Evaluation of the Impact of Behavioral Nudges on Participation and Self-Efficacy in Nursing Students
Keywords:
behavioral nudges, academic self-efficacy, classroom climate, nursing education, student participationAbstract
Behavioral nudges have emerged as innovative pedagogical strategies aimed at positively influencing student behavior without coercion. In nursing education, where active participation and academic confidence are essential for professional development, such interventions are particularly relevant. This study evaluated the impact of a brief intervention based on behavioral nudges motivational phrases and individual clinical case resolution on academic self-efficacy and classroom climate perception among second-year nursing students. A quasi-experimental pre-post design with methodological triangulation was employed. Thirty-one students participated in the pre-intervention phase and twenty-six in the post-intervention phase (retention rate: 84%). Data collection included Likert-type questionnaires, quantitative records of voluntary oral participation, and a structured teaching log. Results showed improvements in perceived content comprehension, greater willingness to participate despite mistakes, and increased confidence in classroom interaction. Additionally, a 40% rise in voluntary oral participation was observed after the intervention. These findings support the usefulness of behavioral nudges as accessible and low-cost pedagogical tools in health education settings, fostering safer and more participatory learning environments.
References
Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.
Benartzi, S., Beshears, J., Milkman, K. L., Sunstein, C. R., Thaler, R. H., Shankar, M., Tucker-Ray, W., Congdon, W. J., & Galing, S. (2017). Should governments invest more in nudging? Psychological Science, 28(8), 1041–1055. https://doi.org/10.1177/0956797617702501
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Jossey-Bass.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Chemers, M. M., Hu, L. T., & Garcia, B. F. (2001). Academic self-efficacy and first-year college student performance and adjustment. Journal of Educational Psychology, 93(1), 55–64. https://doi.org/10.1037/0022-0663.93.1.55
Denzin, N. K. (1978). The research act: A theoretical introduction to sociological methods (2nd ed.). McGraw-Hill.
Dolan, P., Hallsworth, M., Halpern, D., King, D., & Vlaev, I. (2010). Mindspace: Influencing behaviour through public policy. Institute for Government.
Dweck, C. S. (2006). Mindset: The new psychology of success. Random House.
Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383. https://doi.org/10.2307/2666999
Fraser, B. J. (2012). Classroom learning environments: Retrospect, prospect and research directions. Learning Environments Research, 15(3), 271–293. https://doi.org/10.1007/s10984-012-9116-y
Hattie, J. (2009). Visible learning: A synthesis of over 800 meta-analyses relating to achievement. Routledge.
OECD. (2019). Nudging citizens’ behaviour: What works and what doesn’t. OECD Publishing. https://doi.org/10.1787/4a09e49d-en
Pekrun, R., Goetz, T., Titz, W., & Perry, R. P. (2002). Academic emotions in students’ self-regulated learning and achievement: A program of qualitative and quantitative research. Educational Psychologist, 37(2), 91–105. https://doi.org/10.1207/S15326985EP3702_4
Rudolph, J. W., Simon, R., Dufresne, R. L., & Raemer, D. B. (2007). There’s no such thing as “nonjudgmental” debriefing: A theory and method for debriefing with good judgment. Simulation in Healthcare, 1(1), 49–55. https://doi.org/10.1097/01.SIH.0000197869.00329.4f
Schön, D. A. (1983). The reflective practitioner: How professionals think in action. Basic Books.
Schunk, D. H., & DiBenedetto, M. K. (2020). Motivation and social cognitive theory. Contemporary Educational Psychology, 60, 101832. https://doi.org/10.1016/j.cedpsych.2019.101832
Thaler, R. H., & Sunstein, C. R. (2008). Nudge: Improving decisions about health, wealth, and happiness. Yale University Press.
World Health Organization. (2020). State of the world’s nursing 2020: Investing in education, jobs and leadership. WHO. https://www.who.int/publications/i/item/9789240003279
Yew, E. H. J., & Goh, K. (2016). Problem-based learning: An overview of its process and impact on learning. Health Professions Education, 2(2), 75–79. https://doi.org/10.1016/j.hpe.2016.01.004
Zimmerman, B. J. (2000). Self-efficacy: An essential motive to learn. Contemporary Educational Psychology, 25(1), 82–91. https://doi.org/10.1006/ceps.1999.1016
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