Examining the Efficacy of Online Self-Paced Interactive Video-Recordings in Nursing Skill Competency Learning: Seeking Preliminary Evidence Through an Action Research

  • Naseem Saeed Ali
  • Bindu JohnEmail author
Original Research


A key challenge in nursing education is how to teach the students clinical competencies effectively and to provide opportunities for practicing the fundamental nursing skills safely. The purpose of this study was to examine the competency scores of practicing a clinical skill and the satisfaction level of nursing students on three instructional methods using an action research: the online self-paced interactive video learning, demonstration-only method, and a video demonstration in class. Participants were both male and female nursing students enrolled in the Foundations of Nursing Course (N = 26, 6 males and 20 females; mean age = 19.42 ± 0.50) and were evaluated at precycle, postcycle 1, and postcycle 2. Each cycle of inquiry was planned to address the problems quickly and efficiently through four steps: planning, acting, observing, and reflecting. A triangulation technique was employed for data collection using a competency skill evaluation checklist, a satisfaction questionnaire, and a focus group feedback questionnaire. A video was developed in the researcher’s college pertaining to the practical skills. Each research cycle was successively built up on one another using the reflections and feedback from the students based on the previous cycle. The competency skills at various cycles did not demonstrate significant differences between three instructional methods, whereas satisfaction score was the highest with the online self-paced interactive video demonstration. Online video learning use as a supplement in nursing instruction is well supported and offers a promising alternative in teaching clinical skill compared with other teaching strategies. However, more rigorous studies are required to get further empirical evidence in replacing the demonstration method, for teaching nursing practical skill and in improving students’ learning ability and competence.


Competency Practical skills Nursing Action research Intervention Video demonstration Mixed methods research 



The authors would like to deeply acknowledge the Head of the Nursing Department and the Director of the WHO Collaborating Center for Nursing Development for extending support for this research and would like to thank all the students who had participated in the study. We especially thank Dr. Zainab M. Redha, assistant professor, the University of Bahrain for her valuable guidance and support. We are also grateful to Ms. Nirmala Gangadurai, lecturer, the Nursing Department for the help given for developing the video. We extend our sincere thanks to Ms. Mona Al-Ghaith and Ms. Durezza Jesus Basil, lecturers, English Department, UoB and Mr. Emil Thomas Thomas for the grammar and English language support.

Compliance with Ethical Standards

All the ethical guidelines have been followed while conducting the research and preparing the manuscript.

Conflicts of Interest

This research has been carried out as a part of the postgraduate certificate for the academic program of author Naseem Saeed Ali at the author’s institution. Author Naseem would like to state that she did not receive any funding for carrying out the research.

Author Bindu John declares that she has no conflict of interest.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institution and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.Nursing Department, College of Health SciencesUniversity of BahrainZallaqKingdom of Bahrain

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