Multilevel Structural Equation Modeling of Self-directed Learning of Nursing Students

Main Article Content

Patcharaporn Thabmali
Aphisit Tamsat
Teerut Suksakulwat

Abstract

The research aimed to study the effect of social support of nursing instructors on learning styles and self-directed learning of nursing students. The sample consisted of 371 nursing students from 21 nursing educational institutions, selected through simple random sampling. A 5-point rating scale questionnaire with 76 items was used in collecting data on 1) learning styles, 2) social support from nursing instructors and 3) self-directed learning. All of the components had high reliability (gif.latex?\alpha > .80). The data analysis employed multilevel structural equation modeling (MSEM).
The research found that the multidimensional structural equation model was consistent with the empirical data ( gif.latex?\chi2(35) = 50.606, p = .048, CFI = .989, TLI = .984, RMSEA = .035, SRMRw = .015 and SRMRb = .115). The model of the nursing student level revealed that the learning styles could explain the variation of self-directed learning at 73.0%. Meanwhile, the model of the nursing instructor level revealed that the learning styles of nursing students and social support from nursing instructors could explain the variation of self-directed learning of nursing students at 80.7%. The results of the effect analysis showed that self-directed learning of nursing students was directly affected by social support of nursing instructors, but not with statistical significance ( gif.latex?\beta= .134, p = .388), while it had indirect effect through learning styles of nursing students ( gif.latex?\beta= -.594, p = .015). Therefore, the development of self-directed learning of nursing students should begin with organizing for learning and teaching in accordance with a learning style in which the nursing instructors give partial support to enable nursing students to develop themselves together effectively.

Article Details

Section
Research Article

References

Cox, L., Clutter, J., Sergakis, G., & Harris, L. (2013). Learning style of undergraduate allied health students: Clinical versus classroom. The Journal of Allied Health, 42(4), 223-228.

Frankel, A. (2009). Nurses' learning styles: promoting better integration of theory into practice. Nursing times, 105(2), 24-27.

Good, J. P., Ramos, D., & D’Amore, A. C. (2013). Learning style preferences and academic success of preclinical allied health students. The Journal of Allied Health, 42(4), 81-90.

Grasha A. & Reichman S. (1975). Workshop handout on learning styles. University of Cincinanati.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Pearson.

Halin, K. (2014). Nursing students at a university - a study about learning style preferences. Nurse Education Today, 34(12), 1443-1449.

House, J. S., Kahn, R. L. (1985). Measures and concepts of social support: See Cohen & Syme: 83-108.

Hox, J. J., & Maas, C. J. (2001). The accuracy of multilevel structural equation modeling with pseudo balanced groups and small samples. Structural Equation Modeling, 8, 157-174.

Khandaghi, M. A., & Farasat, M. (2011). The effect of teacher's teaching style on students’ adjustment. Procedia-Social and Behavioral Sciences, 15, 1391-1394.

Knowles, M. S. (1975). Self-directed learning. Association Press.

Papastavrou, E., Dimitriadou, M., Tsangari, H., & Andreou, C. (2016). Nursing students’ satisfaction of the clinical learning environment: A research study. BMC nursing, 15(1), 44.

Soper, D. S. (2018). A-priori sample size calculator for structural equation models. Retrieved from http://www. danielsoper.com/statcalc

Aphanantikul, M., Thanurak, R., & Ruecha, Y. (2008). Development of a Self-Directed Learning Readiness Scale for Thai Undergraduate Nursing Students. Thai Journal of Nursing Council, 23(2), 52-69. (in Thai)

Chanchusakul, S., Rueangtrakul, A., & Tangtanakanon, K. (2014). Development of Cooperating Teachers’ Socail Support Scale for Student Teachers’ Professional Teaching Practice. Journal of Education Studies, Chulalongkorn University, 42(2), 131-147. (in Thai)

Jamjang, S., Attametakul, W., & Pitaksin, D. (2018). The Effect of Readiness Preparation for Nursing Practice in Ward of 2nd year Nursing Students, Borommarajonnani College of Nursing, Ratchaburi. Journal of Science and Technology, Ubon Ratchathani University, 20(3), 147-163. (in Thai)

Keeratiyutawong, P., Mahakayanan, S., Boonnet, N., & Angkaprasartchai, W. (2015). Learning Patterns of Nursing Student of Burapha University. Ramathibodi Nursing Journal, 21(3), 382-394. (in Thai)

Kuariyakul, A., Chidnayee, S., Wuttijureepan, A., Udonlert, M., Lorthamma, P., & Sripalakit, J. (2018). Evaluation on the Bachelor of Nursing Science Program, 2012 revision of Boromarajonani College of Nursing, Uttaradit. Boromarajonani College of Nursing, Uttaradit Journal, 9(1), 44-58. (in Thai)

Nantasaenee, S., Wongwisetkul, S., Sukcharoen, P., & Taechangkul, L. (2018). Development of Learning and Teaching Process for Nursing Student, Suan Dusit university. Boromarajonani College of Nursing, Uttaradit Journal, 10(2), 166-179. (in Thai)

Phokasem, B. (2015). Nursing Teacher and Happiness at Work. Nursing Journal of the Ministry of Public Health, 25(1), 13-24. (in Thai)

Sirirat, N. and Chidnayee, S. (2009). Effects of Teaching in Teams for the Subject, Nursing People with Health Problems, towards Learning Effectiveness and Critical Thinking of Students in Bachelor of Nursing Science Program. Journal of Health Science Research, 3(2), 32-40. (in Thai)

Sombattheera, K., & Thawornpitak, Y. (2015). Questionnaire Response Rate and Relevant Factors to Questionnaire Response Rate in Collecting Data by Sending Questionnaires via Mail in Nursing and Public Health Research Work. KKU Research Journal (Graduate Studies). 15(1), 105-113. (in Thai)

Sriboonpimsuay, W. (2014). Factors Influencing Self-Regulated Learning of Nursing Students of Boromarajonani College of Nursing, Udon Thani. Journal of Nursing and Education, 7(4), 78-91. (in Thai)

Thailand Nursing and Midwifery Council (2012). Third National Nursing and Midwifery Development Plan (2012 - 2016). Thailand Nursing and Midwifery Council. (in Thai)

Tokani, M. (2009). Problems and Demand in Consulting Service of Students in Faculty of Nursing, Princess of Naradhiwas University, Princess of Naradhiwas University Journal, 1(1), 80-92. (in Thai)

Wisuttipan, P. J. and Disorntetiwat, P. (2015). Learning Patterns of Nursing Student of Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University. Nursing Journal of the Ministry of Public Health, 25(1), 70-82. (in Thai)

Yodthong, S., Saenee, N., & Chansoongnoen, J. (2018). Stress and Coping Strategies of Nursing Students in Clinical Practice on Wards in Principles and Techniques of Nursing Practical Course, Boromarajonani College of Nursing, Trang. The 9th Hatyai National and International Conference. 761-772. (in Thai)