# Effect of storytelling on learning about the institutionalization of Unified Health System: randomized controlled trial

**Authors:** Államy Danilo Moura e Silva, Andreia Rodrigues Moura da Costa Valle, José Wicto Pereira Borges, Thereza Maria Magalhães Moreira, Maria Augusta Rocha Bezerra, Danielle Christine Moura dos Santos

PMC · DOI: 10.1590/0034-7167-2025-0094 · Revista Brasileira de Enfermagem · 2026-02-23

## TL;DR

Using storytelling in teaching about Brazil's health system improved nursing students' learning and long-term knowledge retention compared to traditional methods.

## Contribution

Demonstrates that storytelling enhances learning and retention in nursing education about institutional health systems.

## Key findings

- Both groups improved immediately after instruction, but the storytelling group retained more knowledge after 15 days.
- Storytelling created a more engaging and participatory learning environment.
- Storytelling aligns with modern, dynamic teaching approaches in nursing education.

## Abstract

to evaluate the effect of using storytelling as a teaching strategy on nursing students’ learning about the Brazilian Unified Health System.

a randomized controlled trial with 48 nursing students, divided into intervention (storytelling class) and control (traditional class) groups, conducted remotely. Learning was assessed through pre-test, immediate post-test, and post-test 15 days later. Statistical analyses included t-tests, Chi-square, McNemar’s, and Cochran’s Q tests.

both groups showed significant learning improvement in the immediate post-test (p<0.001). In the 15-day post-test, the Intervention Group demonstrated higher retention of knowledge, with scores ≥70% significantly higher than the Control Group (p<0.001).

storytelling had a positive and lasting impact on learning about the Unified Health System, promoting an engaging and participatory teaching environment. This strategy aligns with the shift in nursing education towards more dynamic methodologies.

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12933939/full.md

## References

30 references — full list in the complete paper: https://tomesphere.com/paper/PMC12933939/full.md

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Source: https://tomesphere.com/paper/PMC12933939