Nursing Students’ Preferences in Test-taking, E-Books, and Learning Styles: A Longitudinal Study
Keywords:Student preferences,computer exams, e-book,hybrid online learning, classroom lecture, asynchronous, synchronous, blended learning, F2F, face-to-face, learning outcomes
Aim: This study was conducted to determine the preferences of testing and learning styles of undergraduate
nursing students within a baccalaureate school of nursing.
Background: Historically, nursing education has been in a face- to face (F2F) lecture format. One of the
most pronounced trends in higher education over the last decade has been a strong growth in distance
education through online course work 1.
Method: A survey was given to 685 undergraduate sophomore level nursing students within a baccalaureate
undergraduate school of nursing over eight semesters. This same survey was given again to these sophomore
undergraduate nursing students during their senior year to determine if results waivered. There were 228
seniors surveyed over four semesters.
Students were asked to indicate their age (17 to 27 years, 27 to 37 years, > 37 years)
Students were queried about their preferences among the following categories:
1. Test taking preference: computer exams, or paper and pencil exams
2. Book preference: traditional hard copy textbook, or E-book
3. Learning style preference: online learning, or attending classroom lecture, or both
Results: Overwhelmingly, sophomore and senior level undergraduate nursing students surveyed,
selected their preferences in test taking, book usage, and instruction styles, to support traditional learning
Conclusion: The results from this study emphasize the need for nurse educators to listen attentively to their
students and not assume that advanced technology is the ultimate learning method to be utilized
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