| Sumario: | This article presented a novel approach to nursing education through extended Massive Open Online Courses (xMOOCs) designed specifically for registered nurses (RNs). The framework is based on the 4D developmental model established by S. Thiagarajan and Semmel in 1974, which encompasses four phases i.e. define, design, develop and disseminate. This structured model facilitates the creation of dynamic, engaging and productive online learning experiences, enhancing nurses' professional development. xMOOCs prepare nurses with the skills necessary for lifelong learning, integrating interactive modules and multimedia tools enhanced by adaptive learning technology. This approach contributes to quality patient care by developing the competencies of nursing. xMOOCs include interactive learning modules, case studies and simulations, providing nurses with practical experiential learning in a virtual environment. These courses foster active learning and improve critical thinking and decision-making skills that are essential in healthcare. Furthermore, xMOOCs address the needs of nursing professionals by offering customised learning pathways, enabling learners to focus on areas for improvement. This adaptability allows nurses to balance their professional responsibilities with further education. In summary, xMOOCs represent a significant advancement in nursing education, equipping RNs with accessible, scalable, and flexible learning opportunities that enhance professional development and, consequently, patient outcomes.
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