Where do we go from here? Evaluating the effectiveness of a nursing MOOC over six years.

BMC Med Educ · 2026 · PMC12924334 · PMID 41612349

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a decreasing trendno p-value reported

Committed learners accounted for 7.5% in the germination stage but showed a decreasing trend in the later stages—4.2% in the strategic opportunity stage, 2.5% in the maturity stage, and 1.7% in the sustainable stage.

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a clear trendno p-value reported

Thirdly, the relationship between learner performance profiles and the developmental stages of MOOCs reveals a clear trend in how online learning behaviors have evolved over time.

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