Association Between Self-Efficacy and Psychological Distress with Readiness for Online Learning Among Nursing Students
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Abstract
Introduction: During the Coronavirus Disease-2019 (COVID-19) pandemic, online learning has become an import- ant strategy in the implementation of nursing education, in order to prevent the SARS-CoV-2 transmission in the education sector. This study aimed to assess: (i) the correlation between self-efficacy and psychological distress; (ii) the correlation between self-efficacy and online learning readiness; and (iii) the correlation between psychological distress and online learning readiness among nursing students in Indonesia. Methods: The cross-sectional study was conducted from October until December 2020, and involved 500 nursing students from 3 universities in Yogyakarta, Indonesia who were recruited using consecutive sampling methods. The instruments used in this study were: 1) the 10-item Kessler Psychological Distress Scale (K-10) to assess the psychological distress, 2) Online Learning Self-Ef- ficacy Scale (OLSES) to assess online learning self-efficacy, and 3) Student Online Learning Readiness (SOLR) to assess online learning readiness. Spearman’s rank test was used to analyze the correlation between online learning self-efficacy, psychological distress, and online learning readiness. Results: Most of the nursing students (70.6%) had psychological distress ranging from mild to severe distress. The self-efficacy had an inverse correlation with psychological distress (Rho=-0.488, p=0.001). Contrarily, self-efficacy was positively correlated with online learn- ing readiness (Rho=0.708, P=0.001). Psychological distress was inversely correlated with online learning readiness (Rho=-0.423, p=0.001). Conclusion: Online learning self-efficacy and psychological distress are significantly cor- related with online learning readiness. Strategies to increase self-efficacy and ameliorates psychological distress, such as appropriate online learning training, adequate technical assistance, and psychological support were required to improve students’ online learning readiness.
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Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020;91(1):157–60. doi: 10.23750/abm.v91i1.9397.
Hakim MS. SARS-CoV-2, Covid-19, and the debunking of conspiracy theories. Rev Med Virol. 2021;(December 2020):1–11. doi: 10.1002/rmv.2222.
Nussbaumer-Streit B, Mayr V, Dobrescu AI, Chapman A, Persad E, Klerings I, et al. Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review. Cochrane Database Syst Rev. 2020;(4):1–47. doi:10.1002/14651858.CD013574.
Amir LR, Tanti I, Maharani DA, Wimardhani YS, Julia V, Sulijaya B, et al. Student perspective of classroom and distance learning during COVID-19 pandemic in the undergraduate dental study program Universitas Indonesia. BMC Med Educ. 2020;20(1):1–8. doi:10.1186/s12909-020-02312-0.
Bubou GM, Job GC. Individual innovativeness, self-efficacy and e-learning readiness of students of Yenagoa study centre, National Open University of Nigeria. J Res Innov Teach Learn. 2020. doi: 10.1108/JRIT-12-2019-0079.
Rohayani AHH, Kurniabudi, Sharipuddin. A literature review: Readiness factors to measuring e-learning readiness in higher education. Procedia Comput Sci. 2015;59(15):230–4. doi: 10.1016/j. procs.2015.07.564.
Demir KZ, Horzum MB. Relationship between online learning readiness and structure and interaction of online learning students. Educ Sci Theory Pract. 2013;13(3):1792–7. doi: 10.12738/ estp.2013.3.1580.
Wang Y, Xia M, Guo W, Xu F, Zhao Y. Academic performance under COVID-19: The role of online learning readiness and emotional competence. Curr Psychol. 2022. doi: 10.1007/s12144-022- 02699-7.
Obi IE, Charles-Okoli AN, Agunwa CC, Omotowo BI, Ndu AC, Agwu-Umahi OR. E-learning readiness from perspectives of medical students: A survey in Nigeria. Niger J Clin Pract. 2018;21(3):293–300. doi: 10.4103/njcp.njcp_108_17.
Al-Tammemi AB, Akour A, Alfalah L. Is it just about physical health? An online cross- sectional study exploring the psychological distress among university students in Jordan in the Midst of COVID-19 Pandemic. Front Psychol. 2020;11(November):1–11. doi: 10.3389/ fpsyg.2020.562213.
Fitriawan AS, Achmad BF, Kurniawan D, Kafil RF, Natalia L, Setyaningsih WAW. Association between online learning predictors and psychological distress among nursing students during the COVID-19 pandemic. Open Access Maced J Med Sci. 2022;10(E):805-12. doi: 10.3889/oamjms.2022.9215.
Holzer J, Korlat S, Haider C, Mayerhofer M, Pelikan E, Schober B, et al. Adolescent well-being and learning in times of COVID-19-A multi-country study of basic psychological need satisfaction, learning behavior, and the mediating roles of positive emotion and intrinsic motivation. PLoS One. 2021;16(5 May 2021):1–22. doi: 10.1371/journal.pone.0251352.
Baticulon RE, Sy JJ, Alberto NRI, Baron MBC, Mabulay REC, Rizada LGT, et al. Barriers to online learning in the time of COVID-19: A national survey of medical students in the Philippines. Med Sci Educ. 2021;31(2):615–26. doi: 10.1007/ s40670-021-01231-z.
Achmad BF, Fitriawan AS, Kurniawan D, Kafil RF, Retnaningsih LN. Perceived barriers in online learning among nursing students during the COVID-19 pandemic in Indonesia. 2021;9:203–10. doi: 10.3389/oamjms.2021.7183.
Kabir H, Nasrullah SM, Hasan MK, Ahmed S, Hawlader MDH, Mitra DK. Perceived e-learning stress as an independent predictor of e-learning readiness: Results from a nationwide survey in Bangladesh. PLoS One. 2021;16(10 October):1–18. doi:10.1371/journal.pone.0259281.
Artino AR. Academic self-efficacy: from educational theory to instructional practice. Perspect Med Educ. 2012;1(2):76–85. doi: 10.1007/s40037-012- 0012-5.
Hayat AA, Shateri K, Amini M, Shokrpour N. Relationships between academic self-efficacy, learning-related emotions, and metacognitive learning strategies with academic performance in medical students: A structural equation model. BMC Med Educ. 2020;20(1):1–11. doi: 10.1186/ s12909-020-01995-9.
Chang Y, Edwards JK. Examining the relationships among self-efficacy, coping, and job satisfaction using social career cognitive theory: An SEM analysis. J Career Assess. 2015;23(1):35–47. doi: 10.1177/1069072714523083.
Villada C, Hidalgo V, Almela M, Salvador A. Assessing performance on an evaluated speaking task: The role of self-efficacy, anxiety, and cardiac autonomic reactivity. J Pscyhophysiology. 2018;32(2):64–74. doi: 10.1027/0269-8803/ a000185.
Morton S, Mergler A, Boman P. Managing the transition: The role of optimism and self-efficacy for first-year Australian University students. Aust J Guid Couns. 2014;24(1):90–108. doi: 10.1071/ jgc.2013.29.
Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–
doi: 10.1037/0033-295X.84.2.191.
Abimana JB, Kato CD, Bazira J. Methicillin-resistant Staphylococcus aureus nasal colonization among healthcare workers at Kampala International University Teaching Hospital, Southwestern Uganda. Can J Infect Dis Med Microbiol. 2019;2019:1–7. doi:10.1155/2019/4157869.
Kapasia N, Paul P, Roy A, Saha J, Zaveri A, Mallick R. Impact of lockdown on learning status of undergraduate and postgraduate students during COVID-19 pandemic in West Bengal, India. Child Youth Serv Rev J. 2020;116(January):1–6. doi:10.1016/j.childyouth.2020.105194.
Tran TD, Kaligis F, Wiguna T, Willenberg L, Nguyen HTM, Luchters S, et al. Screening for depressive and anxiety disorders among adolescents in Indonesia: Formal validation of the centre for epidemiologic studies depression scale – revised and the Kessler psychological distress scale. J Affect Disord. 2019;246(November 2018):189–94. doi: 10.1016/j.jad.2018.12.042.
Kessler R., Andrew G, Colpe L, Hiripi E, Mroczek D., Normand SL., et al. Short screening scales to monitor population prevalences and trends in non- specific psychological distress. Psychol Med. 2002; 32:959–76. doi: 10.1017/s0033291702006074.
Ulfatun T, Septiyanti F, Lesmana AG. University students’ online learning self-efficacy and self- regulated learning during the covid-19 pandemic. Int J Inf Educ Technol. 2021;11(12):597–602. doi: 10.18178/ijiet.2021.11.12.1570.
Zimmerman WA, Kulikowich JM. Online learning self-efficacy in students with and without online learning experience. Am J Distance Educ. 2016;30(3):180–91. doi: 10.1080/08923647.2016.1193801.
Zimmerman WA. Predicting success in an online course using expectancies, values, and typical mode of instruction. Int J E-Learning Distance Educ. 2017;32(1):1–20.
Aldhahi MI, Baattaiah BA and Alqahtani AS (2021) Predictors of Electronic Learning Self- Efficacy: A Cross-Sectional Study in Saudi Arabian Universities. Front. Educ. 6:614333. doi: 10.3389/ feduc.2021.614333
Elmanora E, Oktaviani M, Doriza S. Analysis of online learning readiness in college students and its implications for higher education. ICEHHA. 2021. doi: 10.4108/eai.3-6-2021.2310897.
Yu T, Richardson JC. An exploratory factor analysis and reliability analysis of the student online learning readiness (SOLR) instrument. Online Learn J. 2015;19(5):120–41. doi: 10.24059/olj. v19i5.593.
Yu T. Examining construct validity of the student online learning readiness (SOLR) instrument using confirmatory factor analysis. Online Learn J. 2018;22(4):277–88. doi: 10.24059/olj.v22i4.1297.
Schmits E, Dekeyser S, Klein O, Luminet O, Yzerbyt V, Glowacz F. Psychological Distress among Students in Higher Education: One Year after the Beginning of the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18(14):7445. doi:10.3390/ ijerph18147445.
Browning MHEM, Larson LR, Sharaievska I, Rigolon A, McAnirlin O, Mullenbach L, et al. (2021) Psychological impacts from COVID-19 among university students: Risk factors across seven states in the United States. PLoS ONE 16(1): e0245327. doi:10.1371/journal.pone.0245327.
Nishimura, Y., Ochi, K., Tokumasu, K., Obika, M., Hagiya, H., Kataoka, H., & Otsuka, F. (2021). Impact of the COVID-19 pandemic on the psychological distress of medical students in Japan: Cross-sectional survey study. Journal of Medical Internet Research, 23(2), 1–14. doi: 10.2196/25232.
Cuiyan W, Riyu P, Xiaoyang W, Yilin T, Linkang X, Cyrus SH, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1–25. doi: 10.3390/ ijerph17051729.
Ahmed Z, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated psychological problems. Asian J Psychiatr. 2020;51(January):1–8. doi: 10.1016/j. ajp.2020.102092.
Saddik B, Hussein A, Sharif-Askari FS, Kheder W, Temsah MH, Koutaich RA, et al. Increased levels of anxiety among medical and non-medical university students during the COVID-19 pandemic in the United Arab Emirates. Risk Manag Healthc Policy. 2020;13:2395–406. doi: 10.2147/RMHP.S273333.
Ridner SH. Psychological distress: Concept analysis. J Adv Nurs. 2004;45(5):536–45. doi: 10.1046/j.1365- 2648.2003.02938.x.
Karaca A, Yildirim N, Cangur S, Acikgoz F, Akkus D. Relationship between mental health of nursing students and coping, self-esteem and social support. Nurse Educ Today. 2019;76(May 2018):44–50. doi: 10.1016/j.nedt.2019.01.029.
Tiwari SK, Srivastava SP. Self-efficacy of online learning among nursing students during COVID-19 pandemic. Int J Community Med Public Heal. 2021;8(9):4439. doi: 10.18203/2394-6040.ijcmph20213549.
Pfitzner-Eden F. Why do i feel more confident? Bandura’s sources predict preservice teachers’ latent changes in teacher self-efficacy. Front Psychol. 2016;7(OCT):1–16. doi: 10.3389/fpsyg.2016.01486.
Huang X, Mayer RE, Usher EL. Better together: Effects of four self-efficacy-building strategies on online statistical learning. Contemp Educ Psychol. 2020;63(October):101924. doi: 10.1016/j.cedpsych.2020.101924.
Sabouripour F, Roslan S, Ghiami Z, Memon MA. Mediating role of self-efficacy in the relationship between optimism, psychological well-being, and resilience among Iranian Students. Front Psychol. 2021;12(June):1–11. doi:10.3389/fpsyg.2021.675645.
Tahmassian, K; Moghadam, JN. Relationship between self-efficacy and symptoms of anxiety, depression, worry and social avoidance in a normal sample of students. Iran J Psychiatry Behav Sci 2011; 5(2): 91-8.
Nunes, D. & Faro, A. The role of self-efficacy, self- esteem and self-concept in depression in adolescents. Ciencias Psicológicas. 2021;15(2):e-2164. doi: 10.22235/cp.v15i2.2164.
Komarraju M, Nadler D. Self-efficacy and academic achievement: Why do implicit beliefs, goals, and effort regulation matter?. Learn Individ Differ. 2013;25:67–72. doi: 10.1016/j.lindif.2013.01.005.
Zhao FF, Lei XL, He W, Gu YH, Li DW. The study of perceived stress, coping strategy and self-efficacy of Chinese undergraduate nursing students in clinical practice. Int J Nurs Pract. 2015;21(4):401–9. doi: 10.1111/ijn.12273.
Liu C, Li H. Stressors and stressor appraisals: The moderating effect of task efficacy. J Bus Psychol. 2018;33(1):141–54. doi: 10.1007/s10869-016-9483-4.
Kenny, R.F., Neste-Kenny, J.M., Burton, P.A., Park, C.L., & Qayyum, A. (2012). Using self-efficacy to assess the readiness of nursing educators and students for mobile learning. The International Review of Research in Open and Distributed Learning, 13, 277- 296.
Talsma K, Robertson K, Thomas C and Norris K. COVID-19 Beliefs, Self-Efficacy and Academic Performance in First-year University Students: Cohort Comparison and Mediation Analysis. Front. Psychol. 2021;12:643408. doi: 10.3389/fpsyg.2021.643408
Yao Jr., JJ. The Significance of Self-directed Learning Readiness, Academic Self-efficacy, and Problem- solving Ability Among Filipino Nursing Students. International Journal of Learning, Teaching and Educational Research. 2021; 20(10):83-94. doi: 10.26803/ijlter.20.10.5.
Bozchaloei, K., Mohammadi, SZ., Rasooli, S. Correlation between Online Learner Readiness with Psychological Distress related to e-Learning among Nursing and Midwifery Students during COVID-19 pandemic. 2022; 10 (6) :11-21.
Afshan, G., Kalhora, M., Zainulabidin, N. (2021). Impact of Students’ Psychological Distress on Their Academic Performance Through E-Learning Readiness. Innovative Education Technologies for 21st Century Teaching and Learning. CRC Press.
Kabir, H., Hasan, K., Mitra, DK. E-learning readiness and perceived stress among the university students of Bangladesh during COVID-19: a countrywide cross- sectional study, Annals of Medicine. 2021;53(1):2305- 2314, doi: 10.1080/07853890.2021.2009908.
Tubaishat A. An investigation into the attitudes of nursing students toward technology. J Nurs Res. 2014;22(2):119–125.
Mirzaei-Alavijeh, M, et.al. Depression, Academic Self-efficacy, and Achievement among College Students. Int J Health Life Sci. 2017, 3 (1): 6-10. doi: 10.22110/IJHLS.2017.80502.