Electronic textbooks have become a common and less expensive resource for learning. These types of books have been replacing traditional paper textbooks for over a decade, and have become popular among college students. The problem this study addressed was that students learn differently when using electronic textbooks, and the use of electronic textbooks may not benefit all students. The purpose of this study was to explore undergraduate students' perceptions regarding the use of electronic textbooks versus printed textbooks for their learning. This study was guided by the theory of Constructivism with the idea that learning should be an active and involved process where students are engaged in their learning. A qualitative case study design utilizing individual surveys and focus groups was used to explore students' perceptions of the electronic textbooks in regards to learning. A snowball sampling method was used to identify interested students for participation. Participants were all currently enrolled in an associate degree nursing program and all had experience with traditional paper textbooks and electronic textbooks. Qualitative data analysis was supported by NVivo software. The main findings of the study were that all students were able to identify advantages and disadvantages of electronic textbooks, many students felt distracted when reading electronically. Most students utilize the extra features within the electronic textbook, with keyword searching as the most popular feature utilized. Most students do not thoroughly read their electronic textbook, instead, they skim through the book. Overall, the students' perception of learning from electronic textbooks was not better than traditional paper textbooks. The study's recommendations include providing students with orientation on how to utilize an electronic textbook, as well as future research on larger sample groups with more diversity regarding the perceptions of the electronic textbook for learning. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]