E-learning Challenges in Nursing Education during COVID-19 Pandemic-A Narrative Review.

Abstract
Background: The COVID-19 pandemic has alarmed an urgent change in all spectra on the lives of people
including education sector. Objective: This narrative review summarizes the challenges of online education
in nursing and explores the possible opportunities to improve or maintain the standards of nursing education.
Methods: A comprehensive literature search was done to identify the challenges of online education in
nursing. Seven primary studies meeting the inclusion criteria, published from the onset of COVID-19 until
5th September 2020 were included in this narrative review. Results: The available literature shows that,
students are missing the practical aspects of nursing care, the real essence of nursing education during
e-learning, cancellation of international training, loss of job opportunities due to lack of confidence in
their skill are bothersome for students and educators. Success of e-learning is also affected by internet
connectivity issues, problem with electricity and lack of computer literacy. At the same time, it is found that
online education delivery is substituting theory learning to a great extent, however practical training remains
indispensable for nursing education. Conclusion: Continuous engagement and motivation from the part of
both the students and nurse educators is very essential in meeting the educational needs during this crisis.