Educational Impact and Challenges of Online Return Demonstrations in Nursing Education: A Descriptive-Correlational Study
DOI:
https://doi.org/10.23917/ijolae.v7i1.23990Keywords:
advanced learning, challenges in online learning, digital education, educational impact, education policy, innovation in education, online learning, nursing educationAbstract
Traditionally, return demonstrations of clinical procedures in nursing education were conducted face-to-face, providing students with hands-on experience crucial for clinical practice. However, due to COVID-19 restrictions, these demonstrations have been shifted to an online or virtual mode. This study explores nursing students' perceptions of performing online return demonstrations, focusing on their educational impact and the challenges encountered. Using a descriptive-correlational design, the study involved 94 purposively selected level three and four students from Mindanao State University – Buug Campus. Data were collected through validity and reliability-tested questionnaires and analyzed using Pearson correlation. Results indicate that while students viewed online return demonstrations positively in terms of content comprehension, they faced significant challenges, including lack of equipment, environmental distractions, suboptimal devices, and time-consuming resource searches. Additionally, insufficient student-teacher interaction and individual assessment further impeded students' performance. A significant correlation (p-value < 0.05) between educational impact and the student’s year level was identified, highlighting that the student’s academic standing influenced perceptions of educational effectiveness. While return demonstrations are now resuming on a face-to-face basis, future crises may necessitate a return to online methods. Therefore, it is crucial to strengthen online teaching-learning approaches to ensure better transfer of learning in similar situations.
Downloads
References
Abbasi, S., Maleki, M., Imanipour, M., & Mardani, A. (2024). Nursing students’ experiences of teaching and learning during the COVID-19 pandemic: a systematic review and meta-synthesis of qualitative studies. In International Journal of Nursing Education Scholarship (Vol. 21, Issue 1). https://doi.org/10.1515/ijnes-2023-0094
Ahmadi, F., Shaker, H., Eterafi, M., & Kamran, A. (2023). Exploring nursing students’ perceptions from nursing role function (SP-NRF) during the COVID-19 pandemic in Ardabil Province: a cross sectional study from Iran. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01389-4
Aivaz, K. A., & Teodorescu, D. (2022). College Students’ Distractions from Learning Caused by Multitasking in Online vs. Face-to-Face Classes: A Case Study at a Public University in Romania. International Journal of Environmental Research and Public Health, 19(18). https://doi.org/10.3390/ijerph191811188
Alasmari, T. (2020). The Effect of Screen Size on Students’ Cognitive Load in Mobile Learning. JETL (Journal of Education, Teaching and Learning), 5(2). https://doi.org/10.26737/jetl.v5i2.2203
Albó, L., Hernández-Leo, D., & Moreno Oliver, V. (2019). Smartphones or laptops in the collaborative classroom? A study of video-based learning in higher education. Behaviour and Information Technology, 38(6). https://doi.org/10.1080/0144929X.2018.1549596
Angelina, J. A., Stephen, K. M., & Ipyana, M. (2021). The Impact of Low Fidelity Simulation on Nurse Competence in Active Management of Third Stage of Labor: An Intervention Study in Primary Health Care Settings in Tanzania. Clinical Simulation in Nursing, 56. https://doi.org/10.1016/j.ecns.2021.03.009
Aristovnik, A., Karampelas, K., Umek, L., & Ravšelj, D. (2023). Impact of the COVID-19 pandemic on online learning in higher education: a bibliometric analysis. Frontiers in Education, 8. https://doi.org/10.3389/feduc.2023.1225834
Asian Development Bank. (2023). Online learning during the COVID-19 pandemic: a review of student experiences in asian higher education. https://doi.org/DOI: http://dx.doi.org/10.22617/TCS230606
Asio, J. M. R., Gadia, E., Abarintos, E., Paguio, D., & Balce, M. (2021). Internet Connection and Learning Device Availability of College Students: Basis for Institutionalizing Flexible Learning in the New Normal. Studies in Humanities and Education, 2(1). https://doi.org/10.48185/she.v2i1.224
Awaludin, A., Prayitno, H. J., & Haq, M. I. (2022). Using Digital Media During the COVID-19 Pandemic Era: Good Online Program in Higher Education. Indonesian Journal on Learning and Advanced Education (IJOLAE), 5(1), 1–12. https://doi.org/10.23917/ijolae.v5i1.19574
Berdida, D. J. E., Elero, F. S. L., Donato, M. F. T., Dungo, M. K. S., Dunque, N. I. O., Dy, K. J. E., Elarmo, R. A. G. F., Espineli, J. M. B., & Espineli, V. J. G. (2023). Filipino nursing students’ use of low-cost simulators during the COVID-19 pandemic: A summative content analysis of YouTube videos. Teaching and Learning in Nursing, 18(1). https://doi.org/10.1016/j.teln.2022.08.003
Budiman, E. (2020). Mobile Data Usage on Online Learning during Covid-19 Pandemic in Higher Education. International Journal of Interactive Mobile Technologies, 14(19). https://doi.org/10.3991/ijim.v14i19.17499
Budio, R. (2015, April). Mobile User Experience: Limitations and Strengths. Nielsen Norman Group.
Cahapay, M. B. (2021). Problems Encountered by College Students in Online Assessment Amid COVID-19 Crisis: A Case Study. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3791771
Cavalcanti, A. P., Barbosa, A., Carvalho, R., Freitas, F., Tsai, Y. S., Gašević, D., & Mello, R. F. (2021). Automatic feedback in online learning environments: A systematic literature review. In Computers and Education: Artificial Intelligence (Vol. 2). https://doi.org/10.1016/j.caeai.2021.100027
Cengiz, Z., Gurdap, Z., & Işik, K. (2022). Challenges experienced by nursing students during the COVID-19 pandemic. Perspectives in Psychiatric Care, 58(1). https://doi.org/10.1111/ppc.12923
Chillemi, O., Galavotti, S., & Gui, B. (2020). The impact of data caps on mobile broadband Internet access: A welfare analysis. Information Economics and Policy, 50. https://doi.org/10.1016/j.infoecopol.2019.100843
Clarin, A. S., & Baluyos, E. L. (2022). Challenges Encountered in the Implementation of Online Distance Learning. EduLine: Journal of Education and Learning Innovation, 2(1). https://doi.org/10.35877/454ri.eduline591
Dewart, G., Corcoran, L., Thirsk, L., & Petrovic, K. (2020). Nursing education in a pandemic: Academic challenges in response to COVID-19. In Nurse Education Today (Vol. 92). https://doi.org/10.1016/j.nedt.2020.104471
Dhawan, S. (2020). Online Learning: A Panacea in the Time of COVID-19 Crisis. Journal of Educational Technology Systems, 49(1). https://doi.org/10.1177/0047239520934018
Gallego, R. I. F. (2018). Structured Mentoring Strategies: Its Correlation to the Clinical, Leadership and Research Skills of Novice Nurses. JPAIR Multidisciplinary Research. https://doi.org/10.7719/jpair.v33i1.605
Gamage, K. A. A., & Perera, E. (2021). Undergraduate Students’ Device Preferences in the Transition to Online Learning. Social Sciences, 10(8). https://doi.org/10.3390/socsci10080288
Goswami, G., Sharma, S. K., Sharma, R., & Rani, R. (2021). Simulation and skill training facilities in nursing institutes at uttarakhand: A cross-sectional study. Iranian Journal of Nursing and Midwifery Research, 26(5). https://doi.org/10.4103/ijnmr.IJNMR_325_20
Gross, G., Ling, R., Richardson, B., & Quan, N. (2023). In-Person or Virtual Training?: Comparing the Effectiveness of Community-Based Training. American Journal of Distance Education, 37(1). https://doi.org/10.1080/08923647.2022.2029090
Huang, H. M., & Fang, Y. W. (2023). Stress and Coping Strategies of Online Nursing Practicum Courses for Taiwanese Nursing Students during the COVID-19 Pandemic: A Qualitative Study. Healthcare (Switzerland), 11(14). https://doi.org/10.3390/healthcare11142053
Islam, M. T., & Habib, T. I. (2021). Barriers of Adopting Online Learning Among the University Students in Bangladesh During Covid-19. Indonesian Journal on Learning and Advanced Education (IJOLAE), 4(1), 71–91. https://doi.org/10.23917/ijolae.v4i1.15215
Jang, H. W., & Kim, K. J. (2014). Use of online clinical videos for clinical skills training for medical students: Benefits and challenges. BMC Medical Education, 14(1). https://doi.org/10.1186/1472-6920-14-56
Jarvill, M., Jenkins, S., Akman, O., Astroth, K. S., Pohl, C., & Jacobs, P. J. (2018). Effect of Simulation on Nursing Students’ Medication Administration Competence. Clinical Simulation in Nursing, 14. https://doi.org/10.1016/j.ecns.2017.08.001
Jung, D., de Gagne, J. C., Choi, E., & Lee, K. (2022). An Online International Collaborative Learning Program During the COVID-19 Pandemic for Nursing Students: Mixed Methods Study. JMIR Medical Education, 8(1). https://doi.org/10.2196/34171
Kim, S. Y., Kim, S. J., & Lee, S. H. (2021). Effects of online learning on nursing students in south korea during covid-19. International Journal of Environmental Research and Public Health, 18(16). https://doi.org/10.3390/ijerph18168506
Kimura, R., Matsunaga, M., Barroga, E., & Hayashi, N. (2023). Asynchronous e-learning with technology-enabled and enhanced training for continuing education of nurses: a scoping review. BMC Medical Education, 23(1). https://doi.org/10.1186/s12909-023-04477-w
Koukourikos, K., Tsaloglidou, A., Kourkouta, L., Papathanasiou, I. V., Iliadis, C., Fratzana, A., & Panagiotou, A. (2021). Simulation in clinical nursing education. Acta Informatica Medica, 29(1). https://doi.org/10.5455/AIM.2021.29.15-20
Kourgiantakis, T., Sewell, K. M., & Bogo, M. (2019). The Importance of Feedback in Preparing Social Work Students for Field Education. Clinical Social Work Journal, 47(1). https://doi.org/10.1007/s10615-018-0671-8
Kumar, A., Kalal, N., Rana, N., Vyas, H., Choudhary, V., & Rani, R. (2021). Online learning in nursing students: Satisfaction and barriers. Journal of Education and Health Promotion, 10(1). https://doi.org/10.4103/jehp.jehp_1221_20
Magnaye, B. P., Magnaye, J. J. A., Shane, H., Mago, C., Carmela, M., & Magpile, H. (2023). Online delivery of basic nursing skills in Related Learning Experience (RLE). Allied Health Sciences, 6(1), 20–34.
Martin, B., Kaminski-Ozturk, N., Smiley, R., Spector, N., Silvestre, J., Bowles, W., & Alexander, M. (2023). Assessing the Impact of the COVID-19 Pandemic on Nursing Education: A National Study of Prelicensure RN Programs. Journal of Nursing Regulation, 14(1). https://doi.org/10.1016/S2155-8256(23)00041-8
Miah, M. (2024). Digital Inequality: The Digital Divide and Educational Outcomes.
Mojarad, F. A., Hesamzadeh, A., & Yaghoubi, T. (2023). Exploring challenges and facilitators to E-learning based Education of nursing students during Covid-19 pandemic: a qualitative study. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01430-6
Moloney, M., Kingston, L., & Doody, O. (2020). Fourth year nursing students’ perceptions of their educational preparation in medication management: An interpretative phenomenological study. Nurse Education Today, 92. https://doi.org/10.1016/j.nedt.2020.104512
Msosa, A., Bruce, J., & Crouch, R. (2022). Qualitative perspectives of teaching and learning in clinical skills laboratories in a developing country. International Journal of Africa Nursing Sciences, 16. https://doi.org/10.1016/j.ijans.2022.100410
Pingue-Raguini, M., Abujaber, A., & Gomma, N. (2020). Students’ Level of Satisfaction in Nursing Skills Demonstration: Basis for Designing Debriefing Strategies. International Journal of Medical Research & Health Sciences, 9(11).
Rahmadi, I. F., Tanni, S. A., Chowdhury, S. A., Abrori, F. M., Putra, Y. Y., Arafatun, S. K., Utami, R. D., & Syakir, A. (2024). Navigating Emergency Online Learning: A Comparative Study of University Students in Bangladesh and Indonesia During the COVID-19 Pandemic. Indonesian Journal on Learning and Advanced Education (IJOLAE), 6(2), 269–279. https://doi.org/10.23917/ijolae.v6i2.23257
Ratih, K., Syah, M. F. J., Nurhidayat, N., Jarin, S., & Buckworth, J. (2021). Learning Patterns during the Disruptive Situation in Informal Education: Parents’ Efforts and Challenges in the Adjustment of Progressive Learning. Indonesian Journal on Learning and Advanced Education (IJOLAE), 3(3), 180–193. https://doi.org/10.23917/ijolae.v3i3.15151
Saifan, A., Devadas, B., Daradkeh, F., Abdel-Fattah, H., Aljabery, M., & Michael, L. M. (2021). Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Medical Education, 21(1), 1–11. https://doi.org/10.1186/S12909-021-02919-X/TABLES/3
Shahbaznezhad, H., Dolan, R., & Rashidirad, M. (2021). The Role of Social Media Content Format and Platform in Users’ Engagement Behavior. Journal of Interactive Marketing, 53. https://doi.org/10.1016/j.intmar.2020.05.001
Shatimwene, G. P., Ashipala, D. O., & Kamenye, E. (2020). Experiences of student nurses on the use of the two-week block system at the satellite campus of a higher education institution in Namibia. International Journal of Higher Education, 9(3). https://doi.org/10.5430/ijhe.v9n3p222
Shorey, S., Pereira, T. L. B., TEO, W. Z., Ang, E., LAU, T. C., & Samarasekera, D. D. (2022). Navigating nursing curriculum change during COVID-19 pandemic: A systematic review and meta-synthesis. In Nurse Education in Practice (Vol. 65). https://doi.org/10.1016/j.nepr.2022.103483
Spencer, S., Drescher, T., Sears, J., Scruggs, A. F., & Schreffler, J. (2019). Comparing the Efficacy of Virtual Simulation to Traditional Classroom Role-Play. Journal of Educational Computing Research, 57(7). https://doi.org/10.1177/0735633119855613
Susanti, S., Putra, R. P., Agustina, R. D., Quy, N. P., Siregar, H. S., & Silva, J. da. (2023). Exploring the Educational Landscape: The Impact of Post-Covid Online Learning on Physics Education Undergraduates’ Academic Engagement and Achievement. Indonesian Journal on Learning and Advanced Education (IJOLAE), 6(1), 86–104. https://doi.org/10.23917/ijolae.v6i1.22179
Tathahira, T. (2020). Promoting students’ critical thinking through online learning in higher education: Challenges and strategies. Englisia: Journal of Language, Education, and Humanities, 8(1). https://doi.org/10.22373/ej.v8i1.6636
Uzelli, D., & Sari, D. (2018). Nursing Students’ Opinions About the Low and High Fidelity Simulation Method Used in Psychomotor Skills Teaching the Effect of Clinical Skills Levels. Turkiye Klinikleri Journal of Nursing Sciences, 10(3). https://doi.org/10.5336/nurses.2017-58851
Van Der Wege, M., & Keil, S. (2021). Homemade virtual clinical: A low-cost, high-impact solution for clinical. Teaching and Learning in Nursing, 16(4). https://doi.org/10.1016/j.teln.2021.02.005
Vogels, E. A. (2021). Digital divide persists even as Americans with lower incomes make gains in tech adoption. Pew Research Center.
Wang, C. (2022). Comprehensively Summarizing What Distracts Students from Online Learning: A Literature Review. In Human Behavior and Emerging Technologies (Vol. 2022). https://doi.org/10.1155/2022/1483531
Zulu, B. M., du Plessis, E., & Koen, M. P. (2021). Experiences of nursing students regarding clinical placement and support in primary healthcare clinics: Strengthening resilience. Health SA Gesondheid, 26. https://doi.org/10.4102/hsag.v26i0.1615
Submitted
Published
Issue
Section
License
Copyright (c) 2025 Marjorie D. Coronel, Riena D. Conde, Hezil M. Cagandahan, Fatma D. Datumama, Randy Ian Ferenal Gallego
This work is licensed under a Creative Commons Attribution 4.0 International License.
