Exploring a Metacognitive Scaffolding-Based GenAI-Assisted Peer Feedback Provision Approach to Enhance Feedback Engagement Among Nursing Students.

Background: Providing effective peer feedback is a challenge in nursing education. While Generative AI (GenAI) can assist, students often struggle with the task. Metacognitive scaffolding may help guide students through this complex process. Aim: This study aimed to evaluate the effects of a metacog...

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Publicado en:Nursing Reports Vol. 16; no. 6; pp. 182 - 198
Autores principales: Wei, Shuling, Wei, Wei
Formato: clinical trial pictorial research tables/charts Journal Article
Publicado: MDPI Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
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      pub: MDPI
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        atl: Exploring a Metacognitive Scaffolding-Based GenAI-Assisted Peer Feedback Provision Approach to Enhance Feedback Engagement Among Nursing Students.
      aug:
        au:
          Wei, Shuling
          Wei, Wei
        affil: Faculty of Applied Sciences, Macao Polytechnic University, Room M505, Meng Tak Building, Rua de Luis Gonzaga Gomes, Macao 999078, China
      sug:
        subj:
          Students, Nursing
          Peer Group
          Feedback Methods
          Artificial Intelligence, Generative Utilization
          Cognition
          Student Attitudes Evaluation
          Outcomes of Education Evaluation
          Human
          Funding Source
          China
          Male
          Female
          Adult
          Clinical Trials
          Quasi-Experimental Studies
          Descriptive Statistics
          Mann-Whitney U Test
          Data Analysis Software
          Judgment
          Decision Making
          Goal-Setting
          Emotions
          Social Participation
          Adult: 19-44 years
          Male
          Female
      ab: Background: Providing effective peer feedback is a challenge in nursing education. While Generative AI (GenAI) can assist, students often struggle with the task. Metacognitive scaffolding may help guide students through this complex process. Aim: This study aimed to evaluate the effects of a metacognitive scaffolding-based GenAI-assisted peer feedback provision (MGPFP) approach on nursing students' feedback engagement and behavioral patterns. Methods: A quasi-experimental study was conducted with 71 nursing students. The experimental group (n = 35) used the MGPFP approach, while the control group (n = 36) used a standard GenAI-assisted approach without scaffolding. A Mann–Whitney U test was used to compare feedback engagement. Lag sequential analysis was used to examine feedback giving behavior patterns based on coded video data. Results: The experimental group reported significantly higher engagement than the control group across four dimensions: behavioral, cognitive, social, and emotional engagement. The experimental group generated 5219 coded behaviors, while the control group generated 1861. In the experimental group, common behaviors included referring external resources (19.58%), comparing and making judgements (17.80%), and recognizing the purpose (15.77%). Non-feedback behaviors were much higher in the control group (2.69%). Lag sequential analysis identified 17 significant sequences in the experimental group and 14 in the control group. Conclusions: Integrating metacognitive scaffolding into GenAI-assisted peer feedback can improve nursing students' engagement and promote more productive and structured feedback behaviors. This approach is a valuable strategy for enhancing the quality of peer feedback in nursing education.
      pubtype: Academic Journal
      doctype:
        clinical trial
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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