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Advancing Equity Through Open Educational Resources in a Public Health Nursing Course: Academic Outcomes and Student
Marguerite B Lucea1, Katherine C Brewer1
1Department of Nursing, Towson University, Towson, Maryland, USA.
Public Health Nursing (Boston, Mass.)
|April 24, 2026
Summary
Open Educational Resources (OER) in public health nursing courses significantly reduce costs for students without negatively impacting academic performance. This makes OER a cost-effective and equitable educational strategy.
Area of Science:
- Nursing Education
- Public Health Pedagogy
- Open Educational Resources
Background:
- Open Educational Resources (OER) are known to improve engagement, reduce costs, and increase inclusivity in nursing programs.
- The effectiveness of OER specifically for teaching public health nursing has not been previously investigated.
- This study addresses the gap by evaluating OER in an undergraduate public health nursing course.
Purpose of the Study:
- To evaluate the effectiveness of Open Educational Resources (OER) in an undergraduate public health nursing course.
- To assess the acceptability and impact of OER on student learning and satisfaction compared to traditional textbooks.
- To determine the cost-effectiveness of implementing OER in public health nursing education.
Main Methods:
- A retrospective quantitative analysis compared six course offerings from August 2021 to May 2024.
- Data from textbook-only (n=125) and OER-only (n=247) groups were analyzed, comparing final grades and student evaluations.
- Cost savings were calculated based on traditional textbook prices ($120/semester); statistical tests (Chi-square) analyzed grade differences and perceptions.
Main Results:
- OER eliminated textbook costs ($8400 per semester savings), while traditional textbooks incurred significant expenses.
- No significant differences in overall final grades were found between OER and textbook groups.
- Student satisfaction with course costs was significantly higher in the OER group (88% vs. 55%, p<0.0001), with similar perceptions of material necessity.
Conclusions:
- Implementing Open Educational Resources (OER) in public health nursing education substantially reduces student financial burdens.
- OER adoption does not compromise academic performance, demonstrating its viability as a cost-effective educational tool.
- OER represents an equitable strategy for enhancing public health nursing education.
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