Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/116857
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Title: Educational technology enhanced interprofessional E-learning for engaging cross-institutional and cross-border healthcare students : a mixed-methods study
Authors: Chan, SL
Fung, JTC
Wong, MS 
Cheng, CCW
Lee, JJJ
Choi, HR
Wan, WH
Withrow, H
Sirirat, SI
Tse, WH
Poon, RPW
Lam, CF
Lam, HCY
Chan, CK
Lin, CC
Issue Date: Dec-2025
Source: International journal of nursing studies advances, Dec. 2025, v. 9, 100404
Abstract: Aim: In the post-COVID-19 era, educators in higher education are exploring innovative pedagogies to deliver effective interprofessional education in an online learning environment. This study aimed to evaluate the effectiveness of the technology-enhanced e-learning modules for undergraduate healthcare students from different cultural backgrounds. The focus was on student engagement with interprofessional learning and diversity using innovative educational technology.
Methods: This is a mixed-methods study including pre- and post-test evaluations and focus group interviews. The educational intervention strategies focused on applying interprofessional learning among undergraduate healthcare students by integrating education technologies (i.e., virtual reality 360 and gamification) into two e-learning modules. Three time-points involving pre and post modules’ evaluation (before and after the 1st learning module, and after the 2nd learning module) were collected using validated scales including Interprofessional Attitudes Scale and Online Student Engagement Scale. Linear mixed models were used to investigate the association between interventions and changes in outcomes from pre-to post-intervention by adjusting the covariates. To further validate the quantitative findings, focus-group interviews were conducted with a verbatim transcript obtained from participating students for content analysis.
Results: A total of 75 undergraduate healthcare students from Hong Kong, Mainland China, South Korea, and Thailand participated in the study. A statistically significant positive change was detected in interprofessional attitude (F = 5.90, p = 0.004), interprofessional diversity and ethics (F = 4.43, p = 0.014) and student engagement (F = 13.42, p < 0.001) after the e-learning modules. A statistically significant correlation was also detected between student engagement and interprofessional attitude. From the qualitative content analysis, three core categories were identified. They were ‘Cultural diversity recognition’, ‘Acquisition of interprofessional attitudes and skills’ and ‘Active learning engagement’.
Conclusions: The technology-enhanced e-learning modules significantly enhanced undergraduate healthcare students’ interprofessional attitude and student learning engagement in terms of interprofessional education. Healthcare educators in higher education are encouraged to integrate educational technology as a pedagogical approach to stimulate interprofessional learning of undergraduate healthcare students.
Keywords: Cultural diversity
Education technology
Gamification
Internationalization
Interprofessional education
Online learning engagement
Virtual Reality 360
Publisher: Elsevier Ltd
Journal: International journal of nursing studies advances 
EISSN: 2666-142X
DOI: 10.1016/j.ijnsa.2025.100404
Rights: © 2025 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ).
The following publication Chan, S. L., Fung, J. T. C., Wong, M. S., Cheng, C. C. W., Lee, J. J. J., Choi, H. R., Wan, W. H., Withrow, H., Sirirat, S.-i., Tse, W. H., Poon, R. P. W., Lam, C. F., Lam, H. C. Y., Chan, C. K., & Lin, C. C. (2025). Educational technology enhanced interprofessional E-learning for engaging cross-institutional and cross-border healthcare students: A mixed-methods study. International Journal of Nursing Studies Advances, 9, 100404 is available at https://doi.org/10.1016/j.ijnsa.2025.100404.
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