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Effectiveness of the flipped classroom on the development of self-directed learning in nursing education: a meta-analysis

Ya-Qian Liu
Ya-Qian Liu
, 
Yu-Feng Li
Yu-Feng Li
, 
Meng-Jie Lei
Meng-Jie Lei
, 
Peng-Xi Liu
Peng-Xi Liu
, 
Julie Theobald
Julie Theobald
, 
Li-Na Meng
Li-Na Meng
, 
Ting-Ting Liu
Ting-Ting Liu
, 
Chun-Mei Zhang
Chun-Mei Zhang
 oraz 
Chang-De Jin
Chang-De Jin
   | 31 gru 2018
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Article Category: Original article
Data publikacji: 31 gru 2018
Zakres stron: 317 - 329
Otrzymano: 20 lut 2018
Przyjęty: 07 maj 2018
DOI: https://doi.org/10.1515/fon-2018-0032
Słowa kluczowe
© 2018 Ya-Qian Liu et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Figure 1

Flow diagram of included and excluded studies.
Flow diagram of included and excluded studies.

Figure 2

Risk of bias graph.
Risk of bias graph.

Figure 3

Summary of risk of bias assessment.
Summary of risk of bias assessment.

Figure 4

Forest plot of overall self-directed learning scores after using FC compared with traditional lectures.
Forest plot of overall self-directed learning scores after using FC compared with traditional lectures.

Figure 5

Forest plot of subscale scores measured by SRL.
Forest plot of subscale scores measured by SRL.

Search strategies.

#1“flipped classroom” OR “flipped teaching” OR “flipped classroom teaching method” OR “flipped model” OR “the flipped class model” OR “reverse classroom teaching” OR “reverse teaching” OR “contra-traditional teaching approach” OR flip*OR “active learning” OR “blended learning” OR “problem-based learning”[Title/Abstract]
#2“Education, Nursing”[Mesh]
#3nurs* OR students nurs* OR education nurs* OR “nurs* education research” OR nursing[Title/Abstract]
#4#2 OR #3
#5“self-management” OR “desire for learning” OR “self-control” OR “self-regulated learning” OR “Independent learning capability” OR “autonomous learning ability” OR “Self-learning ability” OR “Self-direct learning” OR “Learner Autonomy” OR “self-learning readiness”[Title/ Abstract]
#6“randomized controlled trial” OR “random*” OR “RCT”
#7#1 AND #4 AND #5 AND #6

Characteristics of included studies.

AuthorCountryDesignSubjectSample sizeCurriculumIntervention (duration)ControlMeasurement of outcomes
Wang38ChinaRCTHigh vocational nursing studentsE:50 C:51Medical nursing experiment teachingFC: 1. Pre-class individual instruction 2. In-class group interactive activities (one semester)Traditional teachingSRL
Jing and Li34ChinaRCTHigh vocational nursing studentsE:50 C:52Assessment of technical symptoms of health assessmentOSCE and FC: 1. Pre-class individual instruction 2. In-class group interactive activities with OSCE (one semester)Traditional teachingALC
Tian et al.37ChinaRCTNursing undergraduate internE:32 C:32Geriatric nursingFC: 1. Pre-class individual instruction 2. In-class group interactive activities 3. After-class self-reflection and evaluation (one semester)Traditional teachingSRL
Chen et al.31ChinaRCTNursing undergraduate internE:36 C:36Emergency intensive careBL and FC: 1. Pre-class individual instruction 2. In-class group interactive activities with OSCE (2 periods)Traditional teachingSRL
Song et al.36ChinaRCTNursing undergraduate internE:30 C:30Basic nursing, experimental teachingFC: 1. Pre-class individual instruction 2. In-class group interactive activities; 3. After-class self-reflection and evaluation (4 periods)Traditional teachingSpecially designed
Deng32ChinaRCTNursing undergraduate internE:34 C:32Introduction of nursing scienceFC: 1. Pre-class individual instruction 2. In-class group interactive activities 3. After-class self-reflection and evaluation (one semester)Traditional teachingALC
Zong et al.39ChinaRCTHigh vocational nursing studentsE:101 C:100Basic nursing, experimental teachingFC with Wechat: 1. Pre-class individual instruction 2. In-class group interactive activities 3. After-class self-reflection and evaluation (two semesters)Traditional teachingSRL
Gagnon et al.7CanadaRCTNursing undergraduatesE:56 C:56Nursing researchBL with internet-based tutorials: 1. Pre-class individual instruction 2. In-class group interactive activities 3. After-class self-reflection and evaluation (13 periods)Traditional teachingSDLRSNE
Tian9ChinaQuasi-experimentNursing undergraduatesE:193 C:129Basic nursing, experimental teachingFC: 1. Pre-class individual instruction 2. In-class group interactive activities 3. After-class self-reflection and evaluation (one semester)Traditional teachingSRL
Liu et al.35ChinaQuasi- experimentNursing undergraduatesE:31 C:30Optional courses for rehabilitation nursingFC: 1. Pre-class individual instruction 2. In-class group interactive activities 3. After-class self-reflection and evaluation (one semester)Traditional teachingSRL
Hui33ChinaQuasi- experimentHigh vocational nursing studentsE:107 C:107Psychiatric nursingFC: 1. Pre-class individual instruction 2. In-class group interactive activities 3. After-class self-reflection and evaluation (one semester)Traditional teachingCALNS
Jahromi et al.8IranQuasi- experimentNursing undergraduatesE:39 C:38Mental health and psychiatric disordersTBL: 1. Readiness lesson by teacher 2. Readiness assurance test 3. Application as a team (two semesters)Web quest teachingSDLRS

Description of self-directed learning measured by other scales.

OutcomesTrialsSample size (EG/CG)Intervention effect size (CI)P-value of effect
ALC
Self-management abilityDeng3266 (34/32)1.51 [0.96, 2.06]<0.00001
Self-learning abilityDeng3266 (34/32)1.56 [1.00, 2.11]<0.00001
Information literacyDeng3266 (34/32)2.26 [1.63, 2.89]<0.00001
CALNS
Self-management abilityHui33214 (107/107)1.23 [−0.28, 2.74]0.11
Self-learning abilityHui33214 (107/107)2.19 [1.08, 3.30]0.0001
Information literacyHui33214 (107/107)3.33 [1.66, 5.00]<0.0001
SDLRS
Self-control abilityJahromi et al.877 (39/38)−0.79 [−1.25, −0.33]0.0009
Self-engagement abilityJahromi et al.877 (39/38)0.01 [−0.43, 0.46]0.95
Self-management abilityJahromi et al.877 (39/38)0.11 [−0.34, 0.55]0.64
eISSN:
2544-8994
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Assistive Professions, Nursing
Kanał RSS czasopisma