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1.
International Journal of Mobile and Blended Learning Vol 14(3), 2022, ArtID 40 ; 14(3), 2022.
Article in English | APA PsycInfo | ID: covidwho-20231760

ABSTRACT

As online learning modes become more common, this can exacerbate educational inequalities for learners who do not have the ability to utilise these modes effectively. This has been seen in the COVID-19 crisis where there has been a shift to remote and distance learning modalities despite the limited ability for all learners to benefit equitably. In particular, digital literacy remains a fundamental barrier to benefitting from online and blended learning. This paper reports on a study that investigated the digital literacy needs and preferences of peri-urban, marginalised youth when utilising online and blended learning in South Africa and how online education platforms can be designed to better suit such groups. It is argued that for online courses to truly support marginalised groups, it needs to be ensured that these learners are digitally equipped and digitally literate in terms of accessing, utilising, and benefitting equitably from online learning. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

2.
J Sci Educ Technol ; 31(2): 258-271, 2022.
Article in English | MEDLINE | ID: covidwho-20235928

ABSTRACT

Prompted by the sudden shift to remote instruction in March 2020 brought on by the COVID-19 pandemic, teachers explored online resources to support their students learning from home. We report on how twelve teachers identified and creatively leveraged open educational resources (OERs) and practices to facilitate self-directed science learning. Based on interviews and logged data, we illustrate how teachers' use of OER starkly differed from the typical uses of technology for transmitting information or increasing productivity. These experiences provide insights into ways teachers and professional developers can take advantage of OER to promote self-directed learning when in-person instruction resumes.

3.
Front Public Health ; 11: 1182689, 2023.
Article in English | MEDLINE | ID: covidwho-20237064

ABSTRACT

Background: The evolution toward future education following the 4th industrial revolution and the coronavirus disease 2019 (COVID-19) pandemic have changed nursing education dramatically. Online classes have become a new paradigm of education, and are expected to develop and be maintained in various forms even after the end of COVID-19. Therefore, attention is focused on finding ways to improve learners' achievements in a distance learning environment. This study aimed to examine the mediating effects of self-directed learning competency on the relationships between optimism, emotional intelligence and academic resilience among nursing students. Methods: A cross-sectional descriptive design was conducted using convenience sampling of 195 nursing students in South Korea. Data were analyzed with descriptive statistics, Pearson's correlation coefficients, multiple regression, and mediation analysis using SPSS/WIN 26.0 program. Results: There were significant positive correlations among self-directed learning competency, optimism, emotional intelligence and academic resilience. The self-directed learning competency acts as a mediator in explaining relationship between optimism, emotional intelligence and academic resilience, respectively. Conclusion: This study provides the evidence for the role of self-directed learning competency in the relationship between optimism, emotional intelligence and academic resilience in nursing students. Rapid changes in education are inevitable due to changes in clinical settings and the impact of repeated infectious disease outbreaks including the COVID-19 pandemic. This study suggests strengthening positive psychology and self-directed learning capability of nursing students as a strategy to prepare for changes in education and clinical areas.


Subject(s)
COVID-19 , Students, Nursing , Humans , Cross-Sectional Studies , Pandemics , Emotional Intelligence
4.
Jurnal Pendidikan IPA Indonesia ; 12(1):67-79, 2023.
Article in English | Scopus | ID: covidwho-2323590

ABSTRACT

This study aims to analyze prospective science teachers' information literacy and scientific argumentation skills and their correlations in online learning during the COVID-19 pandemic. This survey research with a cross-sectional design involved 342 students from a state university in Surabaya. The survey was given online to all respondents with a response rate of 77%, consisting of 23 men and 241 women. The information literacy skill instrument was adapted from the eight indicators of the empowering eight model and declared valid. Indicators include the ability to identify, explore, select, organize, create, present, access input, and use information. The argumentation skills instrument consists of four indicators: the ability to identify claims and their qualifications, identify types of data and their quality, identify reasons and quality, and identify objections and counter-argu-ments. In contrast to the results of previous studies in this study, prospective teachers' information literacy obtains an average of 83% in a good category. Based on the correct answers to the four indicators, the argumentation skills used obtained an average score of more than 50% on the less and very poor criteria. Based on the SPSS one-tailed correlation test, a correlation coefficient of 0.103 is obtained with very low criteria. This study concludes that students' information literacy skills are in line with their argumentation skills but in very little correlation. © 2023 Science Education Study Program FMIPA UNNES Semarang.

5.
Nurse Educ Pract ; 69: 103639, 2023 May.
Article in English | MEDLINE | ID: covidwho-2321966

ABSTRACT

AIMS: To investigate the mediating role of resilience and academic motivation between academic stress and self-directed learning. BACKGROUND: Academic stress in nursing students is a well-reported concept that affects resilience, academic motivation and self-directed learning. However, there is a dearth of studies investigating the mediating role of resilience and academic motivation between academic stress and self-directed learning. DESIGN: Cross-sectional study and mediation analysis. METHODS: Nursing students (n = 718) were recruited from five nursing schools via convenience sampling. Four self-report scales (Perception of Academic Stress Scale, Connor and Davidson Resilience Scale, Short Academic Motivation Scale and Self-directed Learning Instrument) were used to collect data from August to December 2022. Pearson's r, bivariate analysis and multistage regression analyses were employed to analyze the data. RESULTS: Academic stress negatively influences nursing students' resilience, academic motivation and self-directed learning. Resilience and academic motivation have a positive impact on self-directed learning. Resilience and academic motivation mediate the relationship between academic stress and self-directed learning, as evidenced by a reduction in the negative impacts of academic stress on nursing students. CONCLUSION: Resilience and academic motivation, as mediators, reduce the effects of academic stress on self-directed learning. Nursing educators and administrators should promote programs that strengthen resilience and academic motivation. Thus, improving educational and clinical performance.


Subject(s)
Motivation , Students, Nursing , Humans , Cross-Sectional Studies , Learning , Educational Status
6.
Respirology ; 28(Supplement 2):218, 2023.
Article in English | EMBASE | ID: covidwho-2320440

ABSTRACT

Introduction/Aim: Since 1992, the Lung Health Promotion Centre has delivered a broad syllabus of respiratory and sleep medicine topics, respiratory function tests and smoking cessation for multidisciplinary health care professionals (MDHCP) at the Alfred and regional sites. When the COVID-19 pandemic came to Australia in early 2020, there were prolonged and severe restrictions imposed in Melbourne, which greatly affected people's ability to travel and to have gatherings. As a result, the Centre had to rapidly adapt the educational model to be able to continue to offer its courses. As attendees could no longer attend in person, the courses were provided through live webinars, pre-recorded webinars and self-directed learning via an online learning portal. Aim(s): To compare the participation in and satisfaction with the Centre's courses before and during the COVID-19 pandemic. Method(s): 2019 Course Data is compared with data from courses in 2020, 2021 and 2022. Pre and post questionnaires were provided to participants at each course. Result(s): 2019 2020 2021 2022 Course Streams (Course Presentations) 12 (23) 6 (17) 4 (10) 7 (17) Sessions - On Site 23 4 - 1 Sessions - Live Webinar - 9 6 10 Sessions - Self Directed - 2 4 6 Attendance (Days) 228 204 136 203 On Site 228 84 - 26 Live Webinar (1st Webinar, Assist Required). - 119 (87%, 20%) 134 (75%, 23%) 171 (71%, 12%) Self-Directed - 1 2 6 Domicile - Victoria, Interstate 86% 14% 83% 17% 63% 37% 77% 23% Satisfaction (Rating out of 5) 4.8 4.1 4.5 4.4 Conclusion(s): Lung Health Promotion centre was agile during the pandemic and able to provide ongoing well evaluated programmes responsive to the change in participant needs and educational opportunities. Pivot of presentations to live webinars encouraged attendance of more rural and interstate participants. Educational Support: Nil.

7.
Distance Education ; 2023.
Article in English | Scopus | ID: covidwho-2320319

ABSTRACT

This study investigated how student effort and the course design influenced an online internship in China. A cohort of 95 postgraduate students became distance learners in a credit-bearing internship course due to COVID-19. The course leader applied the action learning framework to prompt student online collaboration and group inquiry. The framework assumes the importance of self-reliant learner autonomy in virtual internships. After the course, researchers analyzed the effects of self-directed learning with technology on a multidimensional community of inquiry in a virtual environment. The study also identified students' narratives that explain how self-directed learning with technology interacted with three elements of virtual communities of inquiry: social, cognitive, and teaching. Findings explain how virtual internships can be facilitated through a community of inquiry model. Educators and practitioners may consider the model to demonstrate student-staff partnerships (Fitzgerald et al., 2020) to achieve quality transformation of internships from face-to-face mode to distance education. © 2023 Open and Distance Learning Association of Australia, Inc.

8.
Interactive Learning Environments ; : 1-17, 2023.
Article in English | Academic Search Complete | ID: covidwho-2319215

ABSTRACT

During the COVID-19 pandemic period of almost two years, online teaching was adopted by Higher Educational Institutes (HEIs) mostly as an emergency measure to maintain endurance in teaching-learning activities in academics. Although a lot of research works have focussed on the teaching-learning strategies deployed during the pandemic period, the post-pandemic era remains rather unexplored with formal attempts. The objective of this study is to perform a post-pandemic analysis of online teaching on the students' learning and their academic performance. For the first time for the post-pandemic analysis, a novel and formal theoretical model is proposed, designed, developed, and tested by using the survey method comprising six constructs, Confirmatory Factor Analysis (CFA) and path analysis with Structural Equation Modelling (SEM). This quantitative research was conducted for the students of (HEIs) who have experienced e-teaching using digital technologies. The main contributions of the paper include the findings for (a) improving the scenario of online teaching-learning from the students' learning perspective (b) enlightening teachers on understanding the students' behaviour better and accordingly aligning their teaching approaches, and (c) planning of evaluations for enhancing the academic performance of the students. This research will provide the future directions to the technology-mediated teaching-learning. [ FROM AUTHOR] Copyright of Interactive Learning Environments is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

9.
International Journal of Intelligent Engineering Informatics ; 10(6):484-503, 2022.
Article in English | Web of Science | ID: covidwho-2310588

ABSTRACT

The COVID-19 epidemic is one of the deadliest viruses in recent history, but it is an infodemic that infects students and the community with false information, exacerbating the existing ailment. We attempt to identify and classify bogus news on the internet to identify false information about epidemics and coronavirus. Real comments were gathered from legitimate Twitter usernames, while phoney comments, publications, and events were obtained through realisation websites like news sources. Methods of deep learning, such as convolutional and recurrent neural networks, were combined in this process. Conventional classification techniques such as Binary Classification, K-nearest, Asymmetric Boost, and Random Forest were used up until they were exhausted in the random mutimodal deep learning (RMDL). Examining these tactics and gaining a deeper understanding of the dataset, including the information on COVID-19 that can be found on the internet, required the application of the high-frequency sub and clothing word convolutional extracted features.

10.
50th Annual Conference of the European Society for Engineering Education, SEFI 2022 ; : 234-242, 2022.
Article in English | Scopus | ID: covidwho-2289452

ABSTRACT

In times of a pandemic many university courses have to be taught in an online learning format to respect the requirements of social distancing. Online learning takes place between the poles of self-direction by the student and guidance by the lecturer. In this paper a first-semester course in industrial economics for engineers, which was taught in the self-directed learning format of flipped classroom, was enhanced with lesson activities in the Learning Management System (LMS) Moodle as a means of guided learning with student-content interaction. The paper describes the design and the evaluation of the lesson activities. For the evaluation a student survey to gather the opinions and self-assessments of the students was conducted, and statistical data from Moodle on the performance of the students were collected. The results of the student survey show an overall positive evaluation of the lesson activities by the students who participated in the lesson activities. Furthermore, the results of the statistical data about the students' performance show a relation between participation in the lesson activities and exam success. As a caveat, however, the results also show that the majority of the students chose not to participate in the lesson activities. © 2022 SEFI 2022 - 50th Annual Conference of the European Society for Engineering Education, Proceedings. All rights reserved.

11.
Social Sciences and Humanities Open ; 7(1), 2023.
Article in English | Scopus | ID: covidwho-2300403

ABSTRACT

In this research we studied usable strategies to promote student engagement and learning in the online classroom specifically connected to the development of teaching presence and student self-regulation. A design-based research approach (Barab & Squire, 2004) with multiple methods of data collection were used in the study's design, which was informed by the Garrison et al.'s Community of Inquiry framework and Zimmerman's cycle of self-regulatory phases. Qualitative sources of data included coursework and semi-structured interviews with three student participants, accompanied by text-based planning and debrief notes, and a semi-structured interview with one instructor. The study context was an online course connected to a Bachelor of Education program at a university in Ontario, Canada. Findings indicate students experienced teaching presence directly in the timely, strengths-based and personal feedback they received. Regular feedback helped students know their work was being seen and that they were "on the right track”. Strengths-based and personal feedback aided student motivation and self-regulation, which emerged as important for ongoing engagement and learning online. Recommendations that emerged from this study are of interest internationally to designers of online learning courses, online instructors and researchers in online learning. © 2023

12.
Educ Inf Technol (Dordr) ; : 1-20, 2023 Mar 30.
Article in English | MEDLINE | ID: covidwho-2298729

ABSTRACT

The adoption of online learning for adolescent students accelerated with the outbreak of the COVID-19 pandemic. However, few studies have investigated the mechanisms influencing adolescent students' online learning engagement systematically and comprehensively. This study applied the Presage-Process-Product (3P) model of learning to investigate the direct effects of presage factors (i.e., information literacy and self-directed learning skills) and process factors (i.e., academic emotions) on high school students' online learning engagement; and the mediating role of process factors. Data from 1993 high school students in China (49.3% males and 50.7% females) were analyzed using structural equation modeling. The result showed that students' information literacy, self-directed learning skills, and positive academic emotions positively predicted their online learning engagement. Moreover, the positive impact of self-directed learning skills on students' online learning engagement was significantly and largely enhanced through the mediation effects of positive academic emotions (ß = 0.606, 95% CI = [0.544, 0.674]). Based on these results, to enhance adolescent students' online learning engagement, it is important for school administrators, teachers, and parents to improve students' information literacy, self-directed learning skills, and positive academic emotions.

13.
BMC Nurs ; 22(1): 122, 2023 Apr 14.
Article in English | MEDLINE | ID: covidwho-2306589

ABSTRACT

BACKGROUND: Promoting self-directed learning (SDL) among nursing undergraduates is crucial to meet the new requirements of the healthcare system and to adapt to online learning contexts during the COVID-19 pandemic. Therefore, identifying the classification features of SDL ability and developing targeted interventions are both critical. Professional identity (PI) may contribute to the cultivation of SDL ability, but their relationship remains relatively unknown. This study aimed to explore the subgroups of SDL ability and their differences in PI among nursing undergraduates during the COVID-19 pandemic. METHODS: A total of 2438 nursing undergraduates at four universities in China were enrolled in this cross-sectional study from November 2021 to February 2022. The Self-Directed Learning Scale of Nursing Undergraduates (SLSNU) and the Professional Identity Scale for Nursing Students (PISNS) were administered. A latent profile analysis was performed to explore SDL ability latent profiles. Multinomial logistic regression analysis was conducted to examine the predictors of profile membership, and a one-way analysis of variance was applied to compare the PI scores in each latent profile. RESULTS: Three latent profiles were identified and labeled 'low SDL ability' (n = 749, 30.7%), 'low initiative of help-seeking' (n = 1325, 54.4%) and 'high SDL ability' (n = 364, 14.9%). Multinomial logistic regression analysis suggested that nursing undergraduates who voluntarily chose a nursing major, had served as a student cadre, and had participated in clinical practicum were less likely to be included in the "low SDL ability" group. The average PI score was statistically different across the three profiles (F = 884.40, p < 0.001). CONCLUSION: The SDL ability among nursing undergraduates was divided into three profiles, and results show that promoting PI may effectively foster SDL ability. This study highlights the importance of targeted interventions by considering their distinct SDL ability patterns, especially during the COVID-19 pandemic.

14.
1st IEEE International Conference on Automation, Computing and Renewable Systems, ICACRS 2022 ; : 820-826, 2022.
Article in English | Scopus | ID: covidwho-2257248

ABSTRACT

During the COVID-19 outbreak, all the physical classes suspended, and switched to online learning. The new era of learning presented several challenges for the teachers and students. The students did not have the opportunity to participate in the classroom activities successfully as a physical class due to a lack of educational creativity, a lack of digital tools, and a dependency on the internet. Strengthening self-directed learning and improving the technical infrastructure are required, to advance innovation-centric education from "teaching" to "learning" and to develop digital literacy. By incorporating technology into classroom instruction everyone can understand the concepts and realize their right to education. The recent technological advances in deep learning are referred to as Generative Adversarial Networks (GANs). The GANs used as an Assistive Technology (AT) to generate the sequence of images of the descriptive input text. The goal of this review is the Visual Storytelling by utilizing the Text-to-Image GAN which strengthens self-directed learning through visualization and improve the critical thinking, and logical reasoning. © 2022 IEEE

15.
54th ACM Technical Symposium on Computer Science Education, SIGCSE 2023 ; 1:778-784, 2023.
Article in English | Scopus | ID: covidwho-2251177

ABSTRACT

With the advent of online educational platforms and the advances in pedagogical technologies, self-directed learning has emerged as one of the most popular modes of learning. Distance education - -elevated by the COVID-19 pandemic - -involves methods of instruction through a variety of remote activities which often rely on educational videos for mastery. In the absence of direct student engagement, the asynchronous nature of remote activities may deteriorate the quality of education for learners. Students often have an illusion of skill acquisition after watching videos, which results in overestimation of abilities and skills. We focus on the efficacy of skill acquisition through interactive technologies and assess their impact on computational thinking in comparison with delivery through other traditional media (e.g. videos and texts). In particular, we investigate the relationship between actual learning, perception of learning, and learners' confidence in adult learners. Our results reveal intriguing observations about the role of interactivity and visualization and their implications on the pedagogical design for self-directed learning modules. © 2023 ACM.

16.
Journal of Research in Innovative Teaching & Learning ; 16(1):37-52, 2023.
Article in English | ProQuest Central | ID: covidwho-2280820

ABSTRACT

PurposeHuman resources (HR) management has encountered unforeseen obstacles and issues in recruiting, retaining, training and developing workforces under the "new normal” due to pandemic circumstances followed by the Russo–Ukrainian War and global economic turmoil. As the world is now well-equipped with technological advancements and internet-based connectivity, many pandemic disruptions have been avoided through rapid adaptation of technological systems. Despite the constructive outcomes of this contemporary approach to learning and development (L&D), this study explores the further depths of massive open online courses (MOOC) platform adoption in human resource development initiatives during pandemic times.Design/methodology/approachA qualitative research approach was adopted to understand the employee and HR perspective on the changes in L&D approaches in organizations. To gather the primary data, respondents were divided into two clusters;different sets of questionnaires were developed for interview sessions.FindingsResults suggest that employee L&D was much more improvised with distance or online learning, including organizational e-learning systems and MOOC platforms. To accomplish their HR development goals, organizations went through significant transformations during the Coronavirus pandemic;organizational attempts to initiate online training and MOOC-based learning fostered positive results in employee capacity development, process improvement, employee engagement and motivation.Originality/valueThis research will assist organizations in developing interactive training methods as an effective replacement for traditional training. Additionally, it will assist readers, practitioners and HR specialists in understanding how MOOCs are changing the L&D ecosystem.

17.
Dig Dis Sci ; 68(6): 2370-2378, 2023 06.
Article in English | MEDLINE | ID: covidwho-2261009

ABSTRACT

BACKGROUND: The COVID-19 pandemic reshaped the delivery of medical education, necessitating novel modes of instruction to facilitate distance learning. Online medical education resources provide opportunities for self-directed and asynchronous learning. GISIM is a free, open access educational website dedicated to gastroenterology (GI)/hepatology, which teaches pathophysiology and disease management, and supports clinical reasoning skill development through interactive, dynamic, case presentation-based journeys. AIMS: (1) To describe the creation of a mobile-optimized, GI/hepatology educational resource for medical trainees, and (2) to report on trainee feedback on completing and authoring GISIM cases. METHODS: GISIM was created on WordPress and modeled after NephSIM, an e-learning platform dedicated to Nephrology. Content was developed by internal medicine residents and GI/hepatology fellows and attendings. Cases are interactive, prompting users to select differential diagnoses and management plans, with immediate feedback provided on response. Self-reported user demographics and website feedback were collected with an embedded survey. A separate survey evaluated case authors' experiences. RESULTS: GISIM launched in February 2021 and received 12,184 website views and 2003 unique visitors between February 1 2021 and February 28 2022. New cases are disseminated bimonthly. Sixty-one user surveys were collected, with a majority completed by fellows (38%) and residents (26%). All users found the website easy to use and most reported enhanced understanding of case topic areas. Nine author surveys were collected. Authors reported significant learning on chosen topics and improved clinical knowledge through their participation. CONCLUSIONS: We developed a novel GI/hepatology case-based resource that enables distance learning and was perceived as a valuable educational tool by users and authors.


Subject(s)
COVID-19 , Education, Medical , Gastroenterology , Humans , Pandemics , Surveys and Questionnaires
18.
Heliyon ; 9(2): e13738, 2023 Feb.
Article in English | MEDLINE | ID: covidwho-2267585

ABSTRACT

The significance of adapting to a rapidly changing world is quite evident in the current day; thus, the awareness of how to teach students so that they can be ready to face challenges in the future is very important. Early education has a huge impact on the further development of children, so preschool teachers must be competent and use appropriate teaching and educational methods. In this study, the development of self-directed learning (SDL) of future preschool teachers is investigated by considering two variables, namely the type of study (full-time and part-time students) and the learning modalities caused by the COVID-19 pandemic (pre-, during and post-COVID-19 confinement). We collected data from 418 participants and analysed them using descriptive statistics, 2 × 3 factorial analysis of variance (ANOVA) and a two-step cluster analysis. The results show the status of pre-service preschool teachers' perceptions of their SDL development and how the variables influenced it. There were significant differences in the students' self-reported SDL skills, depending on the learning environment and the type of study. The status indicator helps educators identify and change the curriculum and how they work with students. It allows the faculty to highlight the positive aspects of the different educational modalities encountered, as well as the characteristics of the study types and their impact on the learning process to improve students' SDL skills. The results of the study may help in the design of tailored metacognitive scaffolds that take into account different modalities. Further studies are needed to investigate the effectiveness of digital open learning environments that address both SDL and preschool educational practices.

19.
Nurse Educ Pract ; 69: 103613, 2023 May.
Article in English | MEDLINE | ID: covidwho-2275660

ABSTRACT

PURPOSE: Traditional face-to-face classes for nursing students due to the COVID (Coronavirus Disease)-19 pandemic around the world made it inevitable to operate education delivery method using remote/hybrid fashion. This study was aimed to validate the Korean version of the Student Stress Inventory-Stress Manifestations (SSI-SM) and assess the association between COVID-19 pandemic related stress level and self-directed learning ability competence in nursing students. DESIGN: This research was a cross-sectional study design. METHODS: The study was conducted from December 2020 to January 2021, with a convenience sample of 172 nursing students in the 3rd and 4th grades in South Korea. The Korean version of SSI-SM(K-SSI-SM) was translated and adapted according to standard guideline, and tested construct validity and reliability. In addition, a multiple linear regression analysis was used to examine the associations between the COVID-19 related stress level and the self-directed learning ability. RESULTS: An exploratory analysis showed that K-SSI-SM composed of 13-item in three factors (uncertainty, non-sociability, and somatization) accounted for 68.73% of the total variance after it was modified. The internal consistency was good with 0.91. Multiple linear regression analysis revealed that higher self-directed learning ability was associated with lower stress levels (ß = -0.19, p = 0.008), positive toward online learning (ß = 0.41, p = 0.003) and scored higher in theory (ß = 0.30, p < 0.001) in nursing students. CONCLUSION: The K-SSI-SM is an acceptable instrument for assessing stress levels in Korean nursing students. And nursing faculties need to pay attention to related factors of self-directed learning ability, in order to achieve the course's self-directed learning goal in students attending online classes.


Subject(s)
COVID-19 , Students, Nursing , Humans , Cross-Sectional Studies , Reproducibility of Results , Pandemics , COVID-19/epidemiology , Republic of Korea/epidemiology
20.
J Med Internet Res ; 25: e42325, 2023 04 05.
Article in English | MEDLINE | ID: covidwho-2255007

ABSTRACT

BACKGROUND: Basic life support (BLS) education is essential for improving bystander cardiopulmonary resuscitation (CPR) rates, but the imparting of such education faces obstacles during the outbreak of emerging infectious diseases, such as COVID-19. When face-to-face teaching is limited, distance learning-blended learning (BL) or an online-only model-is encouraged. However, evidence regarding the effect of online-only CPR training is scarce, and comparative studies on classroom-based BL (CBL) are lacking. While other strategies have recommended self-directed learning and deliberate practice to enhance CPR education, no previous studies have incorporated all of these instructional methods into a BLS course. OBJECTIVE: This study aimed to demonstrate a novel BLS training model-remote practice BL (RBL)-and compare its educational outcomes with those of the conventional CBL model. METHODS: A static-group comparison study was conducted. It included RBL and CBL courses that shared the same paradigm, comprising online lectures, a deliberate practice session with Little Anne quality CPR (QCPR) manikin feedback, and a final assessment session. In the main intervention, the RBL group was required to perform distant self-directed deliberate practice and complete the final assessment via an online video conference. Manikin-rated CPR scores were measured as the primary outcome; the number of retakes of the final examination was the secondary outcome. RESULTS: A total of 52 and 104 participants from the RBL and CBL groups, respectively, were eligible for data analysis. A comparison of the 2 groups revealed that there were more women in the RBL group than the CBL group (36/52, 69.2% vs 51/104, 49%, respectively; P=.02). After adjustment, there were no significant differences in scores for QCPR release (96.9 vs 96.4, respectively; P=.61), QCPR depth (99.2 vs 99.5, respectively; P=.27), or QCPR rate (94.9 vs 95.5, respectively; P=.83). The RBL group spent more days practicing before the final assessment (12.4 vs 8.9 days, respectively; P<.001) and also had a higher number of retakes (1.4 vs 1.1 times, respectively; P<.001). CONCLUSIONS: We developed a remote practice BL-based method for online-only distant BLS CPR training. In terms of CPR performance, using remote self-directed deliberate practice was not inferior to the conventional classroom-based instructor-led method, although it tended to take more time to achieve the same effect. TRIAL REGISTRATION: Not applicable.


Subject(s)
COVID-19 , Cardiopulmonary Resuscitation , Humans , Female , Cardiopulmonary Resuscitation/education , Educational Measurement/methods , Learning , Feedback , Manikins
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