Nursing students’attitudes toward mobile learning:An integrative review

Purpose:This study aimed to explore whether the attitudes of nursing students toward the use of mobile learning are positive or negative and to identify the factors influencing their attitudes by reviewing the literature.Methods:Electronic search of six databases,including PubMed,the Cumulative Index of Nursing and Allied Health Literature,ProQuest,Web of Science,EMBASE,and Cochrane Library,was conducted,and relevant references within articles were manually searched.Retrieval time was from inception to October 21,2020.The literature review was conducted in accordance with the PRISMA guidelines and the integrative review method.The Mixed Method Appraisal Tool(MMAT)was used for quality assessment.Results:A total of 316 articles were identified,and 18 English-language studies were finally included by reviewing titles,abstracts,and full text.Six quantitative,five qualitative,and seven mixed-method articles related to nursing students’attitudes toward the use of mobile learning were identified.The results showed that most nursing students had positive attitudes toward mobile learning.Although students expressed strong intentions for mobile learning,the actual usage rate in practical settings was low.Several advantageous factors included usefulness,convenience,and ease of use,whereas disadvantageous factors included hardware facility,updated content,and software stability.Conclusion:Most nursing students have positive attitudes and willingness to mobile learning,but the actual use rate remains low.Advantageous and disadvantageous factors coexist.Further studies are needed to assess how mobile learning improves nursing students’clinical knowledge and improves patient care.

Effectiveness of moxibustion alone on lumbar disc herniation:a Meta-analysis of randomized controlled trials

OBJECTIVE:To evaluate the available evidence from randomized controlled trials(RCTs)of moxibustion alone for lumbar disc herniation(LDH)treatment.METHODS:A systematic search of 10 databases(until August 30,2021)was used to identify studies that reported the response rate,visual analogue scale(VAS)score,Japanese Orthopedic Association(JOA)score,and Oswestry Disability Index(ODI)score.Study selection and data extraction were independently performed by two reviewers.Cochrane criteria for risk of bias were used to assess the methodological quality of the trials.The Grading of Recommendations Assessment,Development,and Evaluation Methodology(GRADE)were also used to test the quality of the result evidence.RESULTS:Nineteen RCTs,including 1888 patients,met the inclusion criteria.Five studies showed no difference between moxibustion and acupuncture on response rate[risk ratio(RR)=1.07,95%CI(0.98,1.16),P=0.11].Meanwhile,six studies suggested that there is no significant difference between moxibustion and acupuncture on VAS score[mean difference(MD)=-0.43,95%CI(-0.91,0.05),P=0.08].Eight studies implied that there is no significant difference between moxibustion and acupuncture on JOA score[MD=0.84,95%CI(-1.27,2.96),P=0.44].Two studies indicated that moxibustion may have equivalent effects for treating LDH in the VAS score in comparison with drug therapy[MD=-1.16,95%CI(-2.63,0.31),P=0.12].The evidence level of results was determined to be very low to low.CONCLUSIONS:Based on the existing evidence,moxibustion may not be suitable for treating LDH alone,but it may be applied as an adjuvant treatment.Furthermore,well-designed RCTs with high quality and larger samples are still needed to evaluate the efficacy and safety of moxibustion alone for LDH treatment.