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Peer-Reviewed Publication
BMC Nurs2025;24(1):858.July 7, 2025Journal Article

Integrating transformative learning theory in synchronous E-learning in musculoskeletal pain education among primary care nurses: a randomized study.

Khim Siong Ng1, Zhi Yin Tang2, Pang Nee Frida Wong3, Joo Ling Joanne Chua4, Li Lin Lydia Goh4, Yi Ling Eileen Koh5, Kim Hwee Koh6,7,8
1Department of Physiotherapy, SingHealth Polyclinics - Head Office, 167 Jalan Bukit Merah Connection One (Tower 5), #15-10, Singapore, 150167, Singapore. Ng.khim.siong@singhealth.com.sg.
2Department of Physiotherapy, SingHealth Polyclinics - Head Office, 167 Jalan Bukit Merah Connection One (Tower 5), #15-10, Singapore, 150167, Singapore.
3Department of Nursing, SingHealth Polyclinics - Sengkang, 2 Sengkang Square, #01-06, Singapore, 545025, Singapore.
4Department of Pharmacy, SingHealth Polyclinics - Head Office, 167 Jalan Bukit Merah Connection One (Tower 5), #15-10, Singapore, 150167, Singapore.
5Department of Research, SingHealth Polyclinics - Head Office, 167 Jalan Bukit Merah Connection One (Tower 5), #15-10, Singapore, 150167, Singapore.
6Family Medicine, SingHealth Polyclinics - Pasir Ris, 6 Pasir Ris Dr 8, #1M-01, Singapore, 519466, Singapore.
7Duke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore.
8Lee Kong Chian School of Medicine, Nanyang Technological University, 11 Mandalay Rd, Singapore, 308232, Singapore.

Abstract

BACKGROUND: Synchronous E-learning has been used in Continuing Professional Education (CPE) to teach nurses about musculoskeletal (MSK) pain, but it is insufficient to achieve deeper conceptualization. Hence, we applied Transformative Learning Theory (TLT) to complement the CPE. This study aimed to assess the effectiveness of the TLT-design CPE and explore the learners' experience of transformativ…

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