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Differential effects of peer-assisted learning and animated video instruction on domain-specific electrocardiogram interpretation skills: A quasi-experimental study Ni Luh Putu Inca Buntari Agustini; I Gede Putu Darma Suyasa; Ni Made Dewi Wahyunadi; I Wayan Edi Sanjana; Idyatul Hasanah
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.91357

Abstract

Introduction: Electrocardiogram (ECG) interpretation competency remains a challenge in nursing education due to the complexity of waveform analysis and clinical reasoning. Innovative instructional strategies are needed to enhance students’ clinical competencies. This study aimed to compare the effectiveness of peer-assisted learning (PAL) and animated video instruction (AVI) in enhancing ECG interpretation competency among nursing students. Methods: A quasi-experimental non-equivalent pretest-posttest trial was conducted among 110 sixth-semester nursing students in Indonesia, who were assigned to two groups: PAL and AVI. The two groups were given the same instructional content and time, but they differed in terms of learning style. ECG interpretation competency was assessed using a validated 11-item checklist. Wilcoxon signed-rank tests were used to compare the data within a group, and Mann-Whitney U tests were used to compare the data between groups. Effect sizes were calculated to determine the magnitude of the differences. Results: Both teaching strategies enhanced the ECG interpretation skills of the students. The Wilcoxon signed-rank test results for the PAL group showed a significant improvement in competency scores (Z = -6.458, p < 0.001), with an extremely large effect size (r = 0.87). In the same manner, the AVI group also showed a significant increase (Z = -6.450, p < 0.001), with a very large effect size (r = 0.87). Conclusions: PAL improved overall ECG interpretation competency and specific components more than AVI (p < 0.05). Nursing educators should prioritize PAL, with animated videos as supplementary learning tools.
Co-Authors A.A. Ayu Yuliati Darmini Adnyanita, Anak Agung Istri Citra Agus Ari Pratama Agustini , Ni Luh Putu Inca Buntari Agustini, Ni Komang Tri Agustini, Ni Komang Tru Anak Agung Istri Citra Adnyanita Anak Agung Istri Wulan Krisnandari, Anak Agung Istri Wulan Anggari, Inggita Apiradee Pimsen Aries Susanti, Ni Putu Arinjaya, I Gede Eka Arnaya, I Gede Putu Suka Artsanthia, Jintana Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Buntari, Ni Luh Putu Inca Agustini Cahyani, Kadek Indra Chi-Jane Wang Darmini, AAA Yuliati Dewa Ayu Erna Sri Rahayu Dewi, Ni Putu Ayu Ratna Dewi, Putu Ayu Laksmi Dewi, Putu Sundari Diyu, Ida Ayu Ningrat Pangruating Dr. Ni Luh Dwi Indrayani Duygulu, Sergul Edi Sanjana, I Wayan Gst Ayu Dwina Mastryagung Gusti Ayu Dwina Mastryagung I Gusti Ayu Puja Astuti Dewi I Gusti Ngurah Aryana I Gusti Ngurah Made Kusuma Negara I Kadek Doni Kusmadi I Kadek Nuryanto I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Alit Adianta I Ketut Swarjana I Komang Wirayasa I Nyoman Krisna Artha Kusuma I Wayan Edi Sanjana I Wayan Remiasa Ida Ayu Suptika Strisanti Ida Bagus Putu Rai Suryawan Idah Ayu Wulandari Idyatul Hasanah IGA Rai Rahayuni Indrayani, Ni Luh Dwi Inggita Anggari Intan Julia Anastasia Israfil Israfil Israfil Israfil Israfil Israfil, Israfil Israfil, Israfil Israfil Jaya Kusuma, I Made Kadek Ayu Ananda Maharini Kadek Buja Harditya Kadek Sriasih Kenbubpha, Kedsaraporn Kesari Darmapatni, Ni Wayan ketut hendra yanti dewi Ketut Widia Komang Asrini Widya Tri Lestari Komang Ayu Purnama Dewi Komang Rosa Tri Anggaraeni komang suarningsih Luh Ari Suantari Made Dian Shanti Kusuma Made Rismawan Meenongwah, Jaroonsree Nadya Treesna Wulansari Ni Kadek Devariyani Swantari Ni Kadek Devariyani Swantari Ni Kadek Sriasih Ni Kadek Sutini Ni Kadek Sutini Ni Ketut Erawati Ni Komang Ady Tri Hapsari Ni Komang Tru Agustini Ni Luh Dwi Indrayani Ni Luh Gede Hari Nugrahini Ni Luh Putu Dina Susanti Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Mira Santana Sari Ni Luh Putu Mira Santana Sari Ni Made Ari Widayani Ni Made Candra Citra Sari Ni Made Dewi Wahyunadi Ni Made Dewi Wahyunadi Ni Made Manik Elisa Putri Ni Made Milapastiniari Ni Made Nurtini Ni Made Sri Rahyanti Ni Nyoman Nuartini Ni Putu Ayu J. Sastamidhyani Ni Putu Ayu Jelantik Sastamidhyani Ni Putu Kamaryati Ni Putu Kristiani Ni Wayan Deani Ni Wayan Kesari Darmapatni Ni Wayan Kesari Dharmapatni Ni Wayan Manik Parwati Ni Wayan Sri Wahyuni Ni Wayan Sukma Antari Nugrahini, Ni Luh Gede Hari Nurhayati Nurhayati Nuryanto, Kadek Oka Putra, I Nyoman Trisna Oka Putra Pande Putu Ida Oktaviani Pangruating Diyu, Ida Ayu Ningrat Portia, Vitug Promwong, Waiyaporn Putra, I Komang Ardidhana Nugraha Putra, I Nyoman Arya Maha Putra, Kadek Andika Dwi Putra, Komang Ardidhana Nugraha Putri, Ni Made Manik Elisa Putu Adinda Saraswati Putu Awik Sirna Wardani Putu Inge Ruth Suantika Putu Mariany Purnama Sari Putu Noviana Sagitarini Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sagita, Ni Wayan Riska Sandra, Putu Yudara Sani, Ari Wina Sanjana, I Wayan Edi Sarah K Wulandari Serinadi, Desak Made Sri Ariani Sri Dewi Megayanti suarningsih, komang Suryawan, Ida Bagus Putu Rai Suyasa, Agus Baratha Swantari, Ni Kadek Devariyani Tanuparbrungson, Supawan Trisna, Made Oktaviani Bulan Wangi, Ni Luh Putu Ayu Puspita Wardana, Dewa Gede Wisnu widia, ketut Wulandari, Sarah K Wulandari, Sarah K. Wulandari, Sarah Kartika yanti dewi, ketut hendra Yoga, Sukma Wisnu Yudi Wahyu, I Made Yulistina, Putu Desi Yusniawati, Yustina Ni Putu