title: Effects of a blended learning module on self-reported learning performances in baccalaureate nursing students.
abstract: OBJECTIVE
  This article is a report of a quasi-experimental study of the effects of blended modules on nursing students' learning of ethics course content.
  
  
  BACKGROUND
  There is yet to be an empirically supported mix of strategies on which a working blended learning model can be built for nursing education.
  
  
  METHODS
  This was a two-group pretest and post-test quasi-experimental study in 2008 involving a total of 233 students. Two of the five clusters were designated the experimental group to experience a blended learning model, and the rest were designated the control group to be given classroom lectures only. The Case Analysis Attitude Scale, Case Analysis Self-Evaluation Scale, Blended Learning Satisfaction Scale, and Metacognition Scale were used in pretests and post-tests for the students to rate their own performance.
  
  
  RESULTS
  In this study, the experimental group did not register significantly higher mean scores on the Case Analysis Attitude Scale at post-test and higher mean ranks on the Case Analysis Self-Evaluation Scale, the Blended Learning Satisfaction Scale, and the Metacognition Scale at post-test than the control group. Moreover, the experimental group registered significant progress in the mean ranks on the Case Analysis Self-Evaluation Scale and the Metacognition Scale from pretest to post-test.
  
  
  CONCLUSIONS
  No between-subjects effects of four scales at post-test were found. Newly developed course modules, be it blended learning or a combination of traditional and innovative components, should be tested repeatedly for effectiveness and popularity for the purpose of facilitating the ultimate creation of a most effective course module for nursing education.
authors: Graduate Institute of Health Allied Education, National Taipei University of Nursing and Health Sciences, Beitou, Taiwan. llhsu@ntunhs.edu.tw
authors: Li-Ling
authors: LL
authors: Hsu
authors: Suh-Ing
authors: SI
authors: Hsieh