Introduction: Applying new technologies in teaching has led to the phenomenon of blended learning (BL), which is currently flourishing as a specific requirement for higher self-efficacy and success in increasingly complex healthcare environments. Although various forms of novel education are on the rise worldwide, the effects of electronic learning (EL), combined with collaborative learning (CL) and lecture-based teaching (LBT) approaches, have not yet been validated on academic self-efficacy among undergraduate nursing students. Methods: Utilizing a pre-/post-test comparison-group design, this quasi-experimental study was conducted on 70 undergraduate nursing students of Urmia University of Medical Sciences, Urmia, Iran, selected by the census sampling technique in 2020. The eligible participants were allocated to intervention groups, viz., the EL+LBT group (n=34) and the EL+CL group (n=36). A learning management system (LMS) was used for both intervention groups along with the LBT approach, and then 10 steps were integrated into the CL approach during 14 sessions, lasting 150 minutes. Afterward, a demographic information form and the College Academic Self-Efficacy Scale (CASES) were administered to collect the data. The data were analyzed using descriptive statistics, Chi-square test, independent-samples t-test, and analysis of covariance (ANCOVA). Results: No significant difference was observed in the CASE scores between the students were taught using the EL+LBT (113.76±16.98) and the EL+CL approaches (107.66±16.70) before the interventions (P=0.136). However, the CL+EL approaches resulted in the highest changes in the CASE scores at the pre-(107.66±16.70) and post-test (119.08±25.49) stages (P=0.019). Moreover, the female students attending the CL+EL classrooms experienced significantly positive differences in their CASE scores (127.12±30.34), compared to the males (112.65±19.30) (P=0.011). Conclusion: Blending the EL and CL approaches significantly promoted CASE among the undergraduate nursing students in this study by providing sufficient collaboration, essential educational equipment, and better technical support. |
- Sheikhaboumasoudi R, Bagheri M, Hosseini SA, Ashouri E, Elahi N. Improving nursing students' learning outcomes in fundamentals of nursing course through combination of traditional and e-learning methods. Iran J Nurs Midwifery Res. 2018;23(3):217.
- Sáiz-Manzanares MC, Escolar-Llamazares M-C, Arnaiz González Á. Effectiveness of blended learning in nursing education. Int J Environ Res Public Health. 2020;17(5):1589.
- Du L, Zhao L, Xu T, Wang Y, Zu W, Huang X, et al. Blended learning vs traditional teaching: The potential of a novel teaching strategy in nursing education-a systematic review and meta-analysis. Nurse Education in Practice. 2022;63:103354.
- Anthony B, Kamaludin A, Romli A, Raffei AFM, Nincarean A, L Eh Phon D, et al. Exploring the role of blended learning for teaching and learning effectiveness in institutions of higher learning: An empirical investigation. Educ Inf Technol. 2019;24(6):3433-66.
- Rhode J, Richter S, Gowen P, Miller T, Wills C. Understanding faculty use of the learning management system. Online Learn. 2017;21(3):68-86.
- Chen CK, Almunawar MN. Cloud learning management system in higher education. Opening Up Education for Inclusivity Across Digital Economies and Societies: IGI Global; 2019. p. 29-51.
- Chung JYS, Li WHC, Cheung AT, Ho LLK, Chung JOK. Efficacy of a blended learning programme in enhancing the communication skill competence and self-efficacy of nursing students in conducting clinical handovers: a randomised controlled trial. BMC Med Educ. 2022;22(1):1-10.
- Prasad P, Maag A, Redestowicz M, Hoe LS. Unfamiliar technology: Reaction of international students to blended learning. Comput Educ. 2018;122:92-103.
- Broadbent J. Comparing online and blended learner's self-regulated learning strategies and academic performance. Internet High Educ. 2017;33:24-32.
- Medina LC. Blended learning: Deficits and prospects in higher education. Australas J Educ Technol. 2018;34(1).
- Regmi K, Jones L. A systematic review of the factors–enablers and barriers–affecting e-learning in health sciences education. BMC Med Educ. 2020;20(1):1-18.
- Ghavifekr S. Collaborative learning: a key to enhance students’ social interaction skills. MOJES Malaysian Online J Educ Sci. 2020;8(4):9-21.
- Nhan H, Nhan TA. Different grouping strategies for cooperative learning in english majored seniors and juniors at can tho university, vietnam. Educ Sci. 2019;9(1):59.
- Zhang J, Cui Q. Collaborative learning in higher nursing education: A systematic review. Journal of professional nursing : official journal of the American Association of Colleges of Nursing. 2018;34(5):378-88.
- Indriwati SE, Susilo H, Hermawan IMS. Improving students’ motivation and collaborative skills through Remap Jigsaw learning combined with modelling activities. JPBI (Jurnal Pendidikan Biologi Indonesia). 2019;5(2):177-84.
- Männistö M, Mikkonen K, Kuivila HM, Virtanen M, Kyngäs H, Kääriäinen M. Digital collaborative learning in nursing education: a systematic review. Scand J Caring Sci. 2020;34(2):280-92.
- Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Adv Behav Res Ther. 1978;1(4):139-61.
- Prifti R. Self–efficacy and student satisfaction in the context of blended learning courses. Open Learning: The Journal of Open, Distance and e-Learning. 2022;37(2):111-25.
- Haverback HR. Middle Level Teachers Quarantine, Teach, and Increase Self-Efficacy Beliefs: Using Theory to Build Practice during COVID-19. Middle Grades Review. 2020;6(2):n2.
- Peechapol C, Na-Songkhla J, Sujiva S, Luangsodsai A. An Exploration of Factors Influencing Self-Efficacy in Online Learning: A Systematic Review. Int J Emerg Technol Learn. 2018;13(9).
- Taber S, Akdemir N, Gorman L, van Zanten M, Frank JR. A “fit for purpose” framework for medical education accreditation system design. BMC medical education. 2020;20:1-12.
- Ashoori J, Kajbaf MB, Manshaee GR, Talebi H. Comparison of the Effectiveness of Web-Based, Cooperative Learning and Traditional Teaching Methods in Achievement Motivation and Academic Achievement in the Biology Course. Interdisciplinary J Virtu Learn in Med Sci. 2014;5(2):25-34.
- Moradi Doliskani M, Yonespor Eisaloo Z, Moradi R. The effect of Flipped Classroom method on academic self-efficacy and selfdirected learning of students in English language course. Educational Strategies. 2022;15(1):10-8.
- Hockenberry MJ, Wilson D. Wong's nursing care of infants and children-E-book: Elsevier Health Sciences; 2018.
- Shokri O, Toulabi S, Ghanaei Z, Taghvaeinia A, Kakabaraei K, Fouladvand K. A psychometric study of the academic self-efficacy beliefs questionnaire. 2012.
- Bradley RL, Browne BL, Kelley HM. Examining the influence of self-efficacy and self-regulation in online learning. Coll Stud J. 2017;51(4):518-30.
- Fernandez-Rio J, Cecchini JA, Méndez-Gimenez A, Mendez-Alonso D, Prieto JA. Self-regulation, cooperative learning, and academic self-efficacy: Interactions to prevent school failure. Front Psychol. 2017;8:22.
- Forouzi MA, Alizadeh SM, Heidarzadeh A. Viewpoints of nursing and midwifery students toward desirability of collaborative learning in the English language course. Viewpoints. 2016;5(5).
- Chan AW-K, Sit JW-H, Wong EM-L, Lee DT-F, Fung OW-M. Case-based web learning versus face-to-face learning: a mixed-method study on University nursing students. J Nurs Res. 2016;24(1):31-40.
- Saman Azari J, Livarjani S, Azmoodeh M. Comparing the effectiveness of teaching study methods and time management on academic self-efficacy and academic self-regulation and biology course performance of 12th grade experimental sciences male and female students. Journal of Adolescent and Youth Psychological Studies. 2023;4(10):139-54.
- Jackson CB, Quetsch LB, Brabson LA, Herschell AD. Web-based training methods for behavioral health providers: a systematic review. Adm Policy Ment Heal Ment Heal Serv Res. 2018;45(4):587-610.
- Li C, He J, Yuan C, Chen B, Sun Z. The effects of blended learning on knowledge, skills, and satisfaction in nursing students: A meta-analysis. Nurse Educ Today. 2019;82:51-7.
- Zwart DP, Noroozi O, Van Luit JE, Goei SL, Nieuwenhuis A. Effects of Digital Learning Materials on nursing students’ mathematics learning, self-efficacy, and task value in vocational education. Nurse Educ Pract. 2020;44:102755.
- Cimermanová I. The Effect of Learning Styles on Academic Achievement in Different Forms of Teaching. Int J Instr. 2018;11(3):219-32.
- Bączek M, Zagańczyk-Bączek M, Szpringer M, Jaroszyński A, Wożakowska-Kapłon B. Students’ perception of online learning during the COVID-19 pandemic: a survey study of Polish medical students. Med. 2021;100(7).
- Yates A, Starkey L, Egerton B, Flueggen F. High school students’ experience of online learning during Covid-19: the influence of technology and pedagogy. Tech Peda Edu. 2021;30(1):59-73.
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