Evaluation of a pharmacy student video learning tool utilising humour and negative knowledge errors to teach improved pharmacist-prescriber phone interaction simulations
DOI:
https://doi.org/10.46542/pe.2026.261.1322Keywords:
Communication, Educational video, Humour, Negative knowledgeAbstract
Background: Negative knowledge is experiential knowledge gained from errors, or "what not to do.” Humour in teaching is well-received by students and boosts attentiveness and long-term recall. This study evaluated student perceptions of the learning value from a humorous video demonstrating common errors in pharmacist-prescriber phone calls during simulated interactions.
Methods: In 2024, pharmacy teaching staff in South Australia created a parody video skit highlighting common communication errors among undergraduate students. Second- and fourth-year Pharmacy Practice students were invited to complete a feedback survey after viewing. The impact of the video was evaluated by comparing students' errors during prescriber-interaction assessments before and after watching. Data were summarised using descriptive statistics and reflexive thematic analysis.
Results: 82 students accessed the video, and 52 survey responses were received. 51 respondents (98%) stated that the video helped in understanding what was required of them in simulated prescriber calls. 47 respondents (91%) wanted more tools like this in their education. Students responded positively to the humour, interprofessional perspective, audio/visual presentation and negative knowledge. The students’ performance in assessments was not measurably changed following the use of the learning tool.
Conclusion: The combined use of humour and negative knowledge in a simulation video demonstration improved self-reported student understanding, although no improvement in assessment performance was observed.
References
Aliaga, L., Bavolek, R. A., Cooper, B., Mariorenzi, A., Ahn, J., Kraut, A., Duong, D., Burger, C., & Gisondi, M. A. (2024). Error management training and adaptive expertise in learning computed tomography interpretation: A randomized clinical trial. JAMA Network Open, 7(9), e2431600‒e2431600. https://doi.org/10.1001/jamanetworkopen.2024.31600
Austin, Z., & Gregory, P. A. (2007). Evaluating the accuracy of pharmacy students' self-assessment skills. American Journal of Pharmaceutical Education, 71(5), 89. https://doi.org/10.5688/aj710589
Beckett, R. D., Sheppard, L., Rosene, A., & Whitlock, C. (2016). Student and faculty perceptions of humor in the pharmacy classroom. Currents in pharmacy teaching and learning, 8(2), 226‒234. https://doi.org/10.1016/j.cptl.2015.12.012
Bekelja Wanzer, M., Bainbridge Frymier, A., Wojtaszczyk, A. M., & Smith, T. (2006). Appropriate and inappropriate uses of humor by teachers. Communication education, 55(2), 178‒196. https://doi.org/10.1080/03634520600566132
Castleberry, A., & Nolen, A. (2018). Thematic analysis of qualitative research data: Is it as easy as it sounds? Currents in pharmacy teaching and learning, 10(6), 807‒815. https://doi.org/10.1016/j.cptl.2018.04.009
Chabeli, M. (2008). Humor: A pedagogical tool to promote learning. Curationis, 31(3), 51‒59. https://doi.org/10.4102/curationis.v31i3.1039
Check, J. F. (1997). Humor in education. Physical Educator, 54(3), 165‒167.
D'Angelo, A.-L., & Kchir, H. (2019). Error management training in medical simulation. StatPearls Publishing. https://pubmed.ncbi.nlm.nih.gov/31536315/
Eldeeb, K. (2024). Humor as a teaching tool: Evaluating the impact of memes on student engagement in pharmacology instruction. The Journal of Pharmacology and Experimental Therapeutics, 389, 218. https://doi.org/10.1124/jpet.218.911970
Erdoğdu, F., & Çakıroğlu, Ü. (2021). The educational power of humor on student engagement in online learning environments. Research and Practice in Technology Enhanced Learning, 16(1), 9. https://doi.org/10.1186/s41039-021-00158-8
Gartmeier, M., Bauer, J., Gruber, H., & Heid, H. (2008). Negative knowledge: Understanding professional learning and expertise. Vocations and learning, 1, 87‒103. https://doi.org/10.1007/s12186-008-9006-1
Gartmeier, M., Lehtinen, E., Gruber, H., & Heid, H. (2011). Negative expertise: comparing differently tenured elder care nurses' negative knowledge. European Journal of Psychology of Education, 26, 273‒300. https://doi.org/10.1007/s10212-010-0042-5
Hackworth, J. T. (2024). Using humor in the health/physical education classroom to create an enjoyable learning environment. Journal of Physical Education, Recreation & Dance, 95(2), 41‒48. https://doi.org/10.1080/07303084.2023.2291643
Harder, B. N. (2012). Nursing students' learning in high fidelity simulation: an ethnographic study. https://doi.org/10.1016/j.ecns.2012.09.003
Harrington, C. (2023). Keeping us engaged: Student perspectives (and research-based strategies) on what works and why. Taylor & Francis. https://doi.org/10.4324/9781003490005
Heemsoth, T., & Heinze, A. (2014). The impact of incorrect examples on learning fractions: A field experiment with 6th grade students. Instructional Science, 42, 639‒657. https://doi.org/10.1007/s11251-013-9302-5
Helyar, S. M., Griffiths, P., & Norman, I. J. (2013). “The damage I could do…”–Qualitative evaluation of a low-fidelity medication administration simulation that generates error as a learning experience for pre-registration nursing students. Journal of Nursing Education and Practice, 4(2), 11‒19. https://doi.org/10.5430/jnep.v4n2p11
Jha, A. K., Larizgoitia, I., Audera-Lopez, C., Prasopa-Plaizier, N., Waters, H., & Bates, D. W. (2013). The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Quality & Safety, 22(10), 809‒815. https://doi.org/10.1136/bmjqs-2012-001748
Keith, N. (2011). Learning through errors in training. In D. A. Hofmann & M. Frese (Eds.), Errors in organizations (pp. 45–65). Routledge/Taylor & Francis Group.
Lei, S. A., Cohen, J. L., & Russler, K. M. (2010). Humor on learning in the college classroom: Evaluating benefits and drawbacks from instructors' perspectives. Journal of instructional Psychology, 37(4), 326‒332.
Makary, M. A., & Daniel, M. (2016). Medical error—the third leading cause of death in the US. Bmj, 353. https://doi.org/10.1136/bmj.i2139
Malone, E. (2019). Challenges & issues: Evidence-based clinical skills teaching and learning: what do we really know? Journal of Veterinary Medical Education, 46(3), 379‒398. https://doi.org/10.3138/jvme.0717-094r1
McElnay, J., Scott, M., Armstrong, A., & Stanford, C. (1989). Audiovisual demonstration for patient counselling in the use of pressurised aerosol bronchodilator inhalers. Journal of clinical pharmacy and therapeutics, 14(2), 135‒144. https://doi.org/10.1111/j.1365-2710.1989.tb00232.x
Minsky, M. (1997). Negative expertise. In P. J. Feltovich, K. M. Ford, & R. R. Hoffman (Eds.), Expertise in context: Human and machine (pp. 515–521). American Association for Artificial Intelligence; The MIT Press. (Reprinted in modified form from M. Minsky (Au.), "The Society of Mind," New York: Simon and Schuster, 1986).
O'Brien, D. A. (2013). Using mindfulness meditation intermixed with humor to reduce anxiety among nursing students during clinical practice. Capella University.
Palominos, E., Levett-Jones, T., Power, T., & Martinez-Maldonado, R. (2019). Healthcare students' perceptions and experiences of making errors in simulation: An integrative review. Nurse Education Today, 77, 32‒39. https://doi.org/10.1016/j.nedt.2019.02.013
Poirier, T. I., & Wilhelm, M. (2014). Use of humor to enhance learning: bull’s eye or off the mark. American Journal of Pharmaceutical Education, 78(2), 27. https://doi.org/10.5688/ajpe78227
Raines, D. A. (2000). Making mistakes: prevention is key to error-free health care. Nursing for Women's Health, 4(1), 35‒39. https://doi.org/10.1111/j.1552-6356.2000.tb01161.x
Reason, J. (1990). Human error. Cambridge University Press.
Reason, J. (1995). Understanding adverse events: Human factors. BMJ Quality & Safety, 4(2), 80‒89. https://doi.org/10.1136/qshc.4.2.80
Riolo, L. (1997). Effects of modeling errors on the acquisition and retention of sterile hand washing task. Perceptual and motor skills, 84(1), 19‒26. https://doi.org/10.2466/pms.1997.84.1.19
Rogers, D. A., Regehr, G., & MacDonald, J. (2002). A role for error training in surgical technical skill instruction and evaluation. The American Journal of Surgery, 183(3), 242‒245. https://doi.org/10.1016/S0002-9610(02)00798-5
Rose, T. M. (2018). Lessons learned using a demonstration in a large classroom of pharmacy students. American Journal of Pharmaceutical Education, 82(9), 6413. https://doi.org/10.5688/ajpe6413
Savage, B. M., Lujan, H. L., Thipparthi, R. R., & DiCarlo, S. E. (2017). Humor, laughter, learning, and health! A brief review. Advances in physiology education, 4(3). https://doi.org/10.1152/advan.00030.2017
Sever, S., Oguz-Unver, A., & Yurumezoglu, K. (2013). The effective presentation of inquiry-based classroom experiments using teaching strategies that employ video and demonstration methods. Australasian Journal of Educational Technology, 29(3). https://doi.org/10.14742/ajet.229
Sharif, A., Kasemy, Z. A., Rayan, A. H., Selim, H. M. R., Aloshari, S. H., & Elkhamisy, F. A. A. (2024). Memes adoption in basic medical science education as a successful learning model: A mixed method quasi-experimental study. Advances in Medical Education and Practice, 487‒500. https://doi.org/10.2147/AMEP.S461757
Spooner, J. J. (2014). In response to “Use of humor to enhance learning: Bull's eye or off the mark”. American Journal of Pharmaceutical Education, 78(4). https://pubmed.ncbi.nlm.nih.gov/24850946/
Torok, S. E., McMorris, R. F., & Lin, W.-C. (2004). Is humor an appreciated teaching tool? Perceptions of professors’ teachings styles and use of humor. College Teaching, 52(1), 14‒20. https://doi.org/10.3200/CTCH.52.1.14-20
van Schaik, S. M., Regehr, G., Eva, K. W., Irby, D. M., & O’Sullivan, P. S. (2016). Perceptions of peer-to-peer interprofessional feedback among students in the health professions. Academic Medicine, 91(6), 807‒812. https://doi.org/10.1097/ACM.0000000000000981
Wang, F., Wu, R., Shen, H., Wang, H., & Ji, M. (2025). The impact of instructional clarity and teacher humor on college students’ academic engagement in advanced mathematics: A multilevel mediation model. Educational Psychology, 1‒20. https://doi.org/10.1080/01443410.2025.2537267
Wanzer, M. B., Frymier, A. B., & Irwin, J. (2010). An explanation of the relationship between instructor humor and student learning: Instructional humor processing theory. Communication education, 59(1), 1‒18. https://doi.org/10.1080/03634520903367238
Young, J., Williamson, M., & Egan, T. (2016). Students’ reflections on the relationships between safe learning environments, learning challenge and positive experiences of learning in a simulated GP clinic. Advances in Health Sciences Education, 21, 63‒77. https://doi.org/10.1007/s10459-015-9611-3
Zhao, J., Yin, H., Zhang, G., Li, G., Shang, B., Wang, C., & Chen, L. (2019). A meta‐analysis of randomized controlled trials of laughter and humour interventions on depression, anxiety and sleep quality in adults. Journal of advanced nursing, 75(11), 2435‒2448. https://doi.org/10.1111/jan.14000