This study aimed to explore the impact of electronic picture books combined with RPG on breastfeeding learning outcomes among nursing students. The study participants were third-year nursing students from a university in central Taiwan. A randomized controlled design was used, with the experimental group receiving electronic picture books combined with RPG, while the control group received traditional face-to-face instruction. Changes in students' breastfeeding knowledge, learning motivation, self-efficacy, and cognitive load were assessed. The expected results can provide a reference for innovative teaching models in nursing education and promote the future clinical application of breastfeeding.
It is expected to include 100 people.
A third-year nursing student.
Studying obstetrics and gynecology nursing this semester.
Agree to participate in this study and sign the research consent form.
Students who are planning to take a leave of absence at the time of data collection.
Students who have not taken obstetrics and gynecology nursing this semester or have taken it in the past.
Students who are unable to use 3C products.
Parallel
face-to-face teaching
Behavioralface-to-face teaching of breastfeeding
Electronic picture books and Online RPG interactive adventure game
BehavioralIntegration of online RPG interactive adventure games with an electronic picture books learning mode for the instruction of breastfeeding.
Breastfeeding Knowledge Questionnaire
This questionnaire consists of 10 multiple-choice questions. Each correct answer is scored 10 points, and each incorrect answer is scored 0 points, yielding a total score range of 0-100. The questions were self-developed in the form of clinical scenario-based multiple-choice items, focusing on the benefits of breastfeeding, breastfeeding positions, breast milk storage methods, breast milk expression (hand expression), and nursing interventions to maintain milk supply.
Breastfeeding Self-Efficacy Scale
Breastfeeding self-efficacy was evaluated using a 10-item Breastfeeding Self-Efficacy Scale. Each item is rated on a 4-point Likert scale, where 1 = not at all capable and 4 = expert level. The total score ranges from 10 to 40, with higher scores indicating greater self-efficacy in performing breastfeeding self-efficacy .
ARCS-Based Learning Motivation Scale
The scale assesses learners' motivation toward the educational materials across four dimensions: Attention (12 items), Relevance (9 items), Confidence (9 items), and Satisfaction (6 items), for a total of 36 items. Responses are rated on a 5-point Likert scale, ranging from 5 ("Strongly Agree") to 1 ("Strongly Disagree"). The total score ranges from 36 to 180 points, with higher scores indicating stronger learning motivation.
Cognitive Load Scale
The cognitive load of learners taking electronic picture books and RPGs or face-to-face courses was assessed using an 8-item cognitive load scale. All items were rated on a 1-point Likert scale, ranging from 5 ("strongly agree") to 1 ("strongly disagree"). The total score ranged from 8 to 40, with higher scores indicating stronger cognitive load.
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China Medical University Hospital
Lead sponsor
China Medical University, Taiwan
Sponsor institution
China Medical University, Taiwan
Collaborator
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