A systematic review of the effectiveness of flipped classroom approaches in developing clinical skills among nursing students

Background: Acquiring clinical skills is vital in nursing education as it directly impacts students' competency and preparedness to provide safe and effective patient care. Flipped classroom approaches have gained attention, restructuring the teaching model to promote active learning and student engagement. The effectiveness of flipped classroom approaches in developing clinical skills among nursing students was evaluated through a systematic review. Methods: A systematic review methodology was employed to identify relevant studies. From the period ۲۰۱۳ to ۲۰۲۳, seven databases, namely ScienceDirect, Scopus, ProQuest, EBSCOhost, Sage Journal, Taylor and Francis, and PubMed, were searched through search strategy and the use of Boolean operators. Articles were assessed based on criterion and appraised using standardized tools: Joanna Briggs Institute (JBI) for quasi-experimental research & ROBVIS RCT checklist for assessing the risk of bias in randomized controlled trials. The authors employed the synthesis without meta-analysis (SWiM) guidelines for data analysis PRISMA checklist in finally appraising articles included for review. Results: Eight articles (quasi-experimental and RCTs) out of ۱۷,۳۷۴ reviewed were conducted in Egypt, the United States, Turkey, Spain, and Taiwan. The studies involved ۷۳۳ nursing students, and the duration of the interventions ranged from ۱۰ to ۱۶ weeks. Studies showed an overall low risk of bias and flipped classrooms significantly improved nursing students' clinical skills. The specific clinical skills that were improved included cardiopulmonary resuscitation, urinary catheterization, and safe medication administration. Conclusion: Flipped classroom approaches are a promising pedagogical method for enhancing the clinical skills of nursing students. However, more research is needed to confirm these findings and to identify the best practices for implementing flipped classroom approaches in nursing education.

کلیدواژه ها:

Clinical Competence ، Effectiveness ، Flipped Classroom ، Nursing Education ، Students