Elsevier

Nurse Education Today

Volume 84, January 2020, 104237
Nurse Education Today

Student feedback delivery modes: A qualitative study of student and lecturer views

https://doi.org/10.1016/j.nedt.2019.104237Get rights and content

Abstract

Background

Student feedback on assessment is fundamental for promoting learning. Written feedback is the most common way of providing feedback yet this has been criticised by students for its ineffectiveness. Given the wide range of feedback modes available, (written, audio, video, screencast, face-to-face, self and peer-feedback) a better understanding of student and lecturer preferences would facilitate recommendations for optimising feedback delivery. The aim of this study was to explore the experiences and preferences for summative feedback modes of physiotherapy students and lecturers.

Methods

A sample of convenience was used to recruit participants from one undergraduate physiotherapy programme in the UK. A total of 25 students were recruited for three focus groups and five lecturers for semi-structured interviews. Focus groups and individual interviews were guided by a semi-structured interview guideline and carried out by a research assistant who was not involved in teaching on the programme and therefore unknown to participants. Data were analysed using inductive thematic analysis.

Results

Three themes were developed in relation to student and lecturer experiences of feedback to date: the importance of dialogue; the value of feed forward; and feedback disparity. From the student perspective, three themes were identified supporting their feedback preference: the importance of human connection; added information from non-verbal communication; valuing the lecturer view. From the lecturer perspective, two themes were identified around feedback preferences: challenges of spoken feedback and the importance of self-assessment.

Conclusions

This study identifies challenges around selecting optimal feedback modes due to the lack of student-lecturer consensus. Students preferred lecturer-led modes, providing the highest quality personal interaction with lecturers (face-to-face, screencast, video, audio). Lecturers most often advocated for student led feedback modes (peer or self-assessment) as a means to students valuing the feedback and developing reflective skills.

Introduction

Providing students with feedback on assessment is a fundamental aspect of promoting student learning (Hattie and Timperley, 2007; Dowden et al., 2013). Feedback evaluates the quality of the work but should also provide guidance on how to improve (Quality Assurance Agency, 2012). However, research suggests that both students and lecturers are consistently dissatisfied with the current state of affairs, with a gap highlighted between the feedback given and the feedback that students act upon (Cartney, 2010; Evans, 2013; Hunukumbure et al., 2017). In response, many higher education institutions have sought to address this gap by improving the quality of written feedback provided to students (Glover and Brown, 2006). Written feedback is the most widely used feedback method (McCarthy, 2015). Despite these attempts to improve written feedback, students remain critical due to the vague nature of the comments, their difficulty in understanding the feedback, and a lack of constructive feed-forward (Duncan, 2007; Boud and Molloy, 2013).

Others have chosen to explore alternative feedback modes as a means of enhancing student feedback. These alternative modes include audio, video, podcast, screencast, face-to-face, self or peer feedback. Literature reviews of alternative feedback modes such as audio feedback suggest that these modes offer a pastoral role through facilitating a sense of care and more authentic connections between the learners and lecturers (Dixon, 2015). This was further supported in a recent qualitative literature review of tertiary student's perceptions of audio, video, podcast and screencast feedback modes (Killingback et al., 2019). These feedback modes promoted a sense of belonging through the individualised and personal comments as well as promoting greater comprehension from the non-verbal aspects of communication such as body language, tone of voice and inflection (Killingback et al., 2019).

The use of alternative feedback modes have been trialled through experimental research studies across a range of disciples. For example, mixed-methods research studies on audio feedback from the disciplines of education; developmental writing; business management; and nursing programmes found that audio feedback can enhance the student experience (Ice et al., 2007; Sipple, 2007; MacGregor et al., 2011; Gould and Day, 2013). Although challenges were also raised by some students in terms of difficulty in locating mistakes in their work when audio feedback was used (Sipple, 2007). Cavanaugh and Song (2014) in their case study of audio versus written feedback involving seven students from an online composition course found that the content of comments varied in audio and written feedback. Audio feedback led to more global suggestions for improvement, whereas written feedback were more likely to contain micro-level feedback and editing corrections (Cavanaugh and Song, 2014).

In their mixed-methods study involving 126 education students, Henderson and Phillips (2015) found that video-based feedback methods were valued more than written approaches. Video feedback was reported to be more individualised, personal, supportive, caring and motivating as well as being detailed and constructive. Feedback studies in education technology courses noted similar positive experiences with video feedback (Borup et al., 2014), however, some anxiety over watching feedback was expressed by some students, along with challenges in terms of matching video comments to text-based assessments (Henderson and Phillips, 2015).

Feedback through the media of screencast (technology that enables a digital recording of the computer screen where the student's assignment is displayed, with the addition of audio or video comments by the lecturer) has resulted in positive views. In a survey of 124 business and accounting students, at least 91% reported that screencast feedback was clear and easy to follow with 86% stating that it was more personal than written (Marriott and Teoh, 2012). Thirty-four undergraduate mathematics students also reported positive experiences of screencast over written feedback as it provided a richer experience (Robinson et al., 2015).

Removing the technological barrier, Chalmers and Mowat (2018) used focus groups to explore face-to-face feedback in a study with 20 first-year undergraduate biological science students. They found that face-to-face marking was a positive experience that allowed feedback dialogue and provided lecturers with the opportunity to explain and justify why marks were given.

Evans (2013), in her literature review on assessment feedback in higher education noted that there are mixed opinions regarding the value of peer assessment. Some view it as being motivational and enables students to engage in their own learning, whereas others see it as a way of reducing the heavy lecturer workload by offloading some of the assessment burden to students. From the student perspective, in a qualitative study involving 45 undergraduate social work students, there was a strong emotional component associated with peer-assessed work. Emotions ranged from feelings of anxiety in giving feedback to anger towards those who had not participated fully in the process of providing feedback (Cartney, 2010). Within the same study, other students commented on the positive use of feedback to enhance learning. Similarly, in an undergraduate biology course, it was found that both peer and self-assessment methods were useful in helping students reach their learning goals (Orsmond et al., 2004). Indeed, the development of self-assessment skills are viewed as important in supporting lifelong learning (Boud and Falchikov, 2007). Research suggests that students have the ability to self-assess reasonably accurately (Karnilowicz, 2012). However, it is difficult for students to develop self-assessment skills and they often require scaffolded support (Evans, 2013).

It is evident that there are a wide range of feedback methods, each with distinct positives and negatives, thus making the choice of feedback mode a challenge. To this end, these methods are often trialled by academics without initial input from students and the wider teaching team. Thus, the overall aim of this study was to explore physiotherapy student and lecturer summative feedback experiences to date and understand how this can be used to inform decision marking around selecting optimal feedback modes to enhance the student and lecturer feedback experience. In order to achieve the aim of the study, the following research questions were addressed:

  • 1.

    What are the experiences of undergraduate physiotherapy students and lecturers on summative written feedback to date?

  • 2.

    How do the experiences of undergraduate physiotherapy students and lecturers inform their views and preferences for a range of summative feedback modes (written, audio, video, group podcasts, screencast, face-to-face, peer, and self-assessment)?

Section snippets

Study design

A qualitative methodology was used to explore feedback practices on the physiotherapy programme. The study was located within a critical realist paradigm. Critical realism embraces a complex view of reality and is aware of the influence of agency and structural factors prevalent in human behaviour (Clark, 2008). Ontologically critical realism assumes reality to exist but “only imperfectly apprehendable because of basically flawed human intellectual mechanisms and the fundamentally intractable

Study context and participant demographics

The physiotherapy programme under study was an NHS-commissioned undergraduate physiotherapy programme with an average cohort size of 26 students. A total of 25 students were recruited for three focus groups. These included one group of Level 4 (first year) students (n = 9, 9 females, mean age 24 years, age range 19–32 years); one group of Level 5 (second year) students (n = 8, 5 females, 3 males, mean age 27 years, age range 20–42 years); and one group of Level 6 (third year) students (n = 8, 6

Discussion

The aim of this study was to explore student and lecturer feedback experiences to date from one UK Higher Education Institution and understand how this can be used to inform preferences and decision making around selecting feedback modes which enhance the student and lecturer feedback experience. This study has three main contributions to make to this complex phenomenon of feedback delivery.

Firstly, the findings from this study highlight the fact that both students and lecturers would like to

Conclusion

The aim of this study was to explore the experiences and preferences for feedback modes of physiotherapy students and lecturers. This is important in supporting Higher Education Institutes in making evidence-informed decisions around which feedback modes to utilise with a view to maximising the student and lecturer feedback experience. This study found that from both the student and lecturer perspective there was a desire for dialogue around assessment. This was important in helping the

Funding source

This study was funded by Bournemouth University.

Ethical approval

Ethical approval for the study was obtained from Bournemouth University Research Ethics Committee (ID15371).

Declaration of competing interest

The authors declare that there are no conflicts of interest.

Acknowledgements

We wish to thank the students and lecturers who gave up their time to be involved in this study.

References (47)

  • C. Killingback et al.

    ‘It was all in your voice’ - tertiary student perceptions of alternative feedback modes (audio, video, podcast, and screencast): a qualitative literature review

    Nurse Educ Today

    (2019)
  • R.S. Barbour

    Checklists for improving rigour in qualitative research: a case of the tail wagging the dog?

    BMJ.

    (2001)
  • J. Borup et al.

    Examining the impact of video feedback on instructor social presence in blended courses

    Int. Rev. Res. Open Dist. Learn.

    (2014)
  • D. Boud et al.

    Rethinking Assessment in Higher Education

    (2007)
  • D. Boud et al.

    Rethinking models of feedback for learning: the challenge of design

    Assess. Eval. High. Educ.

    (2013)
  • V. Braun et al.

    Using thematic analysis in psychology

    Qual. Res. Psychol.

    (2006)
  • D. Carless

    Differing perceptions in the feedback process

    Stud. High. Edu.

    (2006)
  • P. Cartney

    Exploring the use of peer assessment as a vehicle for closing the gap between feedback given and feedback used

    Assess. Eval. High. Educ.

    (2010)
  • A.J. Cavanaugh et al.

    Audio feedback versus written feedback: instructors' and students' perspectives

    JOLT

    (2014)
  • C. Chalmers et al.

    Marking and providing feedback face-to-face: staff and student perspectives

    Active Learn High Educ.

    (2018)
  • C. Chalmers et al.

    “Audio feedback: richer language but no measurable impact on student performance.” practitioner

    Res. High. Educ.

    (2014)
  • M. Christie et al.

    Implementation of realism in case study research methodology

  • A. Clark

    Critical realism

  • J.W. Creswell

    Qualitative Inquiry & Research Design: Choosing among Five Approaches

    (2013)
  • B. Danermark et al.

    Explaining Society: An Introduction to Critical Realism in the Social Sciences

    (2005)
  • S. Dixon

    The pastoral potential of audio feedback: a review of the literature

    Pastoral Care in Educ.

    (2015)
  • T. Douglas et al.

    The feedback process: perspectives of first and second year undergraduate students in the disciplines of education, health science and nursing

    JUTLP.

    (2016)
  • T. Dowden et al.

    Students’ perceptions of written feedback in teacher education: ideally feedback is a continuing two-way communication that encourages progress

    Assess. Eval. High. Educ.

    (2013)
  • N. Duncan

    ‘Feed-forward’: improving students’ use of tutors’ comments

    Assess. Eval. High. Educ.

    (2007)
  • C. Evans

    Making sense of assessment feedback in higher education

    Rev. Educ. Res.

    (2013)
  • C. Glover et al.

    Written feedback for students: too much, too detailed or too incomprehensible to be effective?

    Biosci. Educ.

    (2006)
  • J. Gould et al.

    Hearing you loud and clear: student perspectives of audio feedback in higher education

    Assess. Eval. High. Educ.

    (2013)
  • E.G. Guba et al.

    Competing paradigms in qualitative research

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