Abstract
Objective : We have examined students' class assessment reports of nursing techniques of postural change associated with conducting an international distance-learning program with Sri Lanka. Method : We have connected one university in Sri Lanka with our university in Japan through Skype and have implemented a series of three courses about postural change practice. Students wrote post-class assessments about courses as well as techniques. Results : The average course-evaluation reports score was more than four on a five-point scale excluding the domains "Compared to other overseas distance learning systems you have already experienced, the overall picture and sound from Japan were of similar quality," and "The words and voice of the instructor were clearly audible". Each course presented also differences of picture sharpness. The average post-class assessment score for all arrangements was more than two on a three-point scale. Conclusions : The results have revealed that the Skype-based distance-learning program with a developing country can promote interest on innovative techniques and effectively enhance student's satisfaction with classes. However, internet communication condition is not stable and it is difficult to provide classes with more stable sound and picture quality.
