Abstract
BACKGROUND: Investing in and supporting the nursing workforce through innovative education and training opportunities are imperative. There is limited evidence to support the use of mobile learning (mLearning) in undergraduate nursing programs in India. MATERIALS AND METHODS: This observational cohort study evaluated undergraduate nurses' acceptance and adoption of mLearning by analyzing a convenience sample of 74 third-year undergraduate nurses enrolled in a four-year Bachelor of Nursing program at a regional university in India in 2020. Students completed a four-week mLearning program that provided foundational knowledge about chronic disease management and primary health care via an experiential learning technology platform. An extended version of the Delone and McLean model for information system success questionnaire that included self-efficacy (SE) was administered pre- and post-learning programs to evaluate the acceptance and adoption. Partial least squares based on structural equation modeling were used to test the validity of the proposed model for mLearning acceptance and adoption. RESULTS: The findings support the role of SE, system quality, intention/actual use, and user satisfaction as important constructs for successful mLearning. Information quality and service quality were not key factors that influenced undergraduate nurses' acceptance and adoption of mLearning. CONCLUSION: This study makes an important contribution to the literature as the first study to examine the acceptance and adoption of mLearning among nursing students in India. It provides valuable information for higher-degree educational program developers and designers. It recommends that universities implement pre-program workshops and/or training to build student SE and support their capacity to use mLearning.