Understanding how pharmacy, occupational therapy and nursing-midwifery students utilise lectures as learning opportunities: A mixed methods study informing post-COVID-19 pandemic return to campus





lecture attendance, nursing students, midwifery students, occupational therapy students, pharmacy students, education


Introduction: Many universities switched to distance learning in response to the COVID-19 pandemic. As universities move to a post-COVID-19 normal, it is important for educators to be aware of what factors influence learners’ face-to-face lecture attendance. This study investigated what factors impacted nursing-midwifery, pharmacy and occupational therapy students’ pre-COVID-19 lecture attendance.

Methods: Using a positivist mixed-methods approach, third-year nursing-midwifery (n = 350), pharmacy (n = 24) and occupational therapy (n = 42) students completed a survey with quantitative and open-ended questions that asked students about what factors influenced them to attend and not attend face-to-face lectures. T-tests and Spearman correlations were used to analyse the quantitative data. A qualitative inductive approach was used to code the open-ended questions response data into themes.

Results: Occupational therapy and pharmacy students were more positive about the lectures in their programs than nursing-midwifery students. They also valued lecture quality and style more than nursing-midwifery students, who valued a convenient schedule. All three student cohorts valued engaging and enthusiastic lecturers and reported similar reasons for lecture attendance regarding the physical learning environment, other life- and work-related time commitments and the commuting distance to campus.

Conclusions: While there was agreement on many factors affecting lecture attendance across the three student cohorts, occupational therapy and pharmacy students placed more value on lecture style and presentation, whilst nursing-midwifery students placed more importance on when lectures were scheduled. These results have and will inform factors to consider regarding on campus lecture attendance post-COVID. 


Al Shenawi, H., Yaghan, R., Almarabheh, A., & Al Shenawi, N. (2021). The relationship between attendance and academic performance of undergraduate medical students during surgical clerkship. BMC Medical Education, 21, Article 396. https://doi.org/10.1186/s12909-021-02833-2

Bashir, A., Bashir, S. Rana, K., Lambert, P., & Vernallis, A. (2021). Post-COVID-19 adaptations: The shifts towards online learning, hybrid course delivery and the implications for biosciences courses in the higher education setting. Frontiers in Education, 6, Article 711619. https://www.frontiersin.org/article/10.3389/feduc.2021.711619

Bati, A. H., Mandiracioglu, A., Orgun, F., & Govsa, F. (2013). Why do students miss lectures? A study of lecture attendance amongst students of health science. Nurse Education Today, 33(6), 596–601. https://doi.org/10.1016/j.nedt.2012.07.010

Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. Nursing Plus Open, 2, 8–14. https://doi.org/10.1016/j.npls.2016.01.001

Beovich, B., Gosling, C., & Williams, B. (2021). Lecture attendance among university paramedic students: A sequential mixed methods study. Australasian Journal of Paramedicine, 18, Article 906. https://doi.org/10.33151/ajp.18.906

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Büchele, S. (2021). Evaluating the link between attendance and performance in higher education: The role of classroom engagement dimensions. Assessment & Evaluation in Higher Education, 46(1), 132–150. https://doi.org/10.1080/02602938.2020.1754330

Credé, M., Roch, S. G., & Kieszczynka, U. M. (2010). Class attendance in college: A meta-analytic review of the relationship of class attendance with grades and student characteristics. Review of Educational Research, 80(2), 272–295. https://doi.org/10.3102/0034654310362998

Croucher, G., & Locke, W. (2020). A post-coronavirus pandemic world: Some possible trends and their implications for Australian higher education. Melbourne Centre for the Study of Higher Education, University of Melbourne. https://melbourne-cshe.unimelb.edu.au/__data/assets/pdf_file/0010/3371941/a-post-coronavirus-world-for-higher-education_final.pdf

Curtin, T. (2021). Reimagining higher education: The post-Covid classroom. Educause Review. https://er.educause.edu/articles/2021/4/reimagining-higher-education-the-post-covid-classroom

da Silva, E. T., Nunes, M. D. F., Queiroz, M. G., & Leles, C. R. (2010). Factors influencing students’ performance in a Brazilian dental school. Brazilian Dental Journal, 21(1), 80–86. https://doi.org/10.1590/S0103-64402010000100013

Davis, E. A., Hodgson, Y., & Macaulay, J. O. (2012). Engagement of students with lectures in biochemistry and pharmacology. Biochemistry and Molecular Biology Education, 40(5), 300–309. https://doi.org/10.1002/bmb.20627

Deane, R. P., & Murphy, D. J. (2013). Student attendance and academic performance in undergraduate obstetrics/gynecology clinical rotations. JAMA, 310(21), 2282–2288. https://doi.org/10.1001/jama.2013.282228

Doggrell, S. A. (2020a). No apparent association between lecture attendance or accessing lecture recordings and academic outcomes in a medical laboratory science course. BMC Medical Education, 20(1), Article 207. https://doi.org/10.1186/s12909-020-02066-9

Doggrell, S. A. (2020b). A systematic review of the relationship between lecture attendance and academic outcomes for students studying the human biosciences. International Journal of Innovation in Sciences and Mathematics Education, 28(1), 60–76. https://doi.org/10.30722/IJISME.28.01.005

Doggrell, S. A. (2021). Quantitative study of lecture attendance and the association between this attendance and academic outcomes for nursing and nonnursing students in an introductory pathophysiology course. Advances in Physiology Education, 45(4), 651–660. https://doi.org/10.1152/advan.00037.2021

Emahiser, J., Nguyen, J., Vanier, C., & Sadik, A. (2021). Study of live lecture attendance, student perceptions and expectations. Medical Science Education, 31, 697–707. https://doi.org/10.1007/s40670-021-01236-8

Erlingsson, C., & Brysiewicz, P. (2017). A hands-on guide to doing content analysis. African Journal of Emergency Medicine, 7(3), 93–99. https://doi.org/10.1016/j.afjem.2017.08.001

Fang, X., Olvera, N., & Madrigal, K. (2019). Class attendance and student performance in medical school anatomy education. The FASEB Journal, 33(S1), Article 15. https://doi.org/10.1096/fasebj.2019.33.1_supplement.442.15

Forsgren, S., Christensson, T., Rudolfsson, G., & Rejnö, Å. (2021). To attend or not—the reasoning behind nursing students’ attendance at lectures: A qualitative study. Scandinavian Journal of Educational Research, 65(3), 500–509. https://doi.org/10.1080/00313831.2020.1727004

Gysbers, V., Johnston, J., Hancock, D., & Denyer, G. (2011). Why do students still bother coming to lectures, when everything is available online? International Journal of Innovation in Science and Mathematics Education, 19(2), 20–26. https://openjournals.library.sydney.edu.au/index.php/CAL/article/view/4887

Horton, D. M., Wiederman, S. D., & Saint, D. A. (2012). Assessment outcome is weakly correlated with lecture attendance: Influence of learning style and use of alternative materials. Advances in Physiology Education, 36(2), 108–115. https://doi.org/10.1152/advan.00111.2011

Kelly, G. E. (2012). Lecture attendance rates at university and related factors. Journal of Further and Higher Education, 36(1), 17–40. https://doi.org/10.1080/0309877X.2011.596196

Landin, M., & Pérez, J. (2015). Class attendance and academic achievement of pharmacy students in a European university. Currents in Pharmacy Teaching and Learning, 7(1), 78–83. https://doi.org/10.1016/j.cptl.2014.09.013

Larkin, H. (2010). “But they won’t come to lectures…”: The impact of audio recorded lectures on student experience and attendance. Australasian Journal of Educational Technology, 26(2), 238–249. https://ajet.org.au/index.php/AJET/article/view/1093/348

López-Bonilla, J. M., & López-Bonilla, L. M. (2015). The multidimensional structure of university absenteeism: An exploratory study. Innovations in Education and Teaching International, 52(2), 185–195. https://doi.org/10.1080/14703297.2013.847382

Mackintosh-Franklin, C. (2018). An evaluation into the impact of undergraduate nursing students’ classroom attendance and engagement with online tasks on overall academic achievement. Nurse Education Today, 61, 89–93. https://doi.org/10.1016/j.nedt.2017.11.017

Marchand, J.-P., Pearson, M. L., & Albon, S. P. (2014). Student and faculty member perspectives on lecture capture in pharmacy education. American Journal of Pharmaceutical Education, 78(4), Article 74. https://doi.org/10.5688/ajpe78474

Mokhtari, S., Nikzad, S., Mokhtari, S., Sabour, S., & Hosseini, S. (2021). Investigating the reasons for students’ attendance in and absenteeism from lecture classes and educational planning to improve the situation. Journal of Education and Health Promotion, 10, Article 221. https://journals.lww.com/jehp/fulltext/2021/10000/investigating_the_reasons_for_students__attendance.212.aspx

Moores, E., Birdi, G. K., & Higson, H. E. (2019). Determinants of university students’ attendance. Educational Research, 61(4), 371–387. https://doi.org/10.1080/00131881.2019.1660587

Organisation for Economic Co-operation and Development (OECD). (2020). The potential of online learning for adults: Early lessons from the COVID-19 crisis. https://read.oecd-ilibrary.org/view/?ref=135_135358-ool6fisocq&title=The-potential-of-Online-Learning-for-adults-Early-lessons-from-the-COVID-19-crisis

Oldfield, J., Rodwell, J., Curry, L., & Marks, G. (2017). Psychological and demographic predictors of undergraduate non-attendance at university lectures and seminars. Journal of Further and Higher Education, 42(4), 509–523. https://doi.org/10.1080/0309877X.2017.1301404

Oldfield, J., Rodwell, J., Curry, L., & Marks, G. (2019). A face in a sea of faces: Exploring university students’ reasons for non-attendance to teaching sessions. Journal of Further and Higher Education, 43(4), 443–452. https://doi.org/10.1080/0309877X.2017.1363387

Paisey, C., & Paisey, N. J. (2004). Student attendance in an accounting module: Reasons for non-attendance and the effect on academic performance at a Scottish university. Accounting Education, 13(Suppl. 1), 39–53. https://doi.org/10.1080/0963928042000310788

Persky, A. M., Kirwin, J. L., Marasco, C. J., May, D. B., Skomo, M. L., & Kennedy, K. B. (2014). Classroom attendance: Factors and perceptions of students and faculty in US schools of pharmacy. Currents in Pharmacy Teaching and Learning, 6(1), 1–9. https://doi.org/10.1016/j.cptl.2013.09.014

Randa, M. B. (2020). An exploration of absenteeism among nursing students in the context of a South African university. The Open Nursing Journal, 14, 285–291. https://doi.org/10.2174/1874434602014010285

Rawlani, S. S., Rawlani, S. M., Lohe, V., Bhowate, R., Khubchandani, M. R., & Chandak, R. (2018). Perception of dental faculty and student regarding class attendance and final performance. Journal of Education and Health Promotion, 7, Article 153. https://journals.lww.com/jehp/fulltext/2018/07000/perception_of_dental_faculty_and_student_regarding.153.aspx

Salamonson, Y., Andrew, S., & Everett, B. (2009). Academic engagement and disengagement as predictors of performance in pathophysiology among nursing students. Contemporary Nurse, 32(1–2), 123–132. https://doi.org/10.5172/conu.32.1-2.123

Schnee, D., Ward, T., Philips, E., Torkos, S., Mullakary, J., Tataronis, G., & Felix-Getzik, E. (2019). Effect of live attendance and video capture viewing on student examination performance. American Journal of Pharmacy Education, 83(6), Article 6897. https://doi.org/10.5688/ajpe6897

Selvig, D., Holaday, L. W., Purkiss, J., & Hortsch, M. (2015). Correlating students’ educational background, study habits, and resource usage with learning success in medical histology. Anatomical Science Education, 8(1), 1–11. https://doi.org/10.1002/ase.1449

Shumway, B. S., Bernstein, M. L., Qian, C., Kulkarni, M. Y., & Rai, S. N. (2018). Effect of lecture attendance and prerequisite academic outcomes on dental students’ oral pathology performance. Journal of Dental Education, 82(3), 306–312. https://doi.org/10.21815/JDE.018.031

Sloan, D., Manns, H., Mellor, A., & Jeffries, M. (2020). Factors influencing student non-attendance at formal teaching sessions. Studies in Higher Education, 45(11), 2203–2216. https://doi.org/10.1080/03075079.2019.1599849

Stegers-Jager, K. M., Cohen-Schotanus, J., & Themmen, A. P. N. (2012). Motivation, learning strategies, participation and medical school performance. Medical Education, 46, 678–688. https://doi.org/10.1111/j.1365-2923.2012.04284.x

Thatcher, A., Fridjhon, P., & Cockcroft, K. (2007). The relationship between lecture attendance and academic performance in an undergraduate psychology class. South African Journal of Psychology, 37(3), 656–660. https://doi.org/10.1177/008124630703700316

van Kessel, G., Gill, R., & Milanese, S. (2018). Physical therapy student choices when engaging with traditional or technological teaching resources. Journal of Physical Therapy Education, 32(3), 283–288. http://doi.org/10.1097/JTE.0000000000000058

Wongtrakul, W., & Dangprapai, Y. (2020). Effects of live lecture attendance on the academic achievement of preclinical medical students. Medical Science Educator, 30(4), 1523–1530. https://doi.org/10.1007/s40670-020-01068-y

Yeung, A., Raju, S., & Sharma, M. D. (2016). Online lecture recordings and lecture attendance: Investigating student preferences in a large first year psychology course. Journal of Learning Design, 9(1), 55–71. https://doi.org/10.5204/jld.v9i1.243

Zachry, A. H., Nash, B. H., & Nolen, A. (2017). Traditional lectures and team-based learning in an occupational therapy program: A survey of student perceptions. The Open Journal of Occupational Therapy, 5(2), Article 6. https://doi.org/10.15453/2168-6408.1313




How to Cite

Malone, D., Connell, C., Hewitt, A., & Brown, T. (2023). Understanding how pharmacy, occupational therapy and nursing-midwifery students utilise lectures as learning opportunities: A mixed methods study informing post-COVID-19 pandemic return to campus. Focus on Health Professional Education: A Multi-Professional Journal, 24(4), 37–58. https://doi.org/10.11157/fohpe.v24i4.649