http://doi.org/10.33698/NRF0265- Amandeep Kaur, Pooja Lakra, Rajesh Kumar
Introduction: Learning is a lifelong process. Nursing undergraduates needs different types of learning styles to understand different aspects of medical education. Self-directed Learning Readiness and learning styles are important aspect of learning for a nursing student. Objective: To determine Self-directed Learning Readiness and learning styles among nursing undergraduates. Material & methods: Randomly selected 121 baccalaureate nursing undergraduates from different year of study at a tertiary care teaching hospital participated in the survey. Data was collected by administering questionnaire to nursing students. The questionnaire was comprised of personal prole data sheet, Self- Directed Learning Readiness Scale (SDLR) and Kolb’s Learning Styles Inventory to ascertain self-directed learning readiness and learning styles among nursing undergraduates. Appropriate descriptive and inferential statistics was applied to generate results. Results: Findings revealed that ‘converging‘ learning styles is most preferred over other learning styles among nursing undergraduates. Further, ‘self-control on learning’ was retained to determine the willingness for self-directed learning. Similarly, graduate preferred more of ‘self-control’ as compared to ‘self-management‘ and ‘desire for leaning’ to develop self- directed learning readiness. Conclusion: Nursing undergraduates preferred converging learning styles. Use of self-control and ability to manage self-learning toward SDLR was high as compared to wish for learning domain. Result show signicant connection between learning styles and self-control in learning for SDL.
Keywords: Nursing undergraduates, self-directed learning readiness, learning styles
Dr. Rajesh Kumar PhD (N), RN Assistant Professor
All India Institute of Medical Sciences (AIIMS)
E-mail: firstname.lastname@example.org Mobile: +91-7055911523
Nursing is a profession serving humanity. Modern nursing focuses not only on serving humanity but also on delivering smart care by competent and condent nursing professionals. Day by day, the role of nurse is expanding and getting more complex. Change in health care set-up and increased consumer demands making nursing education challenging for nursing u n d e rg r a d u a t e s . A d v a n c e m e n t i n t e c h n o l o g y, s o c i a l a n d m e d i c a l environment scared budding nurses to face different kind of challenges1.
Conventional didactic teaching learning pedagogy is outdated in the present era of change. Considering rapid changes in health care environment, a change in existing teaching –learning strategies is expected in nursing education to meet the expectation of society and patient. There are many ways out and adopting a learner- oriented learning styles and skill-based education are few of those strategies for education and evaluation.
Learning is an enduring process that takes place throughout whole life of an individual until death. It is a sequential process in which an individual either acquire new experience or modify the existing experience, knowledge, skills, values and preferences by updating with new one2. Learning style is individual’s preferred way of learning that a learner may use to understand and grasp a concept in his or her own easier way. Learner may use variant learning styles; diverging, a s s i m i l a t i n g , c o n v e r g i n g a n d accommodating3. It is evidenced that a relative use of teaching strategies in expectation of learner will lead to higher satisfaction and subsequently develop undergraduates’ professional competence4. Self-directed Learning Readiness (SDL) is a method of adult learning5. It is a process in which an individual takes the independent and self-directed initiatives in identifying their needs, devising goals, recognizing material and human, and appraising learning outcomes6 . It is comparative a new teaching strategy in medical curriculum similar to problem- based learning (PBL), in which student is exposed to a real case base scenario to demonstrate clinical knowledge. An effective and planned SDL enable the learner to develop deep understanding of area rather than learn supercially7. SDL enable learner to develop attitude to learning, positive motivation, independent learning which further forced to develop responsibilities and belonging for positive learning8. Likewise, SDL approach diverts the attention towards self-awareness, planning, self-evaluation along with knowledge in learner9. It also helps a learner to take control and give freedom to learn as per their perception of what is important to learn.
By this time, it is clear that academic achievement of a learner depends on teaching-learning strategies and learning styles of learner. In the present scenario, with the advancement in technology and awareness among patients, the role and responsibilities of nursing professionals is escalating day by day that demands nurses to be critical thinkers and self-directed to learn6.
Therefore, with the known importance of learning styles and self-directed learning readiness in academic achievement and development of professional competence among nursing professional, this study aimed to determine learning styles and level of SDL among nursing undergraduates.
Material and Methods
This cross-sectional one-time survey included 121 randomly selected nursing undergraduates in a tertiary care teaching hospital. A systematic random sampling was opted to select the study participants from each class to take every 3rd student in the study. Student’s attendance register was used to select sample for the study. Information ascertained by use of questionnaire comprised of personal prole data sheet, Self-Directed Learning Readiness (SDLR) and Kolb’s Learning Styles Inventory was used to identify learning styles and self-directed learning readiness among nursing undergraduates. The details of the instruments are as follows;
Personal proﬁle date sheet : It consisted information regarding personal and professional other daily life related events i.e. age, gender, year of the study, parents’ education, occupation, monthly family income, religion, marital status, net surng (in a day), and need of counseling in past. The tool sought validation from the eld of nursing, administration and education.
Kolb’s Learning Style Inventory: This is standard learning styles inventory developed from the learning model proposed by Kolb DA (1974)10. Kolb proposed that different individual naturally prefer different learning styles. This learning inventory has four distinct types of learning styles; accommodator, assimilator, c o n v e r g e n t , a n d d i v e r g e n t . Accommodating (doing and feeling; real life experience/ active researching) (CE/AE); assimilating (observing and thoughtful; abstract conceptualization/ reective observation (AC/RO); Diverging ( f e e l i n g a n d w a t c h i n g ; c o n c r e t e experience/reective observation (CE/RO) and converging (doing and thinking; abstract conceptualization active experimentation (AC/AE). Inventory contains total of 12 items and students are asked to rank each sentence with a choice of four ending (MOST descriptive of you (4) to LEAST descriptive of you (1) in a grid. To check, a total score must be 120 for the grid. A sum of total score of all items in grid concludes types of learning style an individual adopts while learning different activities; getting higher score indicate higher use of an individual types of learning styles. The test-retest reliability of Kolb’s learning inventory is 0.90 for all styles. The author is informed for using the tool for the study.
Self-directed Learning Readiness (SDLR): The standard instrument was developed by Fisher et al (2010)11 This scale in beginning was used to measure attitude, personal preferences and abilities of nurse educator required for self- directed learning readiness. In general, 40 items grouped in three broad areas; wish for learning (n=12), self-control on learning (n=15) and ability to manage self-learning (n=13). The response constituted a range of 40 to 200. Nursing undergraduates responded to a ve-point Likert scale ranged from one strongly disagree to ve strongly agree. Scale score > 150 indicates positive attitude among leaner towards self- directed learning. Validation of the scale sought from experts in the eld of nursing, administration and education for cross- cultural issue and feasibility to the interest of population. However, considering the medium of target participants, no translation has been performed to the original instrument. Information for use of tool is provided to the author.
Data Collection :After obtaining a formal permission from concerned authority, nursing undergraduates were called in their respective class rooms. A brief explanation on study’s aim and details of questionnaire was disclosed by researcher. It was ensured that participation is voluntary and those who did not wish to participant in the study may leave the class room at any time during data collection. The questionnaires were asked to ll-up by the students and it took around 15-20 minutes to ll and return the questionnaires. A written informed consent was obtained to individual student before begins of data collection and privacy and condentiality was ensured during and after data collection. The study was approved by Institutional Ethical Committee (IEC) all India Institute of Medical Sciences (AIIMS) Rishikesh, Uttarakhand.
Ta b l e 1 r e p r e s e n t s p e r s o n a l information of nursing undergraduates. The ndings show that mean age of nursing undergraduates was 20 (±1.20) years. Majority (95.6%) undergraduates were unmarried and belong to nuclear families (79.33%). Approximately 64% father were educated up to post graduation and 46.2% mothers of were educated up to secondary level. Half of the fathers were in government job while 80.2% mothers were homemaker with a family income more than 10,001/- rupees per month. Nearly half (46.3%) of undergraduates joined nursing profession as their carrier choice.
Table 1: Personal Proﬁle of Nursing Undergraduates
Table 2 displays the desired learning styles adopted by the nursing undergraduates. Further, it reported that ‘converging’ (Mean Score=39.95) is most preferred learning styles followed by ‘diverging’ (Mean score=37.46) in nursing undergraduates. However, ‘Assimilating’ is third ranked preferred style of learning ( Mean score=35.86) and ‘accommodating’ is the least preferred style of learning (Mean score=35.45) by undergraduate nursing students. (Table 2)
Regarding self-directed learning readiness among nursing undergraduates, self- control reported highest means score ( 5 8 . 8 3 ± 8 . 4 0 ) f o l l o w e d b y s e l f – management (48.22±4.28) and desire for learning (44.76±74.61) (Table 3). This can be understood that self-control is used to determine the willingness of self-directed l e a r n i n g r e a d i n e s s b y n u r s i n g undergraduates. Mean score (151.81) more than 150 indicates positive attitude towards learning. Most of the participants i.e. 86(71.7%) achieved 150 or higher score indicating positive attitude towards learning. With regards to association of self-directed learning readiness with the selected characteristics of nursing undergraduates; higher family monthly income (>10001 INR; p=0.029) and a frequency of 3-5 times internet surng in a day (p=0.03) shows a signicant higher mean in the self- management domain of SDLR among nursing undergraduates. In other two domains i.e., desire for learning and self- control higher mean score was observed in higher family monthly income (>10001 INR; p=0.029) and a frequency of 3-5 times internet surng in a day. Though the difference was not signicant. However, other personal characteristics did not show any signicant association with domains of readiness to learn. (Table 4)
Table 2. Learning Styles Used by Nursing Undergraduates (n=121)
*Response is multiple
Table 3. Self-Directed Learning Readiness in Nursing Undergraduates (n=121)
|Self-directed Learning Readiness||Mean±SD||Mean (%) Score|
|Desire for learning||44.76±4.10||74.61|
SDLR- Self-directed learning readiness
86 participants achieved score 150 or more indicates positive attitude
Table 4. Self-directed Learning Readiness & Selected Characteristics of Nursing Undergraduates (n=121)
|Variables||Self-management||Desire for learning||Self-control|
|Monthly family income (INR)
< 2 times
p- value signiﬁcant @<0.05
Further, it represents the association of preferred learning styles with selected socio-demographic variables. Findings represent that BSc IV year nursing undergraduates students had signicantly higher mean score diverging (p=.007) and converging (p=.03) learning styles as compared to the 1st, 2nd and 3rd year students However, assimilation (p=.034) along with diverging (p=.032) and converging (p=.04) shows signicant association with counseling status of u n d e rg r a d u a t e s i n p a s t . F u r t h e r, accommodation styles (p=.034) found
Table 5. Learning Styles and Selected Characteristics of Nursing Undergraduates (n=121)
BSc I year BSc II year BSc III year
BSc IV year
|Occupation of father Farmer & daily worker Businessman
|Counseling in past
p- value signiﬁcant @<0.05
Table 6. Mean Score of individual items of the SDLR (n=121)
|1 Able to manage time 3.16||1.18|
|2 Feel Self-disciplined||3.71||0.70|
|3 Feeling organized||4.04||.49|
|4 I x strict time limit||3.28||.90|
|5 Have good management skills||3.74||.82|
|6 I am methodical||3.22||1.03|
|7 Systematic learning||3.41||.79|
|8 Dedicated time for study||4.15||.80|
|9 Plan to solve problem||3.52||.52|
|10 Work priority||3.71||1.52|
|11 I can be trusted to pursue my own learning||4.28||.71|
|12 Stick to follow my learning plan||4.09||.62|
|13 Condently search information||3.88||1.17|
|Desire for Learning|
|14 Wish to learn new information||4.28||1.03|
|15 Enjoy learning new things||4.27||1.02|
|16 Need based learning||4.16||1.10|
|17 I like to accept challenge in learning||3.14||1.35|
|18 I like studying||3.52||1.34|
|19 I critically look new ideas||3.42||.97|
|20 My decisions are evidence based||3.10||1.16|
|21 I want to know what I learn||3.94||.73|
|22 Openly welcome new ideas||4.36||.48|
|23 I believe in trial and error||4.21||1.60|
|24 I explore ‘why’||3.88||1.22|
|25 I do not hesitate to ask for assistance to solve a problem||2.45||1.89|
|26 I like to set my own goals||3.95||.90|
|27 I like to make decisions for myself||4.09||.97|
|28 I am responsible for my own decisions/actions||3.69||1.20|
|29 I am in control of my life||3.83||1.31|
|30 I have high personal standards||3.83||.87|
|31 I prefer to set my own learning goals||3.90||.76|
|32 I evaluate my own performance||4.12||.77|
|33 I learn logically||3.90||.76|
|34 I take responsibility for my action||3.19||1.63|
|35 I have high personal expectations||3.42||1.41|
|36 I am able to focus on a problem||4.39||.68|
|37 I know my limitations||4.06||.90|
|38 I am able to explore information for myself||3.83||1.10|
|39 I believe in my potentials||4.45||.56|
|40 I like to set my own standard for evaluation for myself||4.13||.36|
signicant association with occupation of father (i.e. farmer and daily workers) as compared to government and private employees of nursing undergraduates. (Table 5) Mean score of SDLR is shown in table, out of 13 items of measuring self-management, only four items scored 4 and above, rest of the items show very similar value indicating similar response of nursing undergraduates towards self-management domains. A similar trend was followed for desire for learning domain and self-control in SDLR reecting a common response towards majority of items in SDLR and improving willingness to self-directed learning readiness. (Table 6)
Table 7 revealed relationships between learning styles and self-directed learning readiness. The ndings represent that self- control shows negative signicant relationship with assimilating (p<0.05), diverging (p<0.05) and converging (p<0.05) types of learning styles. It indicates that self-control enable the undergraduates to determine use of learning styles, higher the self-control lesser use of assimilating, diverging and converging learning styles and vice-versa.
Self-directed Learning Readiness
Table 7. Relationships between learning styles and self-directed learning readiness (n=121)
|Learning Styles||self-management||Desire to learn||Self-control|
*Signiﬁcant at p<0.05
Nursing is a skill-oriented profession where practical or hand skills are more appreciated than theoretical knowledge. Nursing personal require high degree of dedication, autonomy, motivation and condence to deal day to day hospital business and lifelong learning. The present study focused on preferred learning styles and self-directed readiness to learning among nursing undergraduates. The preferred learning styles and self-directed learning readiness are the key factors for creating learning environment and designing curriculum for meeting the changing needs of the society.
Present study ndings showed that a greater number of nursing undergraduates preferred converging learning styles followed by accommodating and diverging. These ndings are in line with the work of Abu Assi NE et al (2016)5 which reported that 14.8% of undergraduates using converging styles of learning and 14.8% undergraduates preferred accommodating styles of learning. A close similar nding reported in the work of Sh S (2007) which reported that more number (23.5%) of undergraduates preferred convergent learning styles followed by 21.5% accommodating and remaining 25.81% preferred assimilating styles of learning. Further, in a UK study, it was also reported that majority of undergraduate nursing undergraduates preferred to choose a ‘dual’ learning style. Similarly, in a work conducted by Troski M et al (2014) in North K h o r a s a n u n i v e r s i t y o n m e d i c a l undergraduates also reported that convergent and divergent are the most preferred learning styles. Learning styles related ndings are also in concurrence with the work of Russian C (2005), Fleming S et al (2011) and Emani E et al (2016).
In terms of self-directed learning readiness among nursing undergraduates, the ndings represent that a large proportion of nursing undergraduates are independent learner and managing their learning on their own. These ndings agree with the work of Gebru AA et al (2015) and Safvi et al (2010) which stated a high level of SDLR among J o r d a n i a n a n d I r a n i a n n u r s i n g undergraduates reecting independency for learning respectively. Likewise, the present study ndings are identical to the work of L e s t a r i e t a l ( 2 0 0 9 ) w h e r e m o r e undergraduates reported busy in self- centered learning other than teacher centered learning styles .
Further, present ndings related to learning styles is in contradiction to the work of D’Amore et al (2012) and Salehi et al (2007) which found that more nursing undergraduates indulging in diverging learning styles compared to convergent followed by assimilating and accommodating learning styles . Difference in the ndings might be due to change in educational situation and different learning experiences of the undergraduates. SDL is the element of adult learning and require for nursing undergraduates for lifelong learning in order to develop more competency and ne hand skills. In present s t u d y, r e s u l t s s h o w t h a t n u r s i n g undergraduates shows positive attitude towards readiness for SDL. This result is in concordance with the work of Soliman M et al (2015) which conducted a survey for SDL on r s t y e a r u n d e r g r a d u a t e m e d i c a l undergraduates reects positive attitude towards SDL. Similar consistent ndings reported in the work of Abraham RR et al (2011) and Kharab P et al (2013) reported positive attitude and high degree of readiness towards SDL. In spite of lack of educational resources and multiple other barriers for nursing education in India, the present study ndings show high degree of readiness among nursing undergraduates which is an encouraging and considered positive for growth of nursing profession. Literature also reported similar and consistent ndings for DRL in medical undergraduates ,.
The study explored learning styles and self-directed learning readiness among nursing undergraduates. Principally, converging learning style is most preferred leaning style by nursing undergraduates. Further, it has evident that self-control is used by students to determine the types of learning style. This indicates that students can make over control on their own learning and learning styles. Further, it has been evident that use of learning styles among nursing students depend on many personal and professional factors and should be undertaken by teaching faculty while framing a plan for teaching-learning pedagogy.
Limitations and recommendations
The present quantitative survey should be seen under many limitations. Single study setting and limited yet randomized number of participants may hinder the generalization of the ndings to other institutes populations. Furthermore, SDLR and Kolb’s learning styles inventory were self- reported questionnaires may carry subjective bias. However, study recommends determining the teaching needs and readiness of nursing undergraduates towards self-directed learning. Further, there is a need to shift to nursing undergraduates from conventional educational approaches to modern and self- regulating approach that develop analytical thinking, self-direction and increase their input in the learning process. Likewise, nurse educator should also determine the need- based teaching strategies to increase the quality of nursing professionals.
Conﬂict of Interest: None declared
Financial disclosure: Project was funded by All India Institute of Medical Sciences (AIIMS), Rishikesh.
Ethical clearance: Obtained from Institute Ethics Committee (IEC), AIIMS, Rishikesh
- Carol HM. The impact of emerging technology on nursing care: Wrap speed Online journal of issues in nursing. 2013;18(2):108
- Gross R. Psychology: The science of mind and behaviour. 7th Hodder Publication; 2015
- Kolb A. Kolb DA. Kolb’s learning In Encyclopedia of the Sciences of Learning. Springer US; 2012:1698-1703
- Lurea C, Neacsu I, Safta CG, Suditu M. The study of the relation between the teaching methods and the learning styles – The impact upon the students’ academic conduct. Procedia social and behavioral sciences 2011; 11:256-60
- AbuAssi NE, Alkorashy HEA. Relationship between learning styles and readiness for self-directed learning among nursing undergraduates at King Saud University, Saudi Arabia. International journal of advanced nursing studies 2016;5(2):109-16
- Knowles MS. Application in continuing education for health professions: chapter ve of “Andragogy in Action”. Mobius. 1985;5(2): 80-100
- Dent J, Harden RM. A practical guide for medical teachers. London: Elsevier Heath Sciences;2013
- Shirazi F, Sharif F, Molazem Z, Alborizi
- Dynamics of self-directed learning in M.Sc. nursing undergraduates : a qualitative research. J Adv Med Edu Prof 2017;5(1):33-41
- Mahmood HG. Critical thinking disposition and learning styles of baccalaureate nursing students and its relation to their achievement. International journal of learning and development. 2012;2(1):398-415
- Kolb DA, Fry RE. Toward an applied theory of experiential learning. MIT Alfred Sloan School of management;1974
- Fisher MJ, King J. The self-directed learning readiness scale for nursing education revisited: A conrmatory factor analysis. (Validation Studies). Nurse education today 2010; 30(4):44-
- URL available @: http://dx.doi.org/10/1016/j.nedt.2009.05. 020
- Sh S. Nursing students’ preferred learning styles. Journal of medical education summer and fall 2007;3(4):85- 9
- Rassool GH, Rawaf S. Learning styles preferences of undergraduates nursing students. Nurs Stand 2007;21(32):35-41
- Troskli M, Rezazadeh J, Rajabzadeh R, Khakshour A, Hejazi A, Hossini SH. Survey learning styles of North Khorasan university of medical sciences students based on Kolb’s Model. Journal of North Khorasan medical Sciences spring 2014;6(12) :88
- Russian C. Preferred learning styles for respiratory care students at Texas State University- San Marcos. The internet journal of Allied health Sciences and practice 2005;3(4):1-6
- Fleming S, Mckee Z, Moore SH. Undergraduate nursing students’ learning styles: A longitudinal Nurse Education today 2011;31(5):444-9
- Emami E, Sayadi Manghalati M. Review of learning styles among Iranian Nursing students. Journal of development strategies in medical education 2016;2(2):1-12
- Gebru AA, Ghiyasvandian S, Mohammodi N, Kidane M. A self- directed in learning among undergraduate nursing students’ in school of nursing and midwifery, TUMS, Tehran, Educational journal 2015; 4(4):158-65
- Safavi M, Scooshtari Z, Mahamoodi SH, Yarmohammadian M. Self-directed learning readiness and learning styles among nursing students of Isfahan University of Medical Sciences. Iranian journal of medical education 2010; 10:27-35
- Lestari E, Widjajakusumah D. students’ self-directed learning readiness, perception towards students centered learning and predisposition towards students centered behaviour. South East Asian Journal of medical education 2009; 3:52-6
- D’Amore A, James S, Mitchell EK. Learning styles of rst-year undergraduates nursing and midwifery students: A cross sectional survey utilizing the Kolb learning Style Inventory. Nurse Education Today 2012;32(5):506-15
- Salethi S, Shahnooshi E. Nursing students’ preferred learning style. Iranian journal of nursing and midwifery research autumn 2007;12(4)153-75
- Soliman M, Al-Shaikh G. Readiness for self-directed learning among rst year Saudi medical students: A descriptive Pak J Med Sci 2015;31(4):799-802
- Abraham RR, Fisher M, Kamath A, Izzati NA, Nabila S, Atikah NN. Exploring rst year undergraduate medical students’ self –directed learning readiness to physiology. Adv Physiol Educ. 2011;35(4):393-5
- Kharab P, Samanta PP, Jindal M, Singh
- The learning styles and the preferred teaching-learning strategies of rst year medical students. J Clin Diagn Res. 2013;7(6):1089-92
- Avdal The effect of self-directed learning abilities of student nurses on success in Turkey. Nurse Education Today 2013;33(8):838-41
- Koch J, Salamonson Y, Rolley JX, Davidson PM. Learning preference as a predicator of academic performance in rst year accelerated graduate entry nursing students: A prospective follow up study. Nurse Education Today 2011;31(6):611-6