Design and assessment of a web-based educational electronic system for non-practical nursing skills development among nursing students

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Abstract

Background

Despite the importance of non-practical nursing activities, there is currently a lack of a suitable framework for their use among nurses and nursing students in Iran. This study aimed to design, implement, and evaluate a web-based educational electronic system for developing non-practical nursing skills (ESNPNSD).

Methods

This sequential methodological study was conducted in three phases: (1) identifying the Minimum Data Set (MDS) elements, (2) designing, developing, and implementing the system, and (3) evaluating the ESNPNSD. The system was assessed by 72 nursing students from two academic semesters, selected through convenience sampling. Following validation by experts during a Delphi phase, the ESNPNSD was developed and evaluated using the User Experience Questionnaire (UEQ). The UEQ scores ranged from − 3 to + 3 and included categories of normal, positive, and negative evaluations. Data were analyzed using SPSS version 18. Ethical considerations were fully observed.

Results

In the first phase, 136 items were identified across 12 categories. After formal and content validity checks, 68% and 55% of the items achieved content validity coefficients of 1 and 0.87, respectively, qualifying them for inclusion in the system. The Cronbach’s alpha score for all items in the system was 0.95. The ESNPNSD system scored averages of 1.75 for attractiveness, 1.46 for dependability, 1.58 for efficiency, 1.74 for novelty, and 1.23 for stimulation.

Conclusion

The ESNPNSD has the potential to support the development of non-practical nursing skills and facilitate patient safety by providing structured educational resources and interactive learning experiences. However, further studies with objective assessments of learning outcomes are needed to validate its impact comprehensively.

Clinical trial number

not applicable.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12909-025-07024-x.

Related collections

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The opposing forces of increased training expectations and reduced training resources have greatly impacted health professions education. Virtual patients (VPs), which take the form of interactive computer-based clinical scenarios, may help to reconcile this paradox. We summarise research on VPs, highlight the spectrum of potential variation and identify an agenda for future research. We also critically consider the role of VPs in the educational armamentarium. We propose that VPs' most unique and cost-effective function is to facilitate and assess the development of clinical reasoning. Clinical reasoning in experts involves a non-analytical process that matures through deliberate practice with multiple and varied clinical cases. Virtual patients are ideally suited to this task. Virtual patients can also be used in learner assessment, but scoring rubrics should emphasise non-analytical clinical reasoning rather than completeness of information or algorithmic approaches. Potential variations in VP design are practically limitless, yet few studies have rigorously explored design issues. More research is needed to inform instructional design and curricular integration. Virtual patients should be designed and used to promote clinical reasoning skills. More research is needed to inform how to effectively use VPs.

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Author and article information

Contributors

Ali Abedi:

ORCID: http://orcid.org/0000-0002-5706-6938

abedia1371@gmail.com

Mohammad Namazinia:

ORCID: https://orcid.org/0000-0003-2198-7556

Mnamazi99@gmail.com

Journal

Journal ID (nlm-ta): BMC Med Educ

Journal ID (iso-abbrev): BMC Med Educ

Title: BMC Medical Education

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-6920

Publication date (Electronic): 27 March 2025

Publication date PMC-release: 27 March 2025

Publication date Collection: 2025

Volume: 25

Electronic Location Identifier: 453

Affiliations

[1 ]Department of Nursing, Nursing and Midwifery College, North Khorasan University of Medical Sciences, ( https://ror.org/0536t7y80) Bojnurd, Iran

[2 ]Student Research Committee, Golestan University of Medical Sciences, ( https://ror.org/03mcx2558) Golestan, Iran

[3 ]Department of Health Information Technology, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran

[4 ]Esfarayen Faculty of Medical Sciences, Esfarayen, Iran

[5 ]Department of Nursing and Midwifery, North Khorasan University of Medical, ( https://ror.org/0536t7y80) Bojnord, Iran

[6 ]Instructor of Professional Health Engineering, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran

[7 ]Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, ( https://ror.org/03ezqnp95) Torbat Heydariyeh, Iran

Author information

Ali Abedi http://orcid.org/0000-0002-5706-6938

Mohammad Namazinia https://orcid.org/0000-0003-2198-7556

Article

Publisher ID: 7024

DOI: 10.1186/s12909-025-07024-x

PMC ID: 11951672

PubMed ID: 40148899

SO-VID: 734eed79-3108-425d-a17a-4e61bbd2cc6b

License:

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

History

Date received : 10 September 2024

Date accepted : 14 March 2025

Custom metadata

ScienceOpen disciplines: Education

Keywords: nursing documentation,non-practical nursing skills,nursing internship,web-based system,clinical education applications,electronic educational systems,e-learning

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