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Cited by 2Ethics in medical practiceInnovations in Medical EducationHealthcare Education and Workforce Issues

The effects of e-learning using educational multimedia on the ethical decision-making and professionalism of nursing students during the COVID-19 pandemic: a quasi-experimental study

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Tavani, Fatemeh Molaei, Behshid, Mozhgan, Amini, Abolghasem, Rahmani, Azad, Rahmani, Parvin, Mousavi, Saeid·2024·BMC Medical Education
DOI 10.1186/s12909-024-05846-9PMC PMC11523646

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Abstract

BACKGROUND: The COVID-19 pandemic has created a great challenge for educational systems worldwide. During this time, educational centers have been encouraged to use e-learning programs to protect the population against infection. Online teaching has the greatest effect on the process of teaching-learning for certain topics, including professional behavior and commitment, which has prompted educational systems to use creative strategies for a greater effect on learners. The present study aims to determine the effects of e-learning using educational multimedia on the ethical decision-making and professionalism of nursing students during the COVID-19 pandemic. METHODS: This study was conducted using a quasi-experimental design with a control group. The statistical population comprised second-semester nursing students in a first-rank nursing school in north western Iran. The samples were selected using simple random sampling and were divided into experimental (n = 40) and control (n = 40) groups. In the first stage of teaching, the conventional training method of the COVID-19 pandemic was used in both groups. In the second stage of teaching, an in-person workshop was organized for the control group and an e-learning workshop using educational multimedia for the experimental group. Data were collected by a tool with three parts: Demographic information, the Nursing Dilemma Test (NDT) by Crisham based on the Nurse Principled Thinking, and the Nursing Students Professional Behaviors Scale (NSPBS) designed by Goz. Data were analyzed in SPSS 25 software. RESULTS: There was a statistically significant increase in the post-test mean score of professionalism (125.70 ± 6.20 vs. 120.95 ± 9.28) and ethical decision-making (46.17 ± 3.81 vs. 44.02 ± 3.21) in the experimental group compared to the control group (P < 0.05). CONCLUSION: The learning environment affects learning, and e-learning using educational multimedia has a greater impact than in-person workshops on improved learning outcomes with regard to ethical decision-making and professionalism.

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  • The long-term stability of teaching outcomes and the efficiency of translating knowledge comprehension into clinical decision-making capabilities remain critical challenges to be addressed in nursing ethics education.

    “These studies indicate that the long-term stability of teaching outcomes and the efficiency of translating knowledge comprehension into clinical decision-making capabilities remain critical challenges to be addressed [11–21].”

    From Exploring the integration of AI and national quality courses in China: a study on teaching practices in nursing smart education (2025) · cites this paper as [20]

    The Introduction (page not available) describes gaps in nursing students’ ethical knowledge and skills and the need to develop clinical reasoning and ethical decision-making. That supports a broad concern about preparing students for clinical decisions. The study measured outcomes only two weeks after training, and its Strengths and limitations section notes that participants lacked clinical experience; it does not establish that long-term stability or the efficiency of translating knowledge into clinical decisions remains a critical challenge. (LLM, conf=0.76)

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  1. [5]Byyny RLJP. Medical professionalism in the modern era. Pharos. 2018;81:2–11.
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Authors
Tavani, F. M., Behshid, M., Amini, A., Rahmani, A., Rahmani, P., & Mousavi, S.
Affiliations
Tabriz University of Medical Sciences (IR)
Corresponding author
Behshid, Mozhgan
ORCID
Venue
BMC Medical Education
Publisher
Springer Science and Business Media LLC
Published
2024-10-29
Volume
24
Issue
1
Pages
1232-1232
ISSN
1472-6920 (ISSN-L)
DOI
10.1186/s12909-024-05846-9
PMC
PMC11523646
OpenAlex
W4403868842
Cited by
2
References
35
Citations by year
2026: 1 · 2025: 1
FWCI
1.17
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Medical Education (publishedVersion, cc-by-nc-nd)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Tabriz University of Medical Sciences
  • University of Tabriz
Topics
  • Health Sciences › Health Professions › General Health Professions › Ethics in medical practice
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
Keywords
online learning, educational multimedia, ethical decision-making, nursing professionalism, nursing students, COVID-19 pandemic, nursing ethics education
MeSH terms
Professionalism, COVID-19, SARS-CoV-2, Adult, Decision Making, Education, Nursing, Female, Humans, Iran, Male, Students, Nursing, Multimedia, Education, Distance, Young Adult, Pandemics

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