Improving Nursing Students’ Learning Outcomes in Fundamentals of Nursing Course through Combination of Traditional and e‑Learning Methods

Rouhollah Sheikhaboumasoudi, Maryam Bagheri, Sayed Abbas Hosseini, Elaheh Ashouri, Nasrin Elahi

Abstract


Background: Fundamentals of nursing course are prerequisite to providing comprehensive nursing care. Despite development of technology on nursing education, effectiveness of using e‑learning methods in fundamentals of nursing course is unclear in clinical skills laboratory for nursing students. The aim of this study was to compare the effect of blended learning (combining e‑learning with traditional learning methods) with traditional learning alone on nursing students’ scores.

Materials and Methods: A two‑group post‑test experimental study was administered from February 2014 to February 2015. Two groups of nursing students who were taking the fundamentals of nursing course in Iran were compared. Sixty nursing students were selected as control group (just traditional learning methods) and experimental group (combining e‑learning with traditional learning methods) for two consecutive semesters. Both groups participated in Objective Structured Clinical Examination (OSCE) and were evaluated in the same way using a prepared checklist and questionnaire of satisfaction. Statistical analysis was conducted through SPSS software version 16.

Results: Findings of this study reflected that mean of midterm (t = 2.00, p = 0.04) and final score (t = 2.50, p = 0.01) of the intervention group (combining e‑learning with traditional learning methods) were significantly higher than the control group (traditional learning methods). The satisfaction of male students in intervention group was higher than in females (t = 2.60, p = 0.01).

Conclusions: Based on the findings, this study suggests that the use of combining traditional learning methods with e‑learning methods such as applying educational website and interactive online resources for fundamentals of nursing course instruction can be an effective supplement for improving nursing students’ clinical skills.


Keywords


Blended learning, e-learning, fundamentals of nursing course, Iran, nursing student

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References


Gu Y, Zou Z, Chen X. The Effects of vSIM for Nursing™ as a Teaching Strategy on Fundamentals of Nursing Education in Undergraduates. Clinical Simulation in Nursing 2017;13:194‑7.

Uysal N. Improvement of nursing students’ learning outcomes through scenario‑based skills training. Rev Lat Am Enfermagem 2016;24:e2790. s Iranian Journal of Nursing and Midwifery Research ¦ Volume 23 ¦ Issue 3 ¦ May-June 2018 221

Stroup C. Simulation usage in nursing fundamentals: Integrative literature review. Clinical Simulation in Nursing 2014;10:e155‑64.

Wolf L, Rutar P, Delgado C, Niederriter J. The design process of a multimodal module that synthesized knowledge across nursing courses. Elsevier; 2017.

Žvanut B, Pucer P, Ličen S, Trobec I, Plazar N, Vavpotič D. The effect of voluntariness on the acceptance of e‑learning by nursing students. Nurse Educ Today 2011;31:350‑5.

Öztürk D, Dinç L. Effect of web‑based education on nursing students’ urinary catheterization knowledge and skills. Nurse Educ Today 2014;34:802‑8.

Li YS, Chen PS, Tsai SJ. A comparison of the learning styles among different nursing programs in Taiwan: Implications for nursing education. Nurse Educ Today 2008;28:70‑6.

Vafamehr V. Comparing the Effectiveness of Two Educational Approaches of “Electronic Learning and Training in Small Groups” and” Training Only in Small Groups” in Teaching Physical Examination. Iranian Journal of Medical Education 2010;10:11‑8.

Horiuchi S, Yaju Y, Koyo M, Sakyo Y, Nakayama K. Evaluation of a web‑based graduate continuing nursing education program in Japan: A randomized controlled trial. Nurse Educ Today 2009;29:140‑9.

Motlagh FG, Karimi M, Hasanpour M. Iranian nursing students’ experiences of nursing. Iran J Nurs Midwifery Rese 2012;17:S107.

Baghaei RD, Rahmani A, Mohammadpour Y, Hossein J. Effect of web‑based education on cardiac disrhythmia learning in nursing student of Urmia University of Medical Sciences. Iranian Journal of Medical Education 2012;12:240‑8.

Kaveevivitchai C, Chuengkriankrai B, Luecha Y, Thanooruk R, Panijpan B, Ruenwongsa P. Enhancing nursing students’ skills in vital signs assessment by using multimedia computer‑assisted learning with integrated content of anatomy and physiology. Nurse Educ Today 2009;29:65‑72.

Bloomfield J, Roberts J, While A. The effect of computer‑assisted learning versus conventional teaching methods on the acquisition and retention of handwashing theory and skills in pre‑qualification nursing students: A randomised controlled trial. Int J Nurs Stud 2010;47:287‑94.

Beeckman D, Schoonhoven L, Boucqué H, Van Maele G, Defloor T. Pressure ulcers: e‑learning to improve classification by nurses and nursing students. J Clin Nurs 2008;17:1697‑707.

Chang WY, Hsiao Sheen ST, Chang PC, Lee PH. Developing an e‑learning education programme for staff nurses: Processes and outcomes. Nurse Educ Today 2008;28:822‑8.

Sung YH, Kwon IG, Ryu E. Blended learning on medication administration for new nurses: Integration of e‑learning and face‑to‑face instruction in the classroom. Nurse Educ Today 2008;28:943‑52.

Ariana A, Amin M, Pakneshan S, Dolan‑Evans E, Lam AK. Integration of traditional and e‑learning methods to improve learning outcomes for dental students in Histopathology. J Dent Educ 2016;80:1140‑8.

Pahinis K, Stokes CW, Walsh TF, Tsitrou E, Cannavina G. A blended learning course taught to different groups of learners in a dental school: Follow‑up evaluation. J Dent Educ 2008;72:1048‑57.

Sikorski R, Peters R. “Tools for change: CME on the Internet”. JAMA 1998;280:1013‑4.

Moule P. Simulation in nurse education: Past, present and future. Nurse Educ Today 2011;31:645‑6.

Bloomfield JG, Cornish JC, Parry AM, Pegram A, Moore JS. Clinical skills education for graduate‑entry nursing students: Enhancing learning using a multimodal approach. Nurse Educ Today 2013;33:247‑52.

Bloomfield JG, Jones A. Using e‑learning to support clinical skills acquisition: Exploring the experiences and perceptions of graduate first‑year pre‑registration nursing students‑A mixed method study. Nurse Educ Today 2013;33:1605‑11.

Johannesson E, Olsson M, Petersson G, Silén C. Learning features in computer simulation skills training. Nurse Educ Pract 2010;10:268‑73.

Button D, Harrington A, Belan I. E‑learning & information communication technology (ICT) in nursing education: A review of the literature. Nurse Educ Today 2014;34:1311‑23.

Šolc M, Legemza J, Sütőová A, Girmanová L. Experiences with utilizing e‑learning in education process in university environment. Procedia‑Social and Behavioral Sciences 2012;46:5201‑5.

Fernandez RS, Tran DT, Ramjan L, Ho C, Gill B. Comparison of four teaching methods on evidence‑based practice skills of postgraduate nursing students. Nurse Educ Today 2014;34:61‑6.

Houghton CE, Casey D, Shaw D, Murphy K. Staff and students’ perceptions and experiences of teaching and assessment in Clinical Skills Laboratories: Interview findings from a multiple case study. Nurse Education Today 2012;32:e29‑34.

Abdelaziz M, Kamel SS, Karam O, Abdelrahman A. Evaluation of E‑learning program versus traditional lecture instruction for undergraduate nursing students in a faculty of nursing. Teaching and Learning in Nursing 2011;6:50‑8.

Reime MH, Harris A, Aksnes J, Mikkelsen J. The most successful method in teaching nursing students infection control‑E‑learning or lecture? Nurse Educ Today 2008;28:798‑806.

Stanton M, Crow C, Morrison R, Skiba DJ, Monroe T, Nix G, et al. Web‑based graduate education in rural nursing case management. Online Journal of Rural Nursing and Health Care 2012;5:53‑63.

Lahti M, Hätönen H, Välimäki M. Impact of e‑learning on nurses’ and student nurses knowledge, skills, and satisfaction: A systematic review and meta‑analysis. Int J Nurs Stud 2014;51:136‑49.

Al‑Qahtani AA, Higgins SE. Effects of traditional, blended and e‑learning on students’ achievement in higher education. Journal of Computer Assisted Learning 2013;29:220‑34


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