The crisis of a nursing shortage is encouraging unemployed nurses to return to practice. A refresher course is needed before they return safely. Historically, schools of nursing and hospital-based continuing education departments offered refresher courses in the traditional classroom-based environments. Nurses in less populated, geographically dispersed areas have limited access to these educational opportunities. Refresher courses, whether in an academic or a hospital-based setting, are expensive and depend on class size to be cost-effective. An answer to the problem of cost and access is collaborative distance education using web-based instruction.
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White et al. (2003) studied this question.
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