Abstract

• Administration of peripheral intravenous therapy for providing fluids, medications, nutrition, or blood products is a critical component of care in intensive care and oncology units. Neonates are susceptible to developing extravasation injuries (EI) due to their fragile veins and skin. Patients receiving chemotherapy are at a higher risk due to poor circulation and neuropathy. EI remains a significant cause of morbidity and mortality in neonates and adults (Kostogloudis et al., 2015). Irreversible sequelae include skin ulceration, necrosis, and limb deformities. Equipping nursing students with knowledge and skills related to management of intravenous therapies is essential to prevent, early detect, and manage EI. Enquiry-based learning is conducive to create a motivating learning environment which develops students’ higher order thinking skills.


• The objectives are: (1) to develop high quality e-learning resources to facilitate nursing students’ learning of management of intravenous therapies, and (2) to determine its impact on students’ knowledge, the effect on focus of students’ learning, and their satisfaction. A total of 25 interactive games covering essential topics about EI and related care will be developed. Critical-thinking exercises involve identifying good or poor practice, anticipating possible complications, and initiating therapeutic interventions. An e-learning platform will be created to embed all learning resources and share among the two institutions offering baccalaureate nursing programs in Hong Kong.


• A pretest posttest study will be conducted to determine students’ knowledge on EI care, the effects on focus of students’ learning, and their satisfaction of using the learning resources. Qualitative comments on enhancement of the resources will be collected. This project adopting new pedagogical approaches of enquiry-based learning will sustain students’ active engagement in their studies, promote deep learning, and enhance critical enquiry and synthesis.

Brief write-up

Project objectives

1. To develop high quality eLearning resources to facilitate nursing students’ learning of management of intravenous therapies, and
2. To determine its impact on students’ knowledge, effect on focus of students’ learning, and their satisfaction.

Activities, process and outcomes

Two courses in the third and final year of the two pre-registration nursing degree programmes were chosen to evaluate the impact of the new teaching-learning approach. Teaching tools included interactive games, animations and critical-thinking exercises. Critical-thinking exercises involve identifying good or poor practice, anticipating possible complications, and initiating therapeutic interventions were incorporated into the program. An impact study was conducted to evaluate the impact on students’ learning.

Deliverables and evaluation

Twenty-five scenarios with critical-thinking exercises, discussion guides and interactive games were developed. A total of 64 pre-test and 25 post-test questionnaires were returned for analysis. Twenty students were interviewed about their feedback. The results of the evaluation are encouraging. Students were satisfied with the learning resources and give positive feedback towards the learning materials.

Dissemination, diffusion, impact and sharing of good practices

Dissemination of the good practice was conducted via presentations at CUHK Teaching and Learning Expo 2018, and 11th annual International Conference on Education and New Learning Technologies in July 2019 in Spain.

Video Report

Please click the following link for viewing the report.
https://panopto.cuhk.edu.hk/Panopto/Pages/Viewer.aspx?id=955E068D-A7BD-44AD-8DF3-AC7F010CEAE7