Document Type : Original Article
Authors
1 Department of Psychiatric Nursing, School of Nursing, Khoy University of Medical Sciences, Khoy, Iran
2 Department of Pediatric Nursing, School of Nursing, Khoy University of Medical Sciences, Khoy, Iran
Abstract
INTRODUCTION: With the unintended closure of classrooms following the outbreak of COVID‑19, the
virtual education method is used as an alternative to face‑to‑face education. Virtual education is one
of the important factors in promoting the learning of medical students and has many benefits such as
increasing the ability of critical thinking, problem‑solving skills, and self‑directed learning. However,
critically examining students’ perceptions of e‑learning can help improve quality and better planning.
MATERIALS AND METHODS: This research was a qualitative study. Twelve students were enrolled
in the study based on purposive sampling. Data were collected using in‑depth semi‑structured
interviews in 2020. All interviews were recorded and then transcribed and analyzed using a continuous
comparison and conventional content analysis approach.
RESULTS: Data analysis revealed four main themes and ten subthemes. The main themes included
“student concern,” “teacher barriers,” “technology weakness,” and “asynchronous virtual learning
flexibility.”
CONCLUSION: Asynchronous e‑learning in the COVID‑19 outbreak had its advantages and
disadvantages. By analyzing students’ perceptions in this field, some better designs and planning
can be done to increase the quality of education.
Keywords
Rawashdeh H, et al. Distance education during the COVID‑19
outbreak: A cross‑sectional study among medical students in
North of Jordan. Ann Med Surg (Lond) 2020; 59:186‑94.
2. Ibrahim NK, Al‑Raddadi R, AlDarmasi M, Al Ghamdi A,
Gaddoury M, Al‑Bar H, et al. Medical students’ acceptance and
perceptions of e‑learning during the COVID‑19 closure time
in King Abdulaziz University, Jeddah. J Infect Public Health
2021:149(1)17‑23.
3. Gaur U, Majumder MA, Sa B, Sarkar S, Williams A, Singh K.
Challenges and opportunities of preclinical medical
education: COVID‑19 crisis and beyond. SN Compr Clin Med
2020 2:1992–1997.
4. O’Doherty D, Dromey M, Lougheed J, Hannigan A, Last J,
McGrath D. Barriers and solutions to online learning in medical
education – An integrative review. BMC Med Educ 2018; 18:130.
5. Warnecke E, Pearson S. Medical students’ perceptions of using
e‑learning to enhance the acquisition of consulting skills.
Australas Med J 2011; 4:300‑7.
6. Vallée A, Blacher J, Cariou A, Sorbets E. Blended learning
compared to traditional learning in medical education: Systematic
review and meta‑analysis. J Med Internet Res 2020; 22:e16504.
7. Khasawneh AI, Humeidan AA, Alsulaiman JW, Bloukh S,
Ramadan M, Al‑Shatanawi TN, et al. Medical students and
COVID‑19: Knowledge, attitudes, and precautionary measures.
A descriptive study from Jordan. Front Public Health 2020; 8:253.
8. Vitoria L, Mislinawati M, Nurmasyitah N. Students’ perceptions
on the implementation of e‑learning: Helpful or unhelpful.
J Physics 2018;1088(1)258.
9. Al‑Balas M, Al‑Balas HI, Jaber HM, Obeidat K, Al‑Balas H,
Aborajooh EA, et al. Distance learning in clinical medical
education amid COVID‑19 pandemic in Jordan: Current situation,
challenges, and perspectives. BMC Med Educ 2020; 20:1‑7.
10. 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.
11. Lyndon MP, Henning MA, Alyami H, Krishna S, Zeng I,
Yu TC, et al. Burnout, quality of life, motivation, and academic
achievement among medical students: A person‑oriented
approach. Perspect Med Educ 2017; 6:108‑14.
12. Speziale HS, Streubert HJ, Carpenter DR. Qualitative Research in
Nursing: Advancing the Humanistic Imperative wolters Kluwer:
Lippincott Williams and Wilkins; 2011.
13. Graneheim UH, Lindgren BM, Lundman B. Methodological
challenges in qualitative content analysis: A discussion paper.
Nurse Educ Today 2017; 56:29‑34.
14. Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H.
Qualitative content analysis: A focus on trustworthiness.
15. AlAteeq DA, Aljhani S, AlEesa D. Perceived stress among students
in virtual classrooms during the COVID‑19 outbreak in KSA.
J Taibah Univ Med Sci 2020; 15:398‑403.
16. Kebritchi M, Lipschuetz A, Santiague L. Issues and challenges
for teaching successful online courses in higher education:
A literature review. J Educ Techno Syst 2017; 46:4‑29.
17. 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.
18. Hartshorne R, Heafner TL, Petty TM. Teacher Education
Programs and Online Learning Tools: Innovations in Teacher.
2013 Published in the United States of America by Information
Science Reference (an imprint of IGI Global).
19. Shafiei Sarvestani M, Mohammadi M, Afshin J, Raeisy L. Students’
experiences of e‑learning challenges; a phenomenological study.
Interdiscipl J Virtual Learn Med Sci 2019; 10:1‑10.
20. Keshavarzi MH, Soltani Arabshahi SK, Gharrahee B, Sohrabi Z,
Mardani‑Hamooleh M. Exploration of faculty members’
perceptions about virtual education challenges in medical
sciences: A qualitative study. J Adv Med Educ Prof 2019; 7:27‑34.
21. Sahu P. Closure of universities due to coronavirus disease
2019 (COVID‑19): Impact on education and mental health of
students and academic staff. Cureus 2020; 12:e7541.
22. Kaur N, Dwivedi D, Arora J, Gandhi A. Study of the effectiveness
of e‑learning to conventional teaching in medical undergraduates
amid COVID‑19 pandemic. Natl J Physiol Pharm Pharmacol
2020;10: (7): 511‑518.
23. Kohan N, Soltani Arabshahi K, Mojtahedzadeh R, Abbaszadeh A,
Rakhshani T, Emami A. Self‑ directed learning barriers in a virtual
environment: A qualitative study. J Adv Med Educ Prof 2017;
5:116‑23.
24. Wilcha RJ. Effectiveness of virtual medical teaching during
the COVID‑19 crisis: Systematic review. JMIR Med Educ 2020;
6:e20963.
25. Konrady DM. Choosing to Participate in E‑Learning Education:
A Study of Undergraduate Students’ Diverse Perceptions,
Attitudes, and Self‑Identified Barriers To E‑Learning ProQuest
Dissertations Publishing, Drexel University; 2015.
26. Ghanizadeh A, Mosallaei S, Dorche MS, Sahraian A,
Yazdanshenas P. Attitude and use of E‑learning, education by
medical students in Shiraz, Iran. Intern Med Med Invest J 2018;
3:108‑11.
27. Lew EK, Nordquist EK. Asynchronous learning: Student
utilization out of sync with their preference. Med Educ Online
2016; 21:30587.
28. McCutcheon K, O’Halloran P, Lohan M. Online learning versus
blended learning of clinical supervisee skills with pre‑registration
nursing students: A randomised controlled trial. Int J Nurs Stud.
2018;82:30‑9.
29. Geraghty JR, Young AN, Berkel TD, Wallbruch E, Mann J, ParkYS,
et al. Empowering medical students as agents of curricular change:
A value‑added approach to student engagement in medical
education. Perspect Med Educ 2020; 9:60‑5.
30. Pei L, Wu H. Does online learning work better than offline learning
in undergraduate medical education? A systematic review and
meta‑analysis. Med Educ Online 2019; 24(1)e 1666538.
31. Doddaiah SK, Kulkarni P, Mohandas A, Murthy MR. Learning
with lockdown: Utility of whatsApp status‑based multiple‑choice
question discussion on COVID‑19 among medical students and
teaching faculty. J Educ Health Promot 2021; 10:168.