{"id":"https://openalex.org/W2009441763","doi":"https://doi.org/10.1007/s10916-009-9306-5","title":"Applying Non-synchronized E-learning to the Nursing Clinical Ladder System","display_name":"Applying Non-synchronized E-learning to the Nursing Clinical Ladder System","publication_year":2009,"publication_date":"2009-05-14","ids":{"openalex":"https://openalex.org/W2009441763","doi":"https://doi.org/10.1007/s10916-009-9306-5","mag":"2009441763","pmid":"https://pubmed.ncbi.nlm.nih.gov/20703617"},"language":"en","primary_location":{"id":"doi:10.1007/s10916-009-9306-5","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s10916-009-9306-5","pdf_url":null,"source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070987554","display_name":"Li-Jung Leu","orcid":null},"institutions":[{"id":"https://openalex.org/I4210108875","display_name":"Yuan's General Hospital","ror":"https://ror.org/01zj9wm95","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210108875"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Li-Jung Leu","raw_affiliation_strings":["Yuan's General Hospital, Kaohsiung 802, Taiwan","Yuan's General Hospital, Kaohsiung, 802, Taiwan"],"affiliations":[{"raw_affiliation_string":"Yuan's General Hospital, Kaohsiung 802, Taiwan","institution_ids":[]},{"raw_affiliation_string":"Yuan's General Hospital, Kaohsiung, 802, Taiwan","institution_ids":["https://openalex.org/I4210108875"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082293330","display_name":"Hsueh-Chih Liao","orcid":null},"institutions":[{"id":"https://openalex.org/I148099254","display_name":"National Chung Cheng University","ror":"https://ror.org/0028v3876","country_code":"TW","type":"education","lineage":["https://openalex.org/I148099254"]},{"id":"https://openalex.org/I4210149699","display_name":"St. Martin de Porres Hospital","ror":"https://ror.org/04re59v49","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210149699"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Hsueh-Chih Liao","raw_affiliation_strings":["Department of Information Management, National Chung Cheng University, Chia-Yi, 621, Taiwan","St. Martin De Porres Hospital, Chia-Yi, 600, Taiwan"],"affiliations":[{"raw_affiliation_string":"Department of Information Management, National Chung Cheng University, Chia-Yi, 621, Taiwan","institution_ids":["https://openalex.org/I148099254"]},{"raw_affiliation_string":"St. Martin De Porres Hospital, Chia-Yi, 600, Taiwan","institution_ids":["https://openalex.org/I4210149699"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048417949","display_name":"I\u2010Chiu Chang","orcid":"https://orcid.org/0000-0001-5030-270X"},"institutions":[{"id":"https://openalex.org/I148099254","display_name":"National Chung Cheng University","ror":"https://ror.org/0028v3876","country_code":"TW","type":"education","lineage":["https://openalex.org/I148099254"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"I-Chiu Chang","raw_affiliation_strings":["Department of Information Management, National Chung Cheng University, Chia-Yi, 621, Taiwan"],"affiliations":[{"raw_affiliation_string":"Department of Information Management, National Chung Cheng University, Chia-Yi, 621, Taiwan","institution_ids":["https://openalex.org/I148099254"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030246181","display_name":"Zhiyuan Su","orcid":"https://orcid.org/0000-0002-0316-1841"},"institutions":[{"id":"https://openalex.org/I56019348","display_name":"Chia Nan University of Pharmacy and Science","ror":"https://ror.org/02834m470","country_code":"TW","type":"education","lineage":["https://openalex.org/I56019348"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Zhi-Yuan Su","raw_affiliation_strings":["Department of Information Management, Chia Nan University of Pharmacy & Science, Tainan, 717, Taiwan"],"affiliations":[{"raw_affiliation_string":"Department of Information Management, Chia Nan University of Pharmacy & Science, Tainan, 717, Taiwan","institution_ids":["https://openalex.org/I56019348"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5030246181"],"corresponding_institution_ids":["https://openalex.org/I56019348"],"apc_list":{"value":3390,"currency":"EUR","value_usd":4390},"apc_paid":null,"fwci":2.4918,"has_fulltext":false,"cited_by_count":12,"citation_normalized_percentile":{"value":0.91883047,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"34","issue":"5","first_page":"909","last_page":"917"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10162","display_name":"Online and Blended Learning","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10162","display_name":"Online and Blended Learning","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14240","display_name":"E-Learning and COVID-19","score":0.9362000226974487,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11370","display_name":"Mobile Learning in Education","score":0.9247999787330627,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/competence","display_name":"Competence (human resources)","score":0.671305775642395},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.6051670908927917},{"id":"https://openalex.org/keywords/face-to-face","display_name":"Face-to-face","score":0.5085328817367554},{"id":"https://openalex.org/keywords/affect","display_name":"Affect (linguistics)","score":0.45348379015922546},{"id":"https://openalex.org/keywords/class","display_name":"Class (philosophy)","score":0.45085328817367554},{"id":"https://openalex.org/keywords/medical-education","display_name":"Medical education","score":0.44238007068634033},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.4207206964492798},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.39837217330932617},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.39385098218917847},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.23454567790031433},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.15102916955947876},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.0892883837223053},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.0694928765296936}],"concepts":[{"id":"https://openalex.org/C100521375","wikidata":"https://www.wikidata.org/wiki/Q2015382","display_name":"Competence (human resources)","level":2,"score":0.671305775642395},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.6051670908927917},{"id":"https://openalex.org/C2777359053","wikidata":"https://www.wikidata.org/wiki/Q2463823","display_name":"Face-to-face","level":2,"score":0.5085328817367554},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.45348379015922546},{"id":"https://openalex.org/C2777212361","wikidata":"https://www.wikidata.org/wiki/Q5127848","display_name":"Class (philosophy)","level":2,"score":0.45085328817367554},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.44238007068634033},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.4207206964492798},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.39837217330932617},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39385098218917847},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.23454567790031433},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.15102916955947876},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0892883837223053},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.0694928765296936},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002322","descriptor_name":"Career Mobility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002322","descriptor_name":"Career Mobility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002322","descriptor_name":"Career Mobility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003194","descriptor_name":"Computer-Assisted Instruction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003194","descriptor_name":"Computer-Assisted Instruction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003194","descriptor_name":"Computer-Assisted Instruction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false},{"descriptor_ui":"D009741","descriptor_name":"Nursing Staff, Hospital","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":false},{"descriptor_ui":"D013192","descriptor_name":"Staff Development","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D013192","descriptor_name":"Staff Development","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D013192","descriptor_name":"Staff Development","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D013624","descriptor_name":"Taiwan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013624","descriptor_name":"Taiwan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013624","descriptor_name":"Taiwan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020375","descriptor_name":"Education, Distance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020375","descriptor_name":"Education, Distance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020375","descriptor_name":"Education, Distance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1007/s10916-009-9306-5","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s10916-009-9306-5","pdf_url":null,"source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},{"id":"pmid:20703617","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20703617","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical systems","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/4","score":0.4099999964237213,"display_name":"Quality Education"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W26058608","https://openalex.org/W31877981","https://openalex.org/W187721159","https://openalex.org/W1144583884","https://openalex.org/W1580697994","https://openalex.org/W1975754760","https://openalex.org/W1984445139","https://openalex.org/W1995912173","https://openalex.org/W1998283420","https://openalex.org/W2003500707","https://openalex.org/W2012368938","https://openalex.org/W2013196036","https://openalex.org/W2064178948","https://openalex.org/W2073457621","https://openalex.org/W2081869405","https://openalex.org/W2086468910","https://openalex.org/W2090753136","https://openalex.org/W2093225216","https://openalex.org/W2101896433","https://openalex.org/W2125718468","https://openalex.org/W2142801253","https://openalex.org/W2332764759","https://openalex.org/W2402881865","https://openalex.org/W2404493434","https://openalex.org/W2409423100","https://openalex.org/W2417195884"],"related_works":["https://openalex.org/W2560936962","https://openalex.org/W2788727012","https://openalex.org/W2526386912","https://openalex.org/W4388203630","https://openalex.org/W2410591377","https://openalex.org/W2323113755","https://openalex.org/W2359476398","https://openalex.org/W2356645659","https://openalex.org/W2738162359","https://openalex.org/W2469507997"],"abstract_inverted_index":null,"counts_by_year":[{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-01-13T01:12:25.745995","created_date":"2025-10-10T00:00:00"}