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

2018 ◽  
Vol 5 (4) ◽  
pp. 317-329 ◽  
Author(s):  
Ya-Qian Liu ◽  
Yu-Feng Li ◽  
Meng-Jie Lei ◽  
Peng-Xi Liu ◽  
Julie Theobald ◽  
...  

Abstract Objectives To examine the best practice evidence of the effectiveness of the flipped classroom (FC) as a burgeoning teaching model on the development of self-directed learning in nursing education. Data sources The relevant randomized controlled trial (RCT) and non-RCT comparative studies were searched from multiple electronic databases including PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), Wanfang Data, China National Knowledge Infrastructure (CNKI), and Chinese Science and Technology Periodical Database (VIP) from inception to June 2017. Review methods The data were independently assessed and extracted for eligibility by two reviewers. The quality of included studies was assessed by another two reviewers using a standardized form and evaluated by using the Cochrane Collaboration’s risk of bias tool. The self-directed learning scores (continuous outcomes) were analyzed by using the 95% confidence intervals (CIs) with the standard deviation average (SMD) or weighted mean difference (WMD). The heterogeneity was assessed using Cochran’s I2 statistic. Results A total of 12 studies, which encompassed 1440 nursing students (intervention group = 685, control group = 755), were eligible for inclusion in this review. Of 12 included studies, the quality level of one included study was A and of the others was B. The pooled effect size showed that compared with traditional teaching models, the FC could improve nursing students’ self-directed learning skill, as measured by the Self-Directed Learning Readiness Scale (SDLRS), Self-Directed Learning Readiness Scale for Nursing Education (SDLRSNE), Self-Regulated Learning Scale (SRL), Autonomous Learning Competencies scale (ALC), and Competencies of Autonomous Learning of Nursing Students (CALNS). Overall scores and subgroup analyses with the SRL were all in favor of the FC. Conclusions The result of this meta-analysis indicated that FCs could improve the effect of self-directed learning in nursing education. Future studies with more RCTs using the same measurement tools are needed to draw more authoritative conclusions.

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Walter C. Millanzi ◽  
Patricia Z. Herman ◽  
Mahamudu R. Hussein

Abstract Background Self-directed learning is important in nursing as it is associated with improved clinical and moral competencies in providing quality and cost-effective care among people. However, unethical professional conduct demonstrated by some graduate nurses is linked with the way they are developed in schools alongside the content and pedagogies prescribed in nursing curricula. Pedagogical transformations appear to be inevitable to develop enthusiastic nursing students who can work independently in delivering quality and cost-effective nursing services to people. This study intended to examine the impact of facilitation in a problem-based pedagogy on self-directed learning readiness among undergraduate nursing students in Tanzania. Methods A controlled quasi-experimental design was conducted in Tanzanian higher training institutions from January to April 2019. A 40-item Self-directed learning Readiness scale for nursing education adopted from previous studies measured self-directed learning and the Student A descriptive analysis via a Statistical Package for Social Sciences software program (version 23) was performed to establish nursing students’ socio-demographic characteristics profiles. Independent samples t-test determined mean scores difference of self-directed learning readiness among nursing students between groups while regression analysis was performed to discriminate the effect of an intervention controlled with other co-related factors. Results The post-test results of self-directed learning readiness showed that nursing students scored significantly higher [(M = 33.01 ± 13.17; t (399) = 2.335; 95%CI: 0.486,5.668)] in the intervention group than their counterparts in the control. Findings of SDL readiness subscales were significantly higher among students in the intervention including self-management [(M = 10.11 ± 4.09; t (399) = 1.354; 95%CI: 0.173,4.026)], interest learning [(M = 9.21 ± 2.39; t (399) = 1.189; 95%CI: 0.166,4.323)] and self-control [(M = 13.63 ± 5.05; t (399) = 2.335; 95%CI: 0.486,5.668)]. The probability of nursing students to demonstrate self-directed learning readiness was 1.291 more times higher when exposed to the intervention (AOR = 1.291, p < 0.05, 95%CI: 0.767, 2.173) than in the control. Conclusion Facilitation in a problem-based pedagogy promises to change the spectrum of nursing learning habits potentially to their academic and professional achievements. Nurse tutors need to be empowered with it to prepare nursing students to meet their academic and professional potentials.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Mohammad Nazarianpirdosti ◽  
Maryam Janatolmakan ◽  
Bahareh Andayeshgar ◽  
Alireza Khatony

Background. Self-directed learning plays an important role in nursing education and is associated with academic achievement, communication self-efficacy, assertiveness, responsibility, and students’ clinical competencies. This study was conducted to analyze the existing research on the level of self-directed learning in nursing students. Methods. In this systematic review and meta-analysis, all studies that had examined the level of self-directed learning in nursing students until March 2, 2020, were searched in Science Direct, Ovid, Scopus, PubMed, ProQuest, Web of Science, and Google Scholar databases. In the meta-analysis section, I2 index and the random effects model were used. Comprehensive Meta-Analysis software (version 2) was used for data analysis. Results. The mean score of self-directed learning in 12 articles with 3830 samples was 156.73 ± 1.47 out of 200 (95% CI: 153.3–160.1). These scores were 153.50 ± 2.71 (95% CI: 148.18–158.82) and 154.67 ± 1.32 (95% CI: 157.50–159.32) in the male and female students, respectively. There was a significant relationship between self-directed learning and sample size, year of study, and semester ( p < 0.05 ). Conclusion. The mean self-directed learning in nursing students was at a moderate level, which does not seem to be sufficient. Given the positive role of self-directed learning in nursing education, it is essential that nursing professors teach self-directed learning skills to students via training courses.


2019 ◽  
Vol 3 (1) ◽  
pp. 32
Author(s):  
Ni Gusti Ayu Eka ◽  
Grace Solely Houghty ◽  
Juniarta Juniarta

<p>Though blended learning has been applied in nursing schools in Indonesia, the number of studies with regards to students’ motivation and self-readiness in their courses is still lacking. In addition, many student nurses claimed that the Research and Statistics course was more difficult than other nursing courses. This study aimed to assess the nursing students’ motivation and self-learning readiness of blended learning in a Research and Statistics course of the Faculty of Nursing at Universitas Pelita Harapan. The preliminary study recruited forty nursing students for validity and reliability test purposes. Two questionnaires were translated and tested including the adapted Academic Motivation Scale and the adapted Self-Directed Learning Readiness Scale for Nursing Education. Both Cronbach’s alphas of the questionnaires were above 0.8 (good reliability), however some questions were revised based on its validity test results and its readability. A total of 181 students were involved in the study and descriptive statistics were applied in the data analysis. The findings showed that nursing students had relatively moderate self-directed learning readiness (mean 90.18). With regards to academic motivation, students’ intrinsic motivation to know (mean 3.35) was higher than in other subdimensions of academic motivation. It also means that most of the students felt happy while learning and exploring something new in the course. In conclusion, motivation and self-learning readiness of students are important when applied to a blended course. It is recommended that nurse educators should identify students’ motivation and self-learning readiness to provide student-centered learning especially in a Research and Statistics course. Further research may involve more universities in different regions of Indonesia.</p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Meskipun blended learning telah diterapkan di pendidikan keperawatan di Indonesia, sejumlah studi berkaitan dengan motivasi dan kesiapan diri mahasiswa dalam pembelajaran mereka masih kurang. Selain itu, banyak mahasiswa perawat mengklaim bahwa mata kuliah Penelitian dan Statistik lebih sulit daripada mata kuliah keperawatan lainnya. Penelitian ini bertujuan untuk mengidentifikasi motivasi mahasiswa keperawatan dan kesiapan belajar sendiri dalam mata kuliah Penelitian dan Statistik dengan blended learning di Fakultas Keperawatan Universitas Pelita Harapan. Studi pendahuluan merekrut empat puluh mahasiswa keperawatan untuk keperluan uji validitas dan reliabilitas. Dua kuesioner diterjemahkan dan diuji yaitu Skala Motivasi Akademik dan Skala Kesiapan Belajar Sendiri (self-directed readiness) yang telah disesuaikan untuk pendidikan keperawatan. Hasil uji kedua kuesioner mempunyai nilai Cronbach Alpha berada di atas 0,8 (reliabilitas yang baik), namun beberapa pertanyaan direvisi berdasarkan pada hasil tes validitas dan keterbacaannya. Sebanyak 181 siswa terlibat dalam penelitian ini dan statistik deskriptif diterapkan dalam analisis data. Dalam penelitian ini, terungkap bahwa mahasiswa keperawatan memiliki kesiapan belajar mandiri yang relatif sedang (rata-rata 90,18). Sehubungan dengan motivasi akademik, motivasi intrinsik mahasiswa untuk mengetahui (rata-rata 3,35) lebih tinggi daripada sub-dimensi lain dari motivasi akademik. Ini juga berarti bahwa sebagian besar mahasiswa merasa bahagia saat belajar dan menggali sesuatu yang baru dalam pembelajaran. Sebagai kesimpulan, motivasi dan kesiapan diri adalah penting saat melaksanakan blended learning. Penelitian ini merekomendasikan agar pendidik perawat atau dosen untuk mengidentifikasi motivasi dan kesiapan diri mahasiswa dalam memberikan pembelajaran yang berpusat pada mahasiswa terutama dalam mata kuliah Penelitian dan Statistik. Penelitian selanjutnnya dapat memasukkan lebih dari satu universitas di daerah yang berbeda di Indonesia.</p>


2016 ◽  
Vol 5 (2) ◽  
pp. 109 ◽  
Author(s):  
Nesreen AbuAssi ◽  
Hanan Alkorashy

Self-directed learning and other prevalent learning styles are important aspects of nursing education because they help nurse educators to predict differences in learners’ needs, abilities, and interests. Moreover, nurse educators depend on these predictors when they choose the most suitable teaching strategies, which enable them to manage adult learners effectively. This study’s objective is to explore the relationship between learning styles and the willingness to adopt self-directed learning among nursing students in King Saud University (KSU). Using a cross-sectional descriptive correlational design, the study was conducted with 230 undergraduate nursing students (female and male) from the third to eighth academic levels at the College of Nursing at KSU, Saudi Arabia. Kolb’s learning styles inventory and the self-directed learning readiness scale were adopted to determine the effects of the self-directed learning approach. The study’s findings suggested that the majority of nursing students had a “Diverging” style of learning. The “self-control” subscale was used to determine the willingness for self-directed learning. It recorded the highest mean score compared to the subscales of “self-management” and “desire for learning.” However, no statistically significant association was found between learning styles and self-directed learning readiness. Additionally, the findings showed that the majority of the students who participated in this study had little interest in the self-directed learning approach. Thus, this study recommends that the nursing faculty needs to assess students for their preferred learning style and readiness for self-directed learning before and throughout the students’ enrollment in the college. Further, the nursing faculty should apply a variety of teaching methods to manage students’ learning needs effectively.


Author(s):  
Johnny J. Yao

A professional skill that permits nursing students to carry out nursing interventions in the workplace is the ability to solve health care problems. This is essential if they want to become professional nurses. Educators have been attempting to establish effective instructional techniques to improve nursing students’ problem-solving abilities. This study examined the relationship between problem-solving ability, academic self-efficacy, and self-directed learning readiness (SDLR) among nursing students. This study utilized a descriptive correlational study and recruited 170 nursing students in a private higher education institution in the Philippines. Standardized questionnaires were distributed, and data were analyzed using descriptive and inferential statistics. Results show that there is a significant indirect association between problem-solving ability and SDLR (r = -0.525, p < 0.001). Secondly, there is a significant direct association between SDLR and academic self-efficacy (r = 0.549, p < 0.001). Lastly, there is a significant indirect association between academic self-efficacy and problem-solving ability (r = -0.505, p < 0.001). The findings substantiate the assumptions of the study that academic self-efficacy, SDLR, and problem-solving ability of students have relationships with each other. Thus, students who are self-directed learners and are confident with their abilities of success in school tasks are able to solve complex problems or issues. Future research may be explored using longitudinal designs to be able to ascertain the causal link and directionality of the variables related to the present study.


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