The Evaluation of a Blended E-learning Program for Nursing and Midwifery Students in Tehran University of Medical Sciences.

Introduction: Blended-E-Learning system uses various methods and technologies to improve learning quality. We developed some courses based on Instructional System Design Processes (analysis, design, implementation, and evaluation) for blended-e-learning, then we evaluated the effectiveness of this system in Tehran University of medical Science. Methods: In this partnership-based action research study, carried out in 2008-2009, firstly viewpoints of faculty members and also nursing and midwifery students of Tehran University of Medical Science on the blended e-learning were assessed via a valid and reliable questionnaire. Then a platform of blended e-learning was designed and voluntary faculty members participated in a workshop held to develop an e-learning course. Finally a blended learning program covering 22 courses (45 credits) for BS, MS and PhD students of nursing and midwifery was designed. At the end of the semester, we used questionnaires and check-lists to assess students' & faculty members' feedback on the learning outcome of this program. The collected data were analyzed using frequency, Chi square and Wilcoxon tests in SPSS software version 16. Results: 181 students filled out and returned questionnaires (response rate=82.2%). 67.4% students were highly satisfied with this system. Similarly 88.2% of faculty members were completely satisfied with teaching in blended e-learning system. Both students and faculty members preferred the blended e-learning system to the conventional method (P=0.000). Mean scores of students' grades and participation were significantly higher in blended learning method than students' in the previous semester with face-to-face method (P<0.001). Conclusion: Because the blended e-learning uses benefits of both e-learning & face to face learning and provides more flexibility and satisfaction for learner and teacher, it can be considered as an effective alternative method for education in universities of medical sciences in Iran. [ABSTRACT FROM AUTHOR]