Effects of peer learning on nursing students' learning outcomes in electrocardiogram education

Youngmin Ko, S. Barry Issenberg, Young Sook Roh

Research output: Contribution to journalArticlepeer-review


Background: Nurses should have the ability to interpret electrocardiograms (ECGs) quickly and accurately, but their ECG interpretation skills may be suboptimal. The best evidence for effective teaching methods is lacking. Objectives: This study aimed to compare the effects of peer and self-directed individual learning methods on nursing students' learning flow, interpretation skills, and self-confidence in web-based ECG education. Design: This study employed a nonequivalent control group with a pretest-posttest design. Settings. This study was conducted at two colleges of nursing in the Republic of Korea. Participants: Nursing students were conveniently assigned to either a peer learning group (n = 45) or a self-directed individual learning group (n = 51). Methods: A self-administered questionnaire was used to measure the nursing students' learning flow and self-confidence in ECG rhythm interpretation. ECG interpretation skills were measured using a web-based interpretation skills test. Data were analyzed using a paired t-test and a two-sample t-test. Results: Nursing students in both groups showed improved learning flow, interpretation skills, and self-confidence after ECG education compared with before learning. However, there were no significant pretest-posttest differences in learning flow, interpretation skills, or self-confidence between the two groups. Conclusions: Peer learning was as effective as self-directed individual learning in improving nursing students' learning flow, interpretations skills, and self-confidence in web-based education. Nurse educators should educate nursing students to have optimal ECG interpretation abilities, and web-based peer or individual learning are effective education methods.

Original languageEnglish (US)
Article number105182
JournalNurse Education Today
StatePublished - Jan 2022


  • Electrocardiogram
  • Learning flow
  • Nursing students
  • Peer learning
  • Self-confidence

ASJC Scopus subject areas

  • Nursing(all)
  • Education


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