Nurses’ Knowledge, Attitudes, and Practices Regarding Sexually Transmitted Infection: A Comparison between Online and Group Education

Document Type : Original Article

Authors

1 Diwaniyah Health Directorate, Women and Children's Hospital, Public Health Department, Al- Diwaniyah, Iraq

2 Faculty of Nursing and Midwifery, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

3 Department of pediatric hemato-oncology, College of Medicine, Al Qadisiyah University, Al- Diwaniyah, Iraq

4 Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

10.22038/fmej.2025.85653.1627

Abstract

Background: Sexually transmitted infections (STI) have numerous complications. Nurses can play a crucial role in educating people to prevent and treatment. This study aimed to compare the impact of online and group education on nurses’ knowledge, attitudes, and practices regarding STI.
Method: This quasi-experimental study was conducted at Women and Children hospital in Diwaniyah, Iraq, in 2023. Pre-test and post-test were conducted using a questionnaire. Follow-up design was also performed. The participants were divided into two groups (n = 50/group) as a WhatsApp-based training program, and the group-based training by random allocation. Data were analyzed in SPSS 22 using repeated‑measures ANOVA, the Bonferroni correction, Kolmogorov-Smirnov, Levene’s tests, Fisher’s exact test, and Mann-Whitney U test.
Results: The results showed that both groups had significant improvements in knowledge, attitude, and practice from before to after the intervention (p < 0.001). The group teaching group had significantly higher knowledge and attitude scores (19.80, 42.32) than the online teaching group (18.06, 39.00) (p = 0.008; p = 0.012). Both teaching methods were effective in improving practice scores.
Conclusion: Both methods led to significant improvements in all three domains; however, the group-based method was more effective, particularly in improving knowledge and attitudes. Future research should also explore the long-term effects of hybrid models on learners’ competencies and patient outcomes.

Keywords

Main Subjects

References

  1. World Health Organization (WHO). Sexually transmitted infections (STI).  [updated 21 May 2024]. Available from: https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(STI)
  2. Yousif MG, Al-Amran FG, Sadeq AM, Ghaly Yousif N. Prevalence and associated factors of human papillomavirus infection among Iraqi women. arXiv 2023; 1(1): 1-10. https://doi.org/10.48550/arXiv.2307.14806
  3. Van Gerwen OT, Muzny CA, MarrazzoJM. Sexually transmitted infections and female reproductive health. Nat Microbiol 2022; 7(8):1116–26. doi: 10.1038/s41564-022-01177-x
  4. Wihlfahrt K, Günther V, Mendling W, Westermann A, Willer D, Gitas G, et al. Sexually Transmitted Diseases—An Update and Overview of Current Research. Diagnostics 2023; 13(9): 1656. doi: 10.3390/diagnostics13091656
  5. Almeida RAAS, Corrêa RGCF, Rolim ILTP, Hora JM, Linard AG, Coutinho NPS, et al. Knowledge of adolescents regarding sexually transmitted infections and pregnancy. Rev Bras Enferm 2017; 70(5): 1033-9. doi: 10.1590/0034-7167-2016-0531.
  6. Sul S, Ferreira L,  MaiaAC, Coelho  A, Costa A. Sexually Transmitted Infections and Health Literacy: A Community-Based Preventive Program. J Prim Care Community Health 2023; 14: 1–7. doi: 10.1177/21501319231159973.
  7. Carvalho IS, Guedes TG, Bezerra SMMS, Alves FAP, Leal LP, Linhares FMP. Educational technologies on sexually transmitted infections for incarcerated women.
    Rev Lat Am Enfermagem 2020; 28: e3392. doi: 10.1590/1518-8345.4365.3392.
  8. Lin Y, Hu Z, Alias H, Wong LP. The role of nurses as human papillomavirus vaccination advocates in China: perception from nursing students. Hum Vaccin Immunother 2022; 18(1): 2030169. doi: 10.1080/21645515.2022.2030169
  9. Horntvedt MT, Nordsteien A, Fermann T, Severinsson E. Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC Med Educ 2018; 18(1): 172.doi: 10.1186/s12909-018-1278-z.
  10. Tushe M. Sexually Transmitted Infections (STI) and the Role of Nurses in Prevention and Health Education. [2024]. Available from: SSRN: https://ssrn.com/abstract=4999248orhttp://dx.doi.org/10.2139/ssrn.4999248
  11. Kadivar M, Seyedfatemi N, Zolfaghari M, Mehran A, Azizkhani L. The effect of virtual education on neonatal nurses’ Caring ability at the neonatal Intensive Care Unit. Journal of Pediatric Nursing (JPEN) 2017; 3(3): 32–9. doi: 10.21859/jpen-03036. Persian.
  12. John MR, Sharma DK, Poonuraparampi JA, Konuri VK. A Study on the Advantages and Disadvantages of the Online Teaching Program Conducted in the Department of Anatomy, AIIMS, Raipur – Students' Perspective. National Journal of Clinical Anatomy 2021;10(1):10-16. doi: 10.4103/NJCA.NJCA_12_20.
  13. Wong IYF, Lee AKS. Real-Time Online Demonstration for Skills Education for First-Year Nursing Students. J Nurs Educ 2024;63(1): 43–47. https://doi.org/10.3928/01484834-20231112-08.
  14. Sterpu I, Herling L, Nordquist J, Rotgans J, Acharya G. Team-based learning (TBL) in clinical disciplines for undergraduate medical students—a scoping review. BMC Med Educ 2024; 24(1):18.

 doi: 10.1186/s12909-023-04975-x

  1. Navidi I, Hadavand F, Ahmadlo A. Comparison of knowledge, attitude, and practice of healthcare staff toward sexually transmitted infections in Markazi Province, Iran. International journal of HIV-related problems 2022; 21(2):155-63. https://doi.org/10.5114/hivar.2022.115540
  2. Toughyani R, Ramezani MA, Izadi M, Shahidi S, Aghdak P, Motie Z, et al. The Effect of Prenatal Care Group Education on Pregnant Mothers' Knowledge, Attitude and Practice. Iranian Journal of Medical Education 2008; 7(2): 317-24.
  3. Adib-Hajbaghery M, Faraji M. Comparison of effect between group discussion and educational booklet on Iranian nursing students’ attitude and practice toward patient privacy. J Educ Eval Health Prof 2016;13: 29. doi: 10.3352/jeehp.2016.13.29. 
  4. Bolourchifard F, Neishabory M, AbedSaeedi Z. The Effects of Group and Individual Education on the Level of the Knowledge, Attitude and Practice of Self Care in Patients with Diabetic Foot Ulcer. Iran Journal of Nursing (IJN) 2009;22(59):33-41. Persian.
  5. Ceylan H, Sahin CK, Acar CA. The effect of WhatsApp-based training on nurses' genetic knowledge levels and awareness in Turkey: A quasi-experimental study. Nurse Educ Today 2024;144(2025): 106442. doi: 10.1016/j.nedt.2024.106442.
  6. Zamani P, Dehnad A, Haghani H, Borimnejad L. Effect of Web-Based Education on Knowledge, Attitude, and Practice of Nurses in Neonatal Intensive Care Unit. Interdiscip J VirtualLearn Med Sci 2019;10(1):10-20. doi: 10.5812/ijvlms.81178.
  7. Rabiepoor S, Khajeali N, Sadeghi E. Comparison of the effect of Web-based Education and Traditional Education on midwifery students for learning the lesson of fetus health. Scientific Journal of Education Strategies in Medical Sciences 2016;9(1):8-15.
  8. Rojjanasrirat W, Rice J. Evidence-based practice knowledge, attitudes, and practice of online graduate nursing students. Nurse Educ Today 2017; 53: 48-53. doi: 10.1016/j.nedt.2017.04.005.
  9. Jafari A, Kalroozi F, Habibi H, Pishgooie SAH. Comparison of the Impact of Training Through Workshop and Training Through online learning on Knowledge, Attitude and Performance of Emergency Nurses of Selected Hospitals of Aja about Safe Injections. Military Caring Sciences 2021;7(4):340-50.
  10. Hart P, Eaton LA, Buckner M, Morrow BN, Barrett DT, Fraser DD, et al. Effectiveness of a Computer-Based Educational Program on Nurses’ Knowledge, Attitude, and Skill Level Related to Evidence-Based Practice. Worldviews Evid Based Nurs 2008;5(2):75–84. doi: 10.1111/j.1741-6787.2008.00123.x.
  11. Farshbaf‑Khalili A, Jasemi M, Seyyedzavvar A. Comparing the effect of electronic and lecture education of pain management on the knowledge, attitude, and practice of nurses: A randomized‑controlled trial. J Educ Health Promot 2021;10(1): 374. doi: 10.4103/jehp.jehp_918_20.
  12. Gharib M, Noori Fard L, Mohammadi A, Zolfaghari M. Comparison of the impact of two learning methods -electronic learning and workshop training- on the knowledge, attitude, and behavior of individuals visiting healthcare centers in the field of cholera. Seventh Symposium and Fourth Self-Care and Patient Education Festival; 2019.
  13. AL-Mugheed K, Bayraktar N, Al-Bsheish M, AlSyouf A, Aldhmadi BK, Jarrar M, et al. Effectiveness of game-based virtual reality phone application and online education on knowledge, attitude and compliance of standard precautions among nursing students. PLOS One. 2022;17(11): e0275130. doi: 10.1371/journal.pone.0275130.
Future of Medical Education Journal
Volume 15, Issue 2
June 2025
Pages 21-26

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