Document Type: Original Article


1 Nursing & Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran

2 Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

3 Medical Education Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

4 Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

5 Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran


Objective: Trauma is a major health problem worldwide regardless of regional socioeconomic and healthcare status. As a leading cause of death, trauma results in severe socioeconomic damages, which could be highly prevented by optimal care. As nurses are the major professional groups involved in patient care, improvement of their knowledge and practical skill leads to more qualified healthcare staff. Nowadays, traditional methods of education cannot meet students’ needs and modern methods of training are recommended to be applied. This study, therefore, aimed to compare the effects of two methods of teaching (electronic education and teacher-based education) on students’ learning and the efficacy rate of each method on the knowledge of fourth year students of nursing and midwifery faculty in Tabriz University of Medical Sciences.
Methods: In this study, the participants were randomly assigned into 2 educational groups of electronic (experimental group) and teacher-based (control group) method. All participants took a pre-test. Then each group attended the same course in a different method. Finally, post-test was taken by the participants and data were analyzed.
Results: A comparison of the mean knowledge score of both groups showed that electronic education was more effective than teacher-based education.
Conclusion: The electronic training will result in more effective learning in comparison to teacher-based method and can be applied as an appropriate and efficient method of education


Main Subjects

1. Curtis K, Zou Y, Morris R, Black D. Trauma case management: Improving patient outcomes. Injury 2006; 37(7): 626-32.

2. Rabbani A, Moini M. Application of “Trauma and injury severity score” and “a severity characterization of trauma” score to trauma patients in a setting different from “major trauma outcome study”. Arch Iran Med 2007; 10(3): 383-6.

3. Khaji A, Ghodsi SM, Eftekhar B, Karbakhsh M. Trauma research in Iran: a report of the Sina Trauma Data Bank. Arch Iran Med 2010; 13(1): 17-20.

4. Mock C, Nguyen S, Quansah R, Arreola-Risa C, Viradia R, Joshipura M. Evaluation of Trauma Care capabilities in four countries using the WHO-IATSIC Guidelines for Essential Trauma Care. World J Surg 2006; 30(6): 946-56.

5. Carley S, Driscoll P. Trauma education. Resuscitation 2001; 48(1): 47-56.

6. Christopher M. A broader view of trauma: a biopsychosocial evolutionary view of the role of the traumatic stress response in the emergence of pathology and/or growth. Clin Psychol Rev 2004; 24(1): 75-98.

7. Gilbart MK, Hutchison CR, Cusimano MD, Regehr G. A computer-based trauma simulator for teaching trauma management skills. Am J Surg 2000; 179(3): 223-8.

8. Saghafinia M, Khatamai M, Nafissi N, Asadollahi R, Akhavan-Moqadam J. Developing a national trauma management workshop in Iran applying an animal model. Iranian Red Crescent Medical Journal 2009;

11(1): 32-6.

9. Öztürk D, Dinç L. Effect of web-based education on nursing students’ urinary catheterization knowledgeand skills. Nurse Educ Today 2014; 34(5): 802-8.

10. Button D, Harrington A, Belan I. E-learning & information communication technology (ICT) in nursing education: a review of the literature. Nurse Educ Today 2014; 34(10): 1311-23.

11. Tao H. Computer-based simulative training system—a new approach to teaching pre-hospital trauma care. Journal of Medical Colleges of PLA. 2011; 26(6): 335-44.

12. Sae-Sia W, Songwathana P, Ingkavanich P. The development of clinical nursing practice guideline for initial assessment in multiple injury patients admitted to trauma ward. Australasian Emergency Nursing Journal 2012; 15(12): 93-9.

13. Zolfaghari M, Mehrdad N, Parsa Yekta Z, Salmani Barough N, Bahrani N. The effect of lecture and E learning methods on learning mother and child health course in nursing students. Iranian Journal of Medical Education 2007; 7(1): 31-9. [In persian]

14. Glen S. E-learning in nursing education: lessons learnt? Nurse Educ Today 2005; 25(6): 415-7.

15. Bauer M, Geront M, Huynh M. Teaching blood pressure measurement: CD-ROM versus conventional classroom instruction. J Nurs Educ 2001; 40(3): 138-41.

16. Reime M, Harris A, Aksnes J, Mikkelsen J. The most successful method in teaching nursing students infection control – E-learning or lecture? Nurse Educ Today 2008; 28(7): 798-806.

17. Lewis MJ, Davies R, Jenkins D, Tait MI. A review of evaluative studies of computer-based learning in nursing education. Nurse Educ Today 2001; 21(1): 26-37.

18. Pishgooie A, Atashzadeh Shoorideh F, Barbaz A, Zareiyan A. Comparison of three instructional methods for drug calculation skill in nursing critical care courses: lecturing, problem solving, and computer-assisted self-learning. Iranian Journal of Medical Education2012; 12(6): 420-9.