In this present study, we found no significant difference between web-based education group and classroom instruction group in knowledge of urinary catheterization. This finding is contradictory to the literature,
suggesting that web-based learning provides flexibility for students in time, place, and access to teaching content (Buckley, 2003; Wilkinson et al., 2004; Farrell et al., 2007) and enhances the learning capacity of students by enabling them to progress at their own speed (Koch et al., 2010). A possible explanation of our finding might be the limitations of interaction between teachers and students. Students in the web-based group had no opportunity to ask questions or discuss the teaching content, and they were unable to receive immediate feedback from the teacher, whereas those in the classroom instruction group had the opportunity for face-to-face interaction during the course.