A Systematic Literature Review of Factors affecting Online Learning Among Nursing Students

Main Article Content

Theerachol Satsin
Watsatree Diteeyont
Sunchai Pattanasith


Currently, the emerging pandemic new disease occurs rapidly. It is challenging for educational institutions in adjusting the classroom teaching to online teaching following the government disease control and policies. This systematic literature review aimed to determine factors related to online learning among nursing students. A conceptual PICO was used as a tool which comprises of P (Population), I (Intervention), C (Cause or Factors), and O (Outcome). The summary data among selected studies were reported with flow diagram. The fingings revealed that factors related to online learning of nursing students consisted of students' profiles included gender differences and age ranges, technology experience and accessability, attitudes and behaviors toward online learning, and supportive environmental.


Download data is not yet available.

Article Details

How to Cite
Satsin, T., Diteeyont, W., & Pattanasith, S. (2022). A Systematic Literature Review of Factors affecting Online Learning Among Nursing Students. Vajira Nursing Journal, 24(2), 115–133. Retrieved from https://he02.tci-thaijo.org/index.php/vnj/article/view/258806
Review article


Covid C, Team R, COVID C, Team R, Burrer SL, de Perio MA, et al. Characteristics of health care personnel with COVID-19—United States, February 12–April 9, 2020. Morbidity and Mortality Weekly Report. 2020;69(15):477.

World Health Organization. World report Coronavirus 2020. Geneva: WHO Press. 2020.

Satsin T., and Wongwiseskul S. Lessons Learn from Online Teaching: Challenges for Teacher under COVID - 19 Situations. J Royal Thai Army Nurses. 2021; 22(1): 1-9. (in Thai)

Swatevacharkul R. Autonomous Learning English English Program Learning Achievement. J. Edu. NU. 2016; 18(1): 22-3. (in Thai)

Edwards N, editor An analysis of the characteristics of self-directed learners and strategies to enhance self-directed learning in education systems: Transcending boundaries. The Asian Conference on Education 2015 Official Conference Proceedings; 2015.

Yensen J. PICO search strategies. Online Journal of Nursing Informatics. 2013;17(3).

Kummatid, A., and M. Markrat. Using the systematic review to provide a complete summary on a research question in evidence-based practice: a 3-step method. The Southern College Network Journal of Nursing and Public Health. 2015; 3(3): 246-59. (in Thai)

Munn, Zachary, et al. Methodological quality of case series studies: an introduction to the JBI critical appraisal tool. JBI evidence synthesis. 2020; 18(10): 2127-2133.

Stetler CB, Morsi D, Rucki S, Broughton S, Corrigan B, Fitzgerald J, et al. Utilization-focused integrative reviews in a nursing service. Applied Nursing Research. 1998;11(4):195-206.

Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice: Lippincott Williams & Wilkins; 2022.

Sears K, Goldsworthy S, Goodman WM. The relationship between simulation in nursing education and medication safety. Journal of Nursing Education. 2010;49(1):52-5.

Thanormchayathawat B., Ratchathawan R., and Wiriyasirikul N. Factors Influencingthe Development of 21st Century Learning Skills among Nursing Studentsin Nakhon Si Thammara The Southern College Network Journal of Nursing and Public Health. 2019; 6(special): 91-105. (in Thai)

Kim S, Jeon J. Factors influencing eHealth literacy among Korean nursing students: A cross‐sectional study. Nursing & Health Sciences. 2020;22(3):667-74.

Lertsakornsiri M., Narumitlert J., and Samutpradit K. Factors Effecting on Learning Behaviors with Students’ Online Learning in Saint Louis College from COVID-19 Situations. Journal of Health and Health Management. 2021; 7(1): 13-27. (in Thai)

Subedi S, Nayaju S, Subedi S, Shah SK, Shah JM. Impact of E-learning during COVID-19 pandemic among nursing students and teachers of Nepal. International Journal of Science and Healthcare Research. 2020;5(3):68-76.

Songthai N, Yottavee N Saengkhiew P. Factors Influencing the Online Learning Behaviors of Nursing Students: The Lower Northern Region. Boromarajonani College of Nursing, Uttaradit Journa. 2021; 13(1). 198-209. (in Thai)

Kwanruen Kawitu, Chaisit Thansuk, Rachee Ditajorn, Chanida Mattavangkul. The relationship between factors and adaptive behaviors for online learning and learning achievement of nursing students in a private university Journal of Health and Health Management, 2020; 7(2): 196-211. (in Thai)

Park J, Seo M. Influencing factors on nursing students’ learning flow during the COVID-19 pandemic: A mixed method research. Asian Nursing Research. 2022;16(1):35-44.

Kim, Sisook, and Jaehee Jeon. Factors influencing eHealth literacy among Korean nursing students: A cross‐sectional study. Nursing & Health Sciences, 2021; 22(3): 667-674.

Tørris, Christine, et al. Nursing Students’ Perceived Learning Outcomes, Motivation to Learn and Grade Achieved in a Digital Blended Learning Course: A Norwegian Cross-Sectional Study. Education Sciences, 2022; 12(7): 467.

Regmi, Krishna, and Linda Jones. A systematic review of the factors–enablers and barriers–affecting e-learning in health sciences education. BMC medical education 2020; 21(1): 1-18.

Wang, Wei-Tsong and Ying-Lien Lin. The Relationships among Students’ Personal Innovativeness, Compatibility, and Learning Performance. Educational Technology & Society, 2021; 24(2): 14-27.

Sanongdej, Wanna, et al. Investigating Learning Process Factors Related to Online Learning and Physical Examinations Among Nursing Students. Archives in Neurology & Neuroscience, 2021; 9(5): 20-21.

Prasertsong C, Sanghirunruttana J. and Kladkaew P. The factor related to stress of online learning due to the COVID-19 situation among nursing students. Journal of Somdet Chaopraya Institute of Psychiatry 2021; 15(1): 14-28. (in Thai)

Masha'al D, Rababa M, Shahrour G. Distance learning–related stress among undergraduate nursing students during the COVID-19 pandemic. Journal of Nursing Education. 2020;59(12):666-74.

Warshawski S. Academic self-efficacy, resilience and social support among first-year Israeli nursing students learning in online environments during COVID-19 pandemic. Nurse Education Today. 2022;110:105267.

Chang C-Y, Chung M-H, Yang JC. Facilitating nursing students' skill training in distance education via online game-based learning with the watch-summarize-question approach during the COVID-19 pandemic: A quasi-experimental study. Nurse education today. 2022;109:105256.