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Exploring Student Perspectives on E-Learning in Nursing Education

             Impact on Student Engagement and Interaction
             This theme highlights the ways in which e-learning affected students‘ ability
             to engage actively with both their peers and instructors, reflecting the social
             and cognitive challenges of e-learning. While the virtual environment offered
             convenience, it also introduced barriers to effective communication, focus,
             and active participation.
               One of the prominent issues identified by students was the decrease in
             face-to-face interaction, which impacted their ability to engage fully with
             both their peers and instructors. This lack of in-person socialisation was high-
             lighted as a significant drawback, as students missed the opportunity to en-
             gage in discussions and collaborative activities. One student expressed this
             sentiment, stating:
                  The negative aspect for me was mainly the lack of communication, which
                  led to a weaker relationship with other students. We hardly knew each
                  other by the end of the term. [FG3]
               Another student elaborated on the difficulty in connecting with instruc-
             tors, saying that:
                  It was harder to get feedback and clarification immediately. You had to
                  email or wait for a response, unlike in class where you could just ask. [FG]

               This limitation in spontaneous interaction added to a sense of isolation
             and diminished the collaborative learning experience. Students also faced
             numerous distractions in the home environment, which hindered their abil-
             ity to concentrate fully on their studies. The absence of a formal classroom
             setting, combined with household obligations, often made it challenging for
             students to remain focused. One student commented:

                  It was hard to concentrate at home. There were always family members
                  around, and it’s easy to get distracted with other things like cooking or
                  even using the phone during lectures. [FG4]

               Another student shared similar concerns, saying:
                  I found it hard to keep my attention on the lecture for long periods,
                  especially when it was all on a screen. [FG1]
               This lack of focus not only affected their learning experience but also led to
             gaps in knowledge retention. Furthermore, the structure of e-learning, as ex-
             perienced by these nursing students, often led to a tendency toward passive
             participation, where students engaged less actively compared to in-person


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