The Effect of Flipped Classroom Technique on Nursing Students’ Knowledge and Self-Efficacy in Nursing for Pregnant Women Infected with COVID-19
Keywords:flipped classroom, self- efficiency
The flipped classroom teaching technique is one method of Active Learning, focusing on the students build knowledge based on their own skills, information, abilities, and intelligence. This one-group pretest-posttest design research aimed to compare nursing students’ knowledge and self-efficacy in nursing pregnant women infected with COVID-19 before and after applying the flipped classroom teaching technique. The population were nursing students registered for Maternal-child and midwifery practicum subject in the first semester of the academic year 2021. The samples were 45 nursing students selected by using a purposive sampling technique. Research tools composed of 1) ) questionnaire of knowledge in nursing care of pregnant women infected with COVID-19 and the reliability of KR-21 were 0.780, and 3) questionnaire of self-efficacy perception of nursing students. The reliability of cronbach’s alpha coefficient were 0. 950. Data were analyzed by descriptive statistics and paired simple t-test. The results revealed that after using the flipped classroom teaching technique, the nursing students had significantly higher mean scores of required knowledge and self-efficacy perception in nursing care of pregnant women infected with COVID-19 than those of before using flipped classroom technique (p-value < .05). The suggestion for further research is that the flipped classroom applied in online formats could be a highly useful resource for designing active learning environments in which university students could improve their knowledge and sense of self-efficacy.
Amornpaisarnloet, W. (2020). The views of Thai preservice teachers to a flipped classroom approach towards teaching a special education course. Walailak journal of learning innovations. 6(1), 107-125. [In Thai].
Campillo-Ferrer, J. M., & Miralles-Martínez, P. (2021). Effectiveness of the flipped classroom model on students’ self-reported motivation and learning during the COVID-19 pandemic. Humanities and social sciences communications. Retrieved 23 July 2022 from https://doi.org/10.1057/s41599-021-00860-4
Fallah, T., Hafezi, C.F., Makvandi, B., & Bavi, S. (2020). The effectiveness of flipped classroom technique in promoting academic motivation and self-efficacy among students. Iranian Journal of Learning and Memory, 3 (11), 69-75. Retrieved 17 April 2023 from https://doi.org/10.22034/iepa.2021.245649.1203
Fan, J. Y., Tseng, Y. J., Chao, L. F., Chen, S. L., & Jane, S. W. (2020). Learning outcomes of a flipped classroom teaching approach in an adult-health nursing course: a quasi-experimental study. BMC medical education,18;20(1):317Retrieved 23 July 2022 from . doi: 10.1186/s12909-020-02240-z. PMID: 32948178; PMCID: PMC7501708.
Hwang, G-J., Yin, C., & Chu, H-C. (2019). The era of flipped learning: promoting active learning and higher order thinking with innovative flipped learning strategies and supporting systems. Interactive Learning Environments, 27(8), 991-994, Retrieved 23 February 2023 from https://doi.org/10.1080/10494820.2019.1667150
Kruachottikul, S., & Oatme, S. (2020). The effects of using role -playing to self- efficiency in maternal-child nursing and midwifery I student nurses of Saint Louis college. Journal of health and health management. 6(2), 28-39. [In Thai].
Latorre-Cosculluela, C., Suárez, C., Quiroga, S., Anzano-Oto, S., Lira-Rodríguez, E., & Salamanca-Villate, A. (2022). Facilitating self-efficacy in university students: an interactive approach with Flipped Classroom. Higher Education Research & Development, 41, 1603-1617.
Namaziandost, E., & Çakmak, F. (2020). An account of EFL learners’ self-efficacy and gender in the Flipped Classroom Model. Education and Information Technologies . 25, 4041–4055. Retrieved 17 April 2023 from https://doi.org/10.1007/s10639-020-10167-7
Namaziandost, E., Tilwani, S. A., Khodayari, S. M., Ziafar, M., & Alekasir, S. (2020). Flipped classroom model and self-efficacy in an Iranian English as a foreign language context: A gender-based study. Journal of University Teaching & Learning Practice. 17(5) Retrieved 17 April 2020 from https://ro.uow.edu.au/jutlp/vol17/iss5/17
Odklun, P., Mongkonsukontharuk, S., & Sakulkoo, P. (2021). Learning achievement and opinions on the Learning management based on the flipped classroom of the first-year nursing students. Journal of graduate school. 18(81). 114-124. [In Thai].
Phupong, V. (2020). Coronavirus disease-19 and pregnancy. Thai journal of obstetrics and gynaecology. 28(2), 66-70. [In Thai].
Pulbutra, P., Saramunee, K., Anusornsangiam, W., Cushnie, B., & Jaruchotikamol, A. (2017). Effects of flipped classroom learning model in the lessons on pharmacology of anti-diabetic agents in pharmacy students at Mahasarakham University. Thai journal of pharmacy practice. 9(2). 422-432. [In Thai].
Rasmussen, S. A., Smulian, J. S., Lednicky, J. A., Wen, T. S., & Jamieson, D. J. (2020). Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. American journal of obstetrics & gynecology, 415-426. Retrieved July 23, 2022 from https://doi.org/10.1016/j.ajog.2020.02.017
Sithsungnoen, C. (2017). Flipped classroom: learning skill in century 21. Journal of MCU social science. 6(2 special editions), 171-182. [In Thai].
Srihiran, V. (2017). Critical thinking with flipped classroom. Graduate studies journal. 13(65).19-28. [In Thai].
The Royal Thai College of Obstetricians and Gynaecologists. (2021). Clinical practice guideline management of Covid-19 infection in pregnancy. Retrieved July 23, 2022 from
Tang, T., Abuhmaid, A. M., Olaimat, M., Oudat, D. M., Aldhaeebi, M., & Bamanger, E. (2020). Efficiency of flipped classroom with online-based teaching under COVID-19. Interactive learning environments. Retrieved 23 July 2022 from https://doi.org/10.1080/10494820.2020.1817761
Ministry of Education , Thailand (2017). The Higher Education Committee. The announcementof the Ministry of Education: Qualifications bachelor’s degree in nursing 2017. Bangkok: Ministry of Education; 2017. [In Thai]
Youhasan, P., Chen, Y., Lyndon, M., & Henning, M. A. (2021). Exploring the pedagogical design features of the flipped classroom in undergraduate nursing education: a systematic review. BMC nursing, 20(1), 50. https://doi.org/10.1186/s12912-021-00555-w
Zafarghandi, M.S. (2018). The effect of flip learning on students' self-efficacy and academic achievement. Retrieved 17 April 2023 from https://ssrn.com/abstract=3154001
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