The Impact of COVID-19 Pandemic on Nursing Education among Nursing Students: A Systematic Review

Thandar Soe Sumaiyah Jamaludin, Mohd Said Nurumal, Muhammad Kamil Che Hasan, Nadiah Nurulnasuha Abdul Shukor, Kyu Kyu Win



Introduction: Globally, the COVID-19 pandemic has had a significant impact on educational sections and is required to close down due to the transmission of the coronavirus.  The newly developed online learning is the most reliable option to resume the education process by preventing the academic calendar from accumulating and minimizing learning loss. Objective: This systematic review aimed to search the available literature on the impact of the COVID-19 pandemic on nursing education. Methods: Searching the literature was systematically done using the PRISMA flow diagram, and the inclusion and exclusion criteria of the study were followed by the PICO/S framework. The quality assessment was conducted by using the CASP. Results & Discussion: Three themes emerged in this review. Those are knowledge and perception of the nursing students towards COVID-19, experience and readiness of the nursing students towards E-learning, and the attitude and psychological impact on the nursing students towards COVID-19. 


Pendahuluan: Secara global, pandemi COVID-19 telah berdampak signifikan pada pendidikan dan diminta ditutup karena penularan virus corona. Pembelajaran online yang baru dikembangkan adalah pilihan yang paling dapat diandalkan untuk melanjutkan proses pendidikan dengan mencegah masa akademik terakumulasi dan meminimalkan kehilangan pembelajaran. Tujuan: Tinjauan sistematis ini bertujuan untuk mencari literatur yang tersedia tentang dampak pandemi COVID-19 pada pendidikan keperawatan. Metode: Penelusuran literatur dilakukan secara sistematis menggunakan diagram alir PRISMA, dan kriteria inklusi dan eksklusi penelitian diikuti dengan kerangka PICO/S. Penilaian kualitas dilakukan dengan menggunakan CASP. Hasil & Diskusi: 30 artikel didapatkan setelah proses pencarian. Tiga tema muncul dalam ulasan ini yaitu pengetahuan dan persepsi mahasiswa keperawatan terhadap COVID-19, pengalaman dan kesiapan mahasiswa keperawatan terhadap E-learning, serta sikap dan dampak psikologis mahasiswa keperawatan terhadap COVID-19.



COVID-19; nursing education; nursing students

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Abdulghani, H. M., Sattar, K., Ahmad, T., & Akram, A. (2020). Association of COVID-19 pandemic with undergraduate medical students’ perceived stress and coping. Psychology Research and Behavior Management, 13, 871–881.

Aboagye, E., Yawson, J. A., & Appiah, K. N. (2020). COVID-19 and E-Learning: the Challenges of Students in Tertiary Institutions. Social Education Research, 2(1), 109–115.

Aida, K., Shalisah, S., Muzhill, A. H. A., Md, Z. Z., & Nasir, S. M. (2020). The psychological impact of movement restriction during the COVID-19 outbreak on clinical undergraduates: a cross-sectional study. International journal of environmental research and public health, 17(22), 8522.

Akhtarul Islam, M., Barna, S. D., Raihan, H., Nafiul Alam Khan, M., & Tanvir Hossain, M. (2020). Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PLoS ONE, 15(8 August), 1–12.

Aslan, H., Pekince, H., 2020. Nursing students' views on The COVID-19 pandemic and their perceived stress levels. Perspect. Psychiatr. Care 57 (2), 695–701.

Amir-Behghadami, M & Janati, A. Population, Intervention, Comparison, Outcomes and Study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews. Emergency medicine journal: EMJ. 2020; 37(6): 387-387.

Amir, L. R., Tanti, I., Maharani, D. A., Wimardhani, Y. S., Julia, V., Sulijaya, B., & Puspitawati, R. (2020). Student perspective of classroom and distance learning during COVID-19 pandemic in the undergraduate dental study program Universitas Indonesia. BMC Medical Education, 20(1), 1–8.

Cheng, Y. C., Huang, L. C., Yang, C. H., & Chang, H. C. (2020). Experiential learning program to strengthen self-reflection and critical thinking in freshmen nursing students during covid-19: A quasi-experimental study. International Journal of Environmental Research and Public Health, 17(15), 1–8.

Critical Appraisal Skills Program. 2021. Accessed from Retrieved on 15th December 2021.

Daoust, J. F. (2020). Elderly people and responses to COVID-19 in 27 Countries. PLoS ONE, 15(7), 1–13.

Diana, J.-R., Torres, N. M. d. M., Plaza, D. P. F. J., & Oscar, A. (2020). Simulated nursing video consultations: An innovative proposal during Covid-19 confinement. Clinical Simulation in Nursing, 48, 29-37.

Deepika, S., D, W. D., Amita, D., Lissamma, P., & Chatterjee, K. (2020). A study to assess the perceived stress and coping strategies among B. Sc. nursing students of selected colleges in Pune during COVID-19 pandemic lockdown. International Journal of Science and Healthcare Research, 5(2), 280-288.

Elsalem, L., Al-Azzam, N., Jum’ah, A. A., Obeidat, N., Sindiani, A. M., & Kheirallah, K. A. (2020). Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences. Annals of Medicine and Surgery, 60(November), 271–279.

Fawaz, M., & Samaha, A. (2020). E-learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID-19 quarantine. Nursing Forum, May, 1–6.

Gaur, R., Mudgal, S. K., Kaur, S., & Sharma, R. (2020). Undergraduate nursing students’ attitude towards online classes during lockdown period in India: imposed or interested? International Journal Of Community Medicine And Public Health, 7(9), 3371.

Gehan, M. A. E.-H. D., & Elgahsh, N. F. (2020). E-learning during COVID-19 pandemic: Obstacles faced nursing students and its effect on their attitudes while applying it. American Journal of Nursing, 9(4), 300-314.

Harden A. (2010). Mixed method systematic review: Integrating qualitative and quantitative findings. A publication of the national center for the dissemination of disability research. 2010. Accessed from

Hasan, M. K. C., Nurumal, M. S., Firdaus, M. K. Z. H., & Jamaludin, T. S. S. (2021). Ongoing Challenges for Nursing Towards Global Demand. International Journal Of Care Scholars, 4(Supplementary 1), 103-104.

Higgins, R., Murphy, F., & Hogg, P. (2020). The impact of teaching experimental research on-line: Research-informed teaching and COVID-19. Radiography, xxxx.

Jackman, D., Konkin, J., Yonge, O., Myrick, F., & Cockell, J. (2020). Crisis and continuity: Rural health care students respond to the COVID-19 outbreak. Nurse Education in Practice, 48(May), 102892.

Jamaludin, T.S.S, Awang Kechik, N & Chan, C.M. (2017). The Impact of Internet Usage for Academic Purposes on Nursing Students’ Achievement. Sch. J. App. Med. Sci. 5(10A):3857-3861.

Jamaludin, T.S.S, Awang Kechik, N, Saidi, S. & Chan, C.M. (2018). Usage of Internet for Academic Purposes on University Students’ Achievement: A Literature Review. Nursing& Healthcare International Journal. Vol 2 (1).

Jamaludin TSS & Chan CM.(2019) Influence of Perceive Social Support or Pre-Operative Support Program on Quality of Life in Patients Awaiting Coronary Artery Bypass Grafting (CABG) Surgery: Mixed Method Systematic Review. International Journal of Care Scholars. 2 (1).

Kecojevic, A., Basch, C. H., Sullivan, M., & Davi, N. K. (2020). The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study. PLoS ONE, 15(9 September), 1–16.

Kunaviktikul, W., Ang, E., Baridwan, N. S., Bernal, A. B., P, L. B., Dones, . . . Shorey, S. (2022). Nursing students' and faculty members' experiences of online education during COVID-19 across Southeast Asia: A Photovoice study. Nurse education today, 111, 105307.

Lea, M. M., Gaynier, A., Berschback, M., Gelovani, D., Kwon, H. Y., Ilyas, S., . . . Levine, D. L. (2020). Outcomes of an online virtual boot camp to prepare fourth-year medical students for a successful transition to internship. Cureus, 12(6).

Li, H., Chen, H., Yao, Z., & Zhuang, M. (2020). Investigation on Knowledge Awareness, Self-Protective Behaviors and SAS Anxiety of Nursing Students during the Epidemic of COVID-19. International Journal of Clinical and Experimental Medicine Research, 4(4), 194–200.

Lovrić, R., Farčić, N., Mikšić, Š., & Včev, A. (2020). Studying during the COVID-19 pandemic: A qualitative inductive content analysis of nursing students’ perceptions and experiences. Education Sciences, 10(7), 1–18.

Miller S.A.(2001) PICO worksheet and search strategy. US National Center for Dental Hygiene Research.

Monday, L. M., Gaynier, A., Berschback, M., Gelovani, D., Kwon, H. Y., Ilyas, S., Shaik, A. N., & Levine, D. L. (2020). Outcomes of an Online Virtual Boot Camp to Prepare Fourth-Year Medical Students for a Successful Transition to Internship. Cureus, 12(6).

O’Sullivan, D., Rahamathulla, M., Pawar, M., (2020). The impact and implications of covid-19: an Australian perspective. Int. J. Community Soc. Dev. 2 (2), 134–151.

Olum, R., Atulinda, L., Kigozi, E., Nassozi, D. R., Mulekwa, A., Bongomin, F., & Kiguli, S. (2020). Medical Education and E-Learning During COVID-19 Pandemic: Awareness, Attitudes, Preferences, and Barriers Among Undergraduate Medicine and Nursing Students at Makerere University, Uganda. Journal of Medical Education and Curricular Development, 7, 238212052097321.

Puljak, L., Čivljak, M., Haramina, A., Mališa, S., Čavić, D., Klinec, D., Aranza, D., Mesarić, J., Skitarelić, N., Zoranić, S., Majstorović, D., Neuberg, M., Mikšić, Š., & Ivanišević, K. (2020). Attitudes and concerns of undergraduate university health sciences students in Croatia regarding complete switch to e-learning during COVID-19 pandemic: a survey. BMC Medical Education, 20(1), 1–11.

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., Xu, Y., (2020). A nationwide survey of psychological distress among Chinese people in the covid-19 epidemic: implications and policy recommendations. GeneralPsychiatry 33 (2).

Savitsky, B., Findling, Y., Ereli, A., & Hendel, T. (2020). Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Education in Practice, 46(June), 102809.

Sallam, M., Dababseh, D., Yaseen, A., Al-Haidar, A., Ababneh, N. A., Bakri, F. G., & Mahafzah, A. (2020). Conspiracy beliefs are associated with lower knowledge and higher anxiety levels regarding covid-19 among students at the university of Jordan. International Journal of Environmental Research and Public Health, 17(14), 1–15.

Sharma, K., Deo, G., Timalsina, S., Joshi, A., Shrestha, N., & Neupane, H. C. (2020). Online learning in the face of COVID-19 pandemic: Assessment of students’ satisfaction at Chitwan medical college of Nepal. Kathmandu University Medical Journal, 18(19 70COVID-Special Issue), 38–45.

Shawaqfeh, M. S., Al Bekairy, A. M., Al-Azayzih, A., Alkatheri, A. A., Qandil, A. M., Obaidat, A. A., Al Harbi, S., & Muflih, S. M. (2020). Pharmacy Students Perceptions of Their Distance Online Learning Experience During the COVID-19 Pandemic: A Cross-Sectional Survey Study. Journal of Medical Education and Curricular Development, 7, 238212052096303.

Sheroun, D., Wankhar, D. D., Devrani, A., Pv, L., Gita, S., & Chatterjee, K. (2020). A study to assess the perceived stress and coping strategies among B.Sc. nursing students of selected colleges in Pune during COVID-19 pandemic lockdown. International Journal of Science & Healthcare Research, 5(2), 280–288.

Shorey, S., Ang, E., Baridwan, N. S., Bonito, S. R., Barbara, L., Dones, . . . Kunaviktikul, W. (2022). Salutogenesis and COVID-19 pandemic impacting nursing education across SEANERN affiliated universities: A multi-national study. Nurse education today, 110, 105277.

Sindiani, A. M., Obeidat, N., Alshdaifat, E., Elsalem, L., Alwani, M. M., Rawashdeh, H., Fares, A. S., Alalawne, T., & Tawalbeh, L. I. (2020). Distance education during the COVID-19 outbreak: A cross-sectional study among medical students in North of Jordan. Annals of Medicine and Surgery, 59(August), 186–194.

Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on college students’ mental health in the United States: Interview survey study. Journal of Medical Internet Research, 22(9), 1–14.

Tuladhar, S. L., Pradhan, D., Parajuli, U., Manandhar, P., & Subedi, N. (2020). Study on the effectiveness of online classes for undergraduate medical and dental students of Gandaki Medical College during COVID 19 pandemic period in Nepal. Orthodontic Journal of Nepal, 10(2), 36–40.

Wang, Y., Li, Y., Jiang, J., Feng, Y., Lu, D., Zhang, W., & Song, H. (2020). COVID-19 outbreak-related psychological distress among healthcare trainees: a cross-sectional study in China. BMJ Open, 10(10), 1–10.



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