Journal List > J Korean Acad Nurs Adm > v.20(5) > 1051776

J Korean Acad Nurs Adm. 2014 Dec;20(5):567-575. Korean.
Published online December 31, 2014.  https://doi.org/10.11111/jkana.2014.20.5.567
Copyright © 2014 Korean Academy of Nursing Administration
Effects of a Blended Learning Program on Ethical Values in Undergraduate Nursing Students
Sang Dol Kim
Department of Nursing, Kangwon National University, Korea.

Corresponding author: Kim, Sang Dol. Department of Nursing, Kangwon National University, 346 Hwangjo-gil, Dogye-eup, Samcheok 245-905, Korea. Tel: +82-33-540-3362, Fax: +82-33-540-3217, Email: nu11110@kangwon.ac.kr
Received October 10, 2014; Revised November 14, 2014; Accepted November 24, 2014.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

This study was performed to investigate the effects of a blended learning program on ethical values in undergraduate nursing students.

Methods

This study was a one group pretest-posttest design. Seventy-one undergraduate nursing students who were taking a nursing ethics course at K University in S city were conveniently selected. The blended learning program was undertaken for 120 minutes one day weekly for 15 weeks. It consisted of case-based learning through an online method combined with problem-based learning offline. Scores for ethical value were measured using the ethical values scale.

Results

The ethical values score increased significantly in the students after the blended learning (p=.004). Of the subgroup of ethical values human-life, relationship with collaborator, and nursing job scores increased significantly in students after the blended learning, respectively (p=.034; p<.001; p<.001), the score for area as relationship with nursing clients decreased significantly in the students after the blended learning (p<.001).

Conclusion

The blended learning program was identified as an educational program which induces a positive effect on the development of ethical values in undergraduate nursing students, and in future it can be utilized in nursing ethics education.

Keywords: Blended learning; Ethical values; Undergraduate nursing student

Figures


Figure 1
Blended learning program process.
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Tables


Table 1
Demographic Characteristics of the Sample (N=71)
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Table 2
Differences of Blended Learning on Ethical Values by Gender and Religion of Participants (N=71)
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Table 3
Effects of Blended Learning on Ethical Values (N=71)
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Notes

This study was supported by 2014 Research Grant from Kangwon National University.

References
1. Lee MA. Nursing Ethics. In: Go MS, Kim TS, Min S, Park JS, Yeom YH, Yun SH, Lee MA, Jung M, Hong EY, editors. Instruction to nursing. 3rd ed. Paju: Soomoonsa; 2011. pp. 347-517.
2. Numminen OH, Leino-Kilpi H, Van Der, Katajisto J. Nursing students and teaching of codes of ethics: An empirical research study: Original Article. Int Nurs Rev 2009;56(4):483–490.
3. Doane GH. In the spirit of creativity: The learning and teaching of ethics in nursing. J Adv Nurs 2002;39(6):521–528.
4. Kelly B. Professional ethics as perceived by American nursing undergraduates. J Adv Nurs 1992;17(1):10–15.
5. Lin CF, Lu MS, Chung CC, Yang CM. A comparison of problem-based learning and conventional teaching in nursing ethics education. Nurs Ethics 2010;17(3):373–382.
6. Hsu LL. Blended learning in ethics education: A survey of nursing students. Nursing Ethics 2011;18(3):418–430.
7. Lee SH, Kim SY, Kim JA. Ethical value of nursing students. J Korean Acad Nurs Adm 2007;13(2):145–155.
8. Lee TW, Kim IS, Chung JN, Kim EH. Development and evaluation of a problem-based learning in nursing management and ethics. J Korean Acad Nurs Adm 2007;13(1):53–64.
9. Lee MA. Changes in nursing students' moral judgment and ways to evaluate the effect of ethics education. J Korean Acad Nurs Adm 2013;19(3):351–360.
10. Lee MA. A study of an effect of ethics education being provided to nursing students: Using the DIT (Defining Issues Test). J Korean Acad Nurs Adm 2008;14(1):26–34.
11. Yoo MS, Park JH, Lee SR. The effects of case-based learning using video on clinical decision making and learning motivation in undergraduate nursing students. J Korean Acad Nurs 2010;40(6):863–871.
12. Choi EY, Lee WS. A case on the design and operation of PBL by employing blended learning on instruction in a nursing college. J East West Nurs Res 2010;16(2):96–104.
13. Yoo MS, Shon KC. Effects of nursing ethics education on biomedical ethics awareness, moral sensitivity and moral Judgment of nursing students. J Korean Biomed Ethics 2012;12(2):61–76.
14. Hsu LL, Hsieh SI. Factors associated with learning outcome of BSN in a blended learning environment. Contemp Nurse 2011;38(1-2):24–34.
15. Gagnon MP, Gagnon J, Desmartis M, Njoya M. The impact of blended teaching on knowledge, satisfaction, and self-directed learning in nursing undergraduates: A randomized, controlled trial. Nurs Educ Perspect 2013;34(6):377–382.
16. Myers CR, Mixer SJ, Wyatt TH, Paulus TM, Lee DS. Making the move to blended learning: Reflections on a faculty development program. Int J Nurs Educ Scholarsh 2011;8(1):1–17.
17. Hsu LL, Hsieh SI. Effects of a blended learning module on selfreported learning performances in baccalaureate nursing students. J Adv Nurs 2011;67(11):2435–2444.
18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149–1160.
19. Jong HJ, Moon HJ. A study of ethical sense of value and discord of the clinical nurse. J Korean Acad Nurs Adm 1995;1(2):349–371.
20. Lee YS. A study of the ethical values of Korean nurses. Kanho Hakhoe Chi 1990;20(2):249–270.
21. Choi YR. In: A comparison of the nursing ethical values between clinical nurses and nursing students [master's thesis]. Junju: Chonbuk National University; 2001.
22. Kim SS. The blended learning in school education [Internet]. 2005 [cited 2014 July 12].
23. Korean Accreditation Board of Nursing Education. Nurses' core competencies and nursing education learning outcomes [Internet]. Seoul: Korean Accreditation Board of Nursing Education; 2012 [cited 2014 September 10].
24. Hickman SE, Wocial LD. Team-based learning and ethics education in nursing. J Nurs Educ 2013;52(12):696–700.
25. Rowe M, Frantz J, Bozalek V. The role of blended learning in the clinical education of healthcare students: A systematic review. Med Teach 2012;34(4):e216–e221.