Exploring the impact of massive open online course (MOOC)-based flipped classroom strategy on self- organized learning and digital competencies among nursing students: a quasi-experimental study.

Zeinab Bassiouny Seifelnasr Sallam, Ayman Mohamed El-Ashry, Amal Diab Ghanem Atalla, Hajer I Motakef, Bushra Alshammari, Awatif Alrasheeday, Farhan Alshammari, Yasmeen Mohamed Mohamed Shehata

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Article in International journal of nursing studies advances, 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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Zeinab Bassiouny Seifelnasr SallamNursing education department, Faculty of Nursing, Alexandria University, Egypt.

Ayman Mohamed El-AshryPsychiatric and Mental Health Nursing department, Faculty of Nursing, Alexandria University, Egypt.

Amal Diab Ghanem AtallaNursing Administration Department, Faculty of Nursing, Alexandria University, Egypt.

Hajer I MotakefMaternal and Child Health Nursing Department, College of Nursing, University of Hail, Hail, 2440, Saudi Arabia.

Bushra AlshammariMedical Surgical Nursing Department, College of Nursing, University of Hail, Hail, 2440, Saudi Arabia.

Awatif AlrasheedayNursing Administration Department, College of Nursing, University of Hail, Hail, Saudi Arabia.

Farhan AlshammariDepartment of Pharmaceutics, College of Pharmacy, University of Hail, Hail, 81442, Saudi Arabia.

Yasmeen Mohamed Mohamed ShehataNursing Education Department, Faculty of Nursing, Alexandria University, Egypt.

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Abstract

Aim: To examine whether participation in a Massive Open Online Course-based flipped classroom strategy was associated with improved digital competence and self-organized learning among nursing students. Background: Nursing students require digital competence and independent learning skills to participate effectively in technology-supported education and contemporary healthcare practice. Combining Massive Open Online Courses with flipped classroom instruction may integrate flexible digital learning with structured, active classroom participation. Design: A non-randomized quasi-experimental study. Methods: The study included 210 nursing students enrolled in a health education course. Students were allocated according to their pre-existing course sections to an intervention group or a control group, with 105 students in each group. The intervention group participated in a six-week Massive Open Online Course-based flipped classroom strategy comprising pre-class digital materials, online discussions, preparatory assignments, and face-to-face collaborative learning activities. The control group received conventional instructor-led teaching. Digital competence and self-organized learning were assessed before and immediately after the intervention using validated questionnaires. Pre- and post-intervention outcomes were compared between the groups. Results: The intervention group demonstrated significantly greater improvements than the control group in overall digital competence and all its domains, including information and data literacy, communication and collaboration, digital content creation, safety, and problem-solving. Significant improvements were also observed in overall self-organized learning and its dimensions of academic motivation, self-monitoring, and adaptation strategy. All group-by-time differences were statistically significant at p < .001. Most intervention-group students reported overall satisfaction with the strategy (94.3%). Conclusion: Participation in the Massive Open Online Course-based flipped classroom strategy was associated with improved digital competence and self-organized learning among nursing students compared with conventional instructor-led teaching. Randomized, multicentre, and longitudinal studies are required to determine the effectiveness, generalizability, and sustainability of these outcomes.

Indexed as

Digital competenceFlipped classroomMassive open online courseNursing educationNursing studentsSelf-organized learning

Identifiers

PMID42621879

DOI10.1016/j.ijnsa.2026.100647

PMCPMC13487596

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