J Korean Acad Psychiatr Ment Health Nurs.  2017 Jun;26(2):196-203. 10.12934/jkpmhn.2017.26.2.196.

Effects of the Flipped Classroom Approach on the Psychiatric Nursing Practicum Course

• Lee MK
• Chang SJ
• Jang SJ

• KMID: 2385705
• DOI: http://doi.org/10.12934/jkpmhn.2017.26.2.196

Abstract

PURPOSE
In this study effects of a flipped learning-based psychiatric nursing practicum were evaluated for appropriateness with undergraduate nursing students who are digital natives and tech-savvy millennial students.
METHODS
For this retrospective comparative study data from 146 undergraduate students (flipped learning group n=70, traditional learning group n=76) were evaluated for academic performance and life core competencies.
RESULTS
There was no significant difference between the flipped and traditional learning groups in prior homogeneity tests. The academic performance of the flipped learning group was higher than the control group in all aspects, except for practical quiz scores. The flipped leaning group had significantly higher self-assessment scores for academic performance (t=2.77, p=.006) and therapeutic communication simulation scores (t=3.18, p=.002). In addition, they showed a significant increase in core life competencies after participating in the flipped-learning practicum (t=-8.56, p<.001). They showed significant increases in all subdomains except Identity-value [Socialization (t=-5.13, p<.001), Responsibility-practice (t=-3.52, p=.001), Problem-solving (t=-2.67, p=.010), Knowledge-construction (t=-2.48, p=.016), and Information-management (t=-5.54, p<.001)]. Nursing students in the flipped learning-based clinical practicum showed significant improvement in performance and life core competencies.
CONCLUSION
These results suggest that as a student-centered pedagogy, flipped learning is an effective strategy for improving academic performance and core competencies.

Keyword

Active learning; Flipped classroom; Nursing education; Clinical practicum; Compete

MeSH Terms

Education, Nursing
Humans
Learning
Population Groups
Preceptorship
Problem-Based Learning
Psychiatric Nursing*
Retrospective Studies
Self-Assessment
Students, Nursing
Teaching

Reference

1. Benner P. Curricular and pedagogical implications for the Carnegie study, educating nurses: a call for radical transformation. Asian Nursing Research. 2015; 9(1):1–6. https://doi.org/10.1016/j.anr.2015.02.001.

2. Hawks SJ. The flipped classroom: now or never? AANA Journal. 2014; 82(4):264–269.

3. Prober CG, Khan S. Medical education reimagined: a call to action. Academic Medicine. 2013; 88(10):1407–1410. https://doi.org/10.1097/ACM.0b013e3182a368bd.

4. Sams A, Bergmann J. Flip your students' learning. Educational Leadership. 2013; 70(6):16–20.

5. King A. From sage on the stage to guide on the side. College Teaching. 1993; 41(1):30–35.

6. Khan S. Let's use video to reinvent education [Internet]. 2011. Available from. https://www.ted.com/talks/salman_khan_let_s_use_video_to_reinvent_education?language=ko.

7. Bergmann J, Sams A. Flipped learning: gateway to student engagement. 1st ed.Int'l Society for Technology in Education;2014. p. 48.

8. Kantar LD. Assessment and instruction to promote higher order thinking in nursing students. Nurse Education Today. 2014; 34(5):789–794. https://doi.org/10.1016/j.nedt.2013.08.013.

9. Roehl A, Reddy SL, Shannon GJ. The flipped classroom: an opportunity to engage millennial students through active learning strategies. Journal of Family and Consumer Sciences. 2013; 105(2):44–49.

10. Montenery SM, Walker M, Sorensen E, Thompson R, Kirklin D, White R, et al. Millennial generation student nurses' perceptions of the impact of multiple technologies on learning. Nursing Education Perspectives. 2013; 34(6):405–409. https://doi.org/10.5480/10-451.

11. Gaughan JE. The flipped classroom in world history. History Teacher. 2014; 47(2):221–244.

12. Green T. Flipped classrooms: an agenda for innovative marketing education in the digital era. Marketing Education Review. 2015; 25(3):179–191. https://doi.org/10.1080/10528008.2015.1044851.

13. Davies R, Dean D, Ball N. Flipping the classroom and instructional technology intergration in a college-level information systems spreadsheet course. Educational Technology Research and Development. 2013; 61(4):563–580. https://doi.org/10.1007/s11423-013-9305-6.

14. Ho J, Bidwal MK, Lopes IC, Shah BM, Ip EJ. Implementation of an accelerated physical examination course in a doctor of pharmacy program. American Journal of Pharmaceutical Education. 2014; 78(10):1–7. https://doi.org/10.5688/ajpe7810182.

15. McLaughlin JE, Griffin LM, Esserman DA, Davidson CA, Glatt DM, Roth MT, et al. Pharmacy student engagement, performance, and perception in a flipped satellite classroom. American Journal of Pharmaceutical Education. 2013; 77(9):1–8. https://doi.org/10.5688/ajpe779196.

16. Fahlberg B, Rice E, Muehrer R, Brey D. Active learning environments in nursing education: the experience of the university of wisconsin-madison school of nursing. New Directions for Teaching and Learning. 2014; 137:85–94. https://doi.org/10.1002/tl.20089.

17. Harrington SA, Bosch MV, Schoofs N, Beel-Bates C, Anderson K. Quantitative outcomes for nursing students in a flipped classroom. Nursing Education Perspectives. 2015; 36(3):179–181. https://doi.org/10.5480/13-1255.

18. Wong TH, Ip EJ, Lopes I, Rajagopalan V. Pharmacy students' performance and perceptions in a flipped teaching pilot on cardiac arrhythmias. American Journal of Pharmaceutical Education. 2014; 78(10):1–6. https://doi.org/10.5688/ajpe7810185.

19. Waltz CF, Jenkins LS, Han N. The use and effectiveness of active learning methods in nursing and health professions education: a literature review. Nursing Education Perspectives. 2014; 35(6):392–400. https://doi.org/10.5480/13-1168.

20. Critz CM, Knight D. Using the flipped classroom in graduate nursing education. Nurse Educator. 2013; 38(5):210–213. https://doi.org/10.1097/NNE.0b013e3182a0e56a.

21. Baek PG. A study on the relationships and characteristics between Korean collegiate essential skills and undergraduates' individual variant factors. Korean Journal of General Education. 2013; 7(3):349–387.

22. Kang M, Kim E, Yoo YR, Kim B. Comparing the life core competency of Korean undergraduates by learners' characteristics. Journal of Lifelong Learning Society. 2014; 10(4):61–84.

23. Presti CR. The flipped learning approach in nursing education: a literature review. Journal of Nursing Education. 2016; 55(5):252–257. https://doi.org/10.3928/01484834-20160414-03.

24. Goodwin B, Miller K. Evidence on flipped classrooms is still coming in. Educational Leadership. 2013; 70(6):78–80.

25. Bishop JL, Verleger MA. The flipped classroom: a survey of the research. In ASEE National Conference Proceedings. 2013 June; Atlanta, GA, Vol. 30, No. 9. Paper ID#6219. 1–18.

26. Jones M. Developing clinically savvy nursing students: an evaluation of problem-based learning in an associate degree program. Nursing Education Perspectives. 2008; 29(5):278–283.

27. Missildine K, Fountain R, Summers L, Gosselin K. Flipping the classroom to improve student performance and satisfaction. Journal of Nursing Education. 2013; 52(10):597–599. https://doi.org/10.3928/01484834-20130919-03.

28. McCurry MK, Martins DC. Teaching undergraduate nursing research: a comparison of traditional and innovative approaches for success with millennial learners. Journal of Nursing Education. 2010; 49(5):276–279. https://doi.org/10.3928/01484834-20091217-02.

29. Strayer JF. How learning in an inverted classroom influences cooperation, innovation and task orientation. Learning Environment Research. 2012; 15:171–193. https://doi.org/10.1007/s10984-012-9108-4.