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Using the community of inquiry framework to enhance nurses' knowledge retention and learning satisfaction in pressure
Yi-Ling Yang1, Hua-Shan Wu2, Ching-O Chuang1
1Department of Nursing, Asia University Hospital, Taichung, Taiwan.
Aim:
To explore the effectiveness of an immersive educational strategy based on the Community of Inquiry (CoI) framework in enhancing nurses' knowledge retention and learning satisfaction in pressure injury prevention.
Background:
Traditional digital learning alone may not ensure sustained knowledge or engagement in clinical training. The CoI framework provides an effective model for integrating cognitive, social and teaching presence to enhance learning outcomes.
Design:
A single-blind, two-group quasi-experimental study with pre- and post-intervention assessments.
Methods:
Participants were registered nurses from a regional hospital in Taiwan, assigned to either the traditional group or the intervention group. Both groups received digital self-directed learning, while the intervention group additionally engaged in multimedia modules, LINE@ asynchronous discussions and an in-person workshop. Knowledge was assessed at three time points and learning satisfaction was measured post-intervention. Generalized Estimating Equations were used for analysis.
Results:
Both groups showed significant knowledge improvement over time (p < .001). The intervention group exhibited greater immediate posttest gains than the traditional group (B = 1.500, p = .023), but the difference was not sustained at three months (p = .881). Learning satisfaction was significantly higher in the intervention group, particularly in comprehension and job relevance (p < .05).
Conclusion:
The CoI-based multimodal strategy effectively enhanced nurses' short-term knowledge and satisfaction through cognitive, social and teaching presence. However, its long-term effects appear limited, indicating the need for continuous reinforcement and extended evaluation to sustain knowledge retention in clinical education.
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