E-learning Research Articles

Evaluating Virtual Reality Patient Education in Cardiac Surgery: Impact on Preoperative Anxiety and Postoperative Patient Satisfaction

Background/Objectives: Preoperative anxiety in cardiac surgery patients can adversely affect mental well-being and postoperative outcomes. Virtual reality (VR) patient education has been proposed as a novel method to enhance patient education and potentially reduce preoperative anxiety. The VR Patient Journey Trial aimed to evaluate the impact of VR patient education on preoperative anxiety and patient satisfaction compared to traditional education methods. Methods: This randomized controlled trial included 121 patients undergoing cardiac surgery. Participants were randomized to receive either VR patient education (intervention group) or traditional education (control group). Preoperative anxiety was measured using the State–Trait Anxiety Inventory (STAI) and the Amsterdam Preoperative Anxiety and Information scale (APAIS). Patient satisfaction was assessed postoperatively through a custom questionnaire. Statistical analyses included linear regression and non-parametric testing. Results: Neither STAI nor APAIS scores showed differences in preoperative anxiety between both groups. However, the intervention group reported significantly higher patient satisfaction with the information provided (median score 9 vs. 8; p < 0.001). Furthermore, women reported higher levels of anxiety than men (p = 0.01), and open-ended feedback from participants indicated a need for more detailed information on postoperative rehabilitation and potential risks. Conclusions: The VR Patient Journey Trial revealed that, although VR patient education did not significantly reduce preoperative anxiety levels, it significantly improved patient satisfaction with the information provided. These results suggest that VR patient education can be a valuable addition to preoperative patient programs.

Entrepreneurship education and digital transformation, opportunities and challenges in Indonesia

This article explores the landscape of entrepreneurship education in Indonesia amid the wave of digital transformation. The research method uses Systematic Literature Review (SLR) to review research results sourced from journals indexed in Sinta or nationally accredited journals in Indonesia which can be accessed on Google Scholar. The conclusion, (i) Digital transformation-based entrepreneurship education creates a new learning model in colleges with the aim of developing entrepreneurial attitudes and values among young people, especially students, so as to produce entrepreneurial intentions. (ii) Higher education as an entrepreneur education provider must follow the progress of digital transformation in the teaching process of entrepreneurship education so that digital literacy among lecturers and students is getting better. (iii) The participation of stakeholders, the Government, college and the business world, is expected to provide support in policy making, especially curriculum changes in accordance with current circumstances in creating new business actors or entrepreneurial intentions.

Toward a whole-of-virtual school framework for promoting student physical activity: a scoping review protocol

BackgroundThe advent of full-time virtual schooling presents unique challenges and opportunities for the promotion of physical activity (PA) among children and adolescents. Despite the recognized benefits of PA as an essential component for combating non-communicable diseases and ensuring holistic development, there is a notable gap in understanding how to effectively integrate PA within the digital learning environments of full-time virtual schools. Current efforts to promote student PA are targeted for implementation exclusively in contexts characterized by physical school campuses that are bound to their surrounding local communities. This is problematic given the digital, widely distributed, and contextually unmoored nature of virtual schooling. Our aim in this scoping review is to advance research on whole-of-school physical activity promotion within full-time virtual schools by examining the published literature on whole-of-school PA promotion within full-time virtual schools. Specifically, this review will map the literature, consolidate knowledge claims and practical implications, and identify evidence gaps that merit further investigation.Methods/designThis review will be conducted using evidence-informed scoping review methodology and reporting guidelines. Articles will be included if they are peer-reviewed English-language research, commentary, practical, or grey literature and relate to the participation, support, design, development, and/or provision of remote online PA interventions delivered through primary/elementary and/or secondary/middle school/high schools. Searches will be conducted in PsycInfo, ERIC, SportDiscus, and Web of Science. Additional hand-searching, reference scans, and grey literature searches will also be performed. Two trained research assistants will independently complete study screening and selection and data charting with guidance from a senior author. Charted data will be displayed in table form, and depending on the results, data will also be synthesized through qualitative content analysis using the Active Schools guiding framework as an analytical and interpretive lens.DiscussionThis scoping review will serve as a guidepost for the application and advancement of research on whole-of-school PA promotion through full-time virtual schools. The results will address the increased importance of equitable online learning and PA promotion due to the expanding virtual education landscape, with implications for public health and education policy.Systematic review registrationOpen Science Framework: https://osf.io/f6wau/.

Model Construction of College Engineering Drawing Teaching System Based on Artificial Intelligence Network Technology

The integration of artificial intelligence (AI) in education, particularly in engineering drawing courses, enhances content richness and engagement, stimulating student enthusiasm and improving teaching quality. This paper examines the design of a multimedia teaching system incorporating virtual reality (VR) for engineering drawing. Key technologies such as graphics processing, 3D modeling, and dynamic databases are researched. Tools like Dreamweaver, Fireworks, SolidWorks, and 3DS MAX are used to create and integrate 3D models into web pages, forming a 3D model library. This library provides a flexible, content-rich, online learning environment that promotes self-study, enhances spatial imagination, and improves the quality of engineering drawing education. Establishing a virtual model library supports multimedia teaching and replaces traditional physical model rooms.

Impact of Online Learning Platforms in Enhancing Employees' Skills and Knowledge in Academia

Abstract: The study investigates the impact of online learning platforms like Coursera and NPTEL on enhancing educators' skills and knowledge in academia. With digital transformation accelerating post-COVID-19, platforms offer flexibility for professional development, yet challenges persist. The study, conducted through a survey of 73 educators in Bengaluru, uses quantitative and descriptive methods, applying statistical tools like Correlation, Chi-Square tests, and ANOVA to assess platform effectiveness. Key findings reveal that platforms like LinkedIn Learning and Udemy are popular, but balancing work and learning is a challenge for many. While educators appreciate the flexibility, 56.2% express dissatisfaction with the long-term career growth and skill development offered by these platforms. The study highlights the need for better interactive features, practical learning opportunities, and improvements in course content to support effective professional growth in academia. In conclusion, while online platforms provide valuable resources, they must address these gaps to fully meet educators' needs for continuous upskilling

국내 간호대학생의 핵심간호술 교육 중재의 효과: 체계적 고찰

Objectives This study systematically reviewed the effectiveness of core nursing skill training intervention programs for nursing students in Korea. Methods Literature searches were conducted using the databases RISS, KISS, DBpia, and KCI for papers published up to June 2024, with the keyword ‘core nursing skills’. A total of 130 papers were identified, and ultimately, 14 papers were selected for the literature review. Results The literature review revealed that among the research designs, 1 was randomized and 13 were nonrandomized. Core nursing skill training interventions included studies using various methods of retraining and evaluation (10 papers) and studies using various methods of self-practice and evaluation (4 papers). Retraining and evaluation methods included traditional retraining, STEPS Model retraining, senior mentoring retraining, multimedia retraining, and online learning retraining, while self-practice and evaluation methods included traditional self-practice, scenario-based self-practice, Virtual Reality-based self-practice, and self-observation methods. The most frequently applied core nursing skill was subcutaneous injection, appearing in 10 studies, followed by vital signs measurement, intramuscular injection, intermittent gastric tube feeding, and foley catheterization, each appearing in 8 studies. Outcome variables of core nursing skill training programs showed significant effects on confidence in performance (9 papers), clinical performance ability (4 papers), self-efficacy (3 papers), and knowledge (3 papers). Conclusions Korean nursing colleges have researched various intervention programs to achieve core nursing skill competency levels in accordance with the Nursing Education Evaluation Criteria. These programs have shown significant effects on performance confidence, clinical performance ability, and self-efficacy. Therefore, there is a need to develop and utilize diverse intervention programs to enhance learning motivation and satisfaction among nursing students.

Comparative Study of Semi-Active Control Effectiveness of Structures on Soft Soil Using MR Damper: Shaking Table Investigation

The effect of soil-structure interaction (SSI) cannot be neglected in semi-active vibration control of structures located on soft soil. To investigate the mitigating effect of magnetorheological (MR) damper on the semi-active control of structures considering the SSI, shaking table tests were conducted to evaluate the performance of the MR damper-based semi-active control system for structures on soft soil. In addition to a novel fuzzy control method based on online learning deep neural network (OL-DFNN), various control strategies, including passive OFF, passive ON, ON–OFF and deep neural network fuzzy control (DFNN) were systematically evaluated. The test results showed that the OL-DFNN control method exhibited superior adaptability to varying ground motion and structural dynamic characteristics compared to the other control methods. In particular, the OL-DFNN controller effectively mitigated the peak displacement and root mean square displacement, outperforming the passive OFF, passive ON, ON–OFF and DFNN control strategies. The test results highlight the effectiveness of the OL-DFNN control method in addressing the challenges posed by dynamic and time-varying characteristics in structural vibration control systems considering SSI.

The development of elema 2.0 for the invertebrate zoology course on the phylum arthropoda topic

Currently, technology has become an inseparable part of education and learning. Various digital learning tools have been developed and widely used in the classroom. eLEMA (electronic learning materials) was developed as a mobile application that supports learning in the Invertebrate Zoology courses at the Biology Education Program, University of Palangka Raya. At that time, eLEMA was developed to meet the need for electronic learning materials for online learning during the COVID-19 pandemic. Along with the rapid development of technology in recent years, eLEMA needs to be developed further for updates. This research aims to develop eLEMA 2.0 for the Invertebrate Zoology course. This study is a research and development (R & D) using Hannafin & Peck development model to develop eLEMA 2.0 for the Invertebrate Zoology course on the Phylum Arthropoda topic. The development product is the eLEMA 2.0 application for lectures on the Phylum Arthropoda topic in the Invertebrate Zoology course with improvements to the user interface and additional features that support participatory learning and student-centered learning. The results of trials and validation show that all pages and content in this application were successfully opened without any disturbing errors. These results indicate that the development product is feasible to be implemented in the classroom.

A framework for generating recommendations based on trust in an informal e-learning environment

Rapid advancement in information technology promotes the growth of new online learning communities in an e-learning environment that overloads information and data sharing. When a new learner asks a question, how a system recommends the answer is the problem of the learner’s cold start. In this article, our contributions are: (i) We proposed a Trust-aware Deep Neural Recommendation (TDNR) framework that addresses learner cold-start issues in informal e-learning by modeling complex nonlinear relationships. (ii) We utilized latent Dirichlet allocation for tag modeling, assigning tag categories to newly posted questions and ranking experts related to specific tags for active questioners based on hub and authority scores. (iii) We enhanced recommendation accuracy in the TDNR model by introducing a degree of trust between questioners and responders. (iv) We incorporated the questioner-responder relational graph, derived from structural preference information, into our proposed model. We evaluated the proposed model on the Stack Overflow dataset using mean absolute precision (MAP), root mean squared error (RMSE), and F-measure metrics. Our significant findings are that TDNR is a hybrid approach that provides more accurate recommendations compared to rating-based and social-trust-based approaches, the proposed model can facilitate the formation of informal e-learning communities, and experiments show that TDNR outperforms the competing methods by an improved margin. The model’s robustness, demonstrated by superior MAE, RMSE, and F-measure metrics, makes it a reliable solution for addressing information overload and user sparsity in Stack Overflow. By accurately modeling complex relationships and incorporating trust degrees, TDNR provides more relevant and personalized recommendations, even in cold-start scenarios. This enhances user experience by facilitating the formation of supportive learning communities and ensuring new learners receive accurate recommendations.

Exploring links between visuospatial ability and anatomy learning in education: A bibliometric analysis and scientific mapping

The field of medical education faces a significant challenge in teaching human anatomy, a fundamental aspect of medical science that is often perceived as complex and demanding. Understanding the shapes and anatomical structure locations is crucial for students to master the intricacies of anatomy. Visuospatial ability, which involves comprehending three-dimensional structures and their spatial relationships, plays a pivotal role in anatomy learning. The aim of this study was to examine keywords, territories/countries, the number of publications, institutions, authors, and associated journals related to visuospatial ability in anatomy learning through extensive bibliometric analysis. Data were gathered from the Scopus database, and VOSviewer was employed to conduct a bibliometric analysis. Approximately 552 eligible articles were examined in their entirety. The findings indicated that the most significant research growth occurred in 2012, with the United States of America emerging as the leading country in the field. Furthermore, Anatomical Science Education was recognized as the most esteemed journal in this field, with Wilson, T.D. being credited as the most influential author. The bibliometric data also demonstrated various approaches to improve visuospatial capacity in anatomy learning, such as utilizing virtual reality or other computer-assisted learning modalities and their integration into medical education practice. In conclusion, these findings highlight the critical role of visuospatial ability in facilitating the acquisition of anatomical knowledge and offer direction for future research in this area.

Tools for effective patient education to manage outcome expectations in paediatric facial reanimation: a systematic review

Aim: Informed consent for paediatric facial reanimation requires effective patient/parent education and involvement in a shared decision-making (SDM) process to help set their expectations and understanding from the outset. No article in the current literature has systematically reviewed the available tools for facilitating effective patient/parent education and the validity of informed consent in the context of paediatric facial reanimation. Methods: A systematic literature review was undertaken, following the Preferred Reporting Items of Systematic Reviews and Meta-analyses (PRISMA) 2020 guidelines. MEDLINE via PubMed, Embase and Cochrane Library were searched and the results screened and reviewed in accordance with pre-defined inclusion and exclusion criteria. Results: The initial search yielded 478 articles, of which only 4 fulfilled the study’s inclusion criteria. One cohort study evaluated qualitative feedback from patients and their relatives participating in a family education and support day for paediatric facial palsy, while another article from the same group reviewed the readability of online education resources. The remaining two articles represented educational reviews focusing on treatment and patient education based on expert opinion without providing original outcome data. Conclusion: There is a paucity of evidence regarding patient/parent education to support the informed consent process for children undergoing paediatric facial reanimation. There remains a need for further resources and platforms to be developed that may support children and their parents in engaging in a SDM process, setting appropriate expectations, and providing valid informed consent for their surgery.

Critical Discourse Analysis of Smart Learning Advertisements Targeted at Young Children: Advertising as a Platform for the Reproduction of Pre-curriculum Learning

Critical Discourse Analysis of Smart Learning Advertisements Targeted at Young Children: Advertising as a Platform for the Reproduction of Pre-curriculum Learning

Can a zoom class be dialogic? An examination of a virtual English methods class

Purpose Synchronous virtual classes are becoming more common as universities expand access. However, instructors can feel hesitant as they move to a new style of teaching, especially if they are not sure their chosen pedagogy will work with virtual instruction. The purpose of this dialogic analysis is to examine the experiences of a dialogic teacher in a synchronous virtual English methods course. Design/methodology/approach The 75-min methods class met on Zoom twice a week. Class sessions were recorded. Dialogic analysis was used to analyze moments of whole-class discussion to explain what kinds of discussions happened and determine to what extent the class functioned as a dialogic class. Findings Overall, there was more student voice than teacher voice, and students spent over a third of the class in small group discussions. Even though the teacher still took over, and controlled discussions, the overall class maintained dialogic teaching principles. Despite this, the professor felt displaced for three reasons. In addition, some ideas for increasing the dialogic nature of the class are mentioned. Originality/value Synchronous virtual teaching will continue to grow, but as instructors move to that format, they can examine whether their pedagogies match the format. This paper explored one professor’s pedagogy of dialogic teaching and its compatibility with synchronous virtual teaching. This method of self-analysis could work with any pedagogy and could help instructors be successful in a new format.

Citation classics on distance and online learning: a bibliometric analysis

Purpose The purpose of this study is to identify seminal research works on distance and online learning that have had significant impact on the domain. Design/methodology/approach The authors used the SCOPUS database for this study as the data source, and a well-defined search strategy retrieved the items for analysis. First, the authors identified the h-index (n = 207) of the discipline to determine the threshold for listing the top works. The authors critically analysed these classic publications using several bibliometric parameters to present the analysis. To understand the primary focus of the classic research works, the authors also carried out a keyword cluster analysis using VOSviewer. Findings While the USA produced maximum classic research, authors from Canada have maximum research visibility in terms of citations (n = 474.06). Canada also received the highest value of RCI (1.30), followed by Taiwan and Australia. The majority of the classics are published in 67 scientific journals. Of these, Computers and Education published the highest number with a quarter of the total citations (n = 19,403). Although e-learning was the nucleus of the research theme, the authors observed that students, learning systems, online learning, blended learning, learning management systems and computer-aided instructions dominated their influence in the research cluster. Originality/value To the best of the authors’ knowledge, this is the first of its kind work in the field of distance and online learning. Findings of this study would be useful to faculty, researchers and students in the discipline to focus on the seminal works and understand their implications better in the context of the growing significance of the discipline.

Virtual reality-based music attention training for acquired brain injury: A randomized crossover study.

This single-blind randomized crossover study aimed to explore the effectiveness of virtual reality-based music attention training (VR-MAT) on cognitive function and examine its potential as a cognitive assessment tool in people with acquired brain injury (ABI). Overall, 24 participants with cognitive impairment secondary to a first-ever ABI underwent VR-MAT and conventional cognitive training (CCT) 3 months after onset. This was performed in two 4-week phases, over 8 weeks. During VR-MAT, participants engaged in attention training through a four-level virtual drumming program designed to enhance various attentional aspects. In contrast, during CCT, participants underwent structured conventional training, including card sorting and computerized training. Neuropsychological evaluations were performed preintervention, during the fourth and eighth weeks, and post-intervention using tests to evaluate attention and executive function, along with global neuropsychological assessments. In the VR-MAT group, significant differences were observed between pre- and post-intervention in the trail making test-black and white version B (p=0.009) and version B-A (p=0.018) and clinical dementia rating-sum of boxes (p=0.035). In the CCT group, significant differences were observed in spatial working memory (p=0.005) and the mini-mental state examination scores (p=0.003). VR-MAT is an effective cognitive intervention that is particularly beneficial for improving attention in people with ABI.

Meningkatkan Potensi Kampung Wisata Pengolahan Susu Samar sebagai Destinasi Wisata Digital melalui Pemanfaatan Aset MOOC

The aim of this community service is to develop the Samar Milk Processing Tourism Village as a digital tourism destination through the use of Massive Open Online Courses (MOOC) assets. This implementation focuses on efforts to utilize MOOCs as an important tool to improve education, development and marketing of dairy farming-based tourist destinations in Samar Village through the Asset Based Community Development (ABCD) method. Media expert validation results show an approval level of 89.5% for the concept of using MOOCs in marketing tourist destinations. Meanwhile, the material expert validation results reached an agreement level of 92.5%, indicating that this approach was received positively by experts in the field of milk processing. Furthermore, the implementation of this activity also recorded a significant increase in the learning outcomes of participants who took part in the MOOC related to the dairy industry. This confirms that the use of MOOCs in digital tourism destination-based education and training can provide real benefits. Keywords: MOOC; Asset; Tourism; Digital; Samar’s Milk

Impact of the Usage of Cell Phones and Social Media Among the Rural College Girl Students

The main problems of the study deal with prevalent in Government Colleges, every year 25% of college girls drop out of their higher education, and 10% of the girls are coerced into marriage by parents and continuing education. The study was conducted at the Government Arts and Science College for Women, Alangulam of Tenkasi District. It was purely an empirical study. This College offers 5 Degree Courses in Arts and Science, comprising 896 girls. One-eighth of the samples were taken for the present study. The main objectives of the study include studying how many hours cell phones are spent per day by female students on social media. ii, to examine whether it has been used for either academic purpose or personal purpose. iii.To provide effective supportive mechanisms to solve socialmedia addiction. The present study covers 100 college girlsstudents in art science. 80% of students have said that daily onehour using 2GP (Rs.250/- per month) for online courses incollege and more than one and a half hours using houses forpersonal uses. 60% of the of girl's students have reported thatapart from studying, they cell phones for chatting with friends,WhatsApp status, and reels. 25% of the girls students haveescaped from college education and eloped with lovers throughcell phone chatting.15% of the cell phones were snatched byparents and stopped their education.

Revitalization Of Learning Loss in Moji level Intermediate of Japanese Language Education Program Brawijaya University

This study explores the learning loss experienced at the Moji Intermediate level within the Japanese Language Education Study Program during the COVID-19 pandemic. Over a period of two years, traditional face-to-face learning was replaced by online instruction, which affected the implementation of certain learning stages, such as kanji writing exercises conducted in the classroom. This research aims to identify the extent of learning loss during online learning, specifically with kanji writing skills at the Moji Intermediate level. A descriptive qualitative method was used, comparing course grades from both online and offline learning periods. According to Rajesh, Hasibuan, Susanto, Solihat et al. (2022), while learning loss has been widely studied with various approaches, few have addressed its impact on specific courses, particularly in Japanese language education. The findings reveal that online learning significantly reduced students' kanji writing abilities. As a result, teachers must adopt new strategies to compensate for this gap and ensure that students perform well on the Japanese Language Proficiency Test (JLPT), which is essential for graduation from the Japanese Language Education Study Program.

EXPERIENCE OF IMPLEMENTING THE DISTANCE E-COURSE “STATISTICAL METHODS IN PHARMACY” IN THE MATHEMATICAL TRAINING OF FUTURE PHARMACEUTICAL SPECIALISTS

The article is dedicated to the issue of distance and online learning in higher pharmaceutical education. In the paper, the main principles and characteristic features of the concept of distance learning are outlined, the main advantages and disadvantages of using distance and e-learning in pharmaceutical and medical higher education are discussed. Considerable attention is paid to the use of distance learning technology in the process of math training for students pursuing higher education in the field of pharmacy. In addition to technical means and the structural-methodological component of the distance course development process, special attention is given to psycho-pedagogical aspects, which includes a focus on increasing the motivation of this group of education seekers to master disciplines related to exact sciences. It is demonstrated, using the example of the developed by the authors distance course “Statistical Methods in Pharmacy”, implemented with the LMS Moodle, that a successful combination of methodological approaches and innovative teaching methods, aimed at implementing a competency-based approach in education, along with modern information technology providing online access to educational content, including tools for feedback support, practical skills development, and automated self-assessment, ensures the effectiveness of achieving educational goals by learners and the formation of professional competencies defined by the educational program. The course was tested, certified, and implemented in the fundamental training of future pharmaceutical professionals at the National University of Pharmacy. It is concluded, that the implementation of distance learning technology in the practice of Ukrainian higher pharmaceutical and medical education is necessary not only due to the current conditions that make it impossible to organize full-fledged offline education but also because of the efficiency of these technologies, primarily for organizing independent students’ work, that ensures the development of learners’ autonomy, contributes to the development of information culture, general digital competence, and a range of soft skills, including communication, interaction, collaboration in a digital environment, and the rational use of study time.

Importance of learning styles in teaching and learning during the COVID-19 pandemic: A critical review of recent studies

The COVID-19 pandemic has necessitated a shift toward online education, making it more critical than ever to understand the impact of learning styles on teaching and learning. This critical review examined recent studies on the topic and highlights the significance of catering to individual learning styles to optimize student performance in diverse educational settings. From all the articles, four main concepts emerged: implementing effective teaching strategies for diverse learners, identifying and using learning styles to cater to student's individual needs, supporting students with individualized needs during remote instruction, and evaluating and assessing student learning in an online environment. Schools and teachers could identify students' learning styles using various tools. They could also use these learning styles to fit their teaching strategies in the class and the assessments. Teachers used a variety of educational tools and artificial intelligence for individualized instruction. The review concluded that educators incorporated various teaching methods and technologies to accommodate students' learning preferences and foster meaningful engagement in virtual classrooms, particularly during these challenging times.