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.
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:
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 (, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



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


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.


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).


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


Figure 1
Blended learning program process.
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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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This study was supported by 2014 Research Grant from Kangwon National University.

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