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      Technological Challenges and Solutions in Emergency Remote Teaching for Nursing: An International Cross-Sectional Survey

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          Abstract

          Objectives

          With the sudden global shift to online learning modalities, this study aimed to understand the unique challenges and experiences of emergency remote teaching (ERT) in nursing education.

          Methods

          We conducted a comprehensive online international cross-sectional survey to capture the current state and firsthand experiences of ERT in the nursing discipline. Our analytical methods included a combination of traditional statistical analysis, advanced natural language processing techniques, latent Dirichlet allocation using Python, and a thorough qualitative assessment of feedback from open-ended questions.

          Results

          We received responses from 328 nursing educators from 18 different countries. The data revealed generally positive satisfaction levels, strong technological self-efficacy, and significant support from their institutions. Notably, the characteristics of professors, such as age ( p = 0.02) and position ( p = 0.03), influenced satisfaction levels. The ERT experience varied significantly by country, as evidenced by satisfaction ( p = 0.05), delivery ( p = 0.001), teacher-student interaction ( p = 0.04), and willingness to use ERT in the future ( p = 0.04). However, concerns were raised about the depth of content, the transition to online delivery, teacher-student interaction, and the technology gap.

          Conclusions

          Our findings can help advance nursing education. Nevertheless, collaborative efforts from all stakeholders are essential to address current challenges, achieve digital equity, and develop a standardized curriculum for nursing education.

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          Most cited references25

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          School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review

          Summary In response to the coronavirus disease 2019 (COVID-19) pandemic, 107 countries had implemented national school closures by March 18, 2020. It is unknown whether school measures are effective in coronavirus outbreaks (eg, due to severe acute respiratory syndrome [SARS], Middle East respiratory syndrome, or COVID-19). We undertook a systematic review by searching three electronic databases to identify what is known about the effectiveness of school closures and other school social distancing practices during coronavirus outbreaks. We included 16 of 616 identified articles. School closures were deployed rapidly across mainland China and Hong Kong for COVID-19. However, there are no data on the relative contribution of school closures to transmission control. Data from the SARS outbreak in mainland China, Hong Kong, and Singapore suggest that school closures did not contribute to the control of the epidemic. Modelling studies of SARS produced conflicting results. Recent modelling studies of COVID-19 predict that school closures alone would prevent only 2–4% of deaths, much less than other social distancing interventions. Policy makers need to be aware of the equivocal evidence when considering school closures for COVID-19, and that combinations of social distancing measures should be considered. Other less disruptive social distancing interventions in schools require further consideration if restrictive social distancing policies are implemented for long periods.
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            Impacts of the COVID-19 Pandemic on Life of Higher Education Students: A Global Perspective

            The paper presents the most comprehensive and large-scale study to date on how students perceive the impacts of the first wave of COVID-19 crisis in early 2020 on various aspects of their lives on a global level. With a sample of 30,383 students from 62 countries, the study reveals that amid the worldwide lockdown and transition to online learning students were most satisfied with the support provided by teaching staff and their universities’ public relations. Still, deficient computer skills and the perception of a higher workload prevented them from perceiving their own improved performance in the new teaching environment. Students were mainly concerned about issues to do with their future professional career and studies, and experienced boredom, anxiety, and frustration. The pandemic has led to the adoption of particular hygienic behaviours (e.g., wearing masks, washing hands) and discouraged certain daily practices (e.g., leaving home, shaking hands). Students were also more satisfied with the role played by hospitals and universities during the epidemic compared to the governments and banks. The findings also show that students with certain socio-demographic characteristics (male, part-time, first-level, applied sciences, a lower living standard, from Africa or Asia) were significantly less satisfied with their academic work/life during the crisis, whereas female, full-time, first-level students and students faced with financial problems were generally affected more by the pandemic in terms of their emotional life and personal circumstances. Key factors influencing students’ satisfaction with the role of their university are also identified. Policymakers and higher education institutions around the world may benefit from these findings while formulating policy recommendations and strategies to support students during this and any future pandemics.
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              Advantages, Limitations and Recommendations for online learning during COVID-19 pandemic era

              Objective: During COVID-19 pandemic, the institutions in Pakistan have started online learning. This study explores the perception of teachers and students regarding its advantages, limitations and recommendations. Methods: This qualitative case study was conducted from March to April 2020. Using maximum variation sampling, 12 faculty members and 12 students from University College of Medicine and University College of Dentistry, Lahore were invited to participate. Four focus group interviews, two each with the faculty and students of medicine and dentistry were carried out. Data were transcribed verbatim and thematically analyzed using Atlas Ti. Results: The advantages included remote learning, comfort, accessibility, while the limitations involved inefficiency and difficulty in maintaining academic integrity. The recommendations were to train faculty on using online modalities and developing lesson plan with reduced cognitive load and increased interactivities. Conclusion: The current study supports the use of online learning in medical and dental institutes, considering its various advantages. Online learning modalities encourage student-centered learning and they are easily manageable during this lockdown situation.
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                Author and article information

                Journal
                Healthc Inform Res
                Healthc Inform Res
                Healthcare Informatics Research
                Korean Society of Medical Informatics
                2093-3681
                2093-369X
                January 2024
                31 January 2024
                : 30
                : 1
                : 49-59
                Affiliations
                [1 ]Technology Research, Samsung SDS, Seoul, Korea
                [2 ]Department of Nursing Science, University of Turku, Turku, Finland
                [3 ]School of Nursing, University of British Columbia, Vancouver, Canada
                [4 ]School of Nursing, University of British Columbia Okanagan, Okanagan Valley, Canada
                [5 ]College of Nursing, Benguet State University, La Trinidad, Philippines
                [6 ]Cancer Care, Fraser Health Authority, British Columbia, Canada
                [7 ]College of Nursing, University of Florida, Gainesville, FL, USA
                [8 ]Nursing Faculty, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
                [9 ]Health Informatics Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
                [10 ]School of Nursing, Columbia University Data Science Institution, New York, NY, USA
                [11 ]Collegiate of Nursing, Federal Institute of Paraná, Paranavaí, Brazil
                [12 ]Department of Computing, Federal University of Technology–Paraná, Curitiba, Brazil
                [13 ]School of Nursing, Universitas Muhammadiyah Yogyakarta, Kasihan, Indonesia
                [14 ]Department of Nursing, Wilkes University, Wilkes-Barre, PA, USA
                [15 ]Information Science Department, Kuwait University, Kuwait, Kuwait
                [16 ]College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
                [17 ]School of Nursing, Jordan University of Science and Technology, Irbid, Jordan
                [18 ]Nursing department, Chi Mei Medical Center, Tainan, Taiwan
                [19 ]Department of Nursing, Chang Jung Christian University, Tainan, Taiwan
                [20 ]College of Nursing, Tzu University of Science and Technology, Hualien, Taiwan
                [21 ]Department of Nursing, Gangneung-Wonju National University, Wonju, Korea
                Author notes
                Corresponding Author: Jisan Lee, Department of Nursing, Gangneung-Wonju National University, 150 Namwon-ro, Heungeop-myeon, Wonju 26403, Korea. Tel: +82-33-760-8646, E-mail: saan2mari@ 123456gmail.com ( https://orcid.org/0000-0002-9039-7448)
                Author information
                https://orcid.org/0000-0003-3340-6376
                https://orcid.org/0000-0001-5740-6480
                https://orcid.org/0000-0002-9496-3208
                https://orcid.org/0000-0002-6520-1765
                https://orcid.org/0000-0003-4539-5694
                https://orcid.org/0000-0003-1305-3606
                https://orcid.org/0000-0002-1046-6037
                https://orcid.org/0000-0002-0515-8662
                https://orcid.org/0000-0002-0620-6814
                https://orcid.org/0000-0002-2358-9837
                https://orcid.org/0000-0001-9906-1265
                https://orcid.org/0000-0003-1137-1678
                https://orcid.org/0000-0003-1577-5979
                https://orcid.org/0000-0002-2848-9616
                https://orcid.org/0000-0002-8243-9724
                https://orcid.org/0000-0001-5038-3044
                https://orcid.org/0000-0001-7695-4626
                https://orcid.org/0000-0002-4219-4005
                https://orcid.org/0000-0003-4413-1021
                https://orcid.org/0000-0003-3640-5715
                https://orcid.org/0000-0002-9039-7448
                Article
                hir-2024-30-1-49
                10.4258/hir.2024.30.1.49
                10879829
                38359849
                0909859d-4bd4-4f9f-9cd5-b3df19853059
                © 2024 The Korean Society of Medical Informatics

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.properly cited.

                History
                : 12 November 2023
                : 26 January 2024
                : 26 January 2024
                Categories
                Original Article

                Bioinformatics & Computational biology
                cross-sectional studies,distance education,nursing education,natural language processing,digital divide

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