{"id":"https://openalex.org/W7208825322","doi":"https://doi.org/10.31893/multiscience.2027176","title":"Effectiveness of TPACK-based instruction on nursing students\u2019 knowledge of pressure injury prevention: A quasi-experimental study","display_name":"Effectiveness of TPACK-based instruction on nursing students\u2019 knowledge of pressure injury prevention: A quasi-experimental study","publication_year":2026,"publication_date":"2026-08-04","ids":{"openalex":"https://openalex.org/W7208825322","doi":"https://doi.org/10.31893/multiscience.2027176"},"language":"en","primary_location":{"id":"doi:10.31893/multiscience.2027176","doi":"https://doi.org/10.31893/multiscience.2027176","is_oa":true,"landing_page_url":"https://doi.org/10.31893/multiscience.2027176","pdf_url":"https://malque.pub/ojs/index.php/msj/article/download/17226/7220","source":{"id":"https://openalex.org/S4210191509","display_name":"Multidisciplinary Science Journal","issn_l":"2675-1240","issn":["2675-1240"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Multidisciplinary Science Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://malque.pub/ojs/index.php/msj/article/download/17226/7220","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028076195","display_name":"Laila Chami","orcid":"https://orcid.org/0000-0002-9504-9477","observed_orcids":["https://orcid.org/0000-0002-9504-9477"]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Laila Chami","raw_affiliation_strings":["ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco"],"raw_orcid":"https://orcid.org/0000-0002-9504-9477","affiliations":[{"raw_affiliation_string":"ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco","institution_ids":["https://openalex.org/I240042149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021140427","display_name":"Rachid Janati\u2010Idrissi","orcid":"https://orcid.org/0000-0002-6058-4664","observed_orcids":["https://orcid.org/0000-0002-6058-4664"]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Rachid Janati Idrissi","raw_affiliation_strings":["ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco"],"raw_orcid":"https://orcid.org/0000-0002-6058-4664","affiliations":[{"raw_affiliation_string":"ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco","institution_ids":["https://openalex.org/I240042149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046533326","display_name":"Rajae Zerhane","orcid":"https://orcid.org/0000-0002-7100-0273","observed_orcids":["https://orcid.org/0000-0002-7100-0273"]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Rajae Zerhane","raw_affiliation_strings":["ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco","institution_ids":["https://openalex.org/I240042149"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002769549","display_name":"Jawhar Laamech","orcid":"https://orcid.org/0000-0001-5922-8083","observed_orcids":["https://orcid.org/0000-0001-5922-8083","https://orcid.org/0009-0005-1675-7985"]},"institutions":[{"id":"https://openalex.org/I240042149","display_name":"Abdelmalek Essa\u00e2di University","ror":"https://ror.org/03c4shz64","country_code":"MA","type":"education","lineage":["https://openalex.org/I240042149"]}],"countries":["MA"],"is_corresponding":false,"raw_author_name":"Jawhar Laamech","raw_affiliation_strings":["ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco"],"raw_orcid":"https://orcid.org/0000-0001-5922-8083","affiliations":[{"raw_affiliation_string":"ERIPDS Research Team (Equipe de Recherche en Ing\u00e9nierie P\u00e9dagogique et Didactique des Sciences), Ecole Normale Sup\u00e9rieure (ENS), Abdelmalek Essaadi University (UAE), Tetouan, Morocco","institution_ids":["https://openalex.org/I240042149"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I240042149"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"2","first_page":"2027176","last_page":"2027176"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11670","display_name":"Pressure Ulcer Prevention and Management","score":0.8026999831199646,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11670","display_name":"Pressure Ulcer Prevention and Management","score":0.8026999831199646,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.0908999964594841,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.011500000022351742,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tpack","display_name":"TPACK","score":0.699999988079071},{"id":"https://openalex.org/keywords/pressure-ulcer-prevention","display_name":"pressure ulcer prevention","score":0.9620000123977661},{"id":"https://openalex.org/keywords/nursing-students","display_name":"nursing students","score":0.8309999704360962},{"id":"https://openalex.org/keywords/nursing-education","display_name":"nursing education","score":0.8529999852180481},{"id":"https://openalex.org/keywords/instructional-design","display_name":"instructional design","score":0.5740000009536743},{"id":"https://openalex.org/keywords/distance-education","display_name":"distance education","score":0.906000018119812},{"id":"https://openalex.org/keywords/edpuzzle","display_name":"Edpuzzle","score":0.8059999942779541},{"id":"https://openalex.org/keywords/risk-assessment","display_name":"risk assessment","score":0.6800000071525574},{"id":"https://openalex.org/keywords/access-to-educational-technology","display_name":"educational technology access","score":0.7760000228881836},{"id":"https://openalex.org/keywords/curriculum-overload","display_name":"curriculum overload","score":0.4779999852180481},{"id":"https://openalex.org/keywords/morocco","display_name":"Morocco","score":0.5619999766349792}],"concepts":[{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.6535999774932861},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5814999938011169},{"id":"https://openalex.org/C2909464295","wikidata":"https://www.wikidata.org/wiki/Q308978","display_name":"Pressure injury","level":2,"score":0.5687999725341797},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5669000148773193},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5512999892234802},{"id":"https://openalex.org/C2777220311","wikidata":"https://www.wikidata.org/wiki/Q6423340","display_name":"Knowledge acquisition","level":2,"score":0.44670000672340393},{"id":"https://openalex.org/C2776291881","wikidata":"https://www.wikidata.org/wiki/Q6423378","display_name":"Knowledge level","level":2,"score":0.444599986076355},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.4431000053882599},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.43950000405311584},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.3822000026702881},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.38109999895095825},{"id":"https://openalex.org/C2777921204","wikidata":"https://www.wikidata.org/wiki/Q66104672","display_name":"Knowledge translation","level":2,"score":0.365200012922287},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.3409000039100647},{"id":"https://openalex.org/C206041023","wikidata":"https://www.wikidata.org/wiki/Q1751970","display_name":"Wilcoxon signed-rank test","level":3,"score":0.3278000056743622},{"id":"https://openalex.org/C126397004","wikidata":"https://www.wikidata.org/wiki/Q2005404","display_name":"Nursing Outcomes Classification","level":4,"score":0.3208000063896179},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31380000710487366},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3131999969482422},{"id":"https://openalex.org/C132758656","wikidata":"https://www.wikidata.org/wiki/Q5307365","display_name":"Dreyfus model of skill acquisition","level":2,"score":0.3050999939441681},{"id":"https://openalex.org/C22156102","wikidata":"https://www.wikidata.org/wiki/Q5341294","display_name":"Educational measurement","level":3,"score":0.29019999504089355},{"id":"https://openalex.org/C2780813765","wikidata":"https://www.wikidata.org/wiki/Q1476755","display_name":"Nursing assessment","level":3,"score":0.29019999504089355},{"id":"https://openalex.org/C2779033854","wikidata":"https://www.wikidata.org/wiki/Q2084125","display_name":"Nursing diagnosis","level":3,"score":0.2890999913215637},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C2780905194","wikidata":"https://www.wikidata.org/wiki/Q1382364","display_name":"Evidence-based nursing","level":3,"score":0.2815999984741211},{"id":"https://openalex.org/C14156362","wikidata":"https://www.wikidata.org/wiki/Q3235388","display_name":"Descriptive knowledge","level":2,"score":0.26600000262260437},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.2635999917984009},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.2558000087738037},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.2554999887943268},{"id":"https://openalex.org/C4554734","wikidata":"https://www.wikidata.org/wiki/Q593744","display_name":"Knowledge base","level":2,"score":0.25220000743865967},{"id":"https://openalex.org/C42525527","wikidata":"https://www.wikidata.org/wiki/Q1209955","display_name":"Formative assessment","level":2,"score":0.25209999084472656},{"id":"https://openalex.org/C2780344248","wikidata":"https://www.wikidata.org/wiki/Q2084130","display_name":"Nursing management","level":2,"score":0.25049999356269836}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.31893/multiscience.2027176","doi":"https://doi.org/10.31893/multiscience.2027176","is_oa":true,"landing_page_url":"https://doi.org/10.31893/multiscience.2027176","pdf_url":"https://malque.pub/ojs/index.php/msj/article/download/17226/7220","source":{"id":"https://openalex.org/S4210191509","display_name":"Multidisciplinary Science Journal","issn_l":"2675-1240","issn":["2675-1240"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Multidisciplinary Science Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.31893/multiscience.2027176","doi":"https://doi.org/10.31893/multiscience.2027176","is_oa":true,"landing_page_url":"https://doi.org/10.31893/multiscience.2027176","pdf_url":"https://malque.pub/ojs/index.php/msj/article/download/17226/7220","source":{"id":"https://openalex.org/S4210191509","display_name":"Multidisciplinary Science Journal","issn_l":"2675-1240","issn":["2675-1240"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Multidisciplinary Science Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729},{"id":"https://metadata.un.org/sdg/4","display_name":"Quality education","score":0.975600004196167}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7208825322.pdf","grobid_xml":"https://content.openalex.org/works/W7208825322.grobid-xml"},"referenced_works_count":33,"referenced_works":["https://openalex.org/W1735233495","https://openalex.org/W1965867702","https://openalex.org/W1973950198","https://openalex.org/W1990687166","https://openalex.org/W2029765411","https://openalex.org/W2049308011","https://openalex.org/W2049919214","https://openalex.org/W2062532819","https://openalex.org/W2116654531","https://openalex.org/W2123184471","https://openalex.org/W2126153334","https://openalex.org/W2140369176","https://openalex.org/W2173888779","https://openalex.org/W2276584685","https://openalex.org/W2298175661","https://openalex.org/W2520303890","https://openalex.org/W2545284422","https://openalex.org/W2612372005","https://openalex.org/W2907075328","https://openalex.org/W2987265869","https://openalex.org/W3095703149","https://openalex.org/W3118024057","https://openalex.org/W3134284979","https://openalex.org/W3159693156","https://openalex.org/W4307320844","https://openalex.org/W4320180345","https://openalex.org/W4361292177","https://openalex.org/W4367053061","https://openalex.org/W4381383593","https://openalex.org/W4387134077","https://openalex.org/W4399349014","https://openalex.org/W4403334360","https://openalex.org/W4409955618"],"related_works":["https://openalex.org/W4320180345","https://openalex.org/W2901218308","https://openalex.org/W3195960936","https://openalex.org/W7132820362","https://openalex.org/W2339801239","https://openalex.org/W4414960976","https://openalex.org/W4221131526","https://openalex.org/W3185248342","https://openalex.org/W3087149486","https://openalex.org/W4388839252"],"abstract_inverted_index":{"Nursing":[0,81],"students\u2019":[1,57,227,274],"knowledge":[2,58,168,184,196,228,277],"of":[3,39,51,59,80,92,103,117,128,169,229],"pressure":[4],"injury":[5],"(PI)":[6],"prevention":[7,105,171,276],"in":[8,54,77,85,187,235,281],"northern":[9],"Morocco":[10],"is":[11],"notably":[12],"low,":[13],"highlighting":[14],"the":[15,25,37,49,99,111,114,118,162,175,204,222],"need":[16],"for":[17,249],"evidence-based":[18,41],"curriculum":[19,244],"design":[20,38,66],"practices.":[21],"In":[22,208],"this":[23],"context,":[24],"Technological":[26],"Pedagogical":[27,240],"and":[28,109,131,146,150,161,191,198,215,238,246,256,265,279],"Content":[29],"Knowledge":[30,102,121],"(TPACK)":[31],"framework":[32],"was":[33,67,106,137],"used":[34],"to":[35,47,139,149,271],"guide":[36],"an":[40],"instructional":[42,95,283],"intervention.":[43],"This":[44],"study":[45],"aimed":[46],"assess":[48],"effectiveness":[50],"TPACK-based":[52,94],"instruction":[53],"improving":[55],"nursing":[56,71,226,273],"PI":[60,104,170,230,275],"prevention.":[61],"A":[62],"single-group":[63],"quasiexperimental":[64],"pre\u2013post":[65],"conducted":[68],"among":[69],"first-year":[70],"students":[72],"(N":[73],"=":[74],"52)":[75],"enrolled":[76],"a":[78,86],"Fundamentals":[79],"course.":[82],"Students":[83],"participated":[84],"three-week":[87],"distance":[88],"learning":[89],"intervention":[90,112],"consisting":[91],"13":[93],"videos":[96],"delivered":[97],"via":[98],"Edpuzzle\u00ae":[100],"platform.":[101],"assessed":[107],"before":[108],"after":[110],"using":[113,158],"French":[115],"version":[116],"Pressure":[119],"Ulcer":[120],"Assessment":[122],"Tool":[123],"(PUKAT-Fr).":[124],"The":[125],"tool":[126],"consisted":[127],"six":[129,183],"domains":[130,197,237],"25":[132],"items.":[133,239],"An":[134],"additional":[135],"questionnaire":[136],"administered":[138],"collect":[140],"data":[141],"on":[142],"participants\u2019":[143],"demographic":[144],"characteristics":[145],"their":[147],"access":[148,257],"familiarity":[151],"with":[152,177],"educational":[153],"technologies.":[154],"Data":[155],"were":[156],"analyzed":[157],"descriptive":[159],"statistics":[160],"Wilcoxon":[163],"signed-rank":[164],"test.":[165],"Students\u2019":[166],"overall":[167],"improved":[172],"significantly":[173],"following":[174],"intervention,":[176],"notable":[178],"gains":[179],"observed":[180],"across":[181],"all":[182],"domains,":[185],"particularly":[186],"risk":[188],"assessment":[189],"(83.5%)":[190],"etiology":[192],"(80.8%).":[193],"However,":[194],"two":[195,210],"nine":[199],"items":[200,211],"did":[201],"not":[202],"reach":[203],"predefined":[205],"60%":[206],"threshold.":[207],"addition,":[209],"showed":[212],"no":[213],"improvement":[214],"even":[216],"declined.":[217],"These":[218],"findings":[219],"suggest":[220],"that":[221],"TPACK":[223],"model":[224],"enhances":[225],"prevention,":[231],"although":[232],"gaps":[233],"persist":[234],"certain":[236],"constraints":[241],"such":[242],"as":[243,251,253],"overload":[245],"limited":[247],"opportunities":[248],"application,":[250],"well":[252],"technological":[254,267],"resource":[255],"limitations,":[258],"remain":[259],"important":[260],"challenges.":[261],"Considering":[262],"pedagogical":[263],"requirements":[264],"addressing":[266],"barriers":[268],"are":[269],"essential":[270],"improve":[272],"acquisition":[278],"transfer":[280],"future":[282],"designs.":[284]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-09-06T00:00:00"}
