Effect of Online Learning on Nursing Students Satisfaction, Confidence and Skill Performance: A Systematic Review
DOI:
https://doi.org/10.31674/mjn.2025.v17i02.025Abstract
Background: The COVID-19 pandemic accelerated the transition from traditional face-to-face nursing education to online platforms, raising questions about its effect on student outcomes. Objective: This systematic review examined the effect of online learning on nursing students’ satisfaction, confidence, and skill performance. Methods: Following PRISMA 2020 guidelines, four databases (ScienceDirect, Cochrane Library, Karger and PubMed) were searched for studies published between January 2020 and December 2024. Eligible studies included quasi-experimental or randomised controlled trial designs with nursing student participants. Two reviewers independently screened studies and assessed risk of bias using JBI tools. Results: Nine studies met inclusion criteria (seven quasi-experimental, two randomised controlled trials). Findings on satisfaction were mixed: game-based and Moodle-based learning improved satisfaction, while traditional hands-on methods remained preferred in some contexts. Confidence was enhanced through interactive approaches such as augmented and virtual reality, although traditional training remained more effective for hands-on skills. Skill performance improved with web-based interactive methods, but traditional demonstrations were more effective for procedural skills like IV catheter placement. Conclusions: Online learning can improve satisfaction, confidence and knowledge, particularly when interactive technologies are integrated. However, face-to-face training remains essential for psychomotor and clinical skill development. The evidence supports hybrid models that balance digital engagement with hands-on practice. Future research should examine long-term outcomes, cost-effectiveness, and culturally adapted digital strategies in nursing education.
Keywords:
Online Learning, Nursing Education, Satisfaction, Confidence, Skill PerformanceDownloads
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