed to just at the very end. The initial cohort of 44 students piloted the platform and best practices were established for the department. In the coming semester, more instructors and students will be introduced to the new technique.  

Findings
Dr. Hannans determined that asking nursing students to record themselves performing the necessary tasks not only resulted in them practicing more, which may be a sign of improved self-reflection, but led to the students feeling less nervous while performing the actual tasks. Dr. Hannans is also considering the introduction of a peer-to-peer review process prior to the student receiving feedback from the instructor. There is potential for students to improve their own techniques through the observation of others and feedback from peers. 

Click here to request a demo.


Jaime Hannans PhD, RN, CNE is Associate Professor of Nursing at California State University Channel Islands. Dr. Hannans obtained her BSN and MSN from California State University, Chico, and PhD from University of Nevada, Las Vegas. Dr. Hannans has received numerous awards including the California State University Faculty Innovation and Leadership Award 2018  and the AACN Excellence and Innovation in Teaching Award 2019 for her work exploring and sharing innovative teaching and learning practices, including projects related to digital badges, open educational resources, open courses, digital storytelling, extended reality (augmented, virtual and mixed), and best practices in online and blended teaching-learning. Her commitment to student success, particularly for low-income first-generation students, is highlighted by her role as the California State University Affordable Learning Solutions (AL$) Campus Co-Coordinator, leading to three Zero-Cost Majors, and over 2 million dollars in textbook savings to students. Her research interests are most recently focused on immersive virtual reality experiences, reflective learning, simulation, and the use of technology and open educational resources in higher education.