Document Type : Original Article
Authors
1 Department of Pharmaceutical Chemistry, Institute of Pharmaceutical Sciences, Jinnah Sindh Medical University, Karachi, Pakistan,
2 Department of Medicine, Aziz Fatimah Hospital and Medical College, Faisalabad, Pakistan
3 Department of Pathology, Jinnah Sindh Medical University, Karachi, Pakistan
Abstract
BACKGROUND: Online learning (OLL) methodology has been incorporated in higher education
extensively on the mount over the last few decades and with the onset of COVID‑19 situation, the
virtual method in academia became essential. After observing worldly destructions and death due
to coronavirus, the WHO declared a high alert emergency, and since Pakistan started to follow
lockdown since March 2020 to prevent high penetration and consequently, the online teaching method
was adapted to keep the learning atmosphere alive. The study is aimed to identify the influencing
factors and compliance for the implementation of the OLL system in COVID‑19 and, in the future,
nonpandemic state as well.
MATERIALS AND METHODS: The present study is designed to observe the adaptability and hurdles
among pharmacy students, and for the purpose of the study, a questionnaire on the Likert scale was
developed and asked to respond from pharmacy undergraduate and postgraduate students after
taking consensus, which further analyzed through IBM SPSS Statistics Version 26.
RESULTS: The outcomes of the study were analyzed with a high level of conformity; however, the
gender‑based reservations were observed, and moreover, merits of OLL were observed with high
jeopardy.
CONCLUSION: The adaptation of OLL, though proved as the only troubleshooter in an uncontrollable
situation and enabled universities, professors, and students for patience, resilience, and hopefully,
will serve as swift safeguard for future challenges of epidemic and pandemic disasters. According
to the evolution theory, brain adaptability and plasticity of human organisms grow the capacity to
adjust itself with an advanced characteristic.
Keywords
on the implementation of e‑learning: Helpful or unhelpful? J Phys
2018;(012058):0120581088.
2. Anca P, Cosmina M. Students’ perception on using e‑learning
technologies. Procedia Soc Behav Sci 2015;180:1514‑9.
3. Boyd M, Clezy K, Lindley R, Pearce R. Pandemic influenza:
Clinical issues. Med J Aust 2006;185:S44‑7.
4. World Health Organization. Summary of Probable SARS Cases with
Onset of Illness from November 1, 2002 to July 31, 2003. Available
from: 24 July 2015 https://www.who.int/csr/sars/country
/table 2004. [Last accessed on 2015 Jul 24].
5. Paules CI, Eisinger RW, Marston HD, Fauci AS. What recent
history has taught us about responding to emerging infectious
disease threats. Ann Intern Med 2017;167:805‑11.
6. Su S. Epidemiology, genetic recombination, and pathogenesis of
corona viruses. Trends Microbiol 2016;24:490‑502.
7. Greenberg SB. Update on human rhinovirus and corona virus
infections. Crit Care Med 2016;37:555‑71.
8. World Health Organization. Middle East Respiratory Syndrome
Corona Virus (MERS‑CoV); 2019. 8 January 2021 Available
from: http://www.who.int/emergencies/mers‑cov/en/. [Last
accessed on 2021 Jan 08]
9. Lau SK. Ecoepidemiology and complete genome comparison of
different strains of severe acute respiratory syndrome‑related
rhinolophus bat coronavirus in China reveal bats as a reservoir
for acute, self‑limiting infection that allows recombination events.
J Virol 2010;84:2808‑19.
10. Miranda ME, Miranda NL. Reston Ebolavirus in humans and
animals in the Philippines: A review. J Infect Dis 2011;204:S757‑60.
11. Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of
unknown etiology in Wuhan, China: The mystery and the miracle.
J Med Virol 2020;92:401‑2.
12. World Health Organization. Consensus Document on the
Epidemiology of Severe Acute Respiratory Syndrome (SARS).
Geneva: World Health Organization; 2003.13. Bateson P. New thinking about biological evolution. Biol J Linn
Soc 2013;112:268‑75.
14. ZukM, Bastiaans E, Langkilde T, Swangez E. The role of behaviour
in the establishment of novel traits. Anim Behav 2014;92:333‑44.
15. Zhou M, Lin W. Adaptability and life satisfaction: The moderating
role of social support. Front Psychol 2016;7:1134.
16. Dyson R, Renk K. Freshmen adaptation to university life:
Depressive symptoms, stress, and coping. J Clin Psychol
2006;62:1231‑44.
17. Green, A. E., Dishop, C. R., & Aarons, G. A. (2016). Organizational
Stress as Moderator of Relationship Between Mental Health
Provider Adaptability and Organizational Commitment.Psychiatric
services (Washington, D.C.), 67 (10), 1103–1108. https://doi.
org/10.1176/appi.ps. 20150019
18. Messina JP, Kraemer MU, Brady OJ, Pigott DM, Shearer FM,
Weiss DJ, et al. Mapping global environmental suitability for Zika
virus. Elife 2016;5:e15272.
19. World Health Organization. Crimean‑Congo Haemorrhagic
Fever. Fact Sheet No 208. WHO; 2013. Available from: http://
www.who.int/mediacentre/factsheets/fs208/en 31 January
2013/.
20. Qin Y, Zhao MJ, Tan YY, Li XQ, Zheng JD, Peng ZB, et al. History
of influenza pandemics in China during the past century. ??
Zhonghua Liu Xing Bing Xue Za Zhi? 2018;39:1028‑31.
21. Legrand J, Grais RF, Boelle PY. Understanding the dynamics of
Ebola epidemics. Epidemiol Infect 2007;135:610‑21.
22. Zugegriffen WHO World Health Organization. Ebola: Protective
Measures for Medical Staff. What You Need to Know. Steps to
Remove Personal Protective Equipment; 2014. Available from:
1 October 2017. http://www.who.int/csr/disease/ebola/
protective‑measures‑staff/en/.
23. Ehlkes L, Kreuels B, Schwarz NG, May J. Epidemiology of Ebola
virus disease and of other highly contagious, life‑threatening
diseases with low incidence in Germany. Bundesgesundheitsblatt
Gesundheitsforschung Gesundheitsschutz 2015;58:705‑13.
24. Vogler AJ, Chan F, Wagner DM, Roumagnac P, Lee J, Nera R,
et al. Phylogeography and molecular epidemiology of Yersinia
pestis in Madagascar. PLoS Negl Trop Dis 2011;5:e1319.
25. Ramasindrazana B, Andrianaivoarimanana V ,
Rakotondramanga JM, Birdsell DN, Ratsitorahina M, Rajerison M.
Pneumonic plague transmission, Moramanga, Madagascar, 2015.
Emerg Infect Dis 2017;23:521‑4.
26. Skiba DJ. The state of online education. Nurs Educ Prospect
2016;37:244‑5.
27. Kasurinen J, Knutas A. Publication trends in gamification:
A systematic mapping study. Comput Sci Rev 2018;27:33‑44.
28. Liyanagunawardena TR, Aboshady OA. Massive open online
courses: A resource for health education in developing countries.
Glob Health Promot 2018;25:74‑6.
29. Ruggeri K, Farrington C, Brayne C. A global model for effective
use and evaluation of e‑learning in health. Telemed J E Health
2013;19:312‑21.
30. Francis MK, Wormington SV, Hulleman C. The costs of online
learning: Examining differences in motivation and academic
outcomes in online and face‑to‑face community college
developmental mathematics courses. Front Psychol 2019;10:2054.
31. Gagnon M, Legare F, Labrecque M, Fremont P, Cauchon M,
Desmartis MA. Perceived barriers to completing an e‑learning
program on evidence‑based medicine. Inform Prim Care
2007;15:83‑91.
32. Connie M, Garrison J. Distance education or classroom instruction
for continuing education: Who retains more knowledge? J Med
Libr Assoc 2002;90:455‑7.
33. The Chronicle of Higher Education; 2011. Available from: http://
chronicle.com/article/College‑Presidents‑Are‑Bullish/128814
[Last accessed on 2011 May 15].
34. Taplin RH, Kerr R, Brown AM. Who pays for blended learning?
A cost–benefit analysis. Internet High Educ 2013;18:61‑8. https://
doi.org/10.1016/j.iheduc.2012.09.002.
35. Report of the WHO-China Joint Mission on Coronavirus Disease
2019 (COVID-19). 16-24 February 2020. Available at URL: https://
www.who.int/docs/default-source/coronaviruse/who-chinajoint-mission-on-covid-19-final-report.pdf. [Last accessed on 2020
Apr 07].
36. Fortune M, Spielman M, Pangelinan D. Students’ perceptions of
online or face‑to‑face learning and social media in hospitality,
recreation and tourism. J Online Learn Teach 2011;7:1‑16.
37. Lamport MA, Hill RJ. Hybrid impact of hybrid instruction on
student achievement in post‑secondary institutions: A synthetic
review of the literature 2012;1:49‑58.
38. Kemp N, GrieveR. Face‑to‑face or face‑to‑screen? Undergraduates’
opinions and test performance in classroom vs. online learning.
Front Psychol 2014;5:1278.
39. Tratnik A. Student satisfaction with an online and a face‑to‑face
Business English course in higher education context. J Innov Educ
Teach Int 2014;15:1‑10.
40. Koohang A, Durante A. Learners’ perceptions toward the
web‑based distance learning activities/assignments portion of
an undergraduate hybrid instructional model. J Inf Technol Educ
2003;2:105‑13.
41. Beeghly DG. It’s about time: Using electronic literature discussion
groups with adult learners. J Adolesc Adult Lit 2005;49:12‑21.
42. World Medical Association. World Medical Association
Declaration of Helsinki: Ethical Principles for Medical Research
Involving Human Subjects. JAMA. 2013;310(20):2191–2194. doi:
10.1001/jama.2013.281053
43. El Mansour B, Mupinga DM. Students positive and negative
experiences in hybrid and online classes. Coll Stud J 2007;41:242‑8.
44. van Laerhoven H, van der Zaag‑Loonen HJ, Derkx BH.
A comparison of Likert scale and visual analogue scales as
response options in children’s questionnaires. Acta Paediatr
2004;93:830‑5.
45. Information about COVID‑19 | Coronavirus in Pakistan,
Official Public Service Announcement on Coronavirus from
the Government by National Information Technology Board in
Collaboration with ECOM PK (Pvt.) Ltd. Available from: http://
www.covid.gov.pk. [Last accessed on 03 Aug 2020].
46. Available from: https://www.who.int/emergencies/diseases/
novel‑coronavirus‑2019/training/online‑training. [Last accessed
on 03 Aug 2020].
47. Available from: https://www.classcentral.com/course/
covid19‑novel‑coronavirus‑18996. [Last accessed on 03 Aug 2020].
48. RaviRC. Lockdown of colleges and universities due to COVID‑19:
Any impact on the education system in India? J Educ Health
Promot 2020;9:209.
49. Available from: https://www.hec.gov.pk/english/
HECAnnouncements/Documents/nCoVirus/
Government‑Directive. [Last accessed on 03 Aug 2020].
50. Song L, Singleton ES, Hill JR, Koh MH. Improving online learning:
Student perceptions of useful and challenging characteristics.
J Internet High Educ 2004;7:59‑70.
51. Bhattacharya S, Singh A, Hossain MM. Health system
strengthening through massive open online courses (MOOCs)
during the COVID‑19 pandemic: An analysis from the available
evidence. J Educ Health Promot 2020;9:195.
52. Al‑Rahmi W, Aldraiweesh A, Yahaya N, Kamin YB, Zeki AM.
Massive open online courses (MOOCs): Data on higher education.
Data Brief 2019;22:118‑25.