The Development of a Question-Embedded Movie Clips Learning Program for Therapeutic Use of Self and Communication in Nursing Students

Main Article Content

Chanokruthai Choenarom
Sarinrut Juntapim
Juraipon Samputtanon

Abstract

Purpose: The advance in technology and software has revolutionized the way nurses acquire knowledge and skills. The primary aim of this study was to systematically develop an innovative learning program “Heart Talk” for nursing students using question-embedded short movie clips. The secondary aim was to assess the effectiveness of the learning program.


Design: The development of the learning program was guided by Gagne's instructional design model. This model outlines the 9-step plan of educational events that instructors need to consider to achieve effective learning outcomes. To evaluate the program's efficiency, a quasi-experimental study with a one-group-posttest-only design was used to examine students' learning outcomes and study experiences.


Methods: A convenient sample of 15 fourth-year nursing students was interviewed to get input information for the program development, and was invited to participate again for the initial test of the program's usability. After refining the program, another group of 30 fourth-year nursing students were purposively selected to participate in the test of program's efficiency.


Main findings: The effectiveness of the program was shown by the item-objective congruence (IOC) of 0.85 and an index of process and output efficiency (E1/E2) of 85.00/82.60. The student satisfaction level was strongly satisfied (equation = 4.39, SD = 0.77) with most students reporting positive experiences and an optimistic attitude toward the program. The students' report suggests that the learning program facilitate the integration of theoretical knowledge into clinical practice by simultaneously stimulating cognitive, affective, and psycho-motor learning domains.


Conclusion and recommendations: The Heart Talk was shown to be effective for instructing students to accomplish the desired learning outcomes. Nurse educators should use this learning program that increase accessibility and appeal to young nursing students to help them transfer what they learned in classrooms into clinical practice.

Article Details

How to Cite
Choenarom, C. ., Juntapim, S., & Samputtanon, J. . (2025). The Development of a Question-Embedded Movie Clips Learning Program for Therapeutic Use of Self and Communication in Nursing Students. Nursing Science Journal of Thailand, 43(1), 68–86. retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/273097
Section
Research Articles

References

Abraham SP, Cramer C, Palleschi H. Walking on eggshells: addressing nursing students’ fear of the psychiatric clinical setting. J Psychosoc Nurs Ment Health Serv. 2018;56(9):5-8. doi: 10.3928/02793695-20180322-01.

Nilati J, Singsanun N. First experience of practicing on a psychiatric ward for nursing students. Journal of MCU Nakhondhat. 2022;9(4):292–310. (in Thai).

Wedgeworth ML, Ford CD, Tice JR. “I’m scared”: Journaling uncovers student perceptions prior to a psychiatric clinical rotation. J Am Psychiatr Nurses Assoc. 2020;26(2):189-95. doi: 10.1177/1078390319844002.

American Psychiatric Nurse Association. Common questions about advanced practice psychiatric nurses [Internet]. Falls Church, VA: American Psychiatric Nurse Association; 2017 [cited 2024 Jan 3]. Available from: https://www.apna.org/about-psychiatric-nursing/faqs/

Park H, Cho H. Effects of nursing education using films on perception of nursing, satisfaction with major, and professional nursing values. J Nurs Res. 2021;29(3):e150. doi: 10.1097/JNR.0000000000000433.

Clerkin R, Patton D, Moore Z, Nugent L, Avsar P, O’Connor T. What is the impact of video as a teaching method on achieving psychomotor skills in nursing? A systematic review and meta-analysis. Nurse Educ Today. 2022; 111:105280. doi: 10.1016/j.nedt.2022.105280.

Oh J, Kang J, De Gagne JC. Learning concepts of cinenurducation: an integrative review. Nurse Education Today. 2012;32(8):914-9. doi: 10.1016/j.nedt.2012.03.021.

Deng R, Feng S, Shen S. Improving the effectiveness of video-based flipped classrooms with question-embedding. Educ Inf Technol. 2024;29:12677-702. doi: 10.1007/s10639-023-12303-5.

Hanna DR. Using motion picture films to teach nursing theory in graduate nursing education. Nurs Educ Perspect. 2019;40(4):259-60. doi: 10.1097/01.NEP.0000000000000355.

Smithikrai C. Effectiveness of teaching with movies to promote positive characteristics and behaviors. Procedia Soc Behav Sci. 2016;217:522-30. doi: 10.1016/j.sbspro.2016.02.033.

Soner G, Mumcu N. Use of films in nursing education in Turkey. Journal of Education and Research in Nursing. 2021;18(4):436-40. doi: 10.5152/jern.2021.98624.

Ganzer CA, Zauderer C. Structured learning and self-reflection: Strategies to decrease anxiety in the psychiatric mental health clinical nursing experience. Nurs Educ Perspect. 2013;34(4):244-7. doi: 10.5480/1536-5026-34.4.244.

Robkob W, Inchaithep S, Thinwang W. Development of learning outcomes based on learning and evaluation redesigned using standardized patient in simulation-based learning (SBL) in mental health and psychiatric nursing courses. Journal of Health Sciences Scholarship. 2022;9(1):228-52. (in Thai).

Pumput P, Puriwitthayatira K. The effects of simulation-based learning for preparation of mental health and psychiatric practicum in nursing students. Nursing, Health, and Education Journal. 2022;5(3):37-46. (in Thai).

Christraksa W, Chetchaovalit T. The effect of computer assisted instruction entitled therapeutic relationship and communication for psychiatric patients on perceived efficacy among nursing students, Faculty of Nursing, Prince of Songkla University. Sonklanagarind Journal of Nursing. 2019;39(1):53-65 (in Thai).

Kidhathong S, Tonkuriman A. Effectiveness of using multimedia as co-teaching on nursing students’ knowledge and skills regarding the therapeutic relationships and communication. Nursing Journal of The Ministry of Public Health. 2022;32(1):14-26. (in Thai).

Chaleoykitti S, Chiewsothorn S, Nuyleis Y. The development of an innovative learning method with augmented reality applications on smartphone. Ramathibodi Nursing Journal. 2019;25(1):5-15. (in Thai).

Injui R, Chiewsothorn S, Nuilers Y. Development of virtual reality program in managing aggressive patients. Journal of The Royal Thai Army Nurses. 2021;22(1):110-7. (in Thai).

Vizcaya-Moreno MF, Pérez-Cañaveras RM. Social media used and teaching methods preferred by generation Z students in the nursing clinical learning environment: a cross-sectional research study. Int J Environ Res Public Health. 2020;17(21):8267. doi: 10.3390/ijerph17218267.

Gagne R, Briggs L, Wager W. Principles of instructional design. 4th ed. New York: Harcourt Brace College Publishers; 1992. 375 p.

Miner A, Mallow J, Theeke L, Barnes E. Using Gagne's 9 events of instruction to enhance student performance and course evaluations in undergraduate nursing course. Nurse Educ. 2015;40(3):152-4. doi: 10.1097/NNE.0000000000000138.

Owaidah AY. Using Gagne's instructional design to teach communication skills in phlebotomy education through role-play. F1000Res. 2024;11:46. doi: 10.12688/f1000research.75335.2.

Buscombe C. Using Gagne's theory to teach procedural skills. Clin Teach. 2013;10(5):302-7. doi: 10.1111/tct.12051.

Kim S, Im M. Development and evaluation of nursing clinical practice education using M-Learning. Healthcare (Basel). 2024;12(2):206. doi: 10.3390/healthcare12020206.

Daniel A, Nagandla K, Daniel S. Application of Gagné’s instructional design in clinical simulation: enhancing learning in obstetric emergency management. Cureus. 2025;17(1):e76845. doi: 10.7759/cureus.76845.

Memon MA, Ting H, Cheah J-H, Thurasamy R, Chuah F, Cham TH. Sample size for survey research: review and recommendations. Journal of Applied Structural Equation Modeling. 2020;4(2):i-xx. doi: 10.47263/JASEM.

Brahmawong C. Developmental testing of media and instructional package. Silpakorn Educational Research Journal. 2013;5(1):7-20. (in Thai).

Peplau HE. Peplau’s theory of interpersonal relations. Nurs Sci Q. 1997;10(4):162-7. doi: 10.1177/089431849701000407.

Van Sant G, Damon M, Affleck B, Williams R, Driver M, Skarsgård S, et al. Good will hunting [DVD]. United States: Miramax Home Entertainment; 2001.

Sargent A, Schwary RL, Redford R, Sutherland D, Moore MT, Hirsch J, et al. Ordinary people [DVD]. United States: Paramount Pictures; 2001.

Conroy P, Danner B, Dillon M, Goldblatt S, Gould J, Howard JN, et al. The prince of tides [DVD]. Columbia TriStar Home Entertainment; 2001.

Oh J, De Gagné JC, Kang J. A review of teaching-learning strategies to be used with film for prelicensure students. J Nurs Educ. 2013;52(3):150-6. doi: 10.3928/01484834-20130218-02.

Martin CT, Chanda N. Mental health clinical simulation: therapeutic communication. Clin Simul Nurs. 2016;12(6):209-14. doi: 10.1016/j.ecns.2016.02.007.

Hong S, Lee JY. Evaluation of therapeutic communication education for nursing students based on constructivist learning environments: a systematic review. Nurse Educ Today. 2022; 119:105607. doi: 10.1016/j.nedt.2022.105607.

Bloom BS, Englehart MD, Furst EJ, Hill WH, Krathwohl DR. Taxonomy of educational objectives, the classification of educational goals. Ann Arbor, MI: Longmans, Green & Co.; 1956. 207 p.

Yesildag AY, Bostan S. Movie analysis as an active learning method: a study with health management student. The International Journal of Management Education. 2023;21(1):100759. doi: 10.1016/j.ijme.2022.100759.

Afify MK. Effect of integrative video length within e-learning environments on cognitive load, cognitive achievement and retention of learning. Turkish Online Journal of Distance Education. 2020;21(4):68-89. doi: 10.17718/tojde.803360.

Krathwohl DR, Bloom BS, Masia BB. Taxonomy of educational objectives, Book II: affective domain. New York: David McKay Company; 1964. 196 p.

Gangwani N, Singh S, Khaliq F. Trigger films to teach core competencies of ethics and professionalism to first-year medical and nursing students. Adv Physiol Educ. 2022;46(3):491-7. doi: 10.1152/advan.00041.2022.