Results of this study indicated that the use of a web-based education as a supplement to traditional classroom education (web-enhanced education) increased both the knowledge and skill performance scores of students on urinary catheterization. The highest scores of knowledge and skill performance were obtained for the web-enhanced group. This result suggests that student learning is boosted when students are incorporated interactively in the process through multiple learning methods, and this approach is used to support face-to-face classroom education. Consistent with our result, Salyers (2007) compared a webขenhanced lecture plus a three-hour lab session with a three-hour traditional lecture and demonstration of some basic nursing skills and reported positive effects of the web-enhanced demonstration group. Gerdprasert et al. (2010) used the web-based learning unit to supplement traditional conventional lectures and assessed students' achievements by using the pre- and post-test scores on factual knowledge and semi-structured interviews. The group receiving supplementation with web-based materials had significantly higher scores than the traditional lecture group. The study by Cooke et al. (2010) suggested that students participating in a web-enhanced classroom environment were able to study lessons at their own pace and repeat the content of lessons whenever they wanted. The American Association of College of Nursing (2005) also reported that supplementing classroom education with web technologies is an effective method of increasing student achievement. However, our finding conflicts with some other studies, which found no significant difference between the learning outcomes of the web-enhanced group and traditional classroom education group (Dwyer and Searle, 2009), or higher scores of students in the web-based group when compared to the web-enhanced group (Kearns et al., 2004).