Strategies to improve student engagement in online nursing education: A systematic review

IF 3.6 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2025-04-29 DOI:10.1016/j.nedt.2025.106762

Sabrina Elias , Kathryn Taylor , Emerald Jenkins , Kelley Robinson , Yordanos Tesfai , Hae-Ra Han

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引用次数: 0

Abstract

Introduction

The science of nursing education is shifting from comparisons of online and in-person modalities toward development and testing of online instructional strategies to optimize student learning. We conducted a systematic review (1) to identify instructional strategies designed to improve student engagement in online nursing education and (2) to evaluate the impact of instructional strategies on specific domains of nursing student engagement and learning outcomes.

Methods

We searched Web of Science, PubMed, Embase, and the Cumulative Index of Nursing and Allied Health Literature for search terms that aligned with our population, intervention, and outcomes of interest. We applied the concept of student engagement by Jennifer A. Fredricks and colleagues to guide inclusion and exclusion criteria, data extraction, and synthesis.

Results

Our search yielded 4847 articles, of which 8 met inclusion criteria and were included in this systematic review. Instructional strategies varied widely across studies and included game-based learning, case-based learning, novel instructor-to-student communication methods, and course redesign. Compared to traditional online strategies, game- and case-based approaches were associated with improvements in behavioral, emotional, and cognitive engagement and learning outcomes. Participant sociodemographic were underreported across all studies.

Discussion

Our findings provide early support for the use of game-based learning or gamification elements and case-based learning to improve student engagement and subsequent learning outcomes.

Future research on student engagement in online nursing education should evaluate the effects of different educational levels, incorporation of virtual reality, and report participants' sociodemographic data to examine subgroup effectiveness.

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提高在线护理教育中学生参与度的策略：系统回顾

护理教育科学正在从在线和面对面模式的比较转向在线教学策略的开发和测试，以优化学生的学习。我们进行了一项系统回顾：(1)确定旨在提高在线护理教育学生参与度的教学策略；(2)评估教学策略对护理学生参与度和学习成果的特定领域的影响。方法：我们检索Web of Science、PubMed、Embase和护理及相关健康文献的累积索引，查找与我们的人群、干预措施和感兴趣的结果相一致的搜索词。我们应用Jennifer A. Fredricks和同事提出的学生参与的概念来指导纳入和排除标准、数据提取和综合。结果共检索到4847篇文献，其中8篇符合纳入标准，被纳入本系统综述。不同研究的教学策略差异很大，包括基于游戏的学习、基于案例的学习、新的师生交流方法和课程重新设计。与传统的在线策略相比，基于游戏和案例的方法与行为、情感和认知参与以及学习结果的改善有关。在所有的研究中，参与者的社会人口统计学都被低估了。我们的研究结果为使用基于游戏的学习或游戏化元素和基于案例的学习来提高学生的参与度和随后的学习成果提供了早期支持。未来关于学生参与在线护理教育的研究应评估不同教育水平的效果，结合虚拟现实，并报告参与者的社会人口学数据以检验亚组有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.