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ArticleBMC medical education2025

Nursing students' experiences and perceptions regarding in-class flipped classroom: a mixed-methods study.

Dongmei Zhang, Anle Huang, Yunxiao Lei, Haiyang Liu, Liu Yang, Congzhi Wang, Ting Yuan, Xiaoping Li, Lin Zhang, Wenyuan Shang

Registry-linked trialAbstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07129044 (The Effect of the Flipped Classroom Model on Nursing Students' Pediatric Pain Management Knowledge and Learning Motivation), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07129044 nacompletednot on this map

The Effect of the Flipped Classroom Model on Nursing Students' Pediatric Pain Management Knowledge and Learning Motivation: A Randomized Controlled Trial

TypeinterventionalSponsorMustafa BelliRan2022 to 2022Enrolled84ConditionsPain ManagementArmsFlipped Classroom Training on Pediatric Pain Management, Self-Directed Learning on Pediatric Pain Management
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Dongmei ZhangSchool of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China.
Anle HuangSchool of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China.
Yunxiao LeiSchool of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China.
Haiyang LiuStudent Health Center, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, An Hui Province, China.
Liu YangSchool of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China.
Congzhi WangSchool of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China.
Ting YuanSchool of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China.
Xiaoping LiSchool of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China.
Lin Zhang *School of Nursing, Wannan Medical College, 22 Wenchang West Road, Higher Education Park, Wuhu City, Anhui Province, China. yaoran2008@163.com.
Wenyuan Shang *Pediatric Cardiac Center Intensive Care Unit, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai Municipality, China. 250684179@qq.com.

Funding

a University-level open project of Anhui Provincial Key Research Base of Humanities and Social Sciences SJD202309the Anhui Education Department Foundation for Provincial Quality Project of Universities 2022jyxm1704, 2020jyxm2084, 2020xsxxkc457, and 2020SJJXSFK2466the Higher Education Teaching Reform Project of Wannan Medical College 2024jyxm12
6 · The paper itself

Abstract

backgroundIn medical education, flipped classroom, providing innovative ideas for teaching reform, has been actively promoted. However, it requires completing preparatory work before the classroom, with workload burden, time constraints, and lack of familiarity being the most common challenges associated with the pre-class activity. Moreover, pre-class activities inevitably impose multiple burdens and challenges on nursing students, potentially leading to fatigue and hindering their ability to cope effectively, thus impeding the achievement of the intended learning outcomes. Implementing an in-class flipped classroom approach could help alleviate these challenges. This study aimed to deepen understanding of nursing students' experiences and perceptions in the in-class flipped classroom settings, offering valuable insights for the reforming of nursing professional courses.

methodsThis study employed a mixed-methods study. The quantitative phase collected 107 nursing students' learning satisfaction with the in-class flipped classroom via questionnaires. The data were analyzed employing SPSS 25.0. In the qualitative phase, semi-structured interviews incorporating four focus group discussions were conducted with 57 nursing students. The Colaizzi seven-step analysis method was employed to analyze the interview data.

resultsThe quantitative results showed that the top three ratings contributing to learning satisfaction in the in-class flipped classroom were mastering knowledge effectively, creating a good classroom atmosphere, and improving communication and collaboration skills. The median score for all items was no less than 4/5. The qualitative results revealed five themes: progressive learning experience, teaching efficiency and effectiveness, developing abilities, impact on academic and occupational emotions, and needing to be improved. Finally, the integrated results validated the accuracy and rationality of the data.

conclusionThe in-class flipped classroom, an innovative teaching strategy, enhanced teaching effectiveness and efficiency. This approach is well-suited for the reform of teaching methods in nursing practice courses.

Indexed as

Education, Nursing, BaccalaureateProblem-Based LearningStudents, NursingAdultFemaleFocus GroupsHumansMaleQualitative ResearchSurveys and QuestionnairesYoung AdultIn-class flipped classroomMixed methodSatisfactionStudent

Identifiers

PMID40340719
PMCPMC12063271

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.