Evidence map›Paper›PMID 41549260›Full record

ArticleBMC medical education2026

Nursing students' evaluations of the flipped classroom using the FLAS scale: a quantitative analysis.

Juan D Gonzalez-Sanz, Cristina Teresa-Morales, Margarita Rodríguez-Pérez, Dolores Torres-Enamorado, Carmen Feria-Ramírez, Fernando Urcola-Pardo

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Juan D Gonzalez-SanzNursing Department, COIDESO Research Center, University of Huelva, Huelva, Spain.ORCID http://orcid.org/0000-0002-4344-8353
Cristina Teresa-MoralesNursing Department, Higia Research Group (CTS500), Facultad de Enfermería, University of Huelva, Avd. Tres de Marzo s/n, Huelva, 21007, Spain. cristina.teresa@denf.uhu.es.ORCID http://orcid.org/0000-0003-3492-3922
Margarita Rodríguez-PérezNursing Department, University of Huelva, Huelva, Spain.ORCID http://orcid.org/0000-0002-0105-6001
Dolores Torres-EnamoradoSan Juan de Dios Nursing Centre, University of Seville, Seville, Spain.ORCID http://orcid.org/0000-0003-1046-1321
Carmen Feria-RamírezNursing Department, University of Huelva, Huelva, Spain.ORCID http://orcid.org/0000-0001-7940-7740
Fernando Urcola-PardoDepartment of Physiatry and Nursing, SAPIENF Research Group (B53_23R), University of Zaragoza, Zaragoza, Spain.ORCID http://orcid.org/0000-0001-7049-8295

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFlipped classroom is based on the principle of student responsibility and autonomy in the learning process. It involves students engaging in independent, asynchronous study of course content using materials provided by the lecturer, followed by active learning sessions during scheduled class time through reinforcement and/or assessment activities. The aim of this study was to describe and compare first- and third-year nursing students’ evaluations of their experience with the flipped classroom methodology.

methodsA descriptive and comparative study was conducted using the Flipped Learning Assessment Scale. This instrument evaluates three dimensions: quality of materials and organisation of the session, lecturer performance, and overall perception compared with traditional methodology. Flipped Classroom sessions were implemented in first- and third-year courses. Data were analysed using descriptive statistics, Mann–Whitney U tests, Spearman correlation and multiple regression.

resultsA total of 432 nursing students participated: 155 first-year and 277 third-year. Participants were enrolled from the University of Huelva, the University of Zaragoza, and the San Juan de Dios School of Nursing of the University of Seville. The mean scores for the three dimensions were 4.25 for materials and organisation, 4.52 for lecturer performance, and 3.82 for overall perception compared with traditional methodology. Third-year students tended to rate all dimensions higher than first-year students. Age was positively associated with the first two dimensions but not with the third. According to the regression model, academic year emerged as the strongest predictor of perception, reaching statistical significance for the first dimension. Age showed a significant association with lecturer performance, while sex did not appear to be a significant predictor.

conclusionsNursing students evaluated the Flipped Classroom with Moodle Book positively, especially lecturer performance and materials. Greater acceptance among third-year students suggests that academic maturity enhances engagement with active learning approaches.

Indexed as

Education, NursingModels, EducationalProblem-Based LearningStudents, NursingAdolescentAdultCurriculumFemaleHumansMaleSpainYoung AdultFlipped classroomFlipped learningNursing educationNursing students

Identifiers

PMID41549260
PMCPMC12896047

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LicenceCC BY-NC-ND
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Registered trials

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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.