ObjectivesTo explore the influence of critical thinking,
self-regulated learning and system usability on the acceptance of e-learning on
patient safety.
MethodsA cross-sectional study was conducted, using a 32-question
online survey. One hundred ninety-three (n=193 medical students participated in
the study and were asked to rate levels of reflective thinking, self-regulated
learning and attitudes towards patient safety using scales from the
Questionnaire for Reflective Thinking, the Attitudes to Patient Safety
Questionnaire and the System Usability Scale. Differences between reflection
levels were calculated using paired t-tests, associations between critical
thinking and self-regulated learning were calculated using linear correlations.
We performed linear multiple regression analysis to identify predictors for
student acceptance of the e-learning.
ResultsStudents (n=193) engaged in intermediate levels of
reflection (5-point Likert, M=3.62, SD=0.73) and significantly (t(143)=15.15,
p<0.001, d=1.57) lower levels (M=2.35, SD=0.87) of critical reflection. Most
students showed high (≥ 4; 44.1%) or intermediate (<4 level > 2; 29.4 %)
levels of self-regulated learning. A regression model indicated that 5
predictors (Reflection, critical reflection, self-regulated learning,
relevance, usability) explained 65.3% of the variance (R²=0.653, F(5, 96)=39.02,
p<0.01) of perceived total quality.
ConclusionsThis study shows that reflection and learning skills
are important factors for e-learning acceptance, but perceived relevance and
system usability play a more important role.
From a didactic perspective, it is indispensable to provide the students
with sufficient examples and links to professional practice to enhance the
perception of relevance and to improve system usability permanently.