Results: Both quantitative and qualitative analyses showed that the program contributed to nursing students'
self-directed learning ability. In the experimental group, the post-test score showed an increase compared
with pretest score (p b 0.05). The score of experimental group was higher than control group (p b 0.05) after
18 months training, while there was no difference between them before this program. Qualitative results from
9 students' experience were formulated as three main thematic categories: influence on awareness, influence
on learning activities and influence on learning environment. It can be found in the qualitative analysis that
learners benefited from this program.