Information and communication technology (ICT) has attracted the attention of scientific circles and organizations over recent years, with a focus on knowledge and rationality, and in order to efficiently employ the power of thinking, transfer repetitive tasks to machines and remove communication constraints. This attention means that virtual education or e-learning is now considered a major achievement of ICT, and has caused a number of scientific, research and cultural advances ¹ .

Clarke and Mayer define e-learning as presenting content through digital devices such as computers and cellphones, in order to improve learning ² . Using this method, learning takes place in a virtual environment in which learners interact with their peers, instructors and educational equipment in a non-traditional environment. In the virtual learning environment, the educational content is offered to the students through software, multimedia resources, the Internet and video conferencing, and the students communicate with their instructors, peers and other people or resources with the help of a computer, in order to carry out individual and group learning activities ^{3, 4} . One of the benefits of this approach is the full-time and pervasive access to educational resources, reduced transportation time and costs for the students, the expansion of education for all at a much lower cost, the ease of access to multiple and diverse educational resources, the possibility of learning at any time and place and the possibility to learn from the instructor at any time and place ⁵ . In spite of these benefits, implementing this form of education without analyzing whether the courses held have been adequately effective may lead to the failure of these courses as a means of education ⁶ . One of the best and most-cited models used to evaluate the success of information systems is the DeLone and McLean model. This model measures the success of information systems by measuring six variables, including information quality, system quality, intention to use, user satisfaction, service quality and net benefits ( Figure 1). The success of a virtual medical education system is multidimensional and can be associated with system quality, information quality and service quality, which are the prerequisites of three other key structures, namely user satisfaction, intention to use and net benefits, which measure the effects of using the system after it is implemented ⁷ . The evaluation of the courses held is one of the most important tasks of any organization and this need is twice as important in universities as they are considered a hub for research. The present study was conducted to evaluate the virtual education system implemented at the Nursing and Midwifery Department of Alborz University of Medical Sciences, based on the DeLone and McLean model using a path analysis.

A total of 127 undergraduate and graduate students of the Nursing and Midwifery Department of Alborz University of Medical Sciences were recruited for this study. The mean age of the participants was 27.29 ± 1.5 years and the most frequent age group was 20–25 (49.6%). The majority of the participants were female (68.5%) and married (50.4%) ( Table 1).

Today, e-learning has become a growing trend and an important strategy for promoting education in all major countries of the world.

According to the findings of the study, system quality was the only variable that affected the benefits and usefulness of the virtual education system through both the direct and indirect paths. According to the DeLone and McLean model, system quality refers to aspects of the information system itself, such as data reception speed, easy access, system authenticity, responsiveness, flexibility and user-friendliness ^{8– 11} . These findings are consistent with the results obtained by Pérez-Mira (2010) and Boroufar et al. (2014), who found that system quality has a positive impact on the benefits and usefulness of the system. According to their findings, system quality can be both encouraging and discouraging for the use of the system. They further argued that creating a quality e-learning system by increasing learner satisfaction has a positive effect on usefulness and benefits ^{12, 13} . Chiu et al. (2005) also found that quality and motivation are two key factors that affect user satisfaction and continued use of virtual education. Machado et al. (2014) found that increased use has a direct relationship with increased system quality, and argued that people are encouraged to use virtual education systems that are user-friendly ¹¹ .

Of the variables exerting their effects only through one path, service quality had the greatest impact on benefits and usefulness by indirectly affecting the intention to use. According to the DeLone and McLean model, service quality is essential for implementing information systems and depends on the performance of the service providers, which require training in sales and customer support. In the present study, service quality was found to affect the net benefits and usefulness of the system by indirectly affecting learner’s intention. This finding is consistent with the results of a study by Boroufar et al. (2014), who found that service quality indirectly affects the net benefits and usefulness of a system by affecting user satisfaction. Kazemi and Nematollahi (2014) also found that if web-based learning meets the needs of the learners, they will be motivated and satisfied, and this motivation and satisfaction will then make the learners continue using the system ¹⁴ .

Of the variables that directly affect the benefits of using the system, user satisfaction was the most effective. According to the DeLone and McLean model, user satisfaction refers to the response of the individual who uses the information system, such as overall satisfaction, enjoyable experiences and overall success. Chang et al. (2011) also found that the learners’ level of satisfaction has the greatest direct effect on net benefits (7 The term ‘net benefits’ refers to the main benefits achieved by user’s increased use and satisfaction ^{8– 11} . The satisfaction of the users of a system plays a large role in the success and continued use of a system ⁸ . In the present study, student satisfaction was affected by system quality and service quality. These results are consistent with the results obtained by Bauk et al., who also found that user satisfaction is an effective measure of the contradictions between the expectations before and the perceived performance after receiving the education. User satisfaction is affected by system quality while it affects the net benefits of the system. Pérez-Mira B (2010), however, found different results and stated that despite there being relationship between user satisfaction and net benefits, there are no significant relationships between these two variables when entered into a path analysis model, which could be due to the lack of sufficient variation in measuring the satisfaction variable ¹³ .

According to the results, system quality has the greatest overall impact on net benefits through both the direct and indirect paths by affecting user satisfaction and intention to use. The continued use of virtual education systems and the more efficient use of these systems therefore requires special attention to system quality, which involves speed of data transfer, ease of access, system authenticity, responsiveness, flexibility and user-friendliness.

The data referenced by this article are under copyright with the following copyright statement: Copyright: � 2017 Mahmoodi Z et al.

Data associated with the article are available under the terms of the Creative Commons Zero "No rights reserved" data waiver (CC0 1.0 Public domain dedication).

Dataset 1: Raw data obtained from the questionnaire based on the DeLone and McLean model. Gender, 1-female, 2-male; job, 1-student; marriage, 1-single, 2-married, 3-divorced, 4-widowed; education, 1-dipolma, 2-BS, 3-MS; subject, 1-medicine, 2-pharmacy, 3-dentistry, 4-nursing, 5-midwifery, 6-MS in consultation; QS1-5, question on quality of the system; QI1-5, question on quality of information; QH1-3, question on quality of service; M1-3, question on intention to use; S1-3, question on satisfaction; u1-4, question on usefulness. doi, 10.5256/f1000research.12278.d175011 ¹⁶