Nursing Students' Satisfaction with Blended Learning in Certain Palestinian Nursing Schools Amidst the COVID-19 Epidemic
DOI:
https://doi.org/10.18552/ijpblhsc.v13i2.1158Keywords:
blended learning, satisfaction, nursing students, online learningAbstract
Students' theoretical and clinical learning is greatly impacted by blended learning in general, and nursing students specifically. This study aims to evaluate nursing students' perceptions of blended learning in the context of the COVID-19 pandemic. An electronic survey questionnaire surveyed 300 undergraduate nursing students from five nursing schools in Palestine. According to the study's findings, 71% of students thought that blended learning was helpful. With a mean of 2.92, the management domain was the highest, while the interaction domain had the lowest mean (M = 2.78). The study found statistically significant differences between academic level (P value = 0.039), academic accomplishment (P <0.001), and other characteristics that were associated with student satisfaction with blended learning. As part of a blended education system's quick transition to remote electronic learning, most undergraduate nursing students questioned for this study expressed satisfaction with their educational experiences.
References
Aladwan, F., Fakhouri, H. N., Alawamrah, A., Rababah, O., Aladwan, F., Fakhouri, H. N., Alawamrah, A., & Rababah, O. (2018). Students Attitudes toward Blended Learning among students of the University of Jordan. Modern Applied Science, 12(12).
Asmar, I. (2025a). Gaza: Between global silence and the double standards of justice. Dialogues in Health, 7, 100240. https://doi.org/10.1016/J.DIALOG.2025.100240
Asmar, I. (2025b). The devastating effects of Gaza war on healthcare. Eastern Mediterranean Health Journal, 31(2), 77–78. https://doi.org/10.26719/2025.31.2.77
Barakat, E., & Meler, T. (2024). ‘As long as I’m at home, I don’t feel like studying or paying attention in lectures”: difficulties and challenges of distance learning among Palestinian-Arab students in Israel during COVID-19. Diaspora, Indigenous, and Minority Education, 18(2), 92–106. https://doi.org/10.1080/15595692.2022.2161509
Cao, W. (2023). A meta-analysis of effects of blended learning on performance, attitude, achievement, and engagement across different countries. Frontiers in Psychology, 14, 1212056. https://doi.org/10.3389/fpsyg.2023.1212056
Dreidi, M. M., Abed, D. A., Salameh, H. Z., Abu Sbeih, I. K., Asmar, S. A., Salameh, S. A., Asmar, I. T., Yaseen, K., Almahmoud, O., & Almagharbeh, W. T. (2024). The Effect of Self-esteem on Stress and Coping Mechanisms among Nursing Students during Clinical Training in Palestinian Universities. International Journal of Practice-Based Learning in Health and Social Care, 12(1), 59–69. https://doi.org/10.18552/IJPBLHSC.V12I1.900
Ekawati, A. D., Sugandi, L., & Kusumastuti, D. L. (2018). Blended learning in higher education: Does gender influence the student satisfaction on blended learning? Proceedings of 2017 International Conference on Information Management and Technology, ICIMTech 2017, 2018-January, 160–164. https://doi.org/10.1109/ICIMTECH.2017.8273530
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
Finlay, M. J., Tinnion, D. J., & Simpson, T. (2022). A virtual versus blended learning approach to higher education during the COVID-19 pandemic: The experiences of a sport and exercise science student cohort. Journal of Hospitality, Leisure, Sport & Tourism Education, 30, 100363. https://doi.org/10.1016/J.JHLSTE.2021.100363
Fisher, R., Perényi, Á., & Birdthistle, N. (2018). The positive relationship between flipped and blended learning and student engagement, performance and satisfaction. Active Learning in Higher Education, 22(2), 97–113. https://doi.org/10.1177/1469787418801702
Govindan, S. N., Singh, H. K. D., Ling, L. W., & Sekar, M. (2023). Effect of blended self-directed learning on nursing students: Quasi-experimental approach. Journal of Education and Health Promotion, 12(1), 229. https://doi.org/10.4103/JEHP.JEHP_209_23
Hasan, K. K., Mamun Mostofa, S. K., Othman, R., & Mukherjee, D. (2022). Blended Learning During Pandemic Through Knowledge Management: An Analytical Study. Journal of Information and Knowledge Management, 21(Supp01), 2240006. https://doi.org/10.1142/S0219649222400068
Hassan, E. A., Mohamed, A. M., Eltaib, F. A., & Khaled, A. M. S. (2024). Determinants of nursing students’ satisfaction with blended learning. BMC Nursing, 23, 766, 1–10. https://doi.org/10.1186/S12912-024-02393-Y
Hrastinski, S. (2019). What Do We Mean by Blended Learning? TechTrends, 63(5), 564–569. https://doi.org/10.1007/S11528-019-00375-5
Khalil, R., Mansour, A. E., Fadda, W. A., Almisnid, K., Aldamegh, M., Al-Nafeesah, A., Alkhalifah, A., & Al-Wutayd, O. (2020). The sudden transition to synchronized online learning during the COVID-19 pandemic in Saudi Arabia: A qualitative study exploring medical students’ perspectives. BMC Medical Education, 20(1), 1–10. https://doi.org/10.1186/S12909-020-02208-Z
Li, M., Hong, Y., Wu, A., Ou, W., Yang, J., Lin, G., Ruan, Y., Chen, Z., Lin, C., & Liang, Y. (2025). The effectiveness of blended learning in nursing and medical education: An umbrella review. Nurse Education in Practice, 86, 104421. https://doi.org/10.1016/J.NEPR.2025.104421
Lim, C. L., Jalil, H. A., Ma’rof, A. M., & Saad, W. Z. (2020). Peer Learning, Self-Regulated Learning and Academic Achievement in Blended Learning Courses: A Structural Approach. International Journal of Emerging Technologies in Learning (IJET), 15(3), 110–125. https://doi.org/10.3991/ijet.v15i03.12031
Liu, X., & Yodmongkol, P. (2023). Influencing Factors of Blended Learning in Higher Education: A Systematic Literature Review. 2023 International Conference on University Teaching and Learning, InCULT 2023. https://doi.org/10.1109/INCULT59088.2023.10482667
Lubis, M., Hasibuan, M. A., & Andreswari, R. (2022). Satisfaction Measurement in the Blended Learning System of the University: The Literacy Mediated-Discourses (LM-D) Framework. Sustainability, . 14(19), 12929. https://doi.org/10.3390/SU141912929
Martin, B., Kaminski-Ozturk, N., Smiley, R., Spector, N., Silvestre, J., Bowles, W., & Alexander, M. (2023). Assessing the Impact of the COVID-19 Pandemic on Nursing Education: A National Study of Prelicensure RN Programs. Journal of Nursing Regulation, 14(1), S1–S67. https://doi.org/10.1016/S2155-8256(23)00041-8
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. https://doi.org/10.1111/JAN.12509
Nuuyoma, V., Lauliso, S. S., & Chihururu, L. (2023). Perspectives of nursing students on challenges of e-learning during early stages of the COVID-19 pandemic. Curationis, 46(1), e1–e10. https://doi.org/10.4102/curationis.v46I1.2358
Oh, E. G., & Yang, Y. L. (2019). Evidence-based nursing education for undergraduate students: A preliminary experimental study. Nurse Education in Practice, 38, 45–51. https://doi.org/10.1016/J.NEPR.2019.05.010
Pereira, J. A., Pleguezuelos, E., Merí, A., Molina-Ros, A., Molina-Tomás, M. C., & Masdeu, C. (2007). Effectiveness of using blended learning strategies for teaching and learning human anatomy. Medical Education, 41(2), 189–195. https://doi.org/10.1111/J.1365-2929.2006.02672.X
Quintiliani, L., Sisto, A., Vicinanza, F., Curcio, G., & Tambone, V. (2021). Resilience and psychological impact on Italian university students during COVID-19 pandemic. Distance learning and health. Psychology, Health & Medicine, 27(1), 69–80. https://doi.org/10.1080/13548506.2021.1891266
Sáiz-Manzanares, M. C., Escolar-Llamazares, M. C., & González, Á. A. (2020). Effectiveness of Blended Learning in Nursing Education. International Journal of Environmental Research and Public Health 2020, 17(5), 1589. https://doi.org/10.3390/IJERPH17051589
Şentürk, C. (2021). Effects of the blended learning model on preservice teachers’ academic achievements and twenty-first century skills. Education and Information Technologies, 26(1), 35–48. https://doi.org/10.1007/S10639-020-10340-Y
Singh, J., Steele, K., & Singh, L. (2021). Combining the Best of Online and Face-to-Face Learning: Hybrid and Blended Learning Approach for COVID-19, Post Vaccine, & Post-Pandemic World. Journal of Educational Technology Systems, 50(2), 140–171. https://doi.org/10.1177/00472395211047865
Tarkar, P. (2020). Impact Of Covid-19 Pandemic On Education System. International Journal of Advanced Science and Technology, 29(9s), 3812–3814. https://www.researchgate.net/publication/352647439
Tayyib, N., Alsolami, F., Lindsay, G., Alshhmemri, M., Asfour, H., Ramaiah, P., Alsulami, S., Ali, H., & Article, R. (2020a). Undergraduate Nursing Students’ Satisfaction with blended e-learning following the Covid-19 pandemic. https://doi.org/10.21203/rs.3.rs-119868/v1
Tayyib, N. A., Ramaiah, P., Alshmemri, M. S., Alsolami, F. J., Lindsay, G. M., Alsulami, S. A., & Asfour, H. I. (2020b). Faculty members’ readiness implementing e-learning in higher education Saudi Universities: A cross-sectional study. Indian Journal of Science and Technology, 13(25), 2558-2564. https://doi.org/10.17485/IJST/v13i25.828
Tong, D. H., Uyen, B. P., & Ngan, L. K. (2022). The effectiveness of blended learning on students’ academic achievement, self-study skills and learning attitudes: A quasi-experiment study in teaching the conventions for coordinates in the plane. Heliyon, 8(12), e12657. https://doi.org/10.1016/J.HELIYON.2022.E12657
Ughade, P., & Badre, S. (2020). Blended Learning-A Study on Student’s Perception about Suitability of the Framework for Higher Education. The Online Journal of Distance Education and e-Learning, 8(2), 72-79.
Wang, N., Chen, J., Tai, M., & Zhang, J. (2019). Blended learning for Chinese university EFL learners: learning environment and learner perceptions. Computer Assisted Language Learning, 34(3), 297–323. https://doi.org/10.1080/09588221.2019.1607881
Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., Majeed, A., & McIntyre, R. S. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 55–64. https://doi.org/10.1016/j.jad.2020.08.001
Yu, Z. (2021). The effects of gender, educational level, and personality on online learning outcomes during the COVID-19 pandemic. International Journal of Educational Technology in Higher Education, 18, 14, 1–17. https://doi.org/10.1186/S41239-021-00252-3
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