The e-learning perceptions of nursing students during the COVID-19 pandemic: a mixed-method systematic review: Nursing students and e-learning

The e-learning perceptions of nursing students during the COVID-19 pandemic: a mixed-method systematic review

Nursing students and e-learning

Authors

Keywords:

Nursing students; e-learning; perception; mixed-method systematic review

Abstract

Background and Objective: Governments around the world implemented lockdown measures to flatten the pandemic curve of COVID-19 and, as a result, schools, colleges and universities in the highly contagious areas of the world closed and shifted from face-to-face learning to online methodologies. The rapid change in teaching methodology introduced many health professional students to different approaches to learning which can be used anywhere and at any time. The aim of this study is to analyze nursing students’ perceptions of e-learning during the COVID-19 pandemic. Methods: A mixed-methods systematic review was conducted. We considered PubMed, CINAHL, Scopus, Eric and Business Source Complete. All empirical peer-reviewed studies were included if they investigated perceptions of e-learning education of nursing students during the COVID-19 pandemic, with quantitative, qualitative or mixed-methods design, published between 2020 and June 2022 in English or Italian. The extracted data were combined using a data-based convergent synthesis approach. Results: A total of 11 studies were selected. Four themes emerged: promoting valuable learning, challenging experiences and critical perceptions, using online learning in the future and elements affecting e-learning effectiveness. Conclusions: This review has explicit and practical recommendations for universities to make advancements in their digital systems not only for students’ use but also for teachers. 

References

Dewart G, Corcoran L, Thirsk L, Petrovic K. Nursing education in a pandemic: Academic challenges in response to COVID-19. Nurse Educ Today. 2020;92:104471. doi:10.1016/j.nedt.2020.104471.

Manuli A, Maggio MG, La Rosa G, et al. Emotional Impact of COVID-19 Pandemic on Nursing Students Receiving Distance Learning: An Explorative Study. Int J Environ Res Public Health. 2022;19(17). doi:10.3390/ijerph191710556.

Rohila J, Kapoor K, Singh J, Rohilla R, Bansal P, Chhabra P. Online medical teaching during COVID-19: Perspectives from teachers and taught. J Educ Health Promot. 2022;11:247. doi:10.4103/jehp.jehp_691_21.

Katz VS, Jordan AB, Ognyanova K. Digital inequality, faculty communication, and remote learning experiences during the COVID-19 pandemic: A survey of U.S. undergraduates. PLOS ONE. 2021;16(2):e0246641. doi:10.1371/journal.pone.0246641.

Allen IE, Seaman J. Online Report Card - Tracking Online Education in the United States. 2016.

Smith YM, Crowe AR. Nurse Educator Perceptions of the Importance of Relationship in Online Teaching and Learning. J Prof Nurs. 2017;33(1):11-9. doi:10.1016/j.profnurs.2016.06.004.

Olum R, Atulinda L, Kigozi E, et al. Medical Education and E-Learning During COVID-19 Pandemic: Awareness, Attitudes, Preferences, and Barriers Among Undergraduate Medicine and Nursing Students at Makerere University, Uganda. J Med Educ Curric Dev. doi:2020;7:2382120520973212. 10.1177/2382120520973212.

Chaabane S, Chaabna K, Bhagat S, et al. Perceived stress, stressors, and coping strategies among nursing students in the Middle East and North Africa: an overview of systematic reviews. Syst Rev. 2021;10(1):136. doi:10.1186/s13643-021-01691-9.

Zeng Y, Wang G, Xie C, Hu X, Reinhardt JD. Prevalence and correlates of depression, anxiety and symptoms of stress in vocational college nursing students from Sichuan, China: a cross-sectional study. Psychol Health Med. 2019;24(7):798-811. doi:10.1080/13548506.2019.1574358.

Bdair IA. Nursing students' and faculty members' perspectives about online learning during COVID-19 pandemic: A qualitative study. Teaching and Learning in Nursing. 2021;16(3):220-6. doi:10.1016/j.teln.2021.02.008.

Suliman WA, Abu-Moghli FA, Khalaf I, Zumot AF, Nabolsi M. Experiences of nursing students under the unprecedented abrupt online learning format forced by the national curfew due to COVID-19: A qualitative research study. Nurse Educ Today. 2021;100:104829. doi:10.1016/j.nedt.2021.104829.

Cevik M, Bakioglu B. Investigating students' E-Learning attitudes in times of crisis (COVID-19 pandemic). Educ Inf Technol (Dordr). 2022;27(1):65-87. doi:10.1007/s10639-021-10591-3.

Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi:10.1136/bmj.n71.

Lizarondo L, Stern C, Carrier J, et al. Chapter 8: Mixed methods systematic reviews. Aromataris E, Munn Z (Editors) JBI Manual for Evidence Synthesis2020.

Pluye P, Hong QN. Combining the power of stories and the power of numbers: mixed methods research and mixed studies reviews. Annu Rev Public Health. 2014;35:29-45. doi:10.1146/annurev-publhealth-032013-182440.

Tong A, Flemming K, McInnes E, Oliver S, Craig J. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol. 2012;12:181. doi:10.1186/1471-2288-12-181.

Higgins JPT, Thomas J, Chandler J, et al. Cochrane Handbook for Systematic Reviews of Interventions. 2 ed. Chichester (UK): John Wiley & Sons; 2019.

Cadorin L, Bressan V, Truccolo I, Suter N. Priorities for Cancer Research From the Viewpoints of Cancer Nurses and Cancer Patients: A Mixed-Method Systematic Review. Cancer Nurs. 2020;43(3):238-56. doi:10.1097/NCC.0000000000000776.

Hong QN, Pluye P, Bujold M, Wassef M. Convergent and sequential synthesis designs: implications for conducting and reporting systematic reviews of qualitative and quantitative evidence. Syst Rev. 2017;6(1):61. doi:10.1186/s13643-017-0454-2.

Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:45. doi:10.1186/1471-2288-8-45.

Stern C, Lizarondo L, Carrier J, et al. Methodological guidance for the conduct of mixed methods systematic reviews. JBI Evidence Synthesis. 2020;18(10):2108-18. doi:10.11124/jbisrir-d-19-00169.

Lockwood C PK, Munn Z, Rittenmeyer L, et al. Chapter 2: Systematic reviews of qualitative evidence. Aromataris E, Munn Z, editors.: JBI Manual for Evidence Synthesis; 2020. p. https://synthesismanual.jbi.global/.

Penney K, Snyder J, Crooks VA, Johnston R. Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites. BMC Med Ethics. 2011;12:17. doi:10.1186/1472-6939-12-17.

Hannah DR, Lautsch BA. Counting in Qualitative Research: Why to Conduct it, When to Avoid it, and When to Closet it. Journal of Management Inquiry. 2011;20(1):14-22. doi:10.1177/1056492610375988.

Leech NL, Onwuegbuzie AJ. An array of qualitative data analysis tools: A call for data analysis triangulation. School Psychology Quarterly. 2007;22:557-84. doi:10.1037/1045-3830.22.4.557.

Hong QN, Pluye P, Fàbregues S, et al. Mixed Methods Appraisal Tool (MMAT), version 2018. Registration of Copyright (#1148552). Canadian Intellectual Property Office, Industry Canada.; 2018.

Riviere M, Dufoort H, Van Hecke A, Vandecasteele T, Beeckman D, Verhaeghe S. Core elements of the interpersonal care relationship between nurses and older patients without cognitive impairment during their stay at the hospital: A mixed-methods systematic review. Int J Nurs Stud. 2019;92:154-72. doi:10.1016/j.ijnurstu.2019.02.004.

Bettany-Saltikov J. How to do a Systematic Literature Review in Nursing: A step-by-step guide: A Step-By-Step Guide. UK: McGraw Hill Education; 2012.

Subedi S, Nayaju S, Subedi S, Shah SK, Shah JM. Impact of E-learning during COVID-19 Pandemic among Nursing Students and Teachers of Nepal. Int. J. Health Sci. 2020;5(3):68-76.

Koirala D, Silwal M, Gurung S, Bhattarai M, Vikash Kumar K. Perception towards Online Classes during COVID-19 among Nursing Students of a Medical College of Kaski District, Nepal. J Biomed Res Environ Sci. 2020;1:249-55. doi:10.37871/jbres1151.

Diab GMAEH, Elgahsh NF. E-learning During COVID-19 Pandemic: Obstacles Faced Nursing Students and Its Effect on Their Attitudes While Applying It. Am. J. Nurs. Sci. 2020;9(4):295-309. doi:10.11648/j.ajns.20200904.33.

Salmani N, Bagheri I, Dadgari A. Iranian nursing students experiences regarding the status of e-learning during COVID-19 pandemic. PLoS One. 2022;17(2):e0263388. doi:10.1371/journal.pone.0263388.

Bester P, Smit K, De Beer M, Myburgh PH. When online learning becomes compulsory: Student nurses' adoption of information communication technology in a private nursing education institution. Curationis. 2021;44(1):e1-e9. doi:10.4102/curationis.v44i1.2152.

Sharma M, Adhikari T, Bhattarai T, Tulza KC. Education Shift During COVID-19: Students' Satisfaction with Emergency Distance Learning. J. Nurs. Educ. 2021;13(3):90-6.

Schuler MS, Tyo MB, Barnett K. Nursing student perceptions of required online educational programs utilized outside the classroom. Nurse Educ Today. 2021;105:105048. doi:10.1016/j.nedt.2021.105048.

Smith Y, Chen YJ, Warner-Stidham A. Understanding online teaching effectiveness: Nursing student and faculty perspectives. J Prof Nurs. 2021;37(5):785-94. doi:10.1016/j.profnurs.2021.05.009.

Soriano G, Oducado RM. Shifting the Education Paradigm amid the COVID 19 Pandemic: Nursing Students’ Attitude to E Learning. Africa Journal of Nursing and Midwifery. 2021;23(1):14 pages. doi:10.25159/2520-5293/8090.

Thapa P, Bhandari SL, Pathak S. Nursing students' attitude on the practice of e-learning: A cross-sectional survey amid COVID-19 in Nepal. PLoS One. 2021;16(6):e0253651. doi:10.1371/journal.pone.0253651.

Wallace S, Schuler MS, Kaulback M, Hunt K, Baker M. Nursing student experiences of remote learning during the COVID-19 pandemic. Nurs Forum. 2021;56(3):612-8. doi:10.1111/nuf.12568.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12. doi:10.1016/j.nedt.2003.10.001.

Naciri A, Radid M, Kharbach A, Chemsi G. E-learning in health professions education during the COVID-19 pandemic: a systematic review. J Educ Eval Health Prof. 2021;18:27. doi:10.3352/jeehp.2021.18.27.

Taat MS, Francis A. Factors Influencing the Students’ Acceptance of E-Learning at Teacher Education Institute: An Exploratory Study in Malaysia. International Journal of Higher Education. 2020;9:133-41. doi:10.5430/ijhe.v9n1p133.

Ramachandran K, Dinesh Kumar R. Perception of medical students about online learning in the COVID-19 era. Biomedicine. 2021;41(1):139-45. doi:10.51248/.v41i1.549.

Al-Alami ZM, Adwan SW, Alsous M. Remote learning during Covid-19 lockdown: A study on anatomy and histology education for pharmacy students in Jordan. Anat Sci Educ. 2022;15(2):249-60. doi:10.1002/ase.2165.

Oducado RMF, Estoque H. Online Learning in Nursing Education During the COVID-19 Pandemic: Stress, Satisfaction, and Academic Performance. Journal Of Nursing Practice. 2021;4(2):143-53. doi:10.30994/jnp.v4i2.128.

Salac RA, Kim YS. A Study on The Internet Connectivity in The Philippines. Asia Pacific Journal of Business Review. 2016;1(1):67-88. doi:10.20522/apjbr.2016.1.1.67.

Delungahawatta T, Dunne SS, Hyde S, et al. Advances in e-learning in undergraduate clinical medicine: a systematic review. BMC Med Educ. 2022;22(1):711. doi:10.1186/s12909-022-03773-1.

Pires C. Perceptions of Pharmacy Students on the E-Learning Strategies Adopted during the COVID-19 Pandemic: A Systematic Review. Pharmacy (Basel). 2022;10(1). doi:10.3390/pharmacy10010031.

O’Doherty D, Dromey M, Lougheed J, Hannigan A, Last J, McGrath D. Barriers and solutions to online learning in medical education – an integrative review. BMC Medical Education. 2018;18(1):130. doi:10.1186/s12909-018-1240-0.

Venugopal V, Dongre AR. Evaluation of e-learning in a department of Community Medicine as a response to COVID-19 pandemic. J Educ Health Promot. 2022;11:239. doi:10.4103/jehp.jehp_1492_21.

Rahm AK, Tollner M, Hubert MO, et al. Effects of realistic e-learning cases on students' learning motivation during COVID-19. PLoS One. 2021;16(4):e0249425. doi:10.1371/journal.pone.0249425.

Williams SN, Armitage CJ, Tampe T, Dienes K. Public perceptions and experiences of social distancing and social isolation during the COVID-19 pandemic: a UK-based focus group study. BMJ Open. 2020;10(7):e039334. doi:10.1136/bmjopen-2020-039334.

Downer T, Gray M, Capper T. Online learning and teaching approaches used in midwifery programs: A scoping review. Nurse Educ Today. 2021;103:104980. doi:10.1016/j.nedt.2021.104980.

Njenga JK, Fourie LCH. The myths about e-learning in higher education. British Journal of Educational Technology. 2010;41(2):199-212. doi:10.1111/j.1467-8535.2008.00910.x.

Downloads

Published

21-06-2024

Issue

Section

HEALTH PROFESSIONS

How to Cite

1.
Mazzotta R, Bressan V, Maurici M, Alvaro R, Bulfone G. The e-learning perceptions of nursing students during the COVID-19 pandemic: a mixed-method systematic review: Nursing students and e-learning. Acta Biomed [Internet]. 2024 Jun. 21 [cited 2024 Jul. 25];95(3):e2024118. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/15578