Knowledge, self-efficacy, satisfaction and self-confidence of nursing students for stoma care using active learning methodologies: a quasi-experimental study of three arms

Authors

  • Karima Abselam-Ali University Hospital of Ceuta
  • Concepción Capilla Díaz University of Granada
  • Rocío Reina Prego University of Granada
  • María Elena Parra González University of Granada

DOI:

https://doi.org/10.17533/udea.iee.v43n2e06

Keywords:

active learning, nursing education, simulation, surgical stomas, virtual reality

Abstract

Objective. To assess knowledge about stoma care in relation to the level of learning methods and to measure students' self-confidence, satisfaction and self-efficacy with the training received using different learning methods including simulation.

Methods. A quasi-experimental study of three arms, with pretest and post-test design in third-year nursing students during the academic year 2022-2023. Group A received traditional teaching methods and low-fidelity simulation, group B received traditional teaching methods and high-fidelity simulation, and group C received active learning methods and high-fidelity simulation.

Results. Significant differences were found in 14 of the 15 NOC indicators measured between groups. Self-efficacy showed significant differences between the different groups (p<0.001) after the intervention. For satisfaction and self-confidence, there were significant differences (p<0.001) observed between the different fidelity groups).

Conclusion. This study found that simulation improved the level of knowledge regarding ostomies and had a positive impact on satisfaction and self-confidence in all three intervention groups, with significantly higher results among participants in Group C (active learning methods and high-fidelity simulation).

|Abstract
= 234 veces | PDF
= 207 veces| | VIDEO
= 0 veces|

Downloads

Download data is not yet available.

Author Biographies

Karima Abselam-Ali, University Hospital of Ceuta

Nurse, Ph.D. student.

University Hospital of Ceuta, Ceuta, Spain

Instituto de Investigación Biosanitaria (ibs.GRANADA)

Concepción Capilla Díaz, University of Granada

Nurse, Ph.D. Permanent Lecturer.

Instituto de Investigación Biosanitaria (ibs.GRANADA)

Department of Nursing, Faculty of Health Sciences, University of Granada, Spain

CTS-436 PATH Research Group

Rocío Reina Prego , University of Granada

Nurse, Ph.D. Junior Lecturer.

Department of Nursing, Faculty of Health Sciences, University of Granada, Spain

María Elena Parra González, University of Granada

English primary-school teacher, Social and Cultural Anthropology. Senior Lecturer.

Department of Research Methods and Diagnosis in Education, University of Granada, Spain

References

1. American Cancer Society. Estadísticas sobre el cáncer colorrectal ¿Qué tan común es el cáncer colorrectal? 2023. Available from: https://www.cancer.org/es/cancer/tipos/cancer-de-colon-o-recto/acerca/estadisticas-clave.html

2. Capilla-Díaz C, Bonill-de las Nieves C, Hernández-Zambrano SM, Montoya-Juárez R, Morales-Asencio JM, Pérez-Marfil MN, et al. Living With an Intestinal Stoma: A Qualitative Systematic Review. Qualitative Health Research. 2019; 29(9):1255-65.

3. Duque PA, Campino Valderrama SM. Vivencias de las personas portadoras de ostomía digestiva. Ciencia y enfermería. 2019; 25:10.

4. Handeland JA, Prinz A, Ekra EMR, Fossum M. The role of manikins in nursing students’ learning: A systematic review and thematic metasynthesis. Nurse Education Today. 2021; 98:104661.

5. Mujica FN, Orellana N del C. Emociones en educación física desde la perspectiva constructivista: análisis de los currículos de España y Chile. Praxis & Saber. 2019; 10(24):297-319.

6. Silva G, Aredes N, Cecilio J, Oliveira F, Cavalcante A, Campbell S. Active methodologies in teaching the nursing process: Scoping review. Nurse Education in Practice. 2025; 83.

7. Canales García AC, Fernández Valverde M, Ulate Solís G. Aprender y enseñar con recursos TIC: experiencias innovadoras en la formación docente universitaria. Revista Ensayos Pedagógicos. 2020; 15(1):235-48.

8. Cabral Melo P de O, Marques Gomes Mendes RC, Pereira Linhares FM, Guedes TG. Production and use of educational technologies in nursing post-graduation. Revista Brasileira de Enfermagem. 2022; 75(5): e20210510.

9. Mendez KJW, Piasecki RJ, Hudson K, Renda S, Mollenkopf N, Ortigas BS, et al. Virtual and augmented reality: Implications for the future of nursing education. Nurse Education Today. 2020; 93:104531.

10. Chabrera C, Curell L, Rodríguez-Higueras E. Effectiveness of high versus mixed-level fidelity simulation on undergraduate nursing students: A randomised controlled trial. Nurse Education in Practice. 2024; 82:104206.

11. García-Pazo P, Pol-Castañeda S, Moreno-Mulet C, Pomar-Forteza A, Carrero-Planells A. Virtual reality and critical care education in nursing: A cross-sectional study. Nurse Education Today. 2023; 131:105971.

12. Ruzafa-Martínez M, Molina-Rodríguez A, Pérez-Muñoz V, Leal-Costa C, Ramos-Morcillo AJ. Effectiveness of the flipped classroom methodology on the learning of evidence-based practice of nursing students: Quasi-experimental design. Nurse Education Today. 2023; 128:105878.

13. Fung JTC, Chan SL, Takemura N, Chiu HY, Huang HC, Lee JE, et al. Virtual simulation and problem-based learning enhance perceived clinical and cultural competence of nursing students in Asia: A randomized controlled cross-over study. Nurse Education Today. 2023; 123:105721.

14. Ota E, Hiyoshi Y, Matsuura N, Ishikawa K, Fujinami F, Mukai T, et al. Standardization of preoperative stoma site marking and its utility for preventing stoma leakage: a retrospective study of 519 patients who underwent laparoscopic/robotic rectal cancer surgery. Techniques in Coloproctology. 2023; 27:1387-92.

15. Moorhead S, Swanson E, Johnson M. Nursing Outcomes Classification (NOC): Measurement of Health Outcomes. 7th ed. Missouri: Elsevier-Health Sciences Division; 2023. 888 p.

16. Sanjuan Suárez P, Pérez García AM, Bermudez Moreno J. Escala de autoeficacia general: datos psicométricos de la adaptación para población española. Psicothema. 2000; 12(2):509-13.

17. Román Cereto M. Validación de escalas para la evaluación del aprendizaje clínico basado en simulación en el grado de Enfermería [Dissertation]. [Málaga]: Universidad de Málaga; 2017. Available from: https://dialnet.unirioja.es/servlet/tesis?codigo=136820

18. Hueso-Montoro C, Moya-Muñoz N, Martín-Cebrián J, Huertas-Fernández R, Sánchez-Crisol I, García-Fernández FP, Capilla-Díaz C. Efficacy of gel containing organic extra virgin olive oil for peristomal skin hygiene: A pilot randomised controlled trial. Journal of Tissue Viability. 2023; 32(2):188-93.

19. Vural Doğru B, Zengin Aydın L. The effects of training with simulation on knowledge, skill and anxiety levels of the nursing students in terms of cardiac auscultation: A randomized controlled study. Nurse Education Today. 2020; 84:104216.

20. Aljohani MS, Tubaishat A, Shaban I. The effect of simulation experience on Saudi nursing students’ advance cardiac life support knowledge. International Journal of Africa Nursing Sciences. 2019; 11:100172.

21. So HY, Chen PP, Wong GKC, Chan TTN. Simulation in medical education. Royal College of Physicians of Edinburg. 2019; 49(1):52-7.

22. Peinado-Molina RA, Martínez-Vázquez S, Paulano-Martínez JF, Hernández-Martínez A, Martínez-Galiano JM. Self-Confidence, Satisfaction, and Knowledge of Nursing Students with Training in Basic Life Support in Pregnant Women: A Cross-Sectional Study. Nursing Reports. 2023; 13(1):297-306.

23. Scherer YK, Bruce SA, Runkawatt V. A Comparison of Clinical Simulation and Case Study Presentation on Nurse Practitioner Students’ Knowledge and Confidence in Managing a Cardiac Event. International Journal of Nursing Education Scholarship. 2007; 4(1). Available from: https://www.degruyter.com/document/doi/10.2202/1548-923X.1502/html

24. Komarraju M, Swanson J, Nadler D. Increased Career Self-Efficacy Predicts College Students’ Motivation, and Course and Major Satisfaction. Journal of Career Assessment. 2014; 22(3):420-32.

25. Covarrubias-Apablaza CG, Acosta-Antognoni H, Mendoza-Lira M. Relación de Autorregulación del Aprendizaje y Autoeficacia General con las Metas Académicas de Estudiantes Universitarios. Formación universitaria. 2019; 12(6):103-14.

26. Bandura A. Perceived Self-Efficacy in Cognitive Development and Functioning. Educational Psychologist. 1993; 28(2):117-48.

27. Zapko KA, Ferranto MLG, Blasiman R, Shelestak D. Evaluating best educational practices, student satisfaction, and self-confidence in simulation: A descriptive study. Nurse Education Today. 2018; 60:28-34.

28. Demirtas A, Guvenc G, Aslan Ö, Vesile U, Basak T, Kaya C. Effectiveness of simulation-based cardiopulmonary resuscitation training programs on fourth-year nursing students. Australasian Emergency Care. 2021; 24(1):4-10.

29. Tawalbeh LI. Effect of simulation modules on Jordanian nursing student knowledge and confidence in performing critical care skills: A randomized controlled trial. International Journal of Africa Nursing Sciences. 2020; 13:100242.

30. Carvalho A, Teixeira SJ, Olim L, Campanella S, Costa T. Pedagogical innovation in higher education and active learning methodologies – a case study. Education & Training. 2021; 63(2):195-213.

31. Martín-García J, Dies-Álvarez ME. An examination of the teacher's goals for a school crystal growing competition: More than having fun. International Journal of Science Education. 2022; 44(6):962-79.

32. Skulmowski A. Ethical issues of educational virtual reality. Computers & Education: X Reality. 2023; 2:100023.

33. Anwar MS, Ullah I, Ahmad S, Choi A, Ahmad S, Wang J, Aurangzeb K. Immersive learning and AR/VR-based education: cybersecurity measures and risk management. In: Cybersecurity Management in Education Technologies. CRC Press; 2023. p. 1-22.

Downloads

Published

2025-07-29

How to Cite

Abselam-Ali, K., Capilla Díaz, C., Reina Prego , R., & Parra González, M. E. (2025). Knowledge, self-efficacy, satisfaction and self-confidence of nursing students for stoma care using active learning methodologies: a quasi-experimental study of three arms. Investigación Y Educación En Enfermería, 43(2). https://doi.org/10.17533/udea.iee.v43n2e06

Issue

Section

ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS