What It Is and Is Not: Pedagogy in Online Nursing Education Delivery


  • Dr. Annette M. Lane Faculty of Health Disciplines, Athabasca University
  • Dr. Jennifer Stephens Fay W. Whitney School of Nursing, University of Wyoming




nursing education, online delivery, pedagogy, post-licensure programs


Nursing has employed distance education for decades. In the 21st century, distance programs have often been delivered online. This became even more prevalent since the COVID-19 pandemic. Despite the preponderance of online nursing courses, the delivery of courses virtually does not necessarily mean that these offerings are intentionally developed online education. We discuss a secondary analysis of data examining the formation of online nursing programs at Athabasca University. This historical inquiry used interpretive description of the pedagogy, both learning strategies and the theories that substantiate the strategies, using thematic analysis. Participants discussed their theoretical substantiation of online education. We posit that online nursing education involves a purposeful pedagogy including theoretical bases and would benefit from a strong sense of mission behind the course delivery. Findings from this study may apply to online programs, irrespective of profession or discipline.


Abuatiq, A., Fike, G., Davis, C., Boren, D., & Menke, R. (2017). E-learning in nursing: Literature review. International Journal of Nursing Education, 9(2), 81–86. https://ijone.org/

Anderson, T., Rourke, L., Garrison, D. R., & Archer, W. (2001). Assessing teaching presence in a computer conferencing context. Journal of the Asynchronous Learning Network, 5(2), 1–17. https://auspace.athabascau.ca/bitstream/handle/2149/725/assessing_teaching_presence.pdf?sequence=1&isAllowed=y

Athabasca University. (2023). Mission and mandate. https://www.athabascau.ca/aboutau/misson-and-mandate.html#:~:text=Our%20mission,opportunities%20for%20adult%20learners%20worldwide

Aydemir, M., Ozkeskin, E. E., & Akkurt, A. (2015). A theoretical framework on open and distance learning. Procedia: Social and Behavioral Sciences, 174, 1750–1757. http://dx.doi.org/10.24059/olj.v5i2.1875

Baruth, O., Gabbay, H., Cohen, A., Bronshtein, A., & Ezra, O. (2021). Distance learning perspectives during the coronavirus outbreak: Freshman versus more advanced students. Journal of Computer Assisted Learning, 37, 1666–1681. https://doi.org/10.1111/jcal.12612

Billings, D. (2007). Optimizing distance education in nursing. Journal of Nursing Education, 46(6), 247–248. https://doi.org/10.3928/01484834-20070601-01

Bowser, A., Kazakoff, M., Scott, P., & Dunbar-Jacob, J. (2022). Nursing students’ dissatisfaction with course organization and student engagement in remote learning 1 year post-COVID-19 restrictions. Nurse Educator, 47(3), E68–E72. https://doi.org/10.1097%2FNNE.0000000000001175

Bramer, C. (2020). Preregistration adult nursing students’ experiences of online learning: A qualitative study. British Journal of Nursing, 29(12), 678–683.

Brown, J. (2019). What is pedagogy? And why it’s important for teachers to consider. https://medium.com/educate-pub/what-is-pedagogy-5b2381222418

Buckley, K. (2003). Evaluation of classroom-based, Web-enhanced, and Web-based distance learning nutrition courses for undergraduate nursing. Journal of Nursing Education, 42(8), 367–370. https://doi.org/10.3928/0148-4834-20030801-09

Camacho, A., Feliciano, G., & Leite, B. (2016). Tutoring in nursing through distance education: A reflective approach. Journal of Nursing: UFPE Online, 10(4), 3862–3867. https://doi.org/10.5205/reuol.9681-89824-1-ED.1004sup201621

Christopher, R., de Tantillo, L., & Watson, J. (2020). Academic caring pedagogy, presence, and Communitas in nursing education during the COVID-19 pandemic. Nursing Outlook, 68(6), 822–829. https://doi.org/10.1016/j.outlook.2020.08.006

Cobb, S. (2011). Social presence, satisfaction, and perceived learning of RN-to-BSN students in Web-based nursing courses. Nursing Education Perspectives, 32(2), 115–119. http://dx.doi.org/10.5480/1536-5026-32.2.115

Edwards, M., Perry, B., & Janzen, K. (2011). The making of an exemplary online educator. Distance Education, 32(1), 101–118. https://doi.org/10.1080/01587919.2011.565499

Esani, M. (2010). Moving from face-to-face to online teaching. Clinical Laboratory Science, 23(3), 187–190. http://dx.doi.org/10.29074/ascls.23.3.187

Evans, S., Knight, T., Walker, A., & Sutherland-Smith, W. (2020). Facilitators’ teaching and social presence in online asynchronous interprofessional education. Journal of Interprofessional Care, 34(4), 435–443. https://doi.org/10.1080/13561820.2019.1622517

Garrison, D. R., Anderson, T., & Archer, W. (2000). Critical inquiry in a text-based environment: Computer conferencing in higher education model. The Internet and Higher Education, 2(2–3), 87–105. http://dx.doi.org/10.1016/S1096-7516(00)00016-6

Garrison, D. R., Anderson, T., & Archer, W. (2001). Critical thinking, cognitive presence, and computer conferencing in distance education. American Journal of Distance Education, 15(1), 7–23. https://doi.org/10.1080/08923640109527071

Georgsson, M. (2019). Uses and advantages of e-learning and distance pedagogy in nursing informatics education. Online Journal of Nursing Informatics, 23(2), 1. http://www.himss.org/ojni

Harlan, M., Rosenzweig, M., & Hoffmann, R. (2021). Preferred teaching/learning strategies for graduate nursing students in Web-enhanced courses. Dimensions of Critical Care, 40(3), 149–155. https://www.doi.org/10.1097/dcc.0000000000000469

Hart, L., & Morgan, L. (2010). Academic integrity in an online Registered Nurse to Baccalaureate in nursing program. Journal of Continuing Education in Nursing, 41(11), 498–505. https://doi.org/10.3928/00220124-20100701-03

Howe, D., Heitner, K., Dozier, A., & Silas, S. (2021). Health professions faculty experiences teaching online during the COVID-19 pandemic. The ABNF Journal, 32(1), 6–11.

Hu, Y., Ow Yong, J., Chng, M-L., Li, Z., & Goh, Y-S. (2022). Exploring undergraduate nursing students’ experiences towards home-based learning as pedagogy during the COVID-19 pandemic: A descriptive qualitative exploration. BMC Nursing, 21. https://doi.org/10.1186/s12912-021-00788-9

Hunter, J., & Krantz, S. (2010). Constructivism in cultural competence education. Journal of Nursing Education, 49(4), 207–214. https://doi.org/10.3928/01484834-20100115-06

Iheduru-Anderson, K. (2021). Students’ perspectives of factors related to delayed completion of online RN-BSN programs. BMC Nursing, 20(53). https://doi.org/10.1186/s12912-021-00574-7

Ives, C., & Walsh, P. (2021). Perspectives of Canadian educators on the move to online learning. Canadian Journal of Higher Education, 51(1), 28–40. https://doi.org/10.47678/cjhe.vi0.188971

Johnson, A. (2008). A nursing faculty’s transition to teaching online. Nursing Education Perspectives, 29(1), 17–22. https://pubmed.ncbi.nlm.nih.gov/18330417/

Jones, D., & Wolf, D. (2010). Shaping the future of nursing education today using distant education and technology. The ABNF Journal, 21(2), 44–47.

Knowles, M. (1984). Andragogy in action. Jossey-Bass.

Legg, J., Adelman, D., Mueller, D., & Levitt, C. (2009). Constructivist strategies in online distance education in nursing. Journal of Nursing Education, 48(2), 64–69. https://doi.org/10.3928/01484834-20090201-08

Manakatt, B., Carson, Z., Penton, R., & Demello, A. (2021). Virtual learning experiences in population health nursing course during the COVID-19 pandemic. International Nursing Review, 68, 577–562. https://doi.org/10.1111%2Finr.12725

Matlakala, M., Greef, W., Mgutshini, T., & Chetty, D. (2019). Use of the semester system in undergraduate programmes for open distance education. Africa Journal of Nursing & Midwifery, 21(2), 1–13. https://doi.org/10.25159/2520-5293/4802

Melrose, S., Park, C., & Perry, B. (2013). Teaching health professionals online: Frameworks and strategies. AU Press. https://doi.org/10.15215/aupress/9781927356654.01

Nadeau, M-C., Bilodeau, K., & Daoust, L. (2020). Using Web-based training to optimize pediatric palliative care knowledge transfer. Canadian Oncology Nursing Journal, 30(1), 31–37. https://doi.org/10.5737/236880763013137

Nikpeyma, N., Zolfaghari, M., & Mohammadi, A. (2021). Barriers and facilitators of using mobile devices as an educational tool by nursing students: A qualitative study. BMC Nursing, 20, Article 226. https://doi.org/10.1186/s12912-021-00750-9

Oducado, R., & Soriano, G. (2021). Shifting the education paradigm amid the COVID-19 pandemic: Nursing students’ attitude to e-learning. Africa Journal of Nursing and Midwifery, 23(1). https://doi.org/10.25159/2520-5293/8090

Peck, B., Smith, A., Terry, D., & Porter, J. (2021). Self-regulation for and of learning; Student insights for online success in a Bachelor of Nursing program in regional Australia. Nursing Reports, 11, 364–372. https://doi.org/10.3390/nursrep11020035

Plowman, E., Anderson, J., & Douglas, J. (2017). Adapting online learning to overcome disadvantage in rural Australia. Australian Nursing & Midwifery Journal, 25(2), 38. https://www.proquest.com/openview/15a801e9bb1976c0195509320baeb807/1?pq-origsite=gscholar&cbl=33490

Porter, J., Barbagallo, M., Peck, B., Allen, L., Tanti, E., & Churchill, A. (2020). The academic experiences of transitioning to blended online and digital nursing curriculum. Nurse Education Today, 87. https://doi.org/10.1016/j.nedt.2020.104361

Richter, S., & Schuessler, S. (2019). Nursing faculty experiences and perceptions of online teaching: A descriptive study. Teaching and Learning in Nursing, 14(1), 26–29. https://doi.org/10.1016/j.nedt.2020.104361

Riley, K., & Schmidt, D. (2016). Does online nursing click with rural nurses: A qualitative study. The Australian Journal of Rural Health, 24, 265–270. https://doi.org/10.1111/ajr.12263

Ryan, M., Hodson-Carlton, K., & Ali, N. (2004). Reflections on the role of faculty in distance learning and changing pedagogies. Nursing Education Perspectives, 25(2), 73–80.

Ryan, M., Hodson-Carleton, K., & Ali, N. (2005). A model for teaching online: Confirmation of a dimensional matrix. Journal of Nursing Education, 44(8), 357–365. https://doi.org/10.3928/01484834-20050801-06

Shovein, J., Huston, C., Fox, S., & Damazo, R. (2005). Challenging traditional teaching and learning paradigms: Online learning and emancipatory teaching. Nursing Education Perspectives, 26(6), 340–343.

Shuster, G., Learn, C., & Duncan, R. (2003). A strategy involving on-campus and distance students in a nursing research course. The Journal of Continuing Education in Nursing, 34(3), 108–115. https://doi.org/10.3928/0022-0124-20030501-06

Smadi, O., Chamberlain, D., Shifaza, F., & Hamiduzzaman, M. (2021). Fast and furious shift to online education requires pedagogy transformation. Australian Nursing & Midwifery Journal, 27(5), 47.

Smith, S., & Kennedy, S. (2020). Authentic teaching to promote active learning: Redesign of an online RN to BSN evidence-based practice nursing course. Journal of Professional Nursing, 36(2), 56–61. https://doi.org/10.1016/j.profnurs.2019.07.005

Sword, T. (2012). The transition to online teaching as experienced by nurse educators. Nurse Education Perspectives, 33(4), 269–271.

Talbert, J. (2009). Distance education: One solution to the nursing shortage? Clinical Journal of Oncology Nursing, 13(3), 269–270.DOI: 10.1188/09.CJON.269-270

TeachThought. (2022). What is remote learning? https://www.teachthought.com/learning/what-is-remote-learning/

Thorne, S. (2016). Interpretive description: Qualitative research for applied practice (2nd ed.). Routledge.

Tiedt, J., Owens, J., & Boysen, S. (2021). The effect on online course duration on graduate nurse educator student engagement in the community of inquiry. Nurse Education in Practice, 55, 103164. https://doi.org/10.1016/j.nepr.2021.103164

Uprichard, K. (2020). E-learning in a new era: Enablers and barriers to its implementation. British Journal of Community Nursing, 25(6), 272–275. https://doi.org/10.12968/bjcn.2020.25.6.272

Vuttanon, N., Meechamnan, C., Srirat, C., & Rattanakanlya, K. (2022). Comparing effectiveness of online and in-class learning in a nursing course during COVID 19. International Journal of Nursing Education, 14(1), 119–127. https://doi.org/10.37506/ijone.v14i1.17765

Wang, V., & Kania-Gosche, B. (2011). Online instructors: Andragogical or pedagogical teaching? International Journal of Adult Vocational Education and Technology, 2(3), 12–29. http://dx.doi.org/10.4018/javet.2011070102

Wang, T., & Huang, K. (2018). Pedagogy, philosophy, and the question of creativity. Teaching in Higher Education, 23(2), 261–273. https://doi.org/10.1080/13562517.2017.1379479

Winstead, S. (2022). What is virtual learning and how does it work? The ultimate guide. https://myelearningworld.com/how-does-virtual-learning-work/

Woo, K. (2019). Polit & Beck Canadian essentials of nursing research (4th ed.). Wolters Kluwer.

World Health Organization (2022). Coronavirus disease (COVID-19) pandemic. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid- 19/novel-coronavirus-2019-ncov

Zucker, D., & Asselin, M. (2003). Migrating to the Web: The transformation of a traditional RN to BS program. The Journal of Continuing Education, 34(2), 86–89.



How to Cite

Lane, A., & Stephens, J. (2023). What It Is and Is Not: Pedagogy in Online Nursing Education Delivery. The International Review of Research in Open and Distributed Learning, 24(4), 119–134. https://doi.org/10.19173/irrodl.v24i4.7212



Research Articles