KNOWLEDGE, ATTITUDE AND PRACTICE ON E- LEARNING AMONG B.SC. NURSING STUDENTS

Background: The sudden outbreak break of crisis made the educational institution to switch over the mode of teaching from traditional method to E-Learning. The main objective of the present study is to assess the existing level of Knowledge, Attitude and Practice about E- learning among B.Sc Nursing Students in selected Nursing colleges, to correlate all the outcome variables with each other. Methodology: A cross sectional descriptive survey study was conducted among B.Sc Nursing Students in selected Nursing colleges, Puducherry with 400 samples, selected through cluster random sampling technique. Quantitative approach was used for this study and the design was descriptive cross-sectional design. Data was collected by using self-structured questionnaire prepared by the researcher. Results: The results revealed that, out of 400 samples, nearly more than half of the samples 211(52.8%) had inadequate Knowledge about E-Learning. Further, the data was analyzed by using the Karl Pearsons correlation and it had shown positive correlation which is found to be statistically significant at p<0.01 level between all three variables. Regarding the association, previous experience of attending classes online classes, gender and total family income per annum had shown significant association with Knowledge, educational status of the mother, total family income per annum and sibling having separate gadgets for attending E-Learning had shown statistically significant association with Attitude, use of gadgets by the subjects siblings having separately for attending E-Learning had statistically significant association with Practice at p<0.05 level. Conclusion: The study concludes that the E-Learning should be recommended for the Students to update their Knowledge and practice with desirable attitude changes to adapt E-learning for their learning platform.


ISSN: 2320-5407
Int. J. Adv. Res. 9 (11), 1105-1112 1106 Introduction:-Education is board spectrum of teaching and learning aspect which makes the learner to learn and makes them to improve their life. 1,2 The education system is modeled such way to increase the knowledge in various aspects and to have good satisfactory level towards their goal.
During the crisis situation the improvement of technology has made everything easily accessible. The emerging modern world transfers this learning process through electronic media. A blended learning becomes a choice in the method of teaching learning process which is commonly practiced by every schools and Colleges. Now a days the changes in the mode of learning is well accepted by higher education during this pandemic period. There are many Apps available to acts as plate form for teaching in the present scenario.
The medical and nursing education is mostly taught by the traditional methods for many years. Since, it is highly skill-oriented profession and now there is a need for changes 3,4 .Because, the advancements in education are also needed to update their knowledge & skill with the use of modern gadgets in this new era 5 . Nowadays younger generation do not to be book worms; instead, they prefer technology for their regular classes 6 . The modern technology is made very easy for all Age groups 6 . Now learning through online is very common due to pandemic compared to the previous decade, it was very difficult 7 . Before 10 to 20 years there were less gadgets or devices, but that was also high in cost which cannot be rendered by common man. 8 According to their view article published by Deepika.V, Soundariya.K, Kartikeyan.K, Kalaiselvan.G, (2020) E-Learning is best method of learning for the Students which is adopted by various institution for upgrading their Knowledge and grade. 9 Similarly electronic media is considered to be very useful for conducting online classes in this present scenrio. 10 Use of technology or change in traditional learning method requires good cooperation, since the perception of Students is different and it was also found that most (77%) of the samples had negative perceptions towards Elearning in the study conducted by Abbasi.S, Ayoob.T, Malik.A, Memon.S.I, (2020). 11 The present situation made the researcher to realize that the E-learning is mandatory for every profession to upgrade their knowledge and skill. Hence, the researcher wanted to assess the Knowledge, Attitude and skill of Students regarding E-Learning, Since the nursing profession is highly skill-oriented program for which higher form of technology is necessary to make them skillful through offline mode and it is newer for the Students and the faculty as well. So, the present study is planned to assess the Knowledge, Attitude and Practice of attending classes through electronic media among the Nursing Students.

Research Methodology:-
The researcher adopted the quantitative approach with cross sectional descriptive survey design for this study.
Eisner's connoisseurship model (1976) was adopted to conceptualize the study. The structured questionnaire was developed by the researcher after several research reviews and incorporated the suggestion received from medical and nursing expects in the questionnaire. The questionnaire consists of mainly two section which includes Section -A demographic variables and Section -B self-Structured questionnaire for assessing Knowledge, Attitude and Practice. Further, Section -B is divided into 3 subsection consists of 35 multiple choice question for assessing Knowledge and Practice and 5-pointLikert scale with 20 statements for assessing Attitude towards E-learning.

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Cluster random sampling technique was adopted to select the samples for the study in which, the four years B.Sc nursing students were grouped as two groups in each selected College by using odd and even numbers that is 1yr and 3yr as one group and 2yr and 4yr as another rgroup and then, in the second step, the researcher selected only one batch from each group that is 2yr from first group and 3yr from another group by lottery method in every selected college. Finally, in the third step, subjects were drawn out from each selected group that is 40 students from 2yr (first group) and 40 students from 3yr (second group) totally the samples were around 80 as per sample size calculation in each selected College by using the same lottery method. Data was collected among 400 samples by survey. Self-structured questionnaire was used to collect the data and the results were analyzed by descriptive and inferential statistics.

Ethical Consideration:
The ethical clearance was obtained from institutional ethical committee and the prior permission was also obtained from the respective college Principals. Before the collection of data, informed consent and permission was obtained from every samples in selected Nursing Colleges. The samples were selected based on inclusion criteria. The samples were given freedom to withdraw from the study at any time of the study period.

The second objective of the study is to correlate the Knowledge with the Attitude, Knowledge with Practice and Practice with Attitude about E-learning.
The investigator analyzed the correlation between the three study variables such as Knowledge, Attitude and Practice by using Karl Pearson's correlation test. The results of the present study shows that the correlation r value is found to be statistically significant between all there variables such as between Knowledge and Practice(r = 0.318 at p=0.0001), Knowledge and Attitude (r = 0.243 at p=0.0001), and Practice and Attitude (r = 0.207 at p=0.0001).This study finding is consistent with the similar study conducted by Matsunaga.S, (2016) shows that there is a positive correlation of perception at the level of r=0.547,p<0.05 about delivering the content through the online classes is more effective. 13 The result infers that when Knowledge increases, Attitude and Practice will also be increased.

The third objective is to associate the level of Knowledge, Attitude and Practice about E-learning with selected demographic variables
Regarding association between Knowledge and demographic variables, the findings of the present study showed that there was a statistically significant association between level of Knowledge and demographic variables such as the student's prior experience of attending online classes(x 2 = 14.406, p=0.001), Gender (x 2 = 8.126, p=0.017) and total family income / year (x 2 =24.215, p=0.019) at p<0.05 level.
Further, the researcher used regression analysis to analyze the association between outcome variables and selected demographic variables of this study. In this regard, knowledge was analyzed primly which again shows that there was a significant relationship between Age (p=0.029), Gender (p=0.003) and total family income per year (p=0.009) with a R2 value of 6.7%. Table shows the multiple regression combination of the demographic variables as small 1109 linear relationship to mean difference score of Knowledge R 2 value is 6.7%. An 6.7% of estimated variance of the demographic variables can be accounted for multiple regression combination on predictors on Age, Gender, year of study, education of father, occupation of father, education of mother, occupation of mother, total family income per year, residence, siblings, members in your family having smart phone, sibling having separate gadgets for attending E-Learning and having prior experience of attending online class (Table no 2).
Regarding association between Attitude and demographic variables, there was a statistically significant association between Attitude and demographic variables such as Educational status of the Mother(x 2 =21.439, p=0.044), total family income per year (x 2 = 22.250, p=0.035) and availability of gadgets separately for the siblings(x 2 =7.156, p=0.028) at p<0.05 level and this was analyzed again by using regression analysis which showsthere was a significant relationship between Age (p=0.034), and sibling have separate gadgets for attending E-Learning (p=0.031) with a R2 value of 5.6%. Table shows the multiple regression combination of the demographic variables as small linear relationship to mean difference score of Practice R 2 value is 5.6%. An 5.6% of estimated variance of the demographic variables can be accounted for multiple regression combination on predictors on Age, Gender, year of study, education of father, occupation of father, education of mother, occupation of mother, total family income per year, residence, siblings, members in your family having smart phone, sibling having separate gadgets for attending E-Learning and having prior experience of attending online class (Table no 3 Regarding association of Practice with demographic variables, the present study shows that there was a statistically significant association between separate gadgets availability for siblings in a family (x 2 =13.416, p=0.0001) and demographic variables at p<0.001 and the multiple regression analysis results reveals that there was a significant relationship between Gender (p=0.042), occupation of mother (p=0.004) and total family income per month (p=0.000) with a R2 value of 7.7%. Table shows the multiple regression combination of the demographic variables as small linear relationship to mean difference score of Attitude R 2 value is 7.7%. An 7.7% of estimated variance of the demographic variables can be accounted for multiple regression combination on predictors on Age, Gender, year of study, education of father, occupation of father, education of mother, occupation of mother, total family income per year, residence, siblings, members in your family having smart phone, sibling have separate gadgets for attending E-Learning and having prior experience of attending online class (Table no 4).   Percentage of R 2 value -5.6% *p<0.05, S -Significant

Conclusion:-
The study result shows that the majority of the subjects had poor Knowledge, moderate Practice and neutral level of Attitude towards E-Learning. So, the researcher concludes that there is need of more educational sessions regarding E-Learning which is more essential in the present scenario and researcher also insists that the E-Learning should be recommended for the Students to update their Knowledge.