Enhancing Nursing Students' Long-term Retention and Engagement in Medical Terminology through Mnemonic-Enhanced Multimedia Mobile Learning

Authors

  • Barlian Kristanto Universitas Harapan Bangsa, Indonesia
  • Thanee Glomjai Boromarajonani College of Nursing, Phayao Faculty of Nursing, Praboromarajchanok Institute, Thailand
  • Diannike Putri Universitas Harapan Bangsa, Indonesia https://orcid.org/0009-0002-2985-8935

DOI:

https://doi.org/10.59247/jahir.v2i1.178

Keywords:

medical terminology, mnemonics, multimedia learning, mobile application

Abstract

Medical terminology poses a significant learning obstacle for numerous nursing students who rely heavily on textbook definitions. However, these definitions often lack the necessary visual context to facilitate lasting comprehension. In order to enhance literacy skills crucial for safe nursing practice, it is important to explore innovative approaches. This study aimed to evaluate the effectiveness of the Picmonic application, which utilizes audiovisual narratives, in improving retention and engagement compared to traditional studying methods. A parallel group randomized controlled trial compared two learning methods among first-year nursing undergraduates at an urban university. Participants were assigned to either a textbook self-directed learning group (n=62) or an equivalent Picmonic content group (n=60), which used mnemonic visual flashcards and quizzes. Assessments were conducted at 5-, 10-, and 15-week intervals, with additional delayed testing at 1- and 3-months to examine knowledge acquisition and persistence, and to assess the effectiveness of the learning system. Students who used Picmonic had higher average test scores compared to the control group at various measurement points (p < .001). The differences in group means increased over longer intervals, suggesting that the use of multimedia in Picmonic helped with long-term recall. Picmonic users also expressed high satisfaction, voluntarily used the system, and provided positive feedback in focus groups, indicating a preference for the mnemonic-enhanced methodology (p < .001). Multimedia mnemonic educational systems, such as Picmonic, enhance medical terminology retention and engagement of nursing students compared to traditional strategies. This finding has significant implications for instructional design and clinical preparation.

Author Biographies

Thanee Glomjai, Boromarajonani College of Nursing, Phayao Faculty of Nursing, Praboromarajchanok Institute, Thailand

Dr. Thanee Glomjai is the Director of Boromarajonan College of Nursing - Phayao in Thailand. He holds a PhD in Nursing Studies from the University of Edinburgh, which he obtained in 2015. His research focuses on nursing leadership, management, and practice. He has published articles on topics such as workplace wellness, effective healthcare leadership in Thailand, and healthcare tips for expats in Thailand. As the Director of Boromarajonan College of Nursing - Phayao, he provides strategic direction and oversight for nursing education programs. He is dedicated to advancing the nursing profession in Thailand through teaching, research, and practice. He mentors students and faculty at his institution, with a particular interest in developing future nurse leaders who can improve healthcare delivery and outcomes. With his knowledge and experience, Dr. Thanee frequently delivers talks and presentations on current issues and innovations in nursing. He is committed to pushing the boundaries of nursing education and practice to prepare students for healthcare environments in the 21st century.

Diannike Putri, Universitas Harapan Bangsa, Indonesia

Diannike Putri is a highly experienced English lecturer with over a decade of teaching experience at the university level. She earned her Master's degree in English Linguistics from Universitas Padjajaran in 2013, following her Bachelor's degree in English Language and Literature from Universitas Negri Yogyakarta in 2010. Her expertise lies in teaching general English courses, English for specific purposes (ESP), and English language teaching (ELT) methodology. Throughout her career, she has taught a wide range of English courses including Beginner English, Business English, English for Nursing, English for Midwifery, TOEFL preparation, and more. In addition to her teaching responsibilities, Ms. Putri actively engages in research within the field of applied linguistics and ELT. She has published her work in several reputable journals and has presented at notable conferences, focusing on areas such as pragmatic analysis, computer-assisted language learning, English for medical purposes, and reducing foreign language anxiety. Her recent publications have focused on topics such as the satisfaction levels of nursing students in online English learning and the application of semantic analysis to enhance the acquisition of medical terminology. Furthermore, Ms. Putri actively participates in professional development and community outreach activities. She has conducted workshops on English public speaking for high school students, served as a conference moderator, and holds an editorial board membership for the Journal of English Education for Young and Adult Learners. Noteworthy achievements in her career include obtaining registered business status from the Indonesian government in 2022 and securing copyright for a research methodology book in 2023. Additionally, she has co-authored two books; one focusing on intercultural communication and the other on research methodology.

References

J. Lewis, Medical terminology: Strategies for success. F.A. Davis Company, 2019.

K. T. Harris, C. J. Lee, K. Holley, and C. Gleason, "Mnemonics in nursing education: A scoping review," Nursing Education Perspectives, 42(4), pp. 232-238, Jul./Aug. 2021.

M. Aygun, & D.A. Ozturk, “Do they Understand their Professional Language? An Assessment on Intern Nursing Students” International Journal of Caring, 13(3), pp. 1031-1042, May-August 2020.

N.I. Derevianchenko, O. Lytovska, D. Diurba and I. Leshchyna, “Impact of medical terminology on patients' comprehension of healthcare.” Georgian medical news 284, pp. 159-163, 2018.

Links, AR, Callon, W, Wasserman, C, Walsh, J, Beach, MC & Boss, EF 2019, 'Surgeon use of medical jargon with parents in the outpatient setting', Patient Education and Counseling, 102(6), pp. 1111-1118, 2019. https://doi.org/10.1016/j.pec

M. Harvey and A. Bosanquet, "The effect of mnemonic strategies on medical terminology memory retention," Focus on Health Professional Education, 19(2), pp. 34-44, 2018.

T. L. Thompson and M. G. Rubenfeld, "The mnemonics song," Journal of Professional Nursing, 29(3), pp. 187-191, May-Jun. 2013.

B. A. Iwata, I. G. DeLeon, and E. M. Roscoe, "Reliability and validity of the functional analysis screening tool," Journal of Applied Behavior Analysis, 46(1), pp. 271-284, Spring 2013.

Bakken JP. “Mnemonic Strategies: Helping students with intellectual and developmental disabilities remember important information”. Global Journal of Intellectual & Developmental Disabilities. 2(2), 2017:1.

A. Y. Wang et al., "Memorization mnemonics aid retention of pediatric emergency medicine core content," Pediatric Emergency Care, 33(6), pp. 408-412, Jun. 2017.

K. O'Brien, A. Wilkins, E. Zack, and W. Solomon, "Scoping Review on the Use of Mnemonics for Teaching Care-Related Content to Pre-licensure Nursing Students," Nurse Educator, 43(5), pp. 260-266, Sep./Oct. 2018.

D. H. Iwamoto, J. Hargis, R. Bordner, and P. Chandran, "Empirical evidence for the effectiveness of an image mnemonics intervention to improve medical student performance of checklist skills," Med.Sci.Educ., 27(3), pp. 487-493, Sep. 2017.

A. Yang et al., "The Picmonic® learning system: Enhancing memory retention of medical sciences, using an audiovisual mnemonic web-based learning platform," Adv. in Med. Educ. and Prac., 5(1), pp. 125-132, 2014.

Mostafa, E.A.; El Midany, A.A.H. Review of Mnemonic Devices and Their Applications in Cardiothoracic Surgery. J. Egypt. Soc. Cardio-Thorac. Surg., 25, pp.79–90, 2017.

J. Pearson, T. Naselaris, E. A. Holmes, & S. M. Kosslyn, “Mental Imagery: Functional Mechanisms and Clinical Applications. Trends Cogn. Sci., 19, pp. 590–602, 2015.

L. Cioca, & R. A. Nerișan,.“Enhancing Creativity: Using Visual Mnemonic Devices in the Teaching Process in Order to Develop Creativity in Students”. Sustainability, 12(5), 2020. https://doi.org/10.3390/su12051985

D. H. Iwamoto, J. Hargis, E. J. Taitano, and K. Vuong, “Analyzing the efficacy of the testing effect for learning high-level cognitive tasks,” PloS one, 12(3), p. e0171754, 2017.

A. Paivio, Mind and Its Evolution: A Dual Coding Theoretical Approach. Psychology Press, 2014.

M. Sadoski and A. Paivio, "A dual coding theoretical model of reading," in Theoretical models and processes of reading, 6th ed., D. E. Alvermann, N. J. Unrau, and R. B. Ruddell, Eds. International Reading Association, pp. 886-922, 2013.

M. Sadoski, "Dual coding theory: Reading comprehension and beyond," in Handbook of reading research, 5, E. B. Moje, P. Afflerbach, P. Enciso, and N. K. Lesaux, Eds. Routledge, pp. 209-226, 2018.

L. O. Walker et al., “Evaluating technology used in nursing education,” Journal of Professional Nursing, vol. 1, no. 12, 2022, https://doi.org/10.1016/j.profnurs.2022

L. Murray et al., “Nursing education in a technological era: An integrative review of technology‐enhanced pedagogy,” Nursing Education Perspectives, 42(5), pp. 293-301, 2021. https://doi.org/10.1097/01.NEP.0000000000000805

V. Kalavally et al., “Nursing education post-COVID-19: challenges and opportunities in developing countries,” Journal of Nursing Education and Practice, 12(5), 2022, https://doi.org/10.5430/jnepv12n5p90

D. A. Sousa, How the brain learns. Corwin Press, 2017.

A. Vargo, K. Yamaguchi, M. Iwata, and K. Kise, “A Context-Based Multimedia Vocabulary Learning System for Mobile Users,” Informatics, 11(1), p. 1, 2024, https://doi.org/10.3390/informatics11010001

M. Estai and S. Bunt, “Best teaching practices in anatomy education: A critical review,” Annals of Anatomy-Anatomischer Anzeiger, 208, pp. 151-157, 2016.

K. McLain, T. L. Morris, and B. M. Callahan, “Mnemonic strategy training improves memory for pharmacological side effects,” Teaching of Psychology, 44(2), pp. 129-133, Apr. 2017.

T.M. Thảo, “The application of mnemonic strategies to improve EFL students’ aptitude for vocabulary,” Journal of Nusantara Studies, 7(2), pp. 166-183, 2022.

A.G. Setiawan and P.K. Hakim, “Student’s cognitive engagement in teaching vocabulary through mnemonic strategy,” Pedagogy Journal of English Language Teaching, 11(2), pp. 230-238, Dec. 2023.

J. Iwata, J. Telloyan, and L. Murphy, “Learning Medical English Terminology Through Mobile Devices: A Two-Year Trial to Develop Mobile Learning Content for Japanese Medical Students,” in Advances in Web-Based Learning – ICWL 2016. ICWL 2016. Lecture Notes in Computer Science, D. Chiu et al., Ed. vol 10013. Springer, Cham, pp. 229–239, 2016. https://doi.org/10.1007/978-3-319-47440-3_17

P. A. Kirschner and C. Hendrick, “How learning happens: Seminal works in educational psychology and what they mean in practice. Routledge, 2020.

M. G. O’Brien, A. Onsman, and P. Weldon, “The impact of mnemonics on learning outcomes: an integrative review,” Journal of Nursing Education and Practice, 8(8), 2018. https://doi.org/10.5430/jnepv8n8p80

P. Fasih, S. Izadpanah, and A. Shahnavaz, “The Effects of Mnemonic Vocabulary Instruction on Content Vocabulary Learning of Students,” Journal of Language and Education, 4(1), pp. 42–62, 201. https://doi.org/10.17323/2411-7390-2018-4-1-42-62

R. Liu, “Analysis of multimedia technology and mobile learning in English teaching in colleges and universities,” Nonlinear Engineering, 12(1), pp. 20220300, 2023. https://doi.org/10.1515/nleng-2022-0300

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Published

2024-03-03

How to Cite

Barlian Kristanto, Thanee Glomjai, & Diannike Putri. (2024). Enhancing Nursing Students’ Long-term Retention and Engagement in Medical Terminology through Mnemonic-Enhanced Multimedia Mobile Learning. Journal of Advanced Health Informatics Research, 2(1), 12–23. https://doi.org/10.59247/jahir.v2i1.178

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