Perception of Nursing Students regarding Blended Learning Method at The University of Lahore, Pakistan

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DOI: 10.21522/TIJNR.2015.05.02.Art004

Authors : Muhammad Afzal, Syed Amir Gilani, Tazeen Saeed Ali


Introduction: Blended learning (BL) is positive development in education. This method provokes the learner’s critical thinking and enables them to integrate their knowledge in real life. In the developed countries in 1990s and so on researchers had evaluated qualitative characteristics of blended learning effectiveness in education whereas in Pakistan this concept and in nursing this methodology is in its infancy stage hence based on the gap in the literature this study has explored the perception of the undergraduate nursing students enrolled in blended learning teaching strategy semesters.

Methodology: To answer the research objective phenomenological study design was deployed. 12 in depth interviews were conducted of the undergraduate students who have learned in both blended learning and traditional lecture-based semesters in Lahore School of Nursing, The University of Lahore. Sampling strategy was purposive.

Results: Analysis of 12 students’ interview was conducted with the major themes of Awareness, Learning Strategies, Learning Activities, Evaluation, and Interpersonal Skills. Participants shared a lot of experiences regarding the effectiveness of blended teaching environment comparatively to lecture based teaching semester. Blended learning fosters the nursing students learning and is beneficial to students’ learning in a tertiary environment.

Conclusion: This study adds to the unrevealed area of nursing education related to quality teaching strategy for undergraduate nursing students in order to enable them fully for provision of quality care to the individuals in hospitals and community environment. Thereafter, institutions, policy makers and regulatory bodies should incorporate this strategy in the nursing curriculum in Pakistan.


[1].Algaidi, S., Makhdoom, N., Zolaly, M. A., Heissam, K., & Khoshhal, K. I. (2013). Blended learning’as an effective teaching and learning strategy in clinical medicine: a comparative cross-sectional university-based study.

[2].Bahadorani, M., & Changiz, T. (2006). The effectiveness of three methods of teaching medline to medical students: online, face to face and combined educational methods. Iranian Journal of Medical Education, 6(2), 35-43.

[3].Chen, F., Lui, A. M., & Martinelli, S. M. (2017). A systematic review of the effectiveness of flipped classrooms in medical education. Medical education, 51(6), 585-597.

[4].Cho, K.-C., & Shin, G. (2014). Operational effectiveness of blended e-learning program for nursing research ethics. Nursing Ethics, 21(4), 484-495.

[5].Clark, R. C., & Mayer, R. E. (2016). E-learning and the science of instruction: Proven guidelines for consumers and designers of multimedia learning: John Wiley & Sons.

[6].Collins, A., & Halverson, R. (2018). Rethinking education in the age of technology: The digital revolution and schooling in America: Teachers College Press.

[7].Fleetwood, J., Vaught, W., Feldman, D., Gracely, E., Kassutto, Z., & Novack, D. (2000). MedEthEx Online: a computer-based learning program in medical ethics and communication skills. Teaching and Learning in Medicine, 12(2), 96-104.

[8].Hasanpour, D. A., Kheyri, S., & Shahrani, M. (2006). The effect of teaching using, problem base learning and lecture on behavior, attitude and learning of nursing (BSc) students.

[9].Heravi, M., Jadid Milani, M., & Rejeh, N. (2004). The effect of lecture and focus group teaching methods on nursing students learning in community health course. Iranian Journal of Medical Education, 4(1), 55-60.

[10]. Jaggars, S. S. (2014). Choosing between online and face-to-face courses: Community college student voices. American Journal of Distance Education, 28(1), 27-38.

[11]. Jovanović, J., Gašević, D., Dawson, S., Pardo, A., & Mirriahi, N. (2017). Learning analytics to unveil learning strategies in a flipped classroom. The Internet and Higher Education, 33(4), 74-85.

[12]. Karimi Moonaghi, H., & Bagheri, M. (2017). Jigsaw: A good student-centered method in medical education. Future of Medical Education Journal7(1), 35-40.

[13]. Kouti, L., Aghsam, Z., Bargard, M. S., Javadi, M. R., Aghakouchakzadeh, M., & Eslami, K. (2018). Comparison of the effectiveness of three educational methods (e-learning, lectures and blended) on pharmacy students' knowledge of non-prescription drugs. Pharmacy Education, 18.

[14]. Kurt, G. (2017). Implementing the Flipped Classroom in Teacher Education: Evidence from Turkey. Journal of Educational Technology & Society, 20(1).

[15]. Mangione, S., Nieman, L., Greenspon, L., & Margulies, H. (1991). A comparison of computer‐assisted instruction and small‐group teaching of cardiac auscultation to medical students. Medical education, 25(5), 389-395.

[16]. McCutcheon, K., Lohan, M., Traynor, M., & Martin, D. (2015). A systematic review evaluating the impact of online or blended learning vs. face‐to‐face learning of clinical skills in undergraduate nurse education. Journal of advanced nursing, 71(2), 255-270.

[17]. Meguid, E. A., & Collins, M. (2017). Students’ perceptions of lecturing approaches: traditional versus interactive teaching. Advances in medical education and practice, 8, 229.

[18]. Metzler, M. (2017). Instructional models in physical education: Routledge.

[19]. Namnabati M, Fathi Azar E, Valizadeh S, Tazakori Z. (2011). Lecturing or problem-based learning: comparing effects of the two teaching methods in academic achievement and knowledge retention in pediatrics course for nursing students. Iranian Journal of Medical Ed.

[20]. Ramnanan, C. J., & Pound, L. D. (2017). Advances in medical education and practice: student perceptions of the flipped classroom. Advances in medical education and practice, 8, 63.

[21]. Ranney, M. L., Meisel, Z. F., Choo, E. K., Garro, A. C., Sasson, C., & Morrow Guthrie, K. (2015). Interview‐based qualitative research in emergency care part II: Data collection, analysis and results reporting. Academic Emergency Medicine22(9), 1103-1112.

[22]. Rowe, M., Frantz, J., & Bozalek, V. (2012). The role of blended learning in the clinical education of healthcare students: a systematic review. Medical teacher, 34(4), e216-e221.

[23]. Sadeghi, R., SEDAGHAT, M. M., & AHMADI, F. S. (2014). Comparison of the effect of lecture and blended teaching methods on students’ learning and satisfaction. Journal of advances in medical education & professionalism, 2(4), 146.

[24]. Sannino, A., & Engeström, Y. (2017). Studies of expansive learning: Foundations, findings and future challenges. In Introduction to Vygotsky (pp. 100-146): Routledge.

[25]. Stetzik, L., Deeter, A., Parker, J., & Yukech, C. (2015). Puzzle-based versus traditional lecture: comparing the effects of pedagogy on academic performance in an undergraduate human anatomy and physiology II lab. BMC medical education, 15(1), 107.

[26]. Thai, N. T. T., De Wever, B., & Valcke, M. (2017). The impact of a flipped classroom design on learning performance in higher education: Looking for the best “blend” of lectures and guiding questions with feedback. Computers & Education, 107, 113-126.

[27]. Van Rensburg, D. (1996). Students' perceptions of a multimedia computer-aided instruction resource in histology. South African Medical Journal, 86(9).

[28]. Voutilainen, A., Saaranen, T., & Sormunen, M. (2017). Conventional vs. e-learning in nursing education: a systematic review and meta-analysis. Nurse education today, 50, 97-103.

[29]. Wang, Y., Han, X., & Yang, J. (2015). Revisiting the blended learning literature: Using a complex adaptive systems framework. Journal of Educational Technology & Society, 18(2).

[30]. Woltering, V., Herrler, A., Spitzer, K., & Spreckelsen, C. (2009). Blended learning positively affects students’ satisfaction and the role of the tutor in the problem-based learning process: results of a mixed-method evaluation. Advances in Health Sciences Education, 14(5), 725.

[31]. Yeh, Y.-c., Huang, L.-y., & Yeh, Y.-l. (2011). Knowledge management in blended learning: Effects on professional development in creativity instruction. Computers & Education, 56(1), 146-156.

[32]. Yilmaz, R. (2017). Exploring the role of e-learning readiness on student satisfaction and motivation in flipped classroom. Computers in Human Behavior, 70, 251-260.