Effects of online learning on mental health in nursing students: A systematic review

Nguyen Thi Quyen, Lili Sofia, Liao Tzu-Ting, Raufina Riandhani Mulyoto

Tóm tắt

Aim: This systematic review aims to explore the effect of online learning on mental health among nursing students. Method: The systematic review was conducted for relevant articles published in all languages from 2014 to 2024 in four electronic databases (PubMed, CINAHL, Cochrane Library, MEDLINE). The search terms included ‘nursing student’, ‘online learning’, and ‘stress’. Studies that were randomized controlled trials or quasi-experimental studies were included. Results: A total of 2367 articles were found in 4 databases, and 1 randomized control trial was included as the final result. The study results show that nursing students who received the virtual clinical simulation gained a higher anxiety level compared with those who joined the face - to - face program. Conclusion: Online learning causes more anxiety for nursing students than the face - to - face program. However, more RCT or quasi - experimental studies are needed to confirm this conclusion more convincingly.

Từ khóa


Tài liệu tham khảo

Dube B. Rural Online Learning in the Context of Covid 19 in South Africa: Evoking an Inclusive Education Approach. Multidisciplinary Journal of Educational Research. 2020;1:135-157.

Sujit KB, Wotto M, and Bélanger P. E-learning, M-learning and D-learning: Conceptual definition and comparative analysis. Sage Journal. 2018;3(2):19-21

Mukasa J, Michael O, Beatrice M, Amina AM, Priya B, Lalitha J. Nursing Students’ Perspectives and Readiness to Transition to E-Learning During COVID-19 in the UAE: A Cross-Sectional Study. Dove Press Advances in Medical Education and Practice. 2021;7(3):123-125.

Pitambar P. Online Education: Benefits, Challenges and Strategies During and After COVID-19 in Higher Education. International Journal of Studies in Education. 2020;12(2):37-39

UNESCO. Distance learning strategies in response to COVID-19 school closures. COVID-19 Education Response Education Sector Issue Notes. 2020;2(1):1-8.

Bourbannais FF, Langford S, Giannantoni L. Development of a clinical evaluation tool for baccalaureate nursing students. Nursing Education Practice. 2008;8(1):62-71.

Oducado E. Online Learning in Nursing Education During the COVID-19 Pandemic: Stress, Satisfaction, and Academic Performance. Journal of Nursing Practice. 2021;17:32-25.

Sklar DP. COVID-19: lessons from the disaster that can improve health professions education. Academic medicine. 2020;9(2):22-24.

Sekine M, Watanabe M, Nojiri S, Suzuki T, Nishizaki Y, Tomiki Y, & Okada T. Effects of COVID-19 on Japanese medical students’ knowledge and attitudes toward e-learning in relation to performance on achievement tests. PloS one. 2022;17(3), e0265356.

Sharma D, Bhaskar S. Addressing the Covid-19 burden on medical education and training: the role of telemedicine and tele-education during and beyond the pandemic. Frontiers in public health. 2020;838:1-4.

Idris F, Ihsan NZ, Khadizah H, Siti R, Shahid M, Hanif A, Rajan R, Lin N. Academic experiences, physical and mental health impact of COVID-19 pandemic on students and lecturers in health care education. BMC Medical Education. 2021;7(2):1-4.

Zhang JY, Tao S, Ming X, Zhan-Chun F. Learning Burnout: Evaluating the Role of Social Support in Medical Students. Frontiers in Psychology. 2021;1(2):1-3.

Hansen-Brown AA, Sullivan S, Jacobson B, Holt B, Donovan S. College students’ belonging and loneliness in the context of remote online classes during the COVID-19 pandemic. Online Learning. 2020:26(4), 323-346.

Wen L, Robyn G, Mingyu H, Changhao W, Shenjun L, Zheng G. Barriers and facilitators to online medical and nursing education during the COVID-19 pandemic: perspectives from international students from low- and middle-income countries and their teaching staff. Human Resources for Health. 2021;1(2):1-3.

Cobbett S, Snelgrove-Clarke E. Virtual versus face-to-face clinical simulation in relation to student knowledge, anxiety, and self-confidence in maternal-newborn nursing: A randomized controlled trial. Nurse Education Today. 2016;45:179-184.

Beverley N, Nicole H. Causes of Student Anxiety during Simulation: What the Literature Says. Clinical Simulation in Nursing. 2013;9(1):e507-e512.

Ryan C, Terry K. Nursing Students’ Anxiety and Clinical Performance. Journal of Nursing Education. 2011;50(5):286-9.

Teresa NG, Caralise WH, Francine P, Kimberly HR. The Effects of Simulated Clinical Experiences on Anxiety: Nursing Students’ Perspectives. Clinical Simulation in Nursing. 2011;3(1):1-7.

Mary EM, Joyce B, Lissa C, Patricia C, Lindsay DJ, Jennifer P, Melissa S, Katie EZ et al. Effect of High-Fidelity Simulation on Pediatric Nursing Students’ Anxiety. Clinical Simulation in Nursing. 2012;8(9):e419-e428.