The Effectiveness of the Real-case Online-based Learning on Nursing Care Plan Self-efficacy

Abstract

BACKGROUND: Online learning has become a new thing that is adapted and supports the learning process, including in nursing education during the COVID-19 pandemic. However, various studies report that there are limitations to conduct the online learning. AIM: The objective of the study was to identify the effectiveness of the real-case online-based learning in understanding the nursing care plan process and, self-efficacy from the students’ perspective. METHODS: Mix methods; explanatory sequential designs. One-hundred and fifty-seven respondents participated in the quantitative approach (64 students in the intervention group and, 93 students in the control group). Six students among the quantitative approach were participated in the qualitative approach. Mann-Whitney’s statistical approach was used for the quantitative approach, while Colaizzi’s method of data analysis was used for the qualitative approach. RESULTS: There was no significant difference between the control and treatment groups in the nursing care plan (p = 0.13) and student self-efficacy (p = 0.45). In addition, there were five themes identified by the students’ perspectives regarding the real case online learning, including; 1) opinions on learning, 2) the feelings experienced during the learning, 3) learning benefits, 4) learning barriers, and 5) expectations of learning. CONCLUSION: The real case online learning provides a different atmosphere including more interesting class, interactive interaction with the patients directly and providing positive experience for the students in the form of seeing the real cases online. The infrastructure/facilities (internet availability and stability) are important factors in the online learning process. The real case online learning is recommended as an alternative of learning that is more interesting and interactive involving the patients, students, and direct supervisors. Further research on the learning process of nursing care with a mixed system; limited offline and online cases with real, comprehensive, and interdisciplinary approaches are recommended.