CHALLENGES THAT NURSING STUDENT FACE IN ONLINE CLASS DURING COVID-19 PANDEMIC

Flipped e-book by: Dwi y. nugroho CHALLENGES THAT NURSING STUDENT FACE IN ONLINE CLASS DURING COVID-19 PANDEMIC Written by : Alivia Mona Kaparang Floristy Yohana Eifelly Herlina Sarista Simanjuntak

COVID-19 is an infection in the respiratory tract which can lead to complication such as shortness of breath and even death (WHO, 2020). The cause of COVID-19 not just affecting human health but already affecting all the aspects of life including the educational aspect. Faculty of Nursing is one of the affected which results in various changes in the learning process. Alsoufi et al., 2020 in Libia reported that they are 2,879 nursing schools had suspended clinical and laboratory skill training. These changes lead to many problems not just for the institute but also the students as they face so many struggles learning in pandemic situation.

A study by Gaur et al., 2020 reported that one of the challenges that nursing students faced is the lack of hands-on training in the crucial semester. When becoming a nurse, one of the essential things is applied skills. This skill is obtained from training by clinical educator and carried out by students directly. Also, there is the study of a nursing student at Abulyatama University in 2020 shows that 65,6% of nursing students didn't feel happy with online class and the most percentage is 37,1% didn't really understand when the lecturer delivering the material (Iskandar, Masthura, Oktaviyana, 2020)

The factors that determine nursing faculty success are good application skills and adequate theory. However, student interest in the learning process that is being carried out is also important. Because of that, the nursing student must be prepared well. This pandemic situation is a big challenge for nursing students who have to adapt to new methods but also have to maintain their interest in running online-based classes.

The COVID-19 pandemic affects many aspects of life, especially in the field of clinical education. Faculty of nursing has pursued a variety of innovative and creative ways to reach clinical students in learning and accessing materials. However, the Faculty of nursing still have challenges in training students to practice directly in pandemic conditions like today. Research by Daroedono et al in Jabodetabek 2020 shows that around 62,9% of pre-clinical students or 343 of 545 students say that they lack interaction in this pandemic situation

The main interaction there are really needed by the student is to interact with the lecturer and clinical educator. This is the reason why sometimes nursing student has difficulty understanding medical action because it is only through a video. Lecturers usually use the speech method, and students just sit listening but can have interaction in question and answer session. While conducting online classes, the interactions are limited and sometimes the material can be abstract such as practicum skills, which can be difficult and challenging without direct guidance from clinical educators. Because understanding the material that has been taught directly is still a challenge, Then it will be serious if just only through video not by direct guidance, the level will be even more so.

Providing material through video also has another weakness: students are easily distracted by other things on their cellphones or laptops. So they don't focus on watching the material instead watch other things that make them happy. They also struggle in medical treatment because they feel more comfortable doing medical action if they got the experience by themself. Also, nursing students afraid that they will be struggling to recognize and using existing medical equipment in the laboratory after offline class is allowed. Nursing students are really challenged in the middle of this situation because hands-on training is one of the important competencies that must be achieved. But it is difficult for nursing students because of the pandemic conditions that do not allow it.

Learning situations at home affect the level of focus of students in learning and accessing material. Research by Daroedono et al in Jabodetabek 2020 shows that around 87,9% of pre- clinical students or 479 of 545 students agree that in pandemic situations the location for them to learn is flexible and the data also shows there are 77,6% of pre-clinical students lack concentration during an online class. Home conditions are considered a comfortable place to rest so many nursing students are distracted in online classes and prefer to do other things such as resting. The home setting also have many other distractions such as cell phones, TV shows, and other activities that can disturb student focus when doing online learning. The situation at home has a big impact on the focus of students to learn and access the materials. The conditions at home allow students to do activities that are fun for them instead of study.

Technical and connection issue during online learning is one of the most problematic that usually appear when doing the online class. Data from research by Daroedono et al, in Jabodetabek 2020 shows there are around 80,2% of pre-clinical students complained that internet network connection problems greatly affect the online learning process. Poor connection in student device allow student did not get the full material. Besides, nursing students find it very difficult to understand the material due to problematic connection that makes them not hear and get the full material and get just a few parts of it that also did not connect each other. Connectivity problems cannot be changed. Therefore, this signal problem will persist and become a challenge during online classes (Daroedono et al., 2020)

In the conclusion, the COVID-19 virus has become the biggest obstacle for nursing students and even all students in doing online learning. There are so many challenge faced by students to be able to stay learn in this situation. Hands-on practice for students to training in the clinical laboratory is very important for nursing students. Even though the university has provided innovative and creative learning methods for students, that is still not enough for a nursing student to improve their abilities without themselves being involved and motivated to learn, and also it can not be denied either that hands-on training is very important for them. These real challenges in real study life already affecting the nursing student to push themself to be well-motivated students and ready for every change.

REFERENCES Alsoufi, A., Alsuyihili, A., Msherghi, A., Elhadi, A., Atiyah, H., Ashini, A., … Elhadi, M. (n.d.). Impact of the COVID-19 pandemic on medical education: Medical students' knowledge, attitudes, and practices regarding electronic learning. PLOS ONE. https:// Daroedono, E., Siagian, F. E., Alfarabi, M., Cing, J. M., Arodes, E. S., Sirait, R. H., ... & Hutabarat, R. S. (2020). The impact of COVID-19 on medical education: our students perception on the practice of long distance learning. International Journal of Community Medicine and Public Health, 7(7), 2790-2796. Gaur, U., Majumder, M. A. A., Sa, B., Sarkar, S., Williams, A., & Singh, K. (2020, September 22). Challenges and Opportunities of Preclinical Medical Education: COVID-19 Crisis and Beyond. SN Comprehensive Clinical Medicine. https://link.springer.com/article/10.1007/s42399-020-00528- 1#citeas. IMAGE SOURCES : IMAGE BY CANVA.COM