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Chapter 1
Introduction
Indeed, there is no denying that the internet plays an important and major role in people's
lives in todays society. Social media are forms of electronic communication (such as websites for
social networking and microblogging) through which users create online communities to share
information, ideas, personal messages, and other content (Webster, 2017). Social networking is
one of the most pervasive Web 2.0 tools available. It is all about making connections and
participating in online communities. A Web 2.0 website may allow users to interact and collaborate
with each other in a social media dialogue as creators of user-generated content in a virtual
community, in contrast to the first generation of Web 1.0-era websites where people were limited
to the passive viewing of content (Wikipedia, 2017). Social media has changed the way individuals
interact with technology and one another. In addition, invention of smartphones has drastically
changed the way people communicate. Mobile technology is fast becoming the preferred method
of accessing the Internet and its social media platforms. According to Internet Usage and World
Population Statistics, as of March 31, 2017, it is estimated that 3,739,698,500 are internet users,
or almost half of the world's population. This includes Asia, having the highest number of users
which equates to around 1.8 billion users. In the Philippines alone, in a recent study conducted by
Rappler, mobile internet penetration rate is growing at a rate of 1.5x or 30 million users per year.
A study by On Device Research revealed that out of 97 million Filipinos, 70% are netizens under
29 years old and 96% are on social media. An average Filipino spends 3.2 hours on mobile and
5.2 hours on desktop and tablet. The use of social media ranks 47% in top online activities. In fact,
there are now 47 million active Facebook accounts in the Philippines. Nowadays, seldom do we
see a person who doesnt use the internet for various reasons.
Thus, people from all walks of life, millennials or not utilize technology for a myriad of
reasons and the possibilities of utilizing it are endless. In the aspect of Nursing Education,
Information and Communication Technology (ICT) opens up new possibilities for introducing
innovative teaching and learning methods to deliver education in different educational areas(Lahti,
Haapaniemi-Kahala, & Salminen, 2017). Learning institutions can motivate students with the use
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of ICT tools to make learning more relatable, enjoyable, and sustainable. Through the years, the
use of internet and social media has grown rapidly and has become major sources of information
among nursing students. Nowadays, in order to cope with a fast expanding nursing knowledge
base and advances in Science and Technology, nursing students need to look for more ways to
keep themselves updated and adept .The rate of technological evolution in healthcare is
progressing. Student nurses, and those already in practice, should be offered ongoing educational
Social media are the most accessible tools online that permits cooperation, collaboration
and relationship building. Information and Communication Technology (ICT) opens up new
opportunities for introducing innovative learning methods to deliver education in Nursing. The use
of internet and social media has grown rapidly and plays an important role in how student nurses
find information. The lack of adequate study depicting the perceived usefulness of Social Media
as a learning tool among undergraduate nursing students prompted the researcher to focus on this
Rationale
and Twitter. Social media websites are having a relevant impact on how collaborative relationships
are formed and information is disseminated throughout the world. Although there is a large body
of literature devoted to the ways in which the general public is making use of social media, there
is less research regarding how such trends are impacting the nursing education. This study aims to
know the perceived usefulness of social media as a learning tool in nursing education among
There are several new and advanced ways of using ICT and creating alternative teaching
methods, which can be applied to nursing and health care education. Not even trying to adopt these
tools in the healthcare field would mean not being in step with the present world and giving up the
advantages offered by these new media.(Arrigoni, Alvaro, Vellone, & Vanzetta, 2016).The use of
Web 2.0 tools in general, and of social media in particular, is no longer under debate. However,
the question lies on whether or not students perceive social media useful as a learning tool in
Nursing Education. What causes nursing students to accept or reject social media as a learning
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tool? Among the many variables that may influence social media use, the proponent will use
perceive usefulness. People tend to use or not use social media to the extent they believe it will
help them perform the task which is learning. Thus, this study aims to find out the perceived
usefulness of social media among undergraduate nursing students. The degree to which a person
believes that using social media is useful can enhance his/her social media utilization. Thus,
Theoretical/Conceptual Framework
Self-Efficacy Theory
According self-efficacy theory, self-efficacy is defined as judgments of how well one can
execute courses of action required to deal with prospective situations (Bandura, 1987). This theory
also distinguishes self-efficacy judgments from outcome judgments, the latter concerned with the
outcomes. The outcome judgement variable is similar to perceived usefulness. Self-efficacy theory
determinant of behaviour.
Theory of Constructiveness
In the theory of constructiveness by Jerome Bruner, the objective reality of the outside
world transferred from the learner has not been granted and it is not assumed that the learner keeps
a version of this world in mind by learning. Educational approach based on constructive theory or
building the tendency of learning must be emphasized on the activity of the learner during the
nursing education, this theory can be used as well and it is very useful in giving the learners actively
to participate in discussions.
A major theme in the theoretical framework of Bruner is that learning is an active process
in which learners construct new ideas or concepts based upon their current/past knowledge. The
learner selects and transforms information, constructs hypotheses, and makes decisions, relying on
constructivist approaches, as set out in the E-learning ladder (Moule 2007). Instructivist learning
the learner, and is transferred by the teacher, to the student, who is viewed as a passive recipient.
Constructivist theory is student, rather than teacher focused. The student constructs new
knowledge through analysis of information and reference to experience and understanding. The
ladder base identifies e-learning applications that provide access to instructional material through
to supporting constructivist approaches to learning. Opportunities for social learning and the
construction of knowledge, where learners are active in creating their own knowledge and
understanding, can be offered through Web 2.0 technologies, discussion boards and other social
networking sites. The ladder also identifies the key supports needed for engagement in e-learning.
The ladder presents a range of technologies that exist with the potential to enhance learning and
teaching, and a number of factors that impact on their adoption and use
The ladder also identifies the key supports needed for engagement in e-learning. Despite
affording greater flexibility and convenience of use across the international health care workforce.
The study would want to know the perceived usefulness of social media as a learning tool
in Nursing education among undergraduate nursing students enrolled in The College of Maasin,
Maasin City Southern Leyte. This study will answer the following questions:
1. Do nursing students find social media a useful learning tool in Nursing Education?
students in studying?
b. How many hours do nursing students spend on using social media in a day?
c. How useful are social media as a learning tool among nursing students?
2. Is there a relationship between nursing student demographics and the use of social
Statement of Hypothesis
Social media is not perceived as a useful learning tool in Nursing education among nursing
students.
The study will include first year to fourth year nursing students of The College of Maasin,
Tunga-tunga, Maasin City, Southern Leyte. It will include nursing students who own devices or
gadgets (e.g. laptop, smartphones, tablets, ipads etc.) which can access the Internet and or social
media. This will not include nursing students who dont use such devices for various reasons (i.e.
There were some limitations in this study. First, the questionnaire was developed for this
study. However, the questionnaire was feasible and should be tested and validated in the future
with larger sample sizes. This study can be seen as a preliminary study that calls for further studies.
Second, the sample size was small and collected from one university and this may affect to the
generalization of the results. Third, in this study only a few forms of social media were studied,
even though they were the most used social media tools.
The aim of this study was to focus on nursing students perception the usefulness of social
media as a learning tool in Nursing education. Perceived usefulness of social media is said to be a
determinant of social media use. This would benefit the nursing educators in identifying new ways
in increasing awareness of the need to utilize social media as a learning tool and identifying
Social media. Consequently, the development of new teaching strategies can benefit the nursing
Hypotheses
Social media is not perceived as a useful learning tool in Nursing education among nursing
students.
There is no relationship between nursing student demographics and the use of social media
as a learning tool.
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Definition of Terms
Social Media-forms of electronic communication through which users create online communities
to share information, ideas, personal messages and other content such as videos. It can include but
not limited to websites for social networking (e.g. Facebook, Twitter, Instagram, Youtube) and
Learning Tool-A means or a device for acquiring a particular body of knowledge in this context,
baccalaureate currently enrolled at the College of Maasin at the time when the data collection has
been started
Usefulness-the extent to which social media functions allows users to complete a set of tasks and
Perceived Usefulness- Perceived usefulness is defined here as the degree to which a person
believes that using a particular social medium would enhance his learning experience.