Utilising lectures with pharmacy, occupational therapy and nursing students: A pre-COVID-19 pandemic perspective
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Abstract
Background. Lectures are a fundamental aspect of teaching and learning in higher education, significantly impacting students’ academic achievements.
Objective. To investigate students’ reasons for attending in-person lectures and identify the factors and traits they associate with positive learning experiences.
Methods. The data were collected through interviews with 36 third-year undergraduate students from pharmacy, occupational therapy and nursing & midwifery enrolled at Monash University. Focus groups were reviewed, analysed and coded using a conventional content analysis approach.
Results. Four major themes that influenced students’ decisions to attend lectures were identified: (i) consolidation of learning; (ii) use of visual and auditory techniques; (iii) opportunities for student input and (iv) the lecture’s relevance to their future practice.
Conclusion. The present study found that students perceive live lectures as useful when they offer a thorough understanding of a subject, effectively incorporate audio-visual materials, provide opportunities for engagement and interaction with lecturers and prepare students for exams and future careers. Utilising interactive quizzes and visual aids, facilitating access to educators for students to ask questions and lecturers’ use of varied tones and humour when covering difficult concepts were viewed as beneficial by students. These findings may assist faculty in improving attendance rates at live lectures.
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References
1. Bati AH, Mandiracioglu A, Orgun F, Govsa F. Why do students miss lectures? A study of lecture attendance
amongst students of health science. Nurse Educ Today 2013;33(6):596-601. https://doi.org/10.1016/j.
nedt.2012.07.010
2. James Madison University. Help understanding the purpose of readings and lectures. 2021. https://w3.cs.jmu.
edu/bernstdh/web/common/help/readings-and-lectures_understanding.php (accessed 14 June 2024).
3. Dolnicar S, Kaiser S, Matus K, Vialle W. Can Australian universities take measures to increase the lecture
attendance of marketing students? J Marketing Educ 2009;31:203-211. https://doi.org/10.1177/0273475309345202
4. Moore S, Armstrong C, Pearson J. Lecture absenteeism among students in higher education: A valuable
route to understanding student motivation. J Higher Educ Policy Man 2008;30:15-24. https://doi.
org/10.1080/13600800701457848
5. Baderin MA. Towards improving students’ attendance and quality of undergraduate tutorials: A case study on
law. Teach Higher Educ 2005;10(1):99-116. https://doi.org/10.1080/1356251042000252417
6. Emahiser J, Nguyen J, Vanier C, Sadik A. Study of live lecture attendance, student perceptions and expectations.
Med Sci Educ 2021;31:697-707. https://doi.org/10.1007/s40670-021-01236-8
7. Kottasz R. Reasons for students’ non-attendance at lectures and tutorials: An analysis. Invest Univ Teach Learn
2005;2:5-21.
8. Sloan D, Manns H, Mellor A, Jeffries M. Factors influencing student non-attendance at formal teaching sessions.
Stud Higher Educ 2020;45(11):2203-2216. https://doi.org/10.1080/03075079.2019.1599849
9. Rawlani SS, Rawlani SM, Lohe V, Bhowate R, Khubchandani MR, Chandak R. Perception of dental faculty
and student regarding class attendance and final performance. J Educ Health Prom 2018;7(1):153. https://doi.
org/10.4103/jehp.jehp_128_18
10. Cohn E, Johnson E. Class attendance and performance in principles of economics. Educ Econ 2006;14(2):211-
233. https://doi.org/10.1080/09645290600622954
11. Gardner G, Feldman M, Santen SA, Mui P, Biskobing D. Determinants and outcomes of in‑person lecture
attendance in medical school. Med Sci Educ 2022;32(4):883-890. https://doi.org/10.1007/s40670-022-01581-2
12. Kirby A, McElroy B. The effect of attendance on grade for first year economics students in University College
Cork. Econ Soc Rev 2003;34(3):311-326.
13. Marburger DR. Absenteeism and undergraduate exam performance. J Econ Educ 2001;32(2):99-109. https://doi.
org/10.1080/00220480109595176
14. Rodgers JR. A panel-data study of the effect of student attendance on university performance. Aus J Educ
2001;45(3):284-295. https://doi.org/10.1177/000494410104500306
15. Doggrell SA. Differences between students in various programs in a biochemistry course in lecture attendance,
engagement, and academic outcomes. Biochem Mol Biol Educ 2023;51(4):377-388. https://doi.org/10.1002/
bmb.21729
16. Andrietti V. Does lecture attendance affect academic performance? Panel data evidence for introductory
macroeconomics. Int Rev Econ Educ 2014;15:1-16. https://doi.org/10.1016/j.iree.2013.10.010
17. Mackintosh-Franklin C. An evaluation into the impact of undergraduate nursing students’ classroom attendance
and engagement with online tasks on overall academic achievement. Nurse Educ Today 2018;61:89-93. https://
doi.org/10.1016/j.nedt.2017.11.017
18. Torenbeek M, Janseen E, Suhre C. Predicting undergraduates’ academic achievement: The role of the curriculum,
time investment and self-regulated learning. Stud High Educ 2013;38(9):1393-1406. https://doi.org/10.1080/03
075079.2011.640996
19. Eisen DB, Schupp CW, Isseroff RR, Ibrahimi OA, Ledo L, Armstrong AW. Does class attendance matter? Results
from a second-year medical school dermatology cohort study. Int J Dermatol 2015;54(7):807-816. https://doi.
org/10.1111/ijd.12816
20. Kauffman CA, Derazin M, Asmar A, Kibble JD. Patterns of medical student engagement in a second-year
pathophysiology course: Relationship to USMLE Step 1 performance. Adv Physiol Educ 2019;43(4):512-518.
https://doi.org/10.1152/advan.00082.2019
21. Skoglund E, Fernandez J, Sherer JT, et al. Using the theory of planned behavior to evaluate factors that influence
PharmD students’ intention to attend lectures. Am J Pharm Educ 2020;84(5):7550. https://doi.org/10.5688/
ajpe7550
22. Persky AM, Kirwin JL, Marasco CJ, May DB, Skomo ML, Kennedy KB. Classroom attendance: Factors and
perceptions of students and faculty in US schools of pharmacy. Curr Pharm Teach Learn 2014;6(1):1-9. https://
doi.org/10.1016/j.cptl.2013.09.014
23. Assarroudi A, Heshmati Nabavi F, Armat MR, Ebadi A, Vaismoradi M. Directed qualitative content analysis: The
description and elaboration of its underpinning methods and data analysis process. J Res Nurs 2018;23(1):42-55.
https://doi.org/10.1177/1744987117741667 Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs
2008;62(1):107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
24. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15(9):1277-
1288. https://doi.org/10.1177/1049732305276687
25. Mayring P. Qualitative content analysis: Theoretical foundation, basic procedures and software solution.
Klagenfurt: Monograph; 2014. http://nbn-resolving.de/urn:nbn:de:0168-ssoar-395173
26. Columbia Mailman School for Public Health. Content analysis. 2023. https://www.publichealth.columbia.edu/
research/population-health-methods/content- analysis (accessed 14 June 2024).
27. Crosley J. Qualitative data coding 101: How to code qualitative data, the smart way (with examples). 2020. https://
gradcoach.com/qualitative-data-coding-101/ (accessed 14 June 2024).
28. Shava GN, Hleza S, Tlou F, Shonhiwa S, Mathonsi E. Qualitative content analysis, utility, usability and processes
in educational research. Int J Res Innov Soc Sci 2021;5(7):553-558.
29. Vaismoradi M, Jones J, Turunen H, Snelgrove S. Theme development in qualitative content analysis and thematic
analysis. J Nurs Educ Pract 2016;6(5):100-110. http://dx.doi.org/10.5430/jnep.v6n5p100
30. Mokhtari S, Nikzad S, Mokhtari S, Sabour S, Hosseini S. Investigating the reasons for students’ attendance in
and absenteeism from lecture classes and educational planning to improve the situation. J Edu Health Promot
2021;10(1):221. https://doi.org/10.4103/jehp.jehp_1112_20
31. Büchele S. Evaluating the link between attendance and performance in higher education: The role of classroom
engagement dimensions. Assess Eval Higher Educ 2021;46(1):132-150. https://doi.org/10.1080/02602938.2020.
1754330
32. López-Bonilla JM, López-Bonilla LM. The multidimensional structure of university absenteeism: An exploratory
study. Innov Educ Teaching Intern 2015;52(2):185-195. https://doi.org/10.1080/14703297.2013.847382
33. Cilliers EJ. The challenge of teaching generation Z. PEOPLE: Int J Soc Sci 2017;3:188‑198. http://hdl.handle.
net/10453/158991http://hdl.handle.net/10453/158991
34. Eckleberry‑Hunt J, Lick D, Hunt R. Is medical education ready for generation Z? J Grad Med Educ
2018;10(4):378‑381. https://doi.org/10.4300/JGME-D-18-00466.1
35. Forsgren S, Christensson T, Rudolfsson G, Rejnö Å. To attend or not: The reasoning behind nursing students’
attendance at lectures: A qualitative study. Scan J Educ Res 2021;65(3):500-509. https://doi.org/10.1080/003138
31.2020.1727004
36. Billings-Gagliardi S, Mazor KM. Student decisions about lecture attendance: Do electronic course materials
matter? Acad Med 2007;82(10 Suppl):S73-S76. https://doi.org/10.1097/acm.0b013e31813e651e
37. Gupta A, Saks NS. Exploring medical student decisions regarding attending live lectures and using recorded
lectures. Med Teach 2013;35(9):767-771. https://doi.org/10.3109/0142159X.2013.801940
38. Topale L. The strategic use of lecture recordings to facilitate an active and self-directed learning approach. BMC
Med Educ 2016;16(1):201. https://doi.org/10.1186/s12909-016-0723-0
39. Paisey C, Paisey NJ. Student attendance in an accounting module: Reasons for non-attendance and the effect
on academic performance at a Scottish university. Account Educ 2004;13(1):39-53. https://doi.org/10.1080/09
63928042000310788
40. Woodfield R, Jessop D, McMillan L. Gender differences in undergraduate attendance rates. Stud Higher Educ
2006;31(1):1-22. https://doi.org/10.1080/03075070500340127
41. Macfarlane B. The surveillance of learning: A critical analysis of university attendance policies. Higher Educ
Quart 2013;67(4):358-373. https://doi.org/10.1111/hequ.12016
42. Yeung A, Raju S, Sharma MD. Online lecture recordings and lecture attendance: Investigating student preferences
in a large first year psychology course. J Learn Design 2016;9(1):55-71.
43. Levett-Jones T, Lathlean J. Belongingness: A prerequisite for nursing students’ clinical learning. Nurse Educ Prac
2008;8(2):103-111. https://doi.org/10.1016/j.nepr.2007.04.003
44. Mellor D, Stokes M, Firth L, Hayashi Y, Cummins R. Need for belonging, relationship satisfaction, loneliness, and
life satisfaction. Pers Individ Dif 2008;45(3):213-218. https://doi.org/10.1016/j.paid.2008.03.020
45. Shqaidef AJ, Abu-Baker D, Al-Bitar ZB, Badran S, Hamdan AM. Academic performance of dental students:
A andomised trial comparing live, audio recorded and video recorded lectures. Eur J Dent Educ 2021;25:377-
384. https://doi.org/10.1111/eje.12614
46. Bennett R. Determinants of undergraduate student drop-out rates in a university business studies department. J
Further Higher Educ 2003;27(2):123-141. https://doi.org/10.1080/030987703200065154
47. Nordmann E, Calder C, Bishop P, Irwin A, Comber D. Turn up, tune in, don’t drop out: The relationship
between lecture attendance, use of lecture recordings, and achievement at different levels of study. Higher Educ
2019;77:1065-1084. https://doi.org/10.1007/s10734-018-0320-8
48. Lake W, Boyd W. Age, maturity and gender, and the propensity towards surface and deep learning approaches
amongst university students. Creative Educ 2015;6(22):2361-2371. https://doi.org/10.4236/ce.2015.622242
49. Wong BM, Holmboe ES. Transforming the academic faculty perspective in graduate medical education
to better align educational and clinical outcomes. Acad Med 2016;91(4):473-479. https://doi.org/10.1097/
acm.0000000000001035
50. Malone D, Connell C, Hewitt A, Brown T. Understanding how pharmacy, occupational therapy and nursingmidwifery
students utilise lectures as learning opportunities: A mixed methods study informing post-COVID-19
pandemic return to campus. Focus Health Prof Educ 2023;24(4):38-58.
51. Alsubaie MA. Hidden curriculum as one of current issue of curriculum. J Educ Prac 2015;6(33):125-128.
52. Neve H, Collett T. Empowering students with the hidden curriculum. Clin Teach 2018;15:494-499. https://doi.
org/10.1111/tct.12736
53. Zazulia AR, Goldhoff P. Faculty and medical student attitudes about preclinical classroom attendance. Teach
Learn Med 2014;26:327-334. https://doi.org/10.1080/10401334.2014.945028