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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2024.104238  |2 doi 
035 |a 3153054169 
045 2 |b d20250101  |b d20250131 
084 |a 170342  |2 nlm 
100 1 |a Wang, Ruowei  |u College of Nursing, Shandong Xiehe University, No.6277, Jiqing Road, Licheng District, Jinan, Shandong, China; School of Education, Universiti Utara Malaysia, Malaysia 
245 1 |a Systematic literature review on the effects of blended learning in nursing education 
260 |b Elsevier Limited  |c Jan 2025 
513 |a Literature Review Journal Article 
520 3 |a Aim The study aimed to comprehensively analyze and evaluate the effects of blended learning in nursing education. Background Blended learning addresses significant challenges in nursing education by offering flexible and adaptive learning environments that support the development of both theoretical knowledge and practical skills. Its importance grew post-COVID-19. Although some reviews have synthesized its effects in nursing education, they often focused on a limited scope and studies, leaving gaps in understanding its broader impact. Design Systematic literature review. Methods We employed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to search for literature published in PubMed, CINAHL, Web of Science, EMBASE, ERIC, Scopus and Cochrane Library from 2000 to June 26, 2024. Two researchers independently screened each article for eligibility and extracted the data. Results This review included 54 studies and found that blended learning positively influenced nursing students in five key areas: academic performance and skill development, learning engagement and motivation, self-management in learning, psychological and emotional well-being, learning experience and satisfaction. These were captured in a visual model showing the comprehensive impact of blended learning. Critical research gaps were identified, including a lack of randomized controlled trials and limited studies on mental health and clinical thinking abilities. Conclusions The results of the study showed that the effects of blended learning in nursing education were positive and multi-dimensional. Despite some inconsistencies in findings, blended learning was shown to offer significant advantages over traditional learning, though further research is required to address areas of uncertainty. 
653 |a Students 
653 |a Intervention 
653 |a Distance learning 
653 |a Medical education 
653 |a Learning 
653 |a Systematic review 
653 |a Academic achievement 
653 |a Emotional well being 
653 |a Flipped classroom 
653 |a Motivation 
653 |a Knowledge 
653 |a COVID-19 
653 |a Mental health 
653 |a Critical thinking 
653 |a Independent study 
653 |a Nursing education 
653 |a Selfmanagement 
653 |a Blended learning 
653 |a Nursing 
653 |a Health care industry 
653 |a Clinical trials 
653 |a Uncertainty 
653 |a Research design 
653 |a Skill development 
653 |a Literature reviews 
653 |a Psychological well being 
653 |a Adaptive learning 
653 |a Meta-analysis 
653 |a Education 
653 |a Learning environment 
653 |a Well being 
653 |a Nurses 
653 |a Medical research 
653 |a Mental health services 
653 |a Ability 
653 |a Satisfaction 
653 |a Learning Activities 
653 |a Self Efficacy 
653 |a Researchers 
653 |a Information Seeking 
653 |a In Person Learning 
653 |a Database Management Systems 
653 |a Learner Engagement 
653 |a Control Groups 
653 |a Learning Strategies 
653 |a Educational Technology 
653 |a Nursing Students 
653 |a Meta Analysis 
653 |a Search Strategies 
653 |a Teaching Models 
653 |a Electronic Learning 
653 |a Quasiexperimental Design 
653 |a Educational Needs 
653 |a Theory Practice Relationship 
700 1 |a Raman, Arumugam  |u School of Education, Universiti Utara Malaysia, Malaysia 
773 0 |t Nurse Education in Practice  |g vol. 82 (Jan 2025), p. 104238 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3153054169/abstract/embedded/H09TXR3UUZB2ISDL?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3153054169/fulltext/embedded/H09TXR3UUZB2ISDL?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3153054169/fulltextPDF/embedded/H09TXR3UUZB2ISDL?source=fedsrch