On-line studying all the way through the pandemic in Saudi Arabia


The coronavirus illness 2019 (COVID-19) pandemic has offered a significant problem in all skilled fields, together with nursing, by way of a great deal restricting human interplay. Moreover, the pandemic hindered the facility to coach long run healthcare suppliers and, thereby, cope with insufficiencies within the nursing work force. Many instructional establishments have needed to switch their college students to on-line studying platforms, whilst others had been using a social distancing means and reducing the collection of college students sharing a unmarried bodily area.

But others had been adopting a hybrid type of studying by way of merging in-classroom and on-line studying approaches.1 Scholars incessantly revel in obstacles, akin to the ones self-regulations in on-line studying. Conversely, educators are typically all for how know-how is getting used for educating. Organising suitable on-line educating assets and offering give a boost to to educators are the most important demanding situations encountered by way of instructional establishments.2 However there are considerations in regards to the methods that are meant to be used for efficient on-line educating. For instance, conversation with college students could also be hindered by way of educators no longer with the ability to understand their non-verbal reactions in tandem with the loss of tactics to have interaction college students on-line.3

It stays unclear when COVID-19 can be eradicated. Nonetheless, the call for for nurses will keep growing. Moreover, nursing pros will have to be ready for identical long run situations. Thus, larger schooling establishments providing a bachelor’s level in nursing will have to be capable of fulfill the imminent larger call for for nursing graduates. Concurrently, nursing faculties want to ensure the standard of on-line nursing schooling. Even though loss of get right of entry to to school rooms might be doubtlessly compensated for by way of offering college students with virtual find out about fabrics and organizing interactive on-line lectures and team discussions, get right of entry to to the laboratory and medical coaching element may constitute a better obstacle. The COVID-19 pandemic has resulted in the next issues in schooling: lack of educational time, lack of get right of entry to to instructional fabrics and friends, incapability to broaden sensible abilities, and loss of connection to the training procedure.4

New varieties of schooling and cooperation had been established all the way through the COVID-19 outbreak, together with on-line studying, far off running, and e-collaborations.5 Identical pandemics are imaginable one day and nursing educators will have to be ready. As a result, it’s important to tell apart the entire demanding situations related to a natural on-line studying machine all the way through the COVID-19 pandemic; this may increasingly assist tell schooling idea.

The main idea underlying the existing find out about is a framework of self-regulated working out amongst trainees. Self-regulated studying (SRL) encompasses the cognitive, metacognitive, behavioral, motivational, and mental options of studying.6 It is crucial to recognize SRL as an umbrella time period comprising many variables (eg, cognitive methods, self-assessment, self-learning); therefore, SRL represents an all-natural method.

In SRL, college students get ready their duties, take a look at their growth, and analyze results themselves. This process may also be replicated right through the illustration degree, in which college students get ready themselves for long run occasions that can lead to category disruption. In particular, this technique is dependable when using applied sciences in a direction transforms pupil into impartial collective novices.7 Additionally, the applying of SRL calls for self-monitored peer interplay.8 SRL presupposes self-evaluation and self-motivation since it’s in response to a person’s attitudes in addition to liabilities. Views associated with SRL had been assessed amongst distance studying trainees, revealing that SRL may doubtlessly fortify goal-setting, time-management talents, and self sufficient keep an eye on and effort-regulation capacities. SRL is acceptable for trainees in larger educational establishments, as their inspiration and self-regulation are more than the ones of more youthful pupils.9

Nursing is a hard career that prioritizes affected person wishes. Trendy nursing observe is a multidimensional career with more than a few tasks in addition to advanced methods of responsibility. Fresh nurses are anticipated not to simply supply remedy but in addition safe person’s rights, generate analysis, lead healthcare provision, and create important partnerships with people.10,11 The 4 major views regarding skilled nursing methodologies come with a focal point on patient-oriented remedy, advocacy for sufferers’ prison rights, tracking moral problems with medical establishments, and appearing management in healthcare provision.

Nursing makes a speciality of the availability of high quality, patient-centered care. Affected person-centered care must account for more than a few elements affecting the buyer, together with hospitalization, analysis, care, and conversation with members of the family.12,13 Management in healthcare provision calls for registered nurses (RNs) to be sure that people have certain reports throughout the healthcare machine, evidence-based changes are made to organizational insurance policies, and healthcare amenities are maintained for assembly excessive requirements.14,15

On-line schooling has additionally skilled primary demanding situations, together with the unequal distribution of IT infrastructure, virtual divide, virtual illiteracy, and know-how price for faculties and scholars.16 Present technical problems might be simply solved by way of including infrastructure and putting in new {hardware}; nonetheless, get right of entry to to real-life medical reports stays a related factor for nursing faculties. Some clinical instructional establishments have followed medical immersion and in-classroom medical observe with a decrease density of novices; alternatively, this resolution stays problematic. In most cases, medical immersion via on-line modalities is carried out by way of digital simulations of both real-life circumstances or content material evolved particularly for college students.17 For example, a randomized managed trial strongly posited that incorporating excessive constancy simulation as a supplemental element of hands-on coaching can fortify nursing college students’ medical efficiency.18 Nonetheless, the supply of such instructional techniques calls for important development. Educators want to adequately ship knowledge, broaden college students’ medical abilities, and help wisdom retention.19 In a similar way, a find out about evaluated interdisciplinary medical immersion simulation, discovering enhancements in interdisciplinary wisdom and talents.20 Moreover, the scholars had been extra motivated and happy to be told via simulations versus receiving knowledge via lectures. On the other hand, the find out about didn’t examine the simulation to real-life reports of medical immersion, by which nurses have interaction with genuine sufferers and apply the paintings of skilled nurses. Concurrently, the find out about decided that simulated medical immersion larger cognitive load and pressure ranges amongst nursing college students as in comparison to real-life medical revel in the place the scholars had been extra curious about medical reasoning. Thus, some simulations might be slightly hard and anxious for college students, which might be defined by way of the want to handle a excessive point of virtual literacy and make sure a advised response to the simulated surroundings and adaptation to the digital area.21

Academics and scholars the usage of simulations and different on-line immersion reports require a excessive point of virtual literacy and information in regards to the explicit program used all the way through the training revel in. Scholars emphasize the significance of pre-briefing actions, by which they be told what the medical immersion simulation includes, the way it works, and the way they may be able to apply it to their very own. General, such simulations permit college students to review in secure environments with out clinical mistakes and educate them cope with emergencies.22 Visible demonstrations an identical to these of digital environments are inconceivable in real-life medical settings. Accordingly, simulations of medical immersion may just doubtlessly enlarge the hands-on wisdom of nursing college students. Different research have highlighted the similar benefits of digital simulations; such simulations assist college students coaching to be nurses one day perceive what may just happen when a healthcare supplier makes a deadly error.17,20 A simulated medical surroundings is recommended for nurses who can not lately get right of entry to real-life medical reports. Nonetheless, nursing faculties will have to be ready to put in force digital simulation techniques and get ready college students and educators concerning their use. Researchers remind that the WHO decided that the pandemic posed a modern risk to the entire of humanity and regarded as the crisis-response migration strategies supplied by way of instructional establishments, with few students to none having imagined that this case used to be a chance on this technology or expected that it will occur to humanity.23

Any other paper regarded as the unfavourable aspects of e-learning and, in response to learner’s responses, reported that, by contrast to professors, college students aren’t happy with on-line studying; alternatively, the paper signifies the impartial or certain attitudes of scholars towards the similar.24 Implementation of recent applied sciences may just require further funding, coaching, and preparation. On the other hand, it’s unclear how techniques are to be carried out amid the dearth of educators. For instance, in Canada, all nursing faculties determined to take away college students from school rooms and medical techniques to forestall the unfold of COVID-19. On the similar time, nursing faculties encountered a major problem as most college had been referred to as to hospitals to help with affected person care.25 The COVID-19 state of affairs stays risky and unpredictable as of these days.

Subsequently, this find out about sought to decide nursing educators’ and scholars’ views regarding the shift of training methodologies to on-line studying platform in nursing schooling all the way through the COVID-19 pandemic.

Fabrics and Strategies


This find out about used a cross-sectional design to acquire solutions that describe the present state of affairs concerning on-line educating amid the COVID-19 pandemic. The find out about design authorised familiarization with the overall situational main points because it made few assumptions; the effects might assist decide whether or not long run research are possible.


Of 150 educators and 500 college students contacted via email or social media, 470 people consented to take part, specifically, 120 nursing educators and 350 college students from 5 faculties and universities in Saudi Arabia. The researcher made positive that the reaction charge isn’t lower than 10% from the full inhabitants of educators and scholars respectively. On the other hand, the entire responses gained by way of the researchers had been integrated within the find out about to offer extra correct imply values. The find out about used to be performed on-line owing to the continuing pandemic. All respondents had revel in of both educating or studying from nursing lessons via far off mechanisms previous to and all the way through the COVID-19 pandemic.

Tools and Process

We followed a changed model of the Take a look at of e-Finding out Comparable Attitudes (TeLRA) Scale, evolved by way of Kisanga and Ireson. The size consists of 36-items questions with 4 dimensions together with demanding situations of e-learning (12 goods), advantages of e-learning (9 goods), perspective on the usage of laptop machine (6 goods) and pastime on e-learning inventions and use of computer systems (9 goods). The instrument underwent minor changes upon the creator’s approval specifically at the terminologies used to fit the academics and scholars’ views on on-line studying. The changed questionnaire underwent pilot find out about for reliability and consistency in a pre-test with 20 educators and 25 college students who weren’t a part of the primary survey (coefficients of 0.8234 and nil.8454, respectively). The changes within the software had been made within the goods beneath demanding situations and advantages dimensions (rewording handiest) to fit the present background of the respondents.

Knowledge Assortment and Research

The information assortment used to be performed from November to December 2020 in 5 decided on faculties and universities in Saudi Arabia that used natural on-line educating all the way through the height of the COVID 19 pandemic. The information assortment used to be performed on-line the usage of a google shape that consisted of the consent and questionnaire in combination, because of the constraints and fitness protocols carried out within the Saudi Arabia. The consent used to be required to be crammed up by way of the respondents as an settlement that they’re voluntarily collaborating within the find out about. Of the five hundred doable contributors (150 educators and 500 faculty and college college students) who had been despatched the paperwork throughout the hyperlink and adopted up with via e-mail and their social media accounts, the researchers gained a complete of 470 responses (120 educators and 350 college students). The quantitative knowledge had been assessed the usage of statistical tool IBM SPSS Statistics 20. Knowledge had been summarized the usage of descriptive statistics (eg, frequency, share and manner) and t-tests had been used to decide the statistical importance of variations. Ahead of the research, all responses had been coded as 1= Strongly disagree, 2 = Disagree, 3 = Agree and four = Strongly agree for certain worded goods. Afterwards, responses had been reversed coded as 1= Strongly agree, 2 = Agree, 3 = Disagree and four = Strongly disagree for all unfavourable worded goods, then the imply used to be calculated. The responses of each college students and educators had been calculated one by one in step with the 4 dimensions of TeLRA scale and their responses had been in comparison. That is to evaluate the variations between the views of each customers (educators and scholars) of on-line platform in educating and studying.

Moral Concerns

Moral approval [159/IRB/2021] for this find out about used to be received from the institutional evaluate board of [the name of the institution was blinded for review]. Participation used to be voluntary and nameless. All respondents got a proof in regards to the find out about and knowledgeable about their proper to withdraw at will, and then they supplied written knowledgeable consent.


The survey investigated the views of nursing educators and scholars regarding on-line studying for educating nursing lessons all the way through the COVID-19 pandemic in step with the next dimensions: demanding situations, advantages, perspective, and pastime.

Desk 1 presentations the demographic knowledge of the 120 educators; 31.66% had been men and 68.34% had been women folk. Their educating revel in used to be unfold as 1–5 years (20.83%), 6–10 years (63.3%), 11–15 years (13.33%), and greater than 16 years (2.54%). A few of the college students, 12.85% had been men and 87.15% had been women folk. The 12 months point had been unfold as first-year (22.83%), 2d 12 months (53.43%), 3rd 12 months (3.43%), and fourth-year (20.29%) (see Desk 1).

Desk 1 Demographic Knowledge of Respondents

Desk 2 presentations the views of nursing educators and scholars on on-line studying in nursing schooling in step with the 4 dimensions: demanding situations, advantages, perspective, and pastime. The nursing educators reported an average rating of four.29 with a SD of 0.44 on demanding situations, an average rating of four.21 with a SD of 0.86 on advantages, an average rating of four.09 with a SD of 0.50, and an average rating of four.12 with a SD of 0.50 on pastime. Additionally, the full imply rating of nursing educators’ point of view used to be 4.18 with a SD of 0.57. Moreover, the scholars reported an average of four.03 with a SD of 0.83 on demanding situations, an average of four.38 with a SD of 0.66 on advantages, an average rating of four.21 with a SD of 0.50, and an average rating of four.27 with a SD of 0.43 on pastime. Moreover, the full imply rating of scholars’ views used to be 4.22 with a SD of 0.61 (see Desk 2).

Desk 2 Views of Nursing Educators and Scholars on On-line Finding out Imply

Desk 3 presentations the variations of nursing educators’ and scholars’ responses on their views on on-line studying in response to the 4 dimensions: demanding situations, advantages, perspective, and pastime. Relating to demanding situations, nursing educators reported an average rating of four.29 and the scholars reported an average rating of four.03 with an average distinction of 0.26 supported by way of a p-value of <0.001, which signifies a vital distinction the usage of t-test as a statistical instrument. Relating to advantages, nursing educators reported an average rating of four.21 and the scholars reported an average rating of four.38 with an average distinction of −0.16 supported by way of a p-value of 0.046, which signifies a vital distinction the usage of t-test as a statistical instrument. Relating to perspective, nursing educators reported an average rating of four.09 and the scholars reported an average rating of four.21 with an average distinction of −0.11 supported by way of a p-value of 0.313, which signifies that there is not any important distinction the usage of t-test as a statistical instrument. Relating to pastime, nursing educators reported an average rating of four.12 and the scholars reported an average rating of four.27 with an average distinction of −0.14 supported by way of a p-value of 0.088, which signifies that there is not any important distinction the usage of t-test as a statistical instrument (see Desk 3).

Desk 3 Comparability of Nursing Educators’ and Scholars’ Views Towards TeLRA Dimensions


The find out about investigated the views of each the educators and scholars of nursing faculties in Saudi Arabia concerning the drastic shift within the mode of studying owing to the pandemic. Other perspectives between school and scholars had been received at the 2 dimensions of TeLRA, basically with appreciate to the demanding situations and advantages dimensions. Educators stated that there have been profound demanding situations related to educating on-line all the way through the COVID-19 pandemic moderately than advantages; those integrated obstacles with appreciate to on-line methodologies, deficient evaluation of scholars’ working out of subjects, and communication-related problems. On the other hand, college students strongly known some great benefits of on-line studying in comparison to the demanding situations.

Nursing schooling is all about using cognitive, affective, and psychomotor studying domain names via structured healthcare schooling.26,27 Nurse educators have a really perfect position to play in turning the uncertainty into alternative by way of adapting to the “new customary,” using their experience to arrange the following era of nurses and nursing college students to stand world fitness demanding situations.27

On-line schooling is a long-term target at maximum higher-education establishments however only a few school participants have enough coaching or wisdom of on-line pedagogy. Scholars aren’t receiving the very best quality schooling, and establishments are suffering with pupil retention and the development in their distance education schemes.28 Without reference to the transparent advantages of e-learning, transitioning from conventional to e-learning isn’t with out demanding situations. Time and insist for college students and educators are emerging, compelling sectors to broaden new approaches to offer a extra personalised, self-directed studying revel in.29 Moreover, maximum research printed that know-how use and competency had been the commonest demanding situations that scholars face all the way through on-line categories.2

On-line educational strategies had been stated for a very long time as an effective instrument for studying;30,31 alternatively, on-line studying may also be difficult for college students on account of the restricted non-verbal conversation.31,32 Different facets, akin to college students’ and educators’ interactions, accessibility of fabrics, and time leadership, too can have an effect on the reviews of on-line schooling contributors.

Moreover, some great benefits of the educating methods used all the way through COVID-19 will have to be harnessed to permit optimum studying in spite of the possible disadvantages of the location, in order that weaknesses inherent to on-line studying may also be triumph over.


According to the result of the find out about, nursing educators and scholars display an settlement on their views on on-line studying in regards to the perspective and pastime dimensions. On the other hand, they display their war of words in regards to the demanding situations and advantages dimensions. Sadly, the present state of affairs concerning COVID-19 pandemic may just persist for a number of years. However the trendy applied sciences can in part remedy present issues in nursing schooling. Additionally, the primary benefits of on-line studying for educators and scholars integrated managing time successfully, accessibility, and versatility; disadvantages integrated technical difficulties, a steep studying curve, and loss of direct educator-student touch.

Knowledge Sharing Observation

The information that give a boost to the findings of this find out about are to be had on request from the corresponding creator upon cheap request. The information aren’t publicly to be had because of privateness restrictions.


The authors want to thank all those that participated in and contributed to the a hit crowning glory of this find out about.


The authors record no conflicts of pastime on this paintings. This analysis didn’t obtain any explicit grant from investment companies within the public, industrial, or not-for-profit sectors.


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