“…4 Third, the nurses (participant level) need to be actively involved in the learning process and need to receive automated and immediate feedback. 6,7 In the studies of Childs et al, Atack Rankin, Wilkinson et al, Billings et al, Steyn et al, Atack, Moule et al, and Yu and Yang, the nurses described several barriers 2,[4][5][6][7][8][9][10] : difficulties in coping with the flexibility and the responsibility for their own learning; insufficient teacher support and the feeling of being isolated from peers; underestimation of the time needed to study and the combination with home, where the participants need to compete with other family members for computer access; and the feeling of being unprepared and overwhelmed by the technology. The lack of technical skills and the fact that the nurses often did not dare to contact the technical support out of fear of not understanding the technical explanation often resulted in the inability to spend sufficient time with the module.…”