ArticleBMC nursing2026
Challenges in educating nursing students on mechanical ventilation: the case for interactive mobile learning tools - a randomized controlled trial.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCompetence in mechanical ventilation management is a critical component of nursing education. Technology-enhanced learning strategies may support skill acquisition. This randomized clinical trial evaluated the effectiveness of an interactive mobile application compared with a non-interactive version in improving nursing students' knowledge, self-efficacy, and clinical performance related to weaning, extubation, and re-intubation procedures.
methodsThe study was conducted in the nursing skills laboratory and several affiliated ICUs at Mashhad University of Medical Sciences. Final-year undergraduate nursing students (7th-8th semesters) with no prior exposure to educational content or ICU experience related to mechanical ventilation were eligible. Students repeating the academic year or withdrawing before completing outcome assessments were excluded. Seventy-one students were randomly assigned to the interactive i-BreathGuard group (n = 36) or the non-interactive control group (n = 35). The intervention consisted of one week of app-based training. The primary outcome was clinical performance assessed using a structured OSCE checklist and supervised ICU procedure evaluation. Secondary outcomes were knowledge and self-efficacy measured pre- and post-intervention. Clinical assessors and the statistical analyst were blinded to group allocation.
resultsThe intervention group showed greater improvement in knowledge scores (mean change: 17.02 ± 17.38) compared with controls (10.14 ± 15.61). Self-efficacy was also significantly higher in the intervention group (M = 73.45 ± 19.62) than in the control group (M = 52.91 ± 17.55; t = 4.62, p < 0.001, effect size = 1.1). Repeated-measures ANOVA demonstrated significant group-by-time interactions for all outcomes.
conclusionAn interactive mobile learning tool can effectively enhance nursing students' competence in mechanical ventilation management. Larger, longitudinal studies are recommended to validate and extend these findings.
trial registrationThis research was registered (27/11/2023) in the https://irct.behdasht.gov.ir with registration number: IRCT20231001059571N1.
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