<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec>
<h3>Objective</h3>
<p>This study aimed to determine the relationships between e-learning quality, student satisfaction, and learning outcomes and the mediating effect of student satisfaction.</p>
</sec>
<sec>
<h3>Methods</h3>
<p>A cross-sectional quantitative correlational study using a predictive design and multivariate analysis method was employed in this study. A sample of 241 nursing students were recruited through an online survey based on a stratified random sampling technique. The variance-based Partial Least Squares Structural Modeling analysis method was used to test the possible relationship and mediating effect among the variables.</p>
</sec>
<sec>
<h3>Results</h3>
<p>The findings revealed statistically significant relationships between e-learning quality, student satisfaction, and learning outcomes. A mediating effect of 37.2% is predicted for e-learning quality on learning outcomes through student satisfaction.</p>
</sec>
<sec>
<h3>Conclusions</h3>
<p>This study emphasizes the learning needs of working nurses and the impact on their learning outcomes in e-learning nursing undergraduate programs. Advances in e-learning education have assisted nurses to be more self-sufficient in their pursuit of lifelong learning.</p>
</sec>
</abstract>

Objective
This study aimed to determine the relationships between e-learning quality, student satisfaction, and learning outcomes and the mediating effect of student satisfaction.


Methods
A cross-sectional quantitative correlational study using a predictive design and multivariate analysis method was employed in this study. A sample of 241 nursing students were recruited through an online survey based on a stratified random sampling technique. The variance-based Partial Least Squares Structural Modeling analysis method was used to test the possible relationship and mediating effect among the variables.


Results
The findings revealed statistically significant relationships between e-learning quality, student satisfaction, and learning outcomes. A mediating effect of 37.2% is predicted for e-learning quality on learning outcomes through student satisfaction.


Conclusions
This study emphasizes the learning needs of working nurses and the impact on their learning outcomes in e-learning nursing undergraduate programs. Advances in e-learning education have assisted nurses to be more self-sufficient in their pursuit of lifelong learning.

Mediating effect of e-learning quality on learning outcomes through student satisfaction in nursing education

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

Objective
This study aimed to determine the relationships between e-learning quality, student satisfaction, and learning outcomes and the mediating effect of...

Hypothesis	Relationship	Std. Beta	Std. Error	t-values	Confidence Interval (BC)		P-values	Decision
Hypothesis	Relationship	Std. Beta	Std. Error	t-values	LL	UL	P-values	Decision
H1	E-leaning quality -> Student satisfaction	0.764	0.028	27.125	0.482	0.685	<0.001**	Supported
H2	Student satisfaction -> learning outcomes	0.487	0.080	6.089	0.224	0.591	<0.001**	Supported
H3	E-learning quality -> learning outcomes	0.327	0.037	18.725	0.113	0.422	<0.001**	Supported

Construct	Indicator loadings	Cronbach’s	rho_A	CR	AVE
E-learning quality		0.881	0.882	0.910	0.627
System quality		0.773	0.778	0.898	0.815
SQ1	0.913
SQ3	0.825
SQ4	0.746
SQ5	0.892
Information quality		0.800	0.800	0.909	0.833
IQ1	0.911
IQ2	0.804
IQ4	0.915
IQ5	0.823
Service quality		0.723	0.725	0.878	0.783
SEQ1	0.755
SEQ2	0.878
SEQ3	0.796
SEQ4	0.891
Student satisfaction		0.874	0.874	0.941	0.888
SS1	0/910
SS2	0.941
SS3	0.943
SS4	0.910
Learning outcomes		0.870	0.871	0.939	0.885
LO1	0.899
LO2	0.939
LO3	0.942
LO4	0.918

Mediating effect of e-learning quality on learning outcomes through student satisfaction in nursing education

Article Category: Review

Published Online: Sep 21, 2023

Page range: 261 - 271

Received: Sep 08, 2022

Accepted: Dec 15, 2022

DOI: https://doi.org/10.2478/fon-2023-0030

Keywords
system quality, information quality, service quality, learning outcome, student satisfaction

© 2023 Woan Ching Chang et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Figure 2.

Figure 3.

Hypothesis testing for the relationships between e-learning quality, student satisfaction, and learning outcomes.

Measurement model for the relationships among e-learning quality, student satisfaction and learning outcomes.

Mediating effect of e-learning quality on learning outcomes through student satisfaction in nursing education

Article Category: Review

Published Online: Sep 21, 2023

Page range: 261 - 271

Received: Sep 08, 2022

Accepted: Dec 15, 2022

DOI: https://doi.org/10.2478/fon-2023-0030

Keywordssystem quality, information quality, service quality, learning outcome, student satisfaction

© 2023 Woan Ching Chang et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Figure 2.

Figure 3.

Hypothesis testing for the relationships between e-learning quality, student satisfaction, and learning outcomes.

Measurement model for the relationships among e-learning quality, student satisfaction and learning outcomes.

Keywords
system quality, information quality, service quality, learning outcome, student satisfaction