Factors associated with learning outcome of BSN in a blended learning environment
Li-Ling Hsu
Graduate Program in Allied Health Education, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
Suh-Ing Hsieh
Nursing Department, Chang-Gung Institute of Technology, Taoyuan, Taiwan
PP: 024 - 034
Abstract
This paper is a report of a study to examine the influence of demographic, learning behavior and learning performance variables on learning outcomes of baccalaureate nursing students within a blended learning environment. A cross-sectional survey was conducted using the self-structured demographic questionnaire, case analysis attitude scale (CAAS), the case analysis self-evaluation scales (CASES), the metacognition scale (MS) and blended learning satisfaction scale (BLSS) to measure learning outcomes after the blended learning course.
A total of 99 senior undergraduate nursing students currently studying at a public nursing college in Taiwan were eligible to participate in the study in 2008. Data were analyzed by descriptive statistics and multiple linear regression. Univariate analysis showed significant associations between frequency of online dialogues, time spent on the internet, CAAS, and MS and scores on the ethical course. However, frequency of online dialogues, time spent on the internet, and the CAAS were significantly independent predictors for scores on the ethical course in the final model of multivariate analysis. The final model of the data analysis could account for 78% variances scores of ethical course (R2 = 0.78 and adjusted R2 = 0.77).
It can be concluded from this study that frequency of online dialogue, time spent on internet, and the CAAS score are all useful predictors for learning outcome. In addition, blended learning was found to have contributed to learners' learning outcome by facilitating their metacognitive development and self-regulatory development. In blended learning courses, students have more responsibilities placed upon them than in traditional face-to-face learning environments. The first step of constructing a working blended learning model is to develop student-oriented teaching pedagogies that include face-to-face and online instruction, rather than just focusing on the provision of technical skills.
Keywords
nursing student; nursing education; face-to-face; blended learning; ethical course
References
Abowd, G., da Graca, P. M., Kerimbaev, B., Ishiguro, Y., & Guzdial, M. (1999). Anchoring discussions in lecture: An approach to collaboratively extending classroom digital media. Dissertation Paper, Computer Support for Collaborative Learning, Palo Alto, CA.
Aiken, R. L. (2000). Psychological testing and assessment. Boston: Allyn & Bacon.
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.
Allmark, P. (2005). Can the study of ethics enhance nursing practice? Journal of Advanced Nursing, 51, 618-624.
American Association of Colleges of Nursing. (2008). Essentials of a baccalaureate education for nursing practice. Washington, DC: AACN.
Ammouri, A. A., & Neuberger, G. (2008). The perception of risk of heart disease scale: Development and psychometric analysis. Journal of Nursing Measurement, 16(2), 83-97.
Bartlett, J. E., Kotrlik, J. W., & Higgins, C. C. (2001). Organizational research: Determining appropriate sample size in survey research. Information Technology, Learning, and Performance Journal, 19(1), 43-50.
Berge, Z. L. (2000). Designing discussion questions for online, adult learning. Educational Technology, 40(5), 53-56.
Blankson, J., & Kyei-Blankson, L. (2008). Non-traditional students' perception of a blended course: Integrating synchronous online discussion and face-to-face instruction. Journal of Interactive Learning Research, 19(3), 421-438.
Brown, A. H., & Green, T. (2009). Time students spend reading threaded discussions in online graduate courses requiring asynchronous participation. International Review of Research in Open and Distance Learning, 10(6), 51-64.
Casterle, B. D., Grypdonck, M., Vuylsteke-Wauters, M., & Janssen, P. J. (1997). Nursing students' responses to ethical dilemmas in nursing practice. Nursing Ethics, 4(1), 12-28.
Choi, I., Land, S. M., & Turgeon, A. J. (2005). Scaffolding peer-questioning strategies to facilitate metacognition during online small group discussion. Instructional Science, 33(5-6), 483-511.
Colesca, S. E., Dobrica, L., & Alpopi, C. (2009). Students outcomes and perceptions in a blended learning format. Metalurgia International, 8, 222-229.
Contreras, L. C. (2004). Predicting computer self-confidence from demographic and personality variables. Quarterly Review of Distance Education, 5(3), 173-181.
Davis, A., Tschudin, V., & de Raeve, L. (2006). Essentials of teaching and learning in nursing ethics. Philadelphia: Churchill Livingstone-Elsevier.
Dziubanm, C. D., Hartman, J., Juge, F., Moskal, P. D., & Sorg, S. (2005). Blended learning: Online learning enters the mainstream. In C. J. Bonk & C. Graham (Eds.), Handbook of blended learning environment: Global perspectives, local designs (pp. 127-148). San Francisco: Pfeiffer.
Eastman, J. K., & Swift, C. O. (2001). New horizons in distance education: The online learner-centered marketing class. Journal of Marketing Education, 23, 25-35.
Fetsco, T., & McClure, J. (2005). Educational psychology: An integrated approach to classroom decisions. Boston: Allyn & Bacon.
Field, A. (2005). Discovering statistics using SPSS. London: Sage.
Frankola, K. (2001). Why online learners drop out. Workforce, 80, 53-60.
Garnham, C., & Kaleta, R. (2002). Introduction to hybrid courses. Teaching with Technology Today, 8(6). Accessed September 14, 2010 at http://www.uwsa.edu/ttt/articles/garnham.htm
Gorgulu, R. S., & Dinc, L. (2007). Ethics in Turkish nursing education programs. Nursing Ethics, 14(6), 741-752.
Halinski, R. S., & Feldt, L. S. (1970). The selection of variables in multiple regression analyses. Journal of Educational Measurement, 7(3), 151-158.
Havard, B., Du, J., & Olinzock, A. (2005). Deep learning: The knowledge, methods, and cognition process in instructor led online discussion. The Quarterly Review of Distance Education, 6(2), 125-135.
Hermans, C. M., Haytko, D. L., & Mott- Stenerson, B. (2009). Student satisfaction in web-enhanced learning environments. Journal of Instructional Pedagogies, 1, 82-100. Accessed July 14, 2010, from http://aabri.com/manuscripts/09147.pdf
Holenko, M., & Hoic-Bozic, N. (2008). Using online discussions in a blended learning course. International Journal of Emerging Technologies in Learning, 2(2), 18-23.
Hsu, L. L. (2010). Metacognitive inventory for nursing students in Taiwan: Instrument development and testing. Journal of Advanced Nursing, 66(11), 2573-2581.
Ireland, J., Martindale, S., Johnson, N., Adams, D., Eboh, W., & Mowatt, E. (2009). Blended learning in education: Effects on knowledge and attitude. British Journal of Nursing, 18(2), 124-130.
Itzkan, S. J. (1994). Assessing the future of telecomputing environments: Implications for instruction and administration. The Computer Teacher, 22(4), 60-64.
Ketefi an, S. (1999). Legal and ethical issues: Ethics content in nursing education. Journal of Professional Nursing, 15(3), 138.
Kline, P. (1993). The handbook of psychological test construction. London: Routledge.
LaRose, R., Gregg, J., & Eastin, M. (1998). Audio graphic telecourses for the web: An experiment. Journal of Computer Mediated Communication, 4(2). Accessed September 1, 2010, from http://jcmc.indiana.edu/vol4/issue2/larose.html
Lim, D. H., & Morris, M. L. (2009). Learner and instructional factors influencing learning outcomes within a blended learning environment. Educational Technology & Society, 12(4), 282-293.
Miller, D. E., & Kunce, J. T. (1973). Prediction and statistical overkill revisited. Measurement and Evaluation in Guidance, 6(3), 157-163.
Nolan, P. W., & Markert, D. (2002). Ethical reasoning observed: A longitudinal study of nursing students. Nursing Ethics, 9(3), 243-258.
Online Learning Department. (2005). Blended learning pilot project - Final report for the academic 2004-2005. Accessed August 6, 2010, from https://ritdml.rit.edu/bitstream/handle/1850/276/BL%20Pilot%20Final%20Report%2003-04.pdf?sequence=1.pdf
Parsons, S., Barker, P. J., & Armstrong, A. E. (2001). The teaching of health care ethics to students of nursing in the UK: A pilot study. Nursing Ethics, 8(1), 45-55.
Rohlf, F. H., & Bertocci, R. J. (2005). Pedagogy for medical ethics in practice: A reasonable approach for health care practitioners. Perspective on Physician Assistant Education, 16(1), 37-40.
Scardamalia, M., & Bereiter, C. (1996). Adaptation and understanding: A case for new cultures of schooling. In S. Vosniadou, E. DeCorte, R. Glaser, & H. Mandl (Eds.), International perspectives on the design of technology-supported learning environments (pp. 149-163). Mahwah, NJ: Erlbaum.
Schraw, G., & Dennison, R. S. (1994). Assessing metacognitive awareness. Contemporary Educational Psychology, 19, 460-475.
Sigler, E. A., & Tallent-Runnels, M. K. (2006). Examining the validity of scores from an instrument designed to measure metacognition of problem solving. The Journal of General Psychology, 133, 257-276.
Stansfi eld, M. H., McLellan, E., & Connolly, T. M. (2004). Enhancing student performance in online learning and traditional face-to-face class delivery. Journal of Information Technology Education, 3, 173-188.
Swanson, H. L. (1992). The relationship between metacognition and problem solving in gifted children. Roeper Review, 15(1), 43-48.
Troha, F. J. (2002). Bulletproof instructional design: A model for blended learning. A Refereed Journal of the United States Distance Learning Association, 16(5). Accessed June 5, 2010, from http://www.usdla.org/html/journal/MAY02_Issue/article03.html
Turner, S. L., & Bechtel, G. A. (1998). The effectiveness of guided design on ethical decision making and moral reasoning among community nursing students. Nursing Connections, 11, 69-74.
Twigg, C. A. (2003). New models for online learning: Improving learning and reducing costs. EDUCAUSE Review, 38(5), 28-38. Accessed September 14, 2010, from http://www.educause.edu/ir/library/pdf/erm0352.pdf
Vukman, K. B. (2005). Developmental differences in metacognition and their connections with cognitive development in adulthood. Journal of Adult Development, 12(4), 211-221.
Vonderwell, S., Liang, X., & Alderman, K. (2007). Asynchronous discussion and assessment of online learning. Journal of Research on Technology in Education, 39(3), 309-328.
Warren, C. M. J. (2008). The use of online asynchronous discussion forums in the development of deep learning among postgraduate real estate students. Paper presented at the meeting of CIB International Conference on Building Education and Research. Kandalama, Sri Lanka, 11-15.
Yushau, B. (2006). The effects of blended e-learning on mathematics and computer attitudes in pre-calculus algebra. The Montana Mathematics Enthusiast, 3(2), 176-183.
Zhao, J. (2008). An examination of students' perception of blended e-learning in Chinese higher education. Edutainment, LNCS, 5093, 162-170.
Zimmerman, B. J., & Martinez-Pons, M. (1990). Student differences in self-regulated learning: Relating grade, sex, and giftedness to self-efficacy and strategy use. Journal of Educational Psychology, 82, 52-59.
Zulkiply, N., Kabit, M. R., & Ghani, K. A. (2008). Metacognition: What roles does it play in students' academic performance. The International Journal of Learning, 15, 97-105.

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