The Effect of Online Review Learning Methods on Nursing Students during COVID-19 Pandemic

Introduction: In the pandemic era, online learning is quickly overtaking traditional classroom instruction in popularity. Dealing with pandemic conditions while still prioritizing the ultimate goal of optimal learning, namely by using online learning combined with a review approach. The purpose of this research is to examine the effect of the practicum method with an online review approach of the Anatomy and Physiology Course compared to an online mini-lecture for nursing students at Universitas Muhammadiyah Lamongan, Indonesia. Methods: Adopted pre-experimental prepost test design used two group. Counted participant were recruited from nursing students in Universitas Muhammadiyah Lamongan in the academic year 2020 and 2021 in first semester by purposive sampling. Analyzed using Mann Whitney to cultivate midterm and final exams score. Results: The mean and standart deviation of intervention group (76.32 ± 9.63) exhibited significant compared to control group 63 ± 9.80 with p value= 0.001. Conclusion: The online review practice method has been proven to increase student scores during the pandemic compared to usual online review. Preliminary findings from this study show how COVID-19 has impacted first-year students' online learning behaviors and suggest online review learning as a strategy for maintaining students' learning during the pandemic.


INTRODUCTION
The worldwide pandemic brought on by the coronavirus disease 2019 (COVID-19) has impeded human contact and movement since early 2020. The best ways to prevent the spread of COVID-19, according to experts, are self-isolation, social isolation, social distancing and prohibiting gathering at school [1]. Almost any aspect of human life, including education, was seriously affected by the COVID-19 pandemic. Institutions were prompted to suspend their daily operations [2]. Traditional face-to-face learning has been replaced by online learning due to the need to prevent the spreading of infectious diseases [3]. More than 1.5 billion students and young people worldwide were impacted by closing schools and universities [4][5][6]. As a result, undergraduate nursing students will be able to use an online platform to continue learning indefinitely in the future [7].
Online learning is becoming more and more common in formal education. Due to the quick development of technologies and applications to support and improve online instruction, online instruction is expected to continue to grow and develop [8]. Previous studies have looked into the value and effectiveness of using online learning [9] [10],

Characteristics of respondents
Refers to table 1 the number students in the control group was 159, three students in the control group dropped out of the study due to absence, but 156 students in the control group completed the entire research project. The number of students in the intervention group was 136, 23 were dropped out because they were not fully present due to absence or illness.

DISCUSSION
Based on the study's findings, using online reviews to supplement classroom instruction in anatomy and physiology results in an average student learning outcome that is better than learning without online review.
The teaching strategies employed can have an impact on students' learning outcomes [17].
Corroborated through online learning methods can increase knowledge about clinical procedures and be applied in clinical practice [18]. It is unclear whether learning is something that students would like to enhance as well as add to in order to improve knowledge and deep insight. Online tutoring for students is very popular because it helps learners realize [19].
Online learning methods with online reviews can help nursing students access more information, and materials during online learning can be accessed from anywhere [20]. This condition will help increase students' responsibility in their learning process and character building so that online learning is a model for adult and independent learning. Adults could efficiently learn with self-directed methods. This theory is based on teaching and learning approaches, including online models. Through online learning, students can achieve educational goals based on their talents [21].
Another study found that learning using e-learning-based methods increased nursing students' creativity and learning ability [22].
In line with the findings of this study, nursing students showed more changes after learning online reviews of anatomy and physiology.
Reviewing learning is students should review over time, engaging in weekly and monthly reviews [23], It is an essential part of the learning process, and recalling content after a gap reinforces students' ability to remember it longer [24]. In order to ensure long-term Classes no longer require physical space because everything can be created using web applications. This learning method reachable from anywhere with the features using email and online discussions, students can access material whenever they want [27]- [29].
Online review learning more adaptable, better at managing time, and supportive of independent learning [30], also can produce both real-time and non-real-time interactions.
Materials can be created in a dynamic, creative, multimedia way, and fun [31]. where students can express themselves freely without feeling intimidated [33]. One of the benefits of e-learning is universal access [34].
Since anyone can use a web browser to access the internet, anyone can distribute content to learners anywhere in the world at any time [35]. The internet and intranet are simple to use and accessible to a large user base, even those with little computer experience. This technology specifically supports multimedia content to make the information more interesting and to help users learn in a variety of ways [36]. Describes the readiness of students in the first year to adapt to basic nursing materials with online review learning approach solutions.

LIMITATIONS
Both methods were conducted entirely online, so the research team could only check student attendance but had difficulty ensuring that students listened to the lecture with good attention.

CONCLUSION
The learning process method with online review learning is proven more effective in

SUGGESTION
This method needs to be redeveloped by considering the number of students and the number of lecturers to get a more optimal process. This study is recommended to determine the ratio between students and lecturers in online learning clinics and can be considered for further research.

ACKNOWLEDGEMENT
We would like to thank Aulia Kunianingrum and Dimas Arya Nugraha who have helped during the process of carrying out this research.