Use of an interactive multimedia e-book to improve nursing students' sexual harassment prevention knowledge, prevention strategies, coping behavior, and learning motivation: A randomized controlled study

Abstract Background Nursing essentially involves working closely with patients both physically and psychologically. Nurses, particularly inexperienced nursing students, are often at great risk of sexual harassment. Objectives To evaluate the effects of a clinical-based sexual harassment prevention e-book on nursing students' knowledge, prevention strategies, coping behaviors, and learning motivation. Design A randomized, controlled, experimental study. Setting Nursing Department at a private university in Taiwan. Participants Senior nursing students who had finished the required professional internship or were undergoing community nursing or psychiatric nursing internship. Methods Participants were randomly allocated to intervention (e-book, n = 33) and control (video and brochure, n = 33) groups. They were asked to complete a structured questionnaire before, after, and 2 weeks after the intervention to evaluate their sexual harassment knowledge, prevention strategies, coping behaviors, and learning motivation. Results In the posttest, the e-book group scored significantly higher in the sexual harassment prevention knowledge (p  Conclusion The interactive multimedia e-book effectively improved the sexual harassment prevention knowledge and competence of nursing students. This method can be employed as a supplementary material in nursing education, internship guidance, and nursing on-the-job education.