The effect of video-based education method on nursing students' knowledge, skills, and motivation in fluid intake and output monitoring

Abstract

Background/Introduction: Keeping records of fluid intake and output (I&O) monitoring has been recognized as an important component of nursing care to assess hydration status in patients with cardiovascular diseases however the average rate of complete I&O records was only 14%. Using visual and auditory videos in nursing education enhances students' psychomotor skills and cognitive abilities such as critical thinking, problem-solving, and memory retention while increasing their motivation and making the learning process more enjoyable. Training and addressing the deficiencies of healthcare professionals responsible for patient follow-up and care before they enter the field is believed to contribute to more accurate record-keeping and, consequently, improve patient recovery.

Purpose: This study was conducted as a randomized controlled study to determine the effect of video-based education on nursing students' knowledge, skills, and motivation in fluid intake and output monitoring.

Methods: The study sample consisted of 60 students (experimental group: 30; control group: 30) enrolled in the Nursing Department of a foundation university between January and February 2023. The data were collected using an "Information Form," "I&O Knowledge and Skills Assessment Test," and "Instructional Materials Motivation Survey." Students who agreed to participate and met the inclusion criteria were given a pre-test assessment using the Information Form and the I&O Knowledge and Skills Assessment Test. Initially, all students received theoretical training on I&O monitoring. After the training, students were randomly assigned to two groups. One week after the theoretical lesson, students in the experimental group received video-supported education, whereas the control group received the theoretical content in a written format. One week later, the I&O Knowledge and Skills Assessment Test was re-administered to all students, along with the Instructional Materials Motivation Survey.

Results: The average age of the participating students was 21.32±3.23 years, with 70% female and 30% male. The pre-test I&O knowledge and skills measurements did not show significant differences between the groups (p>0.05). However, a significant difference was observed in the post-test I&O knowledge and skills measurements between the groups (t(58)=3.103; p=0.003<0.05). The post-test I&O knowledge and skills scores of the experimental group (x̄=68.500) were higher than those of the control group (x̄=56.500). Additionally, the total Instructional Materials Motivation Survey scores of the experimental group (x̄=135.033) were higher than those of the control group (x̄=94.533).

Conclusions: The video-based education method was found to be an effective approach for teaching fluid intake and output monitoring, significantly enhancing nursing students' knowledge, skills, and motivation.