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


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.


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

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