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Development and effects of a chatbot education program for self-directed learning in nursing students.

Jeong-Won Han1, Junhee Park2, Hanna Lee3

  • 1College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea.

BMC Medical Education
|June 2, 2025
PubMed
Summary

A new chatbot educational program significantly improved nursing students' clinical reasoning, self-confidence, and satisfaction with mechanical ventilation nursing education. The program enhances self-directed learning and overall nursing competency.

Keywords:
Clinical reasoningEducationKnowledgeMechanical ventilationNurseStudent

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Area of Science:

  • Nursing Education
  • Digital Health
  • Clinical Skills Development

Background:

  • Critical care nurses need strong thinking skills for patient assessment and intervention.
  • Mechanical ventilation nursing requires precise knowledge and rapid response.
  • Clinical nurses have identified a significant educational need in mechanical ventilation nursing.

Purpose of the Study:

  • To develop a chatbot educational program for self-directed learning in mechanical ventilation nursing.
  • To assess the program's impact on nursing students' clinical reasoning, knowledge, self-confidence, and satisfaction.

Main Methods:

  • A randomized controlled trial with a pretest-posttest parallel group design was used.
  • Fourth-year nursing students were divided into an experimental group (chatbot + videos) and a control group (videos only).
  • The study involved 60 nursing students from a university in South Korea.

Main Results:

  • The experimental group showed significantly higher clinical reasoning competency (p < .001), self-confidence (p = .011), and education satisfaction (p < .001).
  • No statistically significant difference in mechanical ventilation nursing knowledge was observed between the groups (p = .926).

Conclusions:

  • The chatbot educational program is an effective method for enhancing nursing students' clinical reasoning, self-confidence, and satisfaction.
  • This approach supports self-directed learning and can improve overall nursing competency in mechanical ventilation.
  • Digital educational tools like chatbots show promise in specialized nursing education.