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Cited by 10Innovations in Medical EducationEthics in medical practiceHealthcare Education and Workforce Issues

Comparison of the effectiveness of the electronic portfolio and online discussion forum methods in teaching professional belonging and ethical behaviors to nursing students: a randomized controlled trial

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Baghbani, Reza, Rakhshan, Mahnaz, Zarifsanaiey, Nahid, Nemati, Reza, Daneshi, Safieh·2022·BMC Medical Education
DOI 10.1186/s12909-022-03677-0PMC PMC9376119
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Abstract

Background: Nursing is a profession that has had many ethical aspects and understanding professional belonging and ethics as a deep and complex process is one of the basic concepts in this field. This study aimed to compare the effectiveness of training professional belonging and ethical behaviors in two methods: electronic portfolio and online discussion forum in nursing students. Methods: This study is a single-blinded randomized-controlled trial (RCT) with two parallel intervention groups and a third control group. The sample size was 90 selected by block randomization method. The educational contents of professional belonging and ethical behaviors were presented to the participants in two ways: electronic portfolio and online discussion forum. Demographic information form, professional belonging questionnaire, and ethical behaviors questionnaire were applied to collect data. Data were analyzed using SPSS version 24 software. Respectively mean, standard deviation and repeated measured, analysis of variance tests was used in descriptive and analytic statistic. ( P value < 0.05). Results: Comparison of the mean score of professional belonging and ethical behavior in the three stages of pretest, immediately after the test and four weeks after the test in all three groups was significant ( P < 0.001). The control group had a higher mean score of professional belonging immediately after the test (108.18 ± 48.9) compared to the other two groups. Also, the online discussion forum group had a higher mean score on ethical behavior in four weeks after the test (104.2 ± 0.8) compared to the other two groups. Conclusion: Training based on two methods of the electronic portfolio and online discussion forum increases and enhances the level of ethical behaviors in students. Therefore, the implementation of such methods of training can be useful in improving, promoting, and learning ethical behaviors in nursing students. On the other hand, training based on the two methods had a negative impact on professional belonging. Therefore, it is suggested that future studies be conducted with a greater focus on areas of professional belonging. Trial registration: This research has been registered in Iranian Clinical Trial Registration Center (IRCT) with registration number "IRCT20180612040063N1" and registration date "16/07/2018".

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  • The long-term stability of teaching outcomes and the efficiency of translating knowledge comprehension into clinical decision-making capabilities remain critical challenges to be addressed in nursing ethics education.

    “These studies indicate that the long-term stability of teaching outcomes and the efficiency of translating knowledge comprehension into clinical decision-making capabilities remain critical challenges to be addressed [11–21].”

    From Exploring the integration of AI and national quality courses in China: a study on teaching practices in nursing smart education (2025) · cites this paper as [17]

    The Discussion’s limitations section says the intervention was brief and recommends longer follow-up, supporting concern about whether outcomes persist. The Background describes the difficulty of ethical decisions in clinical settings, but the paper does not establish that translating knowledge comprehension into clinical decision-making capability remains a challenge; its Discussion instead reports improved ethical-behavior scores four weeks after teaching. No page numbers are available in our copy. (LLM, conf=0.85)

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Research works printed but not linked: 2

  1. [11]Bai B. Factors associated with patient satisfaction in emergency department in mainland China, Hong Kong and Taiwan: a systematic review. HKU Theses Online (HKUTO). 2013.
  2. [39]Trobec I Starcic AI Developing nursing ethical competences online versus in the traditional classroom Nurs Ethics 2014 22 3 352 366 10.1177/0969733014533241 24917269 · DOI · Paper page

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Authors
Baghbani, R., Rakhshan, M., Zarifsanaiey, N., Nemati, R., & Daneshi, S.
Affiliations
  • Bushehr University of Medical Sciences (IR)
  • Shiraz University of Medical Sciences (IR)
Corresponding author
  • Rakhshan, Mahnaz
  • Nemati, Reza
ORCID
Venue
BMC Medical Education
Publisher
Springer Science and Business Media LLC
Published
2022-08-15
Volume
22
Issue
1
Pages
618-618
ISSN
1472-6920 (ISSN-L)
DOI
10.1186/s12909-022-03677-0
PMC
PMC9376119
OpenAlex
W4291391930
Cited by
10
References
50
Citations by year
2026: 2 · 2025: 1 · 2024: 4 · 2023: 3
FWCI
1.76
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Medical Education (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Bushehr University of Medical Sciences Repository (Bushehr University of Medical Sciences) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Bushehr University of Medical Sciences
  • Shiraz University of Medical Sciences
  • Shiraz University
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
Keywords
e-portfolio, online forums, professional belonging, moral behavior, nursing students, nursing ethics education, professional identity, online learning
MeSH terms
Education, Nursing, Baccalaureate, Electronics, Humans, Learning, Morals, Students, Nursing

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