Technical, Physical, and Academic Challenges in Online Learning: Evidence from Nursing Students in Foundations of Nursing Practice

Cyril B. Romero; Benilda M. Oliva; Marc Jhames Resoco Temeña; Julie S. Cervas

doi:10.56741/hesmed.v5i02.2336

Authors

Cyril B. Romero
cyrilbromero@gmail.com
University of Saint Anthony
Benilda M. Oliva Medical Mission Group (MMG) Hospital of Camarines Sur
Marc Jhames Resoco Temeña University of Saint Anthony
Julie S. Cervas Medical Mission Group (MMG) Hospital of Camarines Sur

DOI:

https://doi.org/10.56741/hesmed.v5i02.2336

Keywords:

Internet Access, Nursing Education, Online Learning, Physical Health Barriers, Student Engagement, Technical Adaptability

Abstract

The rapid integration of digital technologies in higher education has transformed the teaching and learning process, particularly in nursing education where flexibility and accessibility are essential. This study examined the challenges of online learning and their repercussions on the academic performance and student engagement of BSN 1J students enrolled in NCM 103 (Foundations of Nursing Practice) at the University of Saint Anthony during the Second Semester of School Year 2025–2026. Specifically, the study investigated students’ demographic profile, challenges encountered in online learning, the relationship between demographic characteristics and online learning challenges, and the effects of these challenges on academic performance and engagement. A descriptive-correlational research design with an evaluative approach was employed. The respondents consisted of forty (40) nursing students selected through total enumeration sampling. Data were collected using a researcher-developed questionnaire administered through Google Forms. Frequency counts, percentages, weighted means, and the Chi-Square Test of Independence were utilized to analyze the data. The findings revealed that the respondents generally experienced challenges related to technical adaptability, internet access and equipment, physical health barriers, academic engagement, and attitudes toward online learning. Internet connectivity and access to learning devices emerged as the most significant challenges, while headaches, eye strain, and back fatigue were commonly reported physical health concerns. Students also experienced difficulties in time management, maintaining motivation, and sustaining active participation in online classes. These challenges negatively affected students’ concentration, learning efficiency, academic performance, and engagement. The study concludes that online learning presents multidimensional challenges that require comprehensive institutional support. Strengthening technological infrastructure, improving access to learning resources, providing technical assistance, and implementing student-centered support programs are recommended to enhance academic success and engagement among nursing students in online learning environments.

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Author Biographies

Cyril B. Romero, University of Saint Anthony

is a Professor at the Graduate School of the University of Saint Anthony, Philippines, and former Dean of its College of Nursing. She serves as Editor-in-Chief of the Peer-Reviewed Journal of Health Science and Medical Development (HESMED), Indonesia. Her academic interests include nursing education, healthcare management, medical research, and curriculum development. She has extensive experience in higher education leadership, research supervision, and scholarly publication. (email: romerocyrilb@gmail.com).

Benilda M. Oliva, Medical Mission Group (MMG) Hospital of Camarines Sur

earned her Master of Arts in Nursing degree in 2024. She serves as a part-time Clinical Instructor at the University of Saint Anthony and is currently the Chief Nurse of the Medical Mission Group Hospital and Health Services Cooperative of Camarines Sur. Previously, she worked as a Hemodialysis Head Nurse. Her professional interests include clinical nursing practice, nursing education, patient care management, and community health services. (email: olivabenilda@gmail.com).

Marc Jhames Resoco Temeña, University of Saint Anthony

is a faculty member of the College of Healthcare Education at the University of Saint Anthony, Iriga City, Philippines. He is actively involved in teaching, research, and student mentoring in nursing and healthcare-related programs. His areas of interest include nursing education, clinical practice, healthcare innovation, and student development. He is committed to advancing quality nursing education and fostering evidence-based practice among future healthcare professionals. (email: marcjhamesresocotemena@gmail.com).

Julie S. Cervas, Medical Mission Group (MMG) Hospital of Camarines Sur

currently serves as Administrative Officer of the Medical Mission Group (MMG) Hospital of Camarines Sur. She previously held positions as Training Officer and Officer-in-Charge Chief Nurse within the same institution. In addition, she is a Clinical Instructor at the University of Saint Anthony, where she contributes to the preparation of future nursing professionals. Her interests include healthcare administration, nursing leadership, staff development, and clinical education. (email: cervasjulie024@gmail.com).

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