The evidence for ‘flipping out’: A systematic review of the flipped classroom in nursing education

• Published in: Nurse education today Vol. 38; pp. 15 - 21
• Main Authors: Betihavas, Vasiliki, Bridgman, Heather, Kornhaber, Rachel, Cross, Merylin
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.03.2016; Elsevier Science Ltd
• Subjects: Academic achievement; Academic staff; Appraisal; Classrooms; Cognitive style; Curricula; Curriculum; Education research; Education, Nursing, Baccalaureate - methods; Educational Change; Extraction; Flipped Classroom; Health care; Higher education; Humans; Inclusive education; Learning; Medical education; Medical screening; Nursing; Nursing education; Problem-based learning; Problem-Based Learning - methods; Retrieval; Student Satisfaction; Students, Nursing; Systematic review; Teaching; Teaching methods; Undergraduate students; Problem-based learning; Education research; Nursing; Higher education; Flipped classroom
• ISSN: 0260-6917; 1532-2793
• DOI: 10.1016/j.nedt.2015.12.010

The flipped classroom has generated interest in higher education providing a student-centred approach to learning. This has the potential to engage nursing students in ways that address the needs of today's students and the complexity of contemporary healthcare. Calls for educational reform, particularly in healthcare programs such as nursing, highlight the need for students to problem-solve, reason and apply theory into practice. The drivers towards student-based learning have manifested in team, problem and case-based learning models. Though there has been a shift towards the flipped classroom, comparatively little is known about how it is used in nursing curricula. The aims of this systematic review were to examine how the flipped classroom has been applied in nursing education and outcomes associated with this style of teaching. Five databases were searched and resulted in the retrieval of 21 papers: PubMed, CINAHL, EMBASE, Scopus and ERIC. After screening for inclusion/exclusion criteria, each paper was evaluated using a critical appraisal tool. Data extraction and analysis were completed on all included studies. This systematic review screened 21 titles and abstracts resulting in nine included studies. All authors critically appraised the quality of the included studies. Five studies were identified and themes identified were: academic performance outcomes, and student satisfaction implementing the flipped classroom. Use of the flipped classroom in higher education nursing programmes yielded neutral or positive academic outcomes and mixed results for satisfaction. Engagement of students in the flipped classroom model was achieved when academics informed and rationalised the purpose of the flipped classroom model to students. However, no studies in this review identified the evaluation of the process of implementing the flipped classroom. Studies examining the process and ongoing evaluation and refinement of the flipped classroom in higher education nursing programmes are warranted. •Flipped classroom provides a student-centred approach to learning.•Flipping engages nursing students in complexities of contemporary healthcare.•The flipped classroom offers transformative potential to reform nursing education.