title: Qualitative assessment of a blended learning intervention in an undergraduate nursing course.
abstract: BACKGROUND
  Nurses are experiencing new ethical issues because of global developments and changes in the healthcare environment. Blended learning is one of the various methods used to deliver meaningful learning experiences. Well-designed, properly administered nursing ethics education is essential for nursing students to visualize the role of professional nurses. However, a literature review shows that only a few existing studies have touched on the subject of nursing student experiences with blended learning in a nursing ethics course.
  
  
  OBJECTIVE
  This study examines how undergraduate nursing students respond to a blended learning approach in a nursing ethics course and how blended learning affects the learning process.
  
  
  METHODS
  We used a qualitative research design with in-depth interviews. Participants included 28 female undergraduate nursing students who had completed the nursing ethics course. Each interview lasted 50-100 minutes. The researcher conducted all interviews in 2009.
  
  
  RESULTS
  The researcher identified six major themes and 13 subthemes from the data. The six themes included (a) enhancing thinking ability, (b) improving problem-solving skills, (c) reflecting in and on practice, (d) perceiving added workload, (e) encouraging active learning, and (f) identifying the value of nursing. Participants felt that the blended learning experience was a generally positive experience.
  
  
  CONCLUSIONS
  Most participants appreciated the opportunity to take a more active role in the learning process, think about issues profoundly and critically, and exercise metacognitive powers in the thinking and decision-making process. Study findings may suggest productive ideas for fine-tuning blended learning models.
authors.affiliation: Graduate Institute of Health Allied Education, National Taipei University of Nursing and Health Sciences. llhsu@ntunhs.edu.tw
authors.forename: Li-Ling
authors.initials: LL
authors.lastname: Hsu
mesh_terms: D001291:Attitude of Health Personnel; D003479:Curriculum; D004508:Education, Nursing, Baccalaureate / Q000379:methods*; D004993:Ethics, Nursing / Q000193:education*; D005260:Female; D006801:Humans; D007858:Learning; D015402:Nursing Education Research; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D036301:Qualitative Research; D013338:Students, Nursing / Q000523:psychology*