A context-aware mobile learning system for supporting cognitive apprenticeships in nursing skills training

The aim of nursing education is to foster in students the competence of applying integrated knowledge with clinical skills to the application domains. In the traditional approach, in-class knowledge learning and clinical skills training are usually conducted separately, such that the students might not be able to integrate the knowledge and the skills in performing standard nursing procedures. Therefore, it is important to develop an integrated curriculum for teaching standard operating procedures in physical assessment courses. In this study, a context-aware mobile learning system is developed for nursing training courses. During the learning activities, each student is equipped with a mobile device; moreover, sensing devices are used to detect whether the student has conducted the operations on the correct location of the dummy patient's body for assessing the physical status of the specified disease. The learning system not only guides individual students to perform each operation of the physical assessment procedure on dummy patients, but also provides instant feedback and supplementary materials to them if the operations or the operating sequence is incorrect. The experimental results show that the students' learning outcomes are notably improved by utilizing the mobile learning system for nursing training.