Abstract

Results. Students using sensor-equipped chairs demonstrated significant gains: +8.7 points in clinical reasoning (d = 0.72, p < .001), +22.2% in technological literacy (d = 0.81), +4.6 points in health knowledge (d = 0.94), and +1.8 in intrinsic motivation (d = 0.65). Additionally, 88% of students produced artefacts that met the SAMR “Redefinition” criteria. Clinical accuracy increased by 4.42 points in the hospital validation sample (d = 0.41).

Keywords: TPACK, SAMR, conceptual change, clinical simulation, technological literacy

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