Erden Dilek, Kaya Hülya
Department of Nursing, Faculty of Health Sciences, Bezmiâlem Vakif University, Istanbul, Turkey.
J Nurs Res. 2025 Apr 1;33(2):e384. doi: 10.1097/jnr.0000000000000669.
The online flipped learning method, an innovative learning approach, helps develop critical thinking and self-directed learning skills and increases student interest in coursework.
This study was developed to investigate the impact of a flipped learning model-based chemotherapy symptom management education course on levels of academic achievement, critical thinking, and self-directed learning skills in nursing students.
This randomized controlled trial comprised 68 students, who were randomly assigned to either the experimental or the control group. A traditional online learning-based training program was applied in the control group, while online flipped learning was applied in the experimental group. Each group underwent training on chemotherapy symptom management for 1 h every week for 6 weeks. The researchers evaluated the results for both groups using the Chemotherapy Symptom Management Knowledge Test, the Marmara Critical Thinking Dispositions Scale, and the Self-Directed Learning Skills Scale applied before, immediately after, and 1 month after training. The data were collected between January 2020 and July 2021.
Academic achievement ( p < .001) and critical thinking dispositions increased during, immediately after, and 1 month after training ( p < .001) in the experimental group, while academic achievement increased 1 month after the training ( p < .001) in the control group. The degree of positive change in academic achievement in the experimental group was greater than that of the control group ( p = .028). Critical thinking disposition decreased during, immediately after, and 1 month after the training ( p < .001) in the control group, while no meaningful difference was found in self-directed learning skills in either group after the training ( p > .05).
CONCLUSION/IMPLICATIONS FOR PRACTICE: The online flipped learning model-based education program improved academic achievement and critical thinking disposition.
在线翻转学习方法是一种创新的学习方式，有助于培养批判性思维和自主学习能力，并提高学生对课程作业的兴趣。
本研究旨在探讨基于翻转学习模式的化疗症状管理教育课程对护理专业学生学业成绩、批判性思维和自主学习能力水平的影响。
这项随机对照试验包括68名学生，他们被随机分配到实验组或对照组。对照组采用传统的基于在线学习的培训计划，而实验组采用在线翻转学习。每组每周进行1小时的化疗症状管理培训，共6周。研究人员在培训前、培训后立即以及培训后1个月使用化疗症状管理知识测试、马尔马拉批判性思维倾向量表和自主学习技能量表对两组的结果进行评估。数据收集于2020年1月至2021年7月之间。
实验组在培训期间、培训后立即以及培训后1个月的学业成绩（p < .001）和批判性思维倾向均有所提高（p < .001），而对照组在培训后1个月学业成绩有所提高（p < .001）。实验组学业成绩的积极变化程度大于对照组（p = .028）。对照组在培训期间、培训后立即以及培训后1个月的批判性思维倾向均有所下降（p < .001），而两组在培训后自主学习能力方面均未发现有意义的差异（p > .05）。
结论/实践意义：基于在线翻转学习模式的教育计划提高了学业成绩和批判性思维倾向。
