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Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis

OBJECTIVE: At present, current didactic teaching delivery method help nursing students apply theory to clinical situations in an inefficient way. The flipped classroom (FC), a novel teaching mode emphasizing self-study and critical thinking, has generated interest in nursing education in China. Howe...

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Autores principales: Li, Bao-Zhu, Cao, Nv-Wei, Ren, Chun-Xia, Chu, Xiu-Jie, Zhou, Hao-Yue, Guo, Biao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451570/
https://www.ncbi.nlm.nih.gov/pubmed/32853214
http://dx.doi.org/10.1371/journal.pone.0237926
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author Li, Bao-Zhu
Cao, Nv-Wei
Ren, Chun-Xia
Chu, Xiu-Jie
Zhou, Hao-Yue
Guo, Biao
author_facet Li, Bao-Zhu
Cao, Nv-Wei
Ren, Chun-Xia
Chu, Xiu-Jie
Zhou, Hao-Yue
Guo, Biao
author_sort Li, Bao-Zhu
collection PubMed
description OBJECTIVE: At present, current didactic teaching delivery method help nursing students apply theory to clinical situations in an inefficient way. The flipped classroom (FC), a novel teaching mode emphasizing self-study and critical thinking, has generated interest in nursing education in China. However, there are a gap in the literature and no consistent outcomes of current studies which compared FC and lecture-based learning (LBL), and no systematic review has comprehensively compared theoretical scores as an affected outcome in FC versus LBL modes. METHODS: In this review, we analyze flipped-learning nursing students’ scores, and aim to assess the efficacy and provide a deeper understanding of the FC in nursing education. Following the inclusion criteria, articles were obtained by searching PubMed, Embase and Chinese data, including the China National Knowledge Infrastructure, Wanfang Data, and VIP database until 3 January 2020. Data were extracted from eligible articles and quality was assessed. A meta-analysis was then performed using a random effects model with a standardized mean value (SMD) and a 95% confidence interval (CI).32 studies were included after reviewing 2,439 citations. All studies were randomized controlled trials (RCTs). The FC theoretical knowledge scores in FC were significantly positively affected compared to those of the traditional classroom (SMD = 1.33, 95% CI: 1.02–1.64; P < 0.001). In addition, 23 studies reported skill scores, indicating significant difference between the FC mode and LBL mode (SMD = 1.58, 95%CI: 1.23–1.93; P < 0.001). CONCLUSIONS: The results of this meta-analysis suggest that compared to the LBL teaching method, the FC mode dose significantly improve Chinese nursing students’ theoretical scores. However, the problems of heterogeneity and publication bias in this study need to be remedied high-quality future studies.
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spelling pubmed-74515702020-09-02 Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis Li, Bao-Zhu Cao, Nv-Wei Ren, Chun-Xia Chu, Xiu-Jie Zhou, Hao-Yue Guo, Biao PLoS One Research Article OBJECTIVE: At present, current didactic teaching delivery method help nursing students apply theory to clinical situations in an inefficient way. The flipped classroom (FC), a novel teaching mode emphasizing self-study and critical thinking, has generated interest in nursing education in China. However, there are a gap in the literature and no consistent outcomes of current studies which compared FC and lecture-based learning (LBL), and no systematic review has comprehensively compared theoretical scores as an affected outcome in FC versus LBL modes. METHODS: In this review, we analyze flipped-learning nursing students’ scores, and aim to assess the efficacy and provide a deeper understanding of the FC in nursing education. Following the inclusion criteria, articles were obtained by searching PubMed, Embase and Chinese data, including the China National Knowledge Infrastructure, Wanfang Data, and VIP database until 3 January 2020. Data were extracted from eligible articles and quality was assessed. A meta-analysis was then performed using a random effects model with a standardized mean value (SMD) and a 95% confidence interval (CI).32 studies were included after reviewing 2,439 citations. All studies were randomized controlled trials (RCTs). The FC theoretical knowledge scores in FC were significantly positively affected compared to those of the traditional classroom (SMD = 1.33, 95% CI: 1.02–1.64; P < 0.001). In addition, 23 studies reported skill scores, indicating significant difference between the FC mode and LBL mode (SMD = 1.58, 95%CI: 1.23–1.93; P < 0.001). CONCLUSIONS: The results of this meta-analysis suggest that compared to the LBL teaching method, the FC mode dose significantly improve Chinese nursing students’ theoretical scores. However, the problems of heterogeneity and publication bias in this study need to be remedied high-quality future studies. Public Library of Science 2020-08-27 /pmc/articles/PMC7451570/ /pubmed/32853214 http://dx.doi.org/10.1371/journal.pone.0237926 Text en © 2020 Li et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Li, Bao-Zhu
Cao, Nv-Wei
Ren, Chun-Xia
Chu, Xiu-Jie
Zhou, Hao-Yue
Guo, Biao
Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis
title Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis
title_full Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis
title_fullStr Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis
title_full_unstemmed Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis
title_short Flipped classroom improves nursing students’ theoretical learning in China: A meta-analysis
title_sort flipped classroom improves nursing students’ theoretical learning in china: a meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451570/
https://www.ncbi.nlm.nih.gov/pubmed/32853214
http://dx.doi.org/10.1371/journal.pone.0237926
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