Document Type : Original Article

Authors

1 Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

2 Faculty of Nursing, Sri Ramachandra Institute of Higher Education, Chennai, Tamil Nadu, India

Abstract

BACKGROUND: Clinical‑based mobile learning courses have great demand among the nursing
graduates as learners look for possibilities to update skills. The present study explores the
feasibility, familiarity, utility, and attitude of nursing graduates of South India toward mobile learning
applications (m‑apps).
MATERIAL AND METHODS: An online‑based cross‑sectional descriptive survey was conducted in
May 2021 among the South Indian nursing graduates of Tamil Nadu and Kerala, using a questionnaire
consisting 49 items categorized under six sections with items related to socio‑demographic
information; m‑app usage; online learning experience; preference in using m‑apps for learning
purposes before COVID‑19 and during COVID‑19; students’ engagement through e‑learning; and
anxiety related to online assessment. Descriptive and inferential (ANOVA, Chi‑square, and t test)
statistical data analysis were done using SPSS version 23.
RESULTS: A total of 447 student nurses responded. The result shows that most of them, 96% (432)
used android phones and 94% (422) owned a mobile. Age was highly influencing mobile learning
application (m‑learning apps) usage; students of less than 20 years of age used applications more
frequently and possessed more educational applications. Majority of them, 84% (377) of them had
started using m‑learning apps only after COVID. 57.7% (249) commonly used m‑learning apps for
acquiring nursing knowledge resources, nursing exam preparatory, and drug resources. Students
rated high for the interactive nature of these m‑learning apps, while abundant learning materials
and usage with ease were rated as other attractive features. Sixty‑six percent (305) had mostly
downloaded these apps from Google Play Store.
CONCLUSION: The findings would help the m‑learning application developers to offer customize
solutions to address learning gaps that prevail among the South Indian nursing graduates and help
with sustainable growth.

Keywords

1. Amir LR, Tanti I, Maharani DA, Wimardhani YS, Julia V,
Sulijaya B, et al. Student perspective of classroom and distance
learning during COVID‑19 pandemic in the undergraduate
dental study program Universitas Indonesia. BMC Med Educ
2020;20:392. doi: 10.1186/s12909‑020‑02312‑0.
2. Leo S, Alsharari NM, Abbas J, Alshurideh MT. From Offline
to Online Learning: A Qualitative Study of Challenges and
Opportunities as a Response to the COVID-19 Pandemic in the
UAE Higher Education Context. In: Alshurideh M, Hassanien AE,
Masa’deh R, (eds). The Effect of Coronavirus Disease (COVID-19)
on Business Intelligence. Studies in Systems, Decision and Control,
vol 334. Springer, Cham; 2021. https://doi.org/10.1007/978-3030-67151-8_12.
3. Gonzalez T, de la Rubia MA, Hincz KP, Comas‑Lopez M,
Subirats L, Fort S, et al. Influence of COVID‑19 confinement
on students’ performance in higher education. PLoS ONE
2020;15:e0239490.
4. Sheikhbardsiri H, Sheikhasadi H, Mahani SA, Mohamadi MMD.
Emotional intelligence and learning strategies of postgraduate
students at Kerman University of Medical Sciences in the
southeast of Iran. J Educ Health Promot 2020;9:66.
5. Barakat, Ms Abeer Z. Attitudes of tertiary students towards
using smart phone applications in learning English: The case of
the freshmen enrolling in the General English requirement in
the university college of applied science. Int J Innov Educ Res
2015;3:47–54.
6. Epstein J, Bequette A. Smart phone applications in clinical practice.
J Ment Health Couns 2013;35:283–95.
7. Jesse, Gayle R. "Smartphone and app usage among college
students: Using smartphones effectively for social and educational
needs." Proceedings of the EDSIG Conference. No. 3424. 2015.
8. Ali, Wahab. "Online and remote learning in higher education
institutes: A necessity in light of COVID-19 pandemic." Higher
education studies; Vol. 10, No. 3; 2020. ISSN 1925-4741 E-ISSN
1925-475X Published by Canadian Center of Science and
Education.
9. Available from: https://www.appsquadz.com/blog/
developing‑e‑learning‑mobile‑app‑market‑size‑statistics‑trends/.
[Last accessed on 2019 Mar 03].
10. Available from: https://www.weforum.org/agenda/2020/04/
coronavirus‑education‑global‑covid19‑online‑digital‑learning/
(byjus). [Last accessed on 2021 Feb 25].
11. Available from: https://www.weforum.org/agenda/2020/04/
coronavirus-education-global-covid19-online-digital-learning/.
(survey on online users). [Last accessed on 2020 Apr 29].
12. Li KC, Lee LY, Wong SL, Yau IS, Wong BT. "Effects of mobile
apps for nursing students: learning motivation, social interaction
and study performance." Open Learning: The Journal of Open,
Distance and e-Learning 2018;33.2:99-114.
13. Kim H, Suh EE. The effects of an interactive nursing skills mobile
application on nursing students’ knowledge, self‑efficacy, and
skills performance: A randomized controlled trial. Asian Nurs
Res 2018;12:17–25.
14. Nejadshafiee M, Nekoei‑Moghadam M, Bahaadinbeigy K,
Khankeh H, Sheikhbardsiri H. Providing telenursing care
for victims: A simulated study for introducing of possibility
nursing interventions in disasters. BMC Med Inform Decis Mak
2022;22:1–9.
15. Strandell‑Laine C, Saarikoski M, Löyttyniemi E, Meretoja R,
Salminen L, Leino‑Kilpi H. Effectiveness of mobile cooperation
intervention on students’ clinical learning outcomes:
A randomized controlled trial. J Adv Nurs 2018;74:1319–31.
16. Sheikhbardsiri H, Mousavi SH, Doustmohammadi MM,
Karimi M, Salahi S. The effect of educational workshop on
emergency department nurses’ self‑efficacy in patient training.
J Educ Health Promot 2019;8:136.
17. Sarani A, Mousavi SH, Salahi S, Hasani F, Abdar ZE,
Sheikhbardsiri H. Emotional intelligence and self‑efficacy among
deputy’s administrative staff of Kerman University of Medical
Sciences. J Educ Health Promot 2020;9:105. doi: 10.4103/jehp.
jehp_482_19.
18. O’Connor S, Andrews T. Smartphones and mobile
applications (apps) in clinical nursing education: A student
perspective. Nurse Educ Today 2018;69:172–8.
19. Chen B, Wang Y, Xiao L, Xu C, Shen Y, Qin Q, et al. Effects
of mobile learning for nursing students in clinical education:
A meta‑analysis. Nurse Educ Today 2021;97:104706. doi:
10.1016/j.nedt. 2020.104706.
20. Jamshidi N, MolazemZ, Sharif F, Torabizadeh C, Najafi KalyaniM.
The challenges of nursing students in the clinical learning
environment: A qualitative study. ScientificWorldJournal
2016;2016:1846178. doi: 10.1155/2016/1846178.
21. Heidarijamebozorgi M, Jafari H, Sadeghi R, Sheikhbardsiri H,
Kargar M, Gharaghani MA. The prevalence of depression, anxiety,
and stress among nurses during the coronavirus disease 2019:
A comparison between nurses in the frontline and the second
line of care delivery. Nurs Midwifery Stud 2021;10:188.
22. Jamebozorgi MH, Karamoozian A, Bardsiri TI, Sheikhbardsiri H.
Nurses burnout, resilience, and its association with
socio‑demographic factors during COVID‑19 pandemic. Front
Psychiatry 2022. doi: 10.3389/fpsyt. 2021.803506.
23. Agu CF, Stewart J, McFarlane‑Stewart N, Rae T. COVID-19
pandemic effects on nursing education: Looking through the lens
of a developing country. Int Nurs Rev 2021;68:153–8.
24. Matzavela V, Alepis E. M‑learning in the COVID‑19 era: Physical
vs digital class. Educ Inform Technol 2021;26:7183–203.
25. Bhaumik R, Priyadarshini A. E‑readiness of senior secondary
school learners to online learning transition amid COVID‑19
lockdown. Asian J Distance Educ 2020;15:244–56.
26. Billings DM. Understanding the challenges of e‑learning.
Nursing2020 2007;37:36–7.
27. Traxler J, Kukulska‑Julme A. Mobile learning in developing
countries. 2005.
28. Banks K. Mobile learning in developing countries: Present realities
and future possibilities. Education for a Digital World: Advice,
Guidelines, and Effective Practice from Around the Globe. 2008.
p. 51–6.
29. Shirazi F, Sharif F, Molazem Z, Alborzi M. Dynamics of
self‑directed learning in M. Sc. nursing students: A qualitative
research. J Adv Med Educ Prof 2017;5:33–41.
30. WangYY, WangYS, Lin HH, Tsai TH. "Developing and validating
a model for assessing paid mobile learning app success."
Interactive Learning Environments 2019;27.4:458-77.
31. Sophonhiranrak S. Features, barriers, and influencing factors of
mobile learning in higher education: A systematic review. Heliyon
2021;7:e06696. doi: 10.1016/j.heliyon. 2021.e06696.
32. Cho J, Quinlan MM, Park D, Noh GY. Determinants of adoption
of smartphone health apps among college students. Am J Health
Behav 2014;38:860–70.
33. Growth of Nursing in India: Historical and Future Perspectives.
Available from: https://healthyindiachronicle.in/shri-t‑dileepkumar-president-indian-nursing-council-growth‑nursing‑india/.
[Last accessed on 2019 Mar 24].
34. Singh HK, Joshi A, Malepati RN, Najeeb S, Balakrishna P,
Pannerselvam NK, et al. A survey of E‑learning methods in
nursing and medical education during COVID‑19 pandemic in
India. Nurse Educ Today 2021;99:104796. doi: 10.1016/j.nedt.
2021.104796.
35. Dhawan S. Online learning: A panacea in the time of COVID‑19
crisis. J Educ Technol Syst 2020;49:5–22.
36. Basu S, Marimuthu Y, Sharma N, Sharma P, Gangadharan N,
Santra S. Attitude towards mobile learning among resident doctors involved in undergraduate medical education at a
government medical college in Delhi, India. J Educ Health Promot
2020;9:321. doi: 10.4103/jehp.jehp_443_20
37. Sullivan KM, Dean A, Soe MM. On academics: OpenEpi:
A web‑based epidemiologic and statistical calculator for public
health. Public Health Rep 2009;124:471–4.
38. Harerimana A, Mtshali NG. Using mobile technologies among
undergraduate nursing students for academic purposes in
tertiary education: A quantitative survey. Comput Inform Nurs
2021;39:257–64.
39. Sheikhtaheri A, Kermani F. Use of mobile apps among medical
and nursing students in Iran. eHealth 2018.
40. B a r a l S . H o w t o b r e a k t h e h a b i t o f c h e c k i n g
your phone all the time. Diambil dari. 2017. Available
from: https://www.mic.com/articles/164230/
how‑to‑break‑the‑habit‑of‑checking‑your‑phone‑all‑the‑time.
[Last accessed on 2017 Jan 04].
41. Ayar D, Özalp Gerçeker G, Özdemir EZ, Bektaş M. The effect of
problematic internet use, social appearance anxiety, and social
media use on nursing students’ nomophobia levels. Comput
Inform Nurs 2018;36:589–95.
42. Agung AS, Surtikanti MW, Quinones CA. Quinones. Students’
perception of online learning during COVID‑19 pandemic: A case
study on the English students of STKIP Pamane Talino. SOSHUM:
Jurnal Sosial Dan Humaniora 2020;10:225–35.
43. Carlson, KW. Perceptions of an EBP Module Mobile Application
New Graduate Nurses. Diss. Walden University; 2018.
44. Al‑Azawei A, Parslow P, Lundqvist K. Barriers and opportunities
of e‑learning implementation in Iraq: A case of public universities.
Int Rev Res Open t 2016;17. doi: 10.19173/irrodl.v17i5.250.
45. Subedi S, Nayaju S, Subedi S, Shah SK, Shah JM. Impact of
E‑learning during COVID‑19 pandemic among nursing students
and teachers of Nepal. Int J Sci Healthc Res 2020;5:68–76.
46. Almaiah MA, Al‑Khasawneh A, Althunibat A. Exploring
the critical challenges and factors influencing the E‑learning
system usage during COVID‑19 pandemic. Educ Inf Technol
2020;25:5261–80.
47. Momeni MR. A survey of mobile cloud computing: Advantages,
challenges and approaches. Int J Comput Sci Bus Inform
2015;15:14–28.
48. Ali N, Jamil B, Sethi A, Ali S. Attitude of nursing students towards
E‑learning. Adv Health Prof Educ 2016;2:24–9.
49. Thapa P, Bhandari SL, Pathak S. Nursing students’ attitude on the
practice of e‑learning: A cross‑sectional survey amid COVID‑19
in Nepal. PLoS ONE 2021;16:e0253651.
50. Abbasi S, Ayoob T, Malik A, Memon SI. Perceptions of students
regarding E‑learning during Covid‑19 at a private medical college.
Pak J Med Sci 2020;36:S57–61.
51. Yazdannik A, Mohamadirizi S, Nasr‑Esfahani M. Comparison of
the effect of electronic education and workshop on the satisfaction
of nurses about Emergency Severity Index triage. J Educ Health
Promot 2020;9:158. doi: 10.4103/jehp.jehp_182_19.
52. Chandran VP, Balakrishnan A, Rashid M, Pai Kulyadi G,
Khan S, Devi ES, et al. Mobile applications in medical education:
Asystematic review and meta‑analysis. Plos One 2022;17:e0265927.
53. Hamid R, Sentryo I, Hasan S. Online learning and its problems
in the Covid‑19 emergency period. Jurnal Prima Edukasia
2020;8:86–95.
54. Alhumaid K, Ali S, Waheed A, Zahid E, Habes M. COVID‑19
& e‑learning: Perceptions & attitudes of teachers towards
e‑learning acceptance in the developing countries. Multicult Educ
2000;6:00‑1.