Experiences of nursing students under the unprecedented abrupt online learning format forced by the national curfew due to COVID-19: A qualitative research study

Wafika A Suliman, Fathieh A Abu-Moghli, Inaam Khalaf, Arwa F Zumot, Manar Nabolsi, Wafika A Suliman, Fathieh A Abu-Moghli, Inaam Khalaf, Arwa F Zumot, Manar Nabolsi

Abstract

Background: The unprecedented abrupt shift to remote online learning (OL) within the context of the national lockdown due to the 2019 coronavirus disease (COVID-19) highlights the importance of addressing students' preparedness in managing their first experiences with OL.

Purpose: To investigate the experiences of undergraduate nursing students during their first uses of OL to increase the understanding of their encountered opportunities and challenges.

Design: A descriptive qualitative design guided by a phenomenological approach was used.

Methods: The study used a purposive sampling technique to recruit 18 undergraduate nursing students from two universities. Data were collected using two focus group discussions, and the discussions with participants were audio/video recorded through the online platform Zoom due to the national imposed curfew. Content analysis employed Colaizzi's steps to derive the themes/categories.

Results: The study revealed four themes: experience of helplessness, burdens, and burnout; the need for social and technical support to manage OL; the propensity to consider OL as a positive opportunity; and the deficiency of OL in fulfilling the educational outcomes of clinical courses.

Conclusions: Abrupt remote OL was a challenge to clinical encounters. This format was very stressful; however, it was also useful. The current study highlighted the need for further research on the effectiveness of remote OL platforms in regard to the achievement of the intended learning outcomes of clinical courses.

Keywords: Abrupt online learning; COVID-19; Experience; Jordan; Nursing students.

Conflict of interest statement

The authors have no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Copyright © 2021 Elsevier Ltd. All rights reserved.

References

    1. Abidah A., Hidaayatullaah H., Simamora R., Fehabutar D., Mutakinati L. The impact of Covid-19 to Indonesian education and its relation to the philosophy of “Merdeka Belajar”. Studies in Philosophy of Science and Education (SiPoSE) 2020;1(1):38–49.
    1. Al-Okaily M., Alqudahc H., Matar A., Lutfi A., Taamneha A. Dataset on the acceptance of e-learning system among universities students’ under the COVID-19 pandemic conditions. Data in Brief. 2020;32:106176. doi: 10.1016/j.dib.2020.106176.
    1. 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(10):1311–1323. doi: 10.1016/j.nedt.2013.05.002.
    1. Chen K.S., Monrouxe L., Lu Y.H, Jenq C.C, Chang Y.J., Chang Y.C., et al. Academic outcomes of flipped classroom learning: a meta-analysis. Med Educ. 2018;52(9):910–924.
    1. Chick R.C., Clifton G.T., Peace K.M., Propper B.W., Hale D.F., Alseidi A.A., Vreeland T.J. Using technology to maintain the education of residents during the COVID-19 pandemic. Journal of Surgical Education. 2020;77(4):729–732. doi: 10.1016/j.jsurg.2020.03.018.
    1. Chu T.L., Wang J., Monrouxe L., Sung Y.C., Kuo C.L., Ho L.H., Lin Y.E. The effects of the flipped classroom in teaching evidence based nursing: a quasi-experimental study. PloS one. 2019;14(1)
    1. Clark K.R. The effects of the flipped model of instruction on student engagement and performance in the secondary mathematics classroom. Journal of Educators Online. 2015;12(1):91–115.
    1. Crawford J., Henderson K., Rudolph J., Malkawi B., Glowatz M., Burton R., Magni P., Lam S. COVID-19: 20 countries’ higher education intra-period digital pedagogy responses. Journal of Applied Learning & Teaching. 2020;3(1) Available at:
    1. Creswell J. 3rd ed. Sage publication; 2013. Qualitative Inquiry and Research Design.
    1. Dost S., Hossain A., Shehab M., Abdelwahed A., Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open. 2020;10 doi: 10.1136/bmjopen-2020-042378.
    1. Global Aviation Training (GAT) Taxonomy to Assist in the Identification of Instructional Methods (E-learning, Classroom and Blended Training) 2016.
    1. Goh P.S., Sandars J. A vision of the use of technology in medical education after the COVID-19 pandemic. MedEdPublish. 2020;9 doi: 10.15694/mep.2020.000049.1.
    1. Green R.D., Schlairet M.C. Moving toward heutagogical learning: illuminating undergraduate nursing students’ experiences in a flipped classroom. Nurse Educ. Today. 2017;49:122–128. doi: 10.1016/j.nedt.2016.11.016.
    1. Hart C. Factors associated with student persistence in an online program of study: a review of the literature. Journal of Interactive Online Learning. 2012;11(1):19–42.
    1. Hew K.F., Lo C.K. Flipped classroom improves student learning in health professions education: a meta-analysis. BMC medical education. 2018;18(1):38. doi: 10.1186/s12909-018-1144-z.
    1. Jayasekara RS. Focus groups in nursing research: methodological perspectives. Nurs Outlook. 2012;60(6):411–416. doi: 10.1016/j.outlook.2012.02.001.
    1. Juniarta, Eka N., Sitanggang Y. Nursing students’ learning experiences in an online learning course. Nursing Current. 2018;6(1):43–49. doi: 10.19166/nc.v6i1.1285.
    1. Kenny A. Online learning: enhancing nurse education? J. Adv. Nurs. 2002;38(2) doi: 10.1046/j.1365-2648.2002.02156.
    1. Khalil R., Mansour A.E., Fadda W.A., et al. The sudden transition to synchronized online learning during the COVID-19 pandemic in Saudi Arabia: a qualitative study exploring medical students’ perspectives. BMC Med Educ. 2020;20:285. doi: 10.1186/s12909-020-02208-z.
    1. Kolb D.A., Rubin I.M., McIntyre J.M. 2nd ed. Prentice-Hall; Englewood Cliffs, N.J.: 1974. Organizational Psychology: An Experiential Approach.
    1. Lawson T. Empowerment in education: liberation, governance or a distraction? A review. Power and Education. 2011;3(2)
    1. Lee Y.H., Kim K.J. Enhancement of student perceptions of learner-centeredness and community of inquiry in flipped classrooms. BMC medical education. 2018;18(1):242. doi: 10.1186/s12909-018-1347-3.
    1. Lo C.K., Hew K.F. Critical review of flipped classroom challenges in K-12 education: possible solutions and recommendations for future research. Res. Pract. Technol. Enhanc. Learn. 2017;12(4) doi: 10.1186/s41039-016-0044-2.
    1. Manning R., Cohen M., DeMichiell R. Distance learning: step by step. J. Inf. Technol. Educ. 2003;2:115–130. Retrieved from.
    1. McCutcheon K., Lohan M., Traynor M., Martin D. A systematic review evaluating the impact of online or blended learning vs. face-to-face learning of clinical skills in undergraduate nurse education. J. Adv. Nurs. 2015;71(2):255–270.
    1. Mishra K., Boland M.V., Woreta F.A. Incorporating a virtual curriculum into ophthalmology education in the coronavirus disease-2019 era. Curr. Opin. Ophthalmol. 2020;31(5):380–385. doi: 10.1097/ICU.0000000000000681.
    1. Park M., Jeong M., Lee M., Cullen L. Web-based experiential learning strategies to enhance the evidence-based-practice competence of undergraduate nursing students. Nurse Educ. Today. 2020;91:104466. doi: 10.1016/j.nedt.2020.104466.
    1. Ramos-Morcillo A.J., Leal-Costa C., Moral-García J.E. Experiences of nursing students during the abrupt change from face-to-face to e-learning education during the first month of confinement due to COVID-19 in Spain. Int. J. Environ. Res. Public Health. 2020;17(15):5519. doi: 10.3390/ijerph17155519.
    1. Raymond A., Jacob E., Jacob D., Lyons J. Peer learning a pedagogical approach to enhance online learning: a qualitative exploration. Nurse Educ. Today. 2016;44:165–169. doi: 10.1016/j.nedt.2016.05.016.
    1. Rizun M., Strzelecki A. Students’ acceptance of the COVID-19 impact on shifting higher education to distance learning in Poland. Int. J. Environ. Res. Public Health. 2020;17(18):6468. doi: 10.3390/ijerph17186468.
    1. Rose S. American Medical Association; 2020. Medical Student Education in the Time of COVID-19. (Available at: file:///C:/Users/User/Downloads/jama_rose_2020_vp_200069.pdf)
    1. Sentiment P. Analysis on synchronous online delivery of instruction due to extreme community quarantine in the Philippines caused by COVID-19 pandemic. Asian Journal of Multidisciplinary Studies. 2020;3(1)
    1. Shorey S., Siew A.L., Ang E. Experiences of nursing undergraduates on a redesigned blended communication module: a descriptive qualitative study. Nurse Educ. Today. 2018;61:77–82. doi: 10.1016/j.nedt.2017.11.012.
    1. Sneed O. Arizona State University; 2016. Integrating technology with Bloom's taxonomy. Available at:
    1. Speziale H., Carpenter D. In: Qualitative Research in Nursing. Streubert H.J., Carpenter D.R., editors. Lippincott Williams & Wilkins; Philadelphia, PA: 2007. The conduct of qualitative research: common essential elements; pp. 19–33.
    1. Stevens C.J., Horrigan J., Heale R., Koren I. Northeastern Ontario nurses’ perceptions of e-learning: an interpretive description. Nurse Educ. Today. 2020;92:104509. doi: 10.1016/j.nedt.2020.104509.
    1. Tang A., Wong N., Wong N. Learning experience of Chinese nursing students in an online clinical English course: qualitative study. Nurse Educ. Today. 2015;35(2):e61–e66. doi: 10.1016/j.nedt.2014.11.017.
    1. Telford M., Senior E. Healthcare students’ experiences when integrating e-learning and flipped classroom instructional approaches. British Journal of Nursing. 2017;26(11):617–622. doi: 10.12968/bjon.2017.26.11.617.
    1. The Jordan Times Higher Education Ministry discusses educational platforms. 2020. Retrieved March 26, 2020 from:
    1. Wang Y. Could a mobile-assisted learning system support flipped classrooms for classical Chinese learning? J. Comput. Assist. Learn. 2016;32:391–415. doi: 10.1111/jcal.12141.
    1. World Health Organization . World Health Organization; 2020. Novel Coronavirus (2019-nCoV): Situation Report; p. 12.

Source: PubMed

3
Abonneren