Using a Massive Open Online Course (MOOC) to promote infection prevention and control learning in healthcare education


  • Marja Silén-Lipponen Unit of Health Care, Savonia University of Applied Sciences, Kuopio, Finland
  • Leena Koponen Unit of Health Care, Savonia University of Applied Sciences, Kuopio, Finland
  • Ulla Korhonen Unit of Health Care, Savonia University of Applied Sciences, Kuopio, Finland
  • Mikko Myllymäki Unit of Health Care, Savonia University of Applied Sciences, Kuopio, Finland



healthcare-associated infections, infection control, online learning, education, nursing students, public health nurses, medical laboratory personnel, Europe


Background: The prevention of healthcare-associated infections (HAIs) is one of the most important subjects in healthcare education.

Aim: The aim of this study was to describe Finnish, Spanish, Portuguese, and Polish healthcare students’ perspectives on learning about HAIs using a Massive Open Online Course (MOOC). This study is part of the Erasmus+ project ‘Educating students for innovative infection prevention and control (IPC) practices in healthcare settings’ (InovSafeCare).

Methods: The descriptive cross-sectional research design was used to describe healthcare students’ perspectives on learning about HAIs using the InovSafeCare MOOC (ISC-MOOC). The participants (N = 135) were students recruited from partner institutions. The project group developed a semi-structured questionnaire that was used for data collection, containing questions of technical and pedagogical usability. The data were analyzed by statistical methods and content analysis.

Results: The ISC-MOOC facilitated healthcare students’ independent learning and promoted their knowledge of HAI prevention and control. Study materials were easy to use (84%), and the media of the study materials were of high standard (83%). Some technical problems (14%) were also identified with the use of the materials. The study materials were relevant (70%) for IPC learning but should also be provided in different languages.

Conclusion: The MOOC will strengthen the role of the students as future healthcare professionals and will also be usable for those healthcare professionals who need to update their skills with today’s HAI requirements. MOOC should also be translated into other languages other than English.


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European Centre for Disease Prevention and Control. Assessment of infection control, hospital hygiene capacity and training needs in the European Union, 2014. Stockholm: ECDC; 2017. Available from: [cited 4 April 2021].

Ricchizzi E, Kinross P, Moro M, et al. Centers for Disease Control and Prevention. Healthcare-associated infections. Data Portal; 2020. Available from: [cited 5 May 2021].

Suetens C, Latour K, Kärki T, et al. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill 2018; 23(46): 1800516. doi: 10.2807/1560-7917.ES.2018.23.46.1800516

Leung NHL. Transmissibility and transmission of respiratory viruses. Nat Rev Microbiol 2021; 19(56): 528–45. doi: 10.1038/s41579-021-00535-6

Gupta RK, Marks M, Samuels THA, Luintel A, Rampling T, Chowdhury H, et al. Systematic evaluation and external validation of 22 prognostic models among hospitalised adults with COVID-19: an observational cohort study. medRxiv 2020. doi: 10.1101/2020.07.24.20149815

Ketcherside W, Olson J, Hunt L, Mehta J, Pallares Gutiérrez C, Coy L, et al. Feasibility and acceptance of a cloud-based mobile app for AMS and IC. Int J Infect Control 2020; 6(3): 2–6. doi: 10.3396/ijic.v16i3.021.20

United Nations Educational, Scientific and Cultural Organization (UNESCO) International Institute for Higher Education in Latin America and the Caribbean (IESALC). COVID-19 and higher education: today and tomorrow. Impact analysis, policy responses and recommendations. Paris, France: UNESCO; 2020. Available from: [cited 10 April 2020].

Jackson D, Bradbury-Jones C, Baptiste D, Gelling L, Morin K, Neville S, et al. Life in the pandemic: some reflections on nursing in the context of COVID-19. J Clin Nurs 2020; 29(13–14): 2041–3. doi: 10.1111/jocn.15257

Kyung MK. Clinical experiences as related to standard precautions compliance among nursing students: a focus group interview based on the theory of planned behavior. Asian Nurs Res 2015; 2(9): 109–14. doi: 10.1016/j.anr.2015.01.002

Thompson D, Bowdey L, Brett M, Cheek J. Using medical student observers of infection prevention, hand hygiene, and injection safety in outpatient settings: a cross-sectional survey. AJIC 2016; 44(4): 374–80. doi: 10.1016/j.ajic.2015.11.029

Felix AMS, Victor E, Malagutti SET, Gir E. Individual, work-related and institutional factors associated with adherence to standard precautions. J Infect Control 2013; 2(2): 106–11.

Omowaleola Akinwaare M, Oyinade Bello K, Ani O. Perceived barriers, knowledge, infection prevention and control, nursing and medical students. Int J Infect Control 2020; 16: 1–9. doi: 10.3396/ijic.v16i4.025.20

World Health Organization. The burden of health care-associated infection worldwide. 2018. Available from: [cited 5 April 2020].

Maxwell WD, Fabel PH, Diaz V, Walkowc J, Kwiekd N, Kanchanaraksae S, et al. Massive open online courses in U.S. healthcare education: practical considerations and lessons learned from implementation. Curr Pharm Teach Learn 2018; 10(6): 736–43. doi: 10.1016/j.cptl.2018.03.013

Ansah RH, Ezeh OV, Teck TS, Sorooshian S. The disruptive power of Massive Open Online Course (MOOC). IJIET 2020; 10(1): 42–7. doi: 10.18178/ijiet.2020.10.1.1337

Freitas S, Morgan J, Gibson DC. Will MOOCs transform learning and teaching in higher education? Engagement and course retention in online learning provision. Br J Educ Technol 2015; 46(3): 455–71. doi: 10.1111/bjet.12268

World Health Organization. Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. Geneva, Switzerland: World Health Organization; 2016. Available from: [cited 18 February 2021].

Siegel JD, Rhinehart E, Jackson M, Chiarello L. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. 2019. Available from: [cited 29 February 2021].

World Health Organization. WHO guidelines on hand hygiene in health care. First Global Patient Safety Challenge Clean Care is Safer Care. Geneva, Switzerland: World Health Organization; 2009. Available from:;jsessionid=CB95D072630CEA25305C072482532AA8?sequence=1 [cited 29 February 2021].

European Centre for Disease Prevention and Control. Healthcare-associated infections: surgical site infections. In: ECDC. Annual epidemiological report for 2017. Stockholm: ECDC; 2019. Available from [cited 29 February 2021].

DigiCampus. It is UNImpossible. 2020. Available from: [cited 15 April 2021].

Elo S, Kyngäs SH. The qualitative content analysis process. J Adv Nurs 2008; 62(1): 107–15. doi: 10.1111/j.1365-2648.2007.04569.x

Holtscneider M, Park C. Simulation and advanced practice registered nurses: opportunities to enhance interprofessional collaboration. Adv Crit Care 2019; 30(3): 269–73. doi: 10.4037/aacnacc2019157

Sung T, Wu T. Learning with E-books and project-based strategy in a community health nursing course. Comput Inform Nurs 2018; 36: 140–6. doi: 10.1097/cin.0000000000000398

Nokelainen P. An empirical assessment of pedagogical usability criteria for digital learning material with elementary school students. J Educ Techno Soc 2006; 9(2): 178–97.

Qalehsari MQ, Khaghanizadeh M, Ebadi A. Lifelong learning strategies in nursing: a systematic review. Electron Physician 2017; 9(10): 5541–50. doi: 10.19082%2F5541

Mikkonen K, Elo S, Miettunen J, Saarikoski M, Kääriäinen M. Clinical learning environment and supervision of international nursing students: a cross-sectional study. Nurse Educ Today 2017; 52: 73–80. doi: 10.1016/j.nedt.2017.02.017

Korhonen H, Tuomikoski AM, Oikarainen A, Kääriäinen M, Eelo S, Kyngäs H, et al. Culturally and linguistically diverse healthcare students’ experiences of the clinical learning environment and mentoring: a qualitative study. Nurse Educ Pract 2019; 41: 102637. doi: 10.1016/j.nepr.2019.102637

Longhini J, De Colle B, Rossettini G, Palese A. What knowledge is available on massive open online courses in nursing and academic healthcare sciences education? A rapid review. Nurse Educ Today 2021; 99(4): 104812. doi: 10.1016/j.nedt.2021.104812

Padilha JM, Machado PP, Ribeiro AL, Ribeiro R, Vieira F, Costa P. Easiness, usefulness and intention to use a MOOC in nursing. Nurse Educ Today 2021; 97: 104705. doi: 10.1016/j.nedt.2020.104705



How to Cite

Silén-Lipponen, M., Koponen, L., Korhonen, U., & Myllymäki, M. (2022). Using a Massive Open Online Course (MOOC) to promote infection prevention and control learning in healthcare education. International Journal of Infection Control, 18.



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