Abstract
Background: The coronavirus disease 2019 (COVID-19) pandemic has necessitated a dramatic shift in how nursing faculty and undergraduate nursing students are educated. This study aims to examine the teaching effectiveness of Surgical Nursing using both face-to-face teaching and online teaching in undergraduate nursing education. Methods: A quantitative approach was adopted. Year-3 undergraduate nursing students were recruited. face-to-face teaching was conducted in semester 1, and online teaching was conducted in semester 2 during COVID-19 pandemic. Student evaluations were collected at the beginning of semester 1 and the end of semester 1 and semester 2. Results: 162 students were recruited in the study. 45.1% students held neutral attitude towards online course of Surgical Nursing. Students were more likely to prefer unit quizzes online and mind maps as homework, task-driven learning, recording videos and online question and answer as the means of theoretical teaching online, and watching surgical nursing skills video and case-based learning in groups as the means of practical teaching online. However, nearly 62.4% students admitted the effectiveness of online teaching was worse than face-to-face teaching. During online teaching, the mean grades of student in unit quizzes were improved, but there were no differences in student evaluations of instruction mean scores for critical thinking, self-directed learning and self-efficacy in comparison with the baseline. Additionally, differences between the face-to-face and online teaching were found in terms of self-directed learning, critical thinking and self-efficacy. Conclusion: The effectiveness of online teaching was not superior to the traditional teaching. Although online teaching has advantages of convenience, speed, anytime and anywhere, face-to-face teaching in classroom and interpersonal interaction in the real situation are insurmountable limitations in online teaching.