As online learning continues to rise, students find educational value in consistency of instruction and technological support. With the significant increase in faculty designing courses, success lies with faculty education in instructional design. Additionally, students need support to navigate through the LMS and course elements to achieve success and increase their knowledge level. Determining the needs of nursing students and faculty is essential to the process of developing an effective course design for students leading to valuable content delivery and achievement of student outcomes. The purposes of this study were: (1) to measure attitudes toward online course design, (2) to compare online course delivery with instructor involvement, and (3) to determine changes to online courses. A significant finding is consistency within the LMS in course design and increased use of technology in content delivery.