Systematic Review of Effectiveness of Situated e-Learning on Medical and Nursing Education

Monday, 30 July 2012

Jui-Ying Feng, DNS, PNP1
Yi-Ting Chang, MA, BS1
Hsin-Yi Chang, BS1
William Scott Erdley, RN, DNS2
Ying Ju Chang, PhD, RN3
(1)Department of Nursing, National Cheng Kung University, Tainan, Taiwan
(2)Nursing, University at Buffalo, State University of New York, Buffalo, NY
(3)Department of Nursing, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Taiwan, Tainan, Taiwan

Learning Objective 1: The learner will be able to understand the situated e-learning is an effective method to improve learners’ knowledge and performance.

Learning Objective 2: The learner will be able to understand the situated e-learning is a good adjunct to traditional learning for medical and nursing education.

Objectives: With the complexity of clinical situations, traditional didactic education is limited in providing opportunity for student-patient interaction. The situated e-learning can enhance learners’ knowledge and associated abilities through a variety of activities. Healthcare providers who interact with virtual patients in the designed situations can avoid unnecessary risks and encounters with real patients. However, the effectiveness of situated e-learning is inconsistent.

Purpose: The purpose of this study is to determine the effectiveness of situated e-learning in medical and nursing education.

Methods: Literature databases of PubMed, Medline, CINAHL, ERIC, and Cochrane Library were searched. The study eligibility criteria include articles published in English, which examine the effectiveness of a situated e-learning on the outcomes of knowledge and performance for healthcare providers or students. Effect sizes were calculated with 95% confidence intervals.

Results: Eleven articles were included for meta-analysis. The situated e-learning could effectively enhance learners’ knowledge and performance when the control group received no training. Compared to traditional learning, the effectiveness of situated e-learning on performance diminished but remained significant whereas the effect become insignificant on knowledge. The subgroup analyses indicates that the situated e-learning program significantly improved students’ clinical performance but not for clinicians.

Conclusions: The situated e-learning is an effective method to improve learners’ performance. The effect of the situated e-learning on the improvement of cognitive ability is limited when compared to traditional learning. Situated e-learning is a good adjunct to traditional learning for medical and nursing education.