Online Learning Efficacy Research Database

Background: Blended learning is a relatively new educational approach that has been introduced into higher education in Palestine. While it has many advantages, there is no empirical evidence, nor any case studies from Palestine to support the use of blended learning over traditional classroom.
Objectives: To compare students’ learning outcomes, learning perceptions of their educational environment, and satisfaction of blended learning versus traditional classroom. Design: A quasi-experimental study.
Setting: A public university in Palestine. Participants: 102 Bachelor of Science in nursing students enrolled on the maternal health course.
Methods: Students freely chose to register for the blended teaching section (49 students) or traditional classroom (53 students), then the teaching method for each section was assigned. Student demographics, course component grades, perceptions of the educational environment, measured by the Arabic version of Dundee Ready Education Environment Measurement (DREEM) inventory, and degree of satisfaction were collected in this study. Descriptive statistics and the Independent Sample t-test were used to analyze the data.
Results: The sample included 49 students in the blended teaching section and 53 students in the traditional section. Overall DREEM scores, Student Perceptions of Learning, and Student Perceptions of Teachers were significantly higher for students taught with the blended method compared to traditional classroom settings. The total DREEM scores were between 101 and 151 for both sections, indicating that all students, regardless of teaching method, had more positive than negative perceptions of their educational environment. Moreover, there was no significant difference in scores and total course GPA (Grade Point Average), both with and without assignment grades, or between blended and traditional learning in first, second and final exams. However, students taught with the blended format scored significantly higher in assignments than students taught the traditional classroom.
Conclusions: Blended learning can be a useful educational approach in nursing education and Palestinian universities may consider using it for nursing courses. 
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Aim: The aim of this study was to investigate the effectiveness of blended learning with a flipped classroom design on student academic achievement in a Bachelor of Science in Nursing course.
Design: A quasi-experimental study.
Method: Students were split into an experimental blended learning with a flipped classroom design group and a control group using the traditional, teacher-centred learning method. Data were collected during spring 2018 (13.3 weeks) and student's grades for the registered course and their grade point average (GPA) were recorded.
Results: Findings showed statistically significant increases in student grades in the experimental group. Predictability calculations also showed better achievement of learning outcomes if a blended learning with a flipped classroom design is continued to be used in the future. 
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An estimate of about 26 million individuals across the world are affected by Heart Failure. There is a necessity of using e-learning in Nursing profession, because nurses need access to updated information on diseases, treatments and new skills. The purpose of the study was to find out the effectiveness of Blended learning on Nursing Students' learning outcomes regarding management of cardiac disorders. A True-Experimental study was conducted among 40 nursing students. The results revealed that mean post-test knowledge and skills scores in Blended learning group were not significantly higher than Conventional learning group. Further, mean post-test clinical decision-making scores in Blended learning group were significantly higher than the Conventional learning group. Conclusion: Blended Learning was effective in improving the learning outcomes of Nursing Students in terms of Critical Decision-making. There was a favourable attitude of Nursing Students towards Blended Learning. 
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Pain is a common experience for hospitalized children; however, nursing students are often not adequately trained in pediatric pain management. Innovative teaching strategies, such as e-learning, have been employed for instructing students, however success of these platforms has not been quantitatively measured. This study compared students' knowledge and skill performance following a researcher-designed pain management program administered with three teaching strategies: traditional face-to-face, e-learning, or blended learning. Undergraduate nursing students in Taiwan (N = 296) randomly assigned to one of the teaching strategies participated. Knowledge of pain management, and pain management skills were quantified. A subjective assessment of attitudes towards learning found no significant difference between groups. Knowledge of pediatric pain management did not differ significantly between groups (p = 0.36). A 15-item objective structured clinical examination (OSCE) measured the competency of pain management skills; scores were not significantly different, regardless of teaching strategy (p = 0.70). Traditional face-to-face teaching was as effective as both innovative strategies. Evaluating students’ skills following a pain management program with an OSCE provided a quantitative assessment of competency. Innovative strategies for teaching pediatric pain management could be a cost-effective way to provide flexible learning opportunities for nursing students who are distant from educational institutions. 
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With the proliferation of internet technology, the E-learning has become an essential method and new epitome that is widely used and implemented by educational institutions across the globe. The main objective of the current survey was to study the impact of E-learning on the students' academic performance. It was a facility-based and quasi-experimental research design that carried out in Najran University- college of nursing during the period from January to August 2019. By adopting a purposive sampling technique, 80 under-graduate nursing students (40 experimental groups + 40 as controls) that aged 21-24 years old had been recruited to participate in the current survey. Final exam results and a self-administered questionnaire were used for collecting data. The findings revealed that the mean scores obtained by students in the final exam by the E-learning group (Experimental) is statistically significantly higher than those for the traditional group (controls) (t=3.45, df=37, P value= 0.002). Additionally, the results showed that the mean of the students' overall satisfaction with the traditional face-to-face lectures in the control group was 6.26, while the mean of the students' overall satisfaction with E-learning in the experimental group was 8.74. The difference between students' attitudes was significant (P = 0.015) in favor of the experimental group. The key findings of the present study show a significant difference in learning outcomes besides positive attitudes between online and traditional learners which can be a viable alternative learning method for higher education. It also contributes to the current literature in the area of online instruction and E-learning. 
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Flipped classroom models allocate more time for active learning approaches compared with more traditional pedagogies, however what is less clear with the utilisation of flipped learning is evidence to support whether students in flipped classes are given more opportunities to develop higher order thinking skills (HOTs) to effect deep learning compared with the traditional ways of teaching. Focussing on this gap, this study compares on campus and off campus student engagement in two courses using different deliveries: online face-to-face (f2f) mixed mode (on campus students attend traditional f2f on campus classes and off campus students study exclusively online) versus fully online mode, utilising flipped classes (all student study off campus engaging in flipped virtual classes). Final course grades were similar for both deliveries; however, the study suggests flipped classes offered students more opportunities to develop HOTs and engage more deeply in the learning process. Students’ evaluations of the online flipped delivery were mixed, with those students previously enrolled exclusively as on campus, particularly dissatisfied with fully online delivery and virtual class tutor experience. Recommendations are made concerning both the timing of the introduction of fully online delivery in a program and the need for continual up-skilling of staff who teach in online environments. 
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Online education has become increasingly popular for providing learning experiences in all disciplines. Despite continued evidence that online learning is at least equivalent to traditional methods, some educators are reluctant to embrace online educational offerings. This study evaluated whether an online class provided within an otherwise traditional face-to-face (F2F) nurse anesthesia curriculum would produce comparable learning outcomes and be accepted by students as an alternative learning format. A F2F lecture format for teaching 12 lead EKG interpretation was compared with similar course materials provided in an asynchronous, self-paced, online narrated video format. A pretest/posttest design was used to evaluate concept knowledge change and an analytical skills examination (ASE) determined student ability to accurately interpret EKG readings. The variables of satisfaction, attitude toward online learning, and student time were also evaluated. Knowledge and analytical skill acquisition were comparable in both groups and satisfaction was equally good with both delivery methods. The student's attitudes concerning online instruction improved after exposure to the online method of teaching. These findings indicate that similar online activities can be successfully incorporated into a Nurse Anesthesia curriculum while maintaining learning outcomes and satisfaction. 
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Background
Generation Y students have a strong preference for technology that has caused educators to re-evaluate their instructional techniques. Limited published literature exists evaluating the benefits of electronic lecture delivery to students enrolled within nursing degree programs, with no publications to date comparing traditional to blended learning modalities.

Objectives
To retrospectively compare student outcomes, including overall course grade and individual examination scores, between two cohorts of students utilizing two distinctly different methods of lecture delivery, traditional and blended.

Methods
IRB approval was granted to retrospectively compare student outcomes from fifty-two students enrolled within Northeastern University's Master of Science Nurse Practitioner degree program. A total of 23 students were enrolled in the traditional section taught in 2010 and 29 students were enrolled in the blended section taught in 2011. Student's t-test was used to compare studied outcomes between each section. A p-value of = 0.05 was considered to be statistically significant.

Results
The students enrolled within blended course scored statistically significantly higher than their counterparts within the traditional course for three of the four studied outcomes, including overall course score.

Conclusions
This study demonstrates that nursing students enrolled within a more technologically advanced course may have improved performance over students enrolled in courses with traditional lecture styles given their generational preferences for learning. 
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This study examined the effects of a Web-based teaching method (versus a traditional lecture method) on undergraduate nursing students' learning of electrocardiography (ECG). The Web-based learning program was developed by the authors and implemented for 4 weeks. The study used a pretest-posttest experimental design. A total of 105 senior nursing students were recruited at a university in Korea. Fifty-four students were assigned to an experimental group in 2002, and 51 were assigned to a control group in 2003. Knowledge about ECG among students in the Web-based group was significantly lower than that of students in the control group (p < .01). Conversely, the ability to interpret ECG recordings was significantly higher among students in the Web-based group (p < .05). No significant differences were found between the two groups in level of motivation or satisfaction with learning. The self-directed, Web-based ECG learning program appears to be effective in helping nursing students to interpret ECG recordings. 
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