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Learning communication from erroneous video-based examples: A double-blind randomised controlled trial.

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Summary

Using erroneous video examples improved nursing students' ability to break bad news to simulated patients more effectively than correct examples or no examples, enhancing communication skills training.

Keywords:
Communication skills learningElaborated feedbackErroneous examplesSchemasScriptsSelf-explanation promptsWorked examples

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Area of Science:

  • Medical Education
  • Healthcare Communication
  • Simulation-Based Learning

Background:

  • Effective communication skills are crucial for healthcare professionals, particularly when interacting with simulated patients.
  • Training strategies must be optimized to enhance undergraduate healthcare students' learning from communication exercises.
  • Video-based worked examples offer a potential avenue for improving initial communication skills.

Purpose of the Study:

  • To investigate the impact of different formats of video-based worked examples on the development of initial communication skills in undergraduate nursing students.
  • To compare the effectiveness of correct versus erroneous video examples in teaching communication strategies.
  • To assess the utility of self-explanation prompts and elaborated feedback in conjunction with worked examples.

Main Methods:

  • A study involving 36 first-year nursing students randomly assigned to three groups: erroneous examples, correct examples, or a control group (no examples).
  • All participants received an introduction to breaking bad news; experimental groups viewed video-based worked examples with self-explanation prompts and feedback.
  • Communication skills were assessed through interactions with a simulated patient.

Main Results:

  • Students exposed to erroneous examples demonstrated significantly better performance in breaking bad news to a simulated patient compared to the control group.
  • Participants viewing erroneous examples showed a trend towards outperforming those who saw correct examples.
  • Students who viewed correct examples also tended to perform better than the control group.

Conclusions:

  • The worked example effect is applicable and effective in the domain of provider-patient communication training.
  • Video-based worked examples, particularly erroneous ones, coupled with self-explanation and feedback, can significantly enhance students' preparedness for simulated patient interactions.