Transitioning the Knuston Diabetes Counselling and Empowerment Skills Course to an online format: an exploration of the experiences of educators

Authors

DOI:

https://doi.org/10.15277/bjd.2025.490

Keywords:

healthcare education, online teaching, reflexive thematic analysis

Abstract

Introduction: Since the coronavirus pandemic, the amount of healthcare education provided online has increased enormously. Research has generally focused on the effectiveness of online courses. Little attention has been given to the lived experiences of educators transitioning their courses to an online format. This paper explores the thoughts and feelings of a team of educators who recently experienced such a transition. 

Methods: In this qualitative study, a team of healthcare educators participated in a focus group or individual interview to explore what they learned from transitioning a four-day residential course teaching counselling skills and empowerment philosophy to healthcare professionals to an online format. A reflexive thematic analysis was employed to identify the themes that emerged from the data. 

Results: Six key themes emerged: 1) impact of COVID-19; 2) initial perspectives; 3) support; 4) disintegration to reintegration; 5) understanding the relationship between the old and the new; and 6) future planning. 

Conclusions: Transitioning an educational course from an in-person to an online format can initially be difficult but, with appropriate support, it is achievable and worthwhile. The process of transitioning a much-cherished course online was both an intellectual and an emotional process. 

Practice implications: It is hoped that this paper will help to guide those transitioning a course traditionally taught in-person to an online format. 

Author Biographies

Ruth Tobin, Queen's University Belfast

Trainee Clinical Psychologist, School of Psychology, Queen’s University Belfast,

David Keir Building, 18 - 30 Malone Road, Belfast, BT9 5BN.

Mark Davies, Consultant Clinical Psychologist, Belfast Health and Social Care Trust

Consultant Clinical Psychologist, Belfast Health and Social Care Trust,

Clinical Psychology Department, Belfast City Hospital,

95 Lisburn Road, Belfast, BT9 7AE

Cathy Lloyd, The Open University

Emeritus Professor of Health Studies, The Open University,

Walton Hall, Milton Keynes, MK7 6AA .

 

References

Baskici C, Aytar A, Ersoy H, et al. “Being in the digital box.” Academic staff experiences in online practical teaching: a qualitative study from six universities and countries. Heliyon 2024;10(2). https://doi.org/10.1016/j.heliyon.2024.e24275

Cheng C, Papadakos J, Umakanthan B, et al. On the advantages and disadvantages of virtual continuing medical education: a scoping review. Can Med Educ Jl 2023;14(3):41-74. https://doi.org/10.36834/cmej.75681

Li A, Zain NM, Yusuf A, et al. Development and effectiveness of online teaching on practical skills among nursing students: a systematic review and meta-analysis. Nurse Educ Pract 2024; 78:103988. https://doi.org/10.1016/j.nepr.2024.103988

Pei L, Wu H. Does online learning work better than offline learning in undergraduate medical education? A systematic review and meta-analysis. Med Educ Online 2019;24(1):1666538. https://doi.org/10.1080/10872981.2019.1666538

Richmond H, Copsey B, Hall AM, et al. A systematic review and meta-analysis of online versus alternative methods for training licensed health care professionals to deliver clinical interventions. BMC Med Educ 2017;17(1):227. https://doi.org/10.1186/s12909-017-1047-4

Semwal M, Whiting P, Bajpai R, et al. Digital education for health professions on smoking cessation management: systematic review by the Digital Health Education Collaboration. J Med Internet Res 2019;21(3):e13000. https://doi.org/10.2196/13000

Dost S, Hossain A, Shehab M, etal. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open 2020;10(11):e042378. https://doi.org/10.1136/bmjopen-2020-042378

George PP, Papachristou N, Belisario JM, etal. Online eLearning for undergraduates in health professions: a systematic review of the impact on knowledge, skills, attitudes and satisfaction. J Glob Health 2014;4(1):010406. https://doi.org/10.7189/jogh.04.010406

Ma H, Niu A, Tan J, et al. Nursing students' perception of digital technology in clinical education among undergraduate programs: a qualitative systematic review. J Prof Nurs 2024;53:49-56. https://doi.org/10.1016/j.profnurs.2024.04.008

Yang L, Zou J, Gao J, Fan X. Assessing the effectiveness of massive open online courses on improving clinical skills in medical education in China: a meta analysis. Heliyon 2023;9(8):e19263. https://doi.org/10.1016/j.heliyon.2023.e19263

Lewis KO, Baker RC. Teaching medical professionals online: a cross discipline experience. Med Teach 2010;32(3):26. https://doi.org/10.3109/01421590903434185

Kilvert A, Fox C. The diabetes counselling course at Knuston Hall: a 30-year journey. Pract Diabetes 2017;34(1):25-7. https://doi.org/10.1002/pdi.2073

Findlay-White F, Dornan T, Davies M, etal. From fixer to facilitator: an interpretative phenomenological study of diabetes person- centred counselling and empowerment-based education. F1000Research 2023;11:78. https://doi.org/10.12688/f1000research.73596.2

Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exercise Health 2019;11(4):589-597. https://doi.org/10.1080/2159676X.2019.1628806

Krueger RA, Casey MA. Focus groups: a practical guide for applied research. 5th ed. SAGE Publications; 2015.

Braun V, Clarke V. Using thematic analysis in psychology. QualRes Psychol 2006; 3(2):77–101. https://doi.org/10.1191/1478088706qp063oa

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Published

2025-12-18

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Original Research