From Classroom to Clinical Experience: The Effect of Learning Fidelity Based on the 4C/ID Model.

Abstract

Background: This study evaluated the effect of the fidelity of learning tasks, based on the four-component instructional design model, on satisfaction, attitude toward the learning environment, and learning. A significant factor contributing to the quality of education is the use of methods compatible with the learning environment.

Method: This study used a pretest-posttest design with a control group. One hundred nurses were divided equally (n = 25) into groups. The control group had conventional lecture-based education, and three experimental groups had group discussion, simulation, or on-the-job counseling. Questionnaires measured satisfaction, attitude toward the learning environment, and learning.

Results: Statistical analysis showed that the experimental groups who had group discussion and simulation had greater satisfaction and a more positive attitude toward the learning environment. The performance of learners who had on-the-job counseling was higher than that of the control group.

Conclusion: Learning tasks can increase nurses' satisfaction, improve their attitude toward the learning environment, and enhance their learning with high-fidelity training. [J Contin Educ Nurs. 2025;56(5):191-199.].