Factors and Strategies in the Implementation of Flipped Classrooms Among Nursing Students

The flipped classroom represents a progressive pedagogical approach prioritizing active student engagement and participation through pre-class preparation. This study aimed to investigate the factors and strategies influencing the implementation of the flipped classroom model within nursing education reform. Employing a quantitative descriptive design, data were gathered using a survey questionnaire administered to undergraduate nursing interns at a hospital in China, with a sample size of 169 participants selected through simple random sampling. Demographically, the study found that most participants were female, and a significant portion fell within the 20-22 age range. Approximately 47.3% reported having one year or more of experience with the flipped classroom, 37.6% had reliable internet access, and 42% possessed three or more electronic devices. The overall implementation of equipment and resources and teacher and student involvement in the flipped classroom was reported to be high, reflecting robust adoption within the curriculum. Specifically, the study revealed a very high level of implementation of flipped classroom strategies within the context of nursing curriculum reform. Notably, while there was no significant correlation between the implementation of equipment and resources and variables such as gender, age, internet connectivity, or device ownership, there was a significant association with the duration of exposure to the flipped classroom model. Furthermore, the study identified gender-related differences in the strategies employed for flipped classroom implementation. However, no significant disparities were found based on gender, internet connectivity, or the number of digital devices among undergraduate nursing students. However, there was a noteworthy divergence in strategies based on the length of experience with the flipped classroom. Overall, among the key influencing factors—equipment and resources, teachers, and students—teachers emerged as the most influential in shaping the meaningfulness of the flipped classroom experience for nursing trainees. Their pivotal role underscores the importance of educator engagement and facilitation in optimizing the benefits of this innovative educational approach.