81 fun critical thinking activities

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81 Fresh & Fun Critical-Thinking Activities (Grades 4-6) Paperback – January 1, 1998

• Print length 120 pages
• Language English
• Publisher Scholastic Professional Books
• Publication date January 1, 1998
• Grade level 4 - 6
• Dimensions 8.5 x 0.25 x 10.75 inches
• ISBN-10 0590375261
• ISBN-13 978-0590375269
• See all details

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• Publisher ‏ : ‎ Scholastic Professional Books (January 1, 1998)
• Language ‏ : ‎ English
• Paperback ‏ : ‎ 120 pages
• ISBN-10 ‏ : ‎ 0590375261
• ISBN-13 ‏ : ‎ 978-0590375269
• Grade level ‏ : ‎ 4 - 6
• Item Weight ‏ : ‎ 10.4 ounces
• Dimensions ‏ : ‎ 8.5 x 0.25 x 10.75 inches
• Best Sellers Rank: #936,459 in Books ( See Top 100 in Books )

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81 Fresh & Fun Critical Thinking Activities: Engaging Activities and Reproducibles to Develop Kids' Higher-Level Thinking Skills Paperback – Import, 1 July 1998

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• Language English
• Publisher Scholastic Teaching Resources
• Publication date 1 July 1998
• Grade level 4 - 6
• Dimensions 21.59 x 0.64 x 27.31 cm
• ISBN-10 0590375261
• ISBN-13 978-0590375269
• See all details

Product details

• Publisher ‏ : ‎ Scholastic Teaching Resources (1 July 1998)
• Language ‏ : ‎ English
• ISBN-10 ‏ : ‎ 0590375261
• ISBN-13 ‏ : ‎ 978-0590375269
• Item Weight ‏ : ‎ 295 g
• Dimensions ‏ : ‎ 21.59 x 0.64 x 27.31 cm
• Best Sellers Rank: #1,354,180 in Books ( See Top 100 in Books )

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Fun Critical Thinking Activities

Learning to evaluate information, find credible sources, and prepare for counterarguments is an important skill for people to learn, especially in the modern age of information. Here are 10 great critical thinking activities designed to develop your critical thinking skills.

  With so much information on the internet, parsing through what’s true and what isn’t can be a difficult challenge that relies heavily on your ability to think critically . The rest of this article will discuss 10 fun activities to improve your critical thinking skills.

Worst Case Scenario

In this first scenario, you’ll want a group of friends to bounce ideas around. The premise works by assuming that you and a group of friends are in a worst-case scenario. This might be the classic stranded on a desert island trope, but you can also change it up with something like being trapped in a spaceship with hostile aliens aboard.

In this exercise, you’ll be required to think both creatively and critically to evaluate what your best course of action is, how to allocate resources, and who should take on what roles and responsibilities.

Creative Construction

This exercise works your critical thinking muscles by forcing you to evaluate the resources you have on hand, what you can build out of them, and how you’re going to go about constructing it with the tools you have.

Story Telling

A very popular game that’s still worth its salt for adults, this activity starts with a series of random images. You can pull these straight from pictures on a browser and put them into a slideshow. Get a group together for your favorite storytime.

Not only does this create some hilarious stories, but it allows you to develop your critical thinking skills by evaluating how the image you’re given and the story might pair up.

Pragmatic Problem Solving

Where applicable, you can convert this idea into action by sharing your plan with public officials or starting a petition to inspire the change you want to see. Considering how different perspectives and resources play into this quandary is a powerful thought exercise that can help you develop your critical thinking skills.

Critical Analysis

Another great and dead simple exercise to develop your critical thinking skills is analyzing a popular piece of literature. Read it carefully and evaluate the author’s opinion, the biases behind them, and how you would either agree or contradict their viewpoints.

Controversy Conundrum

Not only do you have to present and uphold your viewpoint, but you’ll be obligated to address and respond to opposing viewpoints. To make this a twist, consider which side you’d take in the question and force yourself (and all participants) to defend their opponents’ points of view.

Alien Vacation

An entertaining premise puts you in the role of a tour guide for an alien on vacation. Evaluate something you take for granted, like a baseball game, and try to explain every aspect about it in a way that an alien would be able to comprehend. To add some humor, take turns on this exercise and have a friend play the alien to ask those probing questions.

Prison Promises

Competitor compromises.

Not only is this exercise good for developing critical thinking , but it’s a good way to think about your business. Consider your greatest business rival and assess how you could help them succeed further in their business without detrimentally affecting your own.

Final Thoughts on Fun Critical Thinking Activities

There are lots of great critical thinking exercises you can partake in, whether you want to get a group of friends together or just sit down with a pen and a pencil. Developing these skills is a dynamic and valuable way of improving your ability to solve problems.

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Thinking critically about your personal finance in a recession, the connection between critical thinking and ethics: unraveling the link, critical thinking puzzles for adults (with answers).

81 fresh & fun critical-thinking activities

Engaging activities and reproducibles to develop kids' higher-level thinking skills, by laurie rozakis.

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7 Fun Critical Thinking Activities to Train Your Brain to Think More Clearly

• Post author: Sherrie Hurd, A.A.
• Post published: August 9, 2018
• Reading time: 8 mins read
• Post category: Brain Power / Personal Development / Self-Improvement

Critical thinking activities not only help us develop a sharper mind, but they also help us develop a consistent mindset and way of thinking.

While thinking is easy, critical thinking, on a consistent basis, takes some skill . Improving it helps us develop a healthy way of reasoning, analyzing and empathizing that helps us take the right actions and perform the right deeds.

Yes, we can think about helping someone make a decision, but can we truly help them make the best one for their given situation ?

How to Improve Your Critical Thinking with These Activities

And what about our own issues? Can we clearly and concisely make the best possible decision each and every day according to the experience we have? This is where critical thinking comes in.

There are actually ideas which can vastly improve our critical thinking skills and help us create a better long-term outcome .

Maybe we can try these fun critical thinking activities to train our brain to be the best it can be.

1. stay on topic.

How easy is it for you to lose your concentration during a discussion? For me, it seems pretty easy, but the truth is, sometimes when you communicate, it’s easy to take, what I call, “tangents”.

For example, if I’m planning a way to complete a task, but yet I start talking about something else that needs to get done, I am going off topic . Every time I go off topic, I take the focus off the present issue.

One of the best activities to improve your critical thinking is practicing the incredibly hard objective of staying on task . Try it and see just how difficult it can sometimes be. It will be challenging to stay focused , but it will also be fun learning how to train your brain on a thinking “tightrope”.

The good news is, it does help improve the quality of your thought patterns.

2. Understand true motives

This is just smart thinking if you ask me. There are times when, during a conversation, someone will present an idea that supports their cognitive bias . It’s not easy to catch sometimes, but if you are good at critical thinking, you will notice the indicators. Pay attention to the details of the argument and understand how these details apply to the ones who are talking.

Unfortunately, some people have selfish motives and you will want to become familiar with the telltale signs. As you practice filtering out the true motives, it will become easier overtime to do so. Here’s the interesting part: you will also notice biases in yourself as well. Practice seeing things from a neutral position instead.

3. Character improvements

Now, take a look at your good and bad traits. When arguments arise, how often do you admit you’re wrong? How often do you turn to introspection? It’s important to regularly do an inventory of your own character . It’s also important to gauge just how much you are willing to learn from others .

Maybe you are truly right most of the time, but is it wise to remain steadfast in your beliefs ? Could it be more important to bend toward someone else’s opinion of the situation at hand? These are good questions to ask yourself as you examine who you really are.

After a rather heated argument , rehash the debate and come from your partner’s standpoint instead. Try to understand things from their point of view and decide to agree the next time to see what transpires. Maybe change is good for you.

4. One thing at a time

It also benefits you to take one problem at a time when working through various life circumstances. A good way to do this is by taking steps. First, identify the problem. Then decide whether you have a solution or not. I found out long ago that some problems require a number of steps instead of one big solution.

Sometimes these steps turn into smaller problems which must be solved before tackling the larger problem. This has to be discovered by careful analyzation of each step.

Practicing this technique of solving problems will help you stay patient in the future instead of getting irritable and overwhelmed when things take a turn for the worst.

Here’s a fun twist. Take a simple problem, for practice, and break it down into increments. Make different decisions on smaller portions of the problem to see where those decisions lead you.

5. Review your day

Wasted time is one of the biggest obstacles to productive thinking, and another culprit is procrastination, as you already know. So, first off, you must try to perform better during the day. Then, you need to practice doing a recap of what you’ve accomplished.

At the end of your workday, instead of watching television, try going back over all the things you got done. Think of your conversations , your errands, and even your thinking. Was it time well spent, or did you procrastinate and worry most of the day? Maybe you thought too long on the past.

Each evening, take time to recap your day and take note of any wasted time. This will help you improve in that area .

6. Journal your actions and reactions

At the end of each day or week, write down certain notable happenings in your day to day life. Write about the event and how it made you feel. Talk honestly about how you reacted to the situation. Do you feel good about what you said or did?

Now, analyze your response in this way. If you feel as though you could have reacted differently, then how do you plan to do that? Keep these journal entries so you can learn how to better respond to situations and eliminate instances of making rash decisions.

7. Illustrations

When debating something, it can get hard to convey a moral or standard that’s important to you. Illustrations can provide a story that helps the other person see how your argument works.

For instance, if you’re trying to help someone and they refuse to accept or understand your gesture, then talk to them about how your offer is similar to saving someone from having a physical accident (like an illustration of you pulling them out of the way or a speeding automobile.)

Maybe your gesture of help will eliminate a bad consequence by sharing an unrelated illustration or story. So, in your mind, practice placing ideas in story form for better understanding. When real problems come, you will have easy to understand illustrations in case you’re struggling with a solution.

Final words

The reason why improving critical thinking is so important is that activities like the above ones help us train our brain to stretch to new limits. Our simple thinking can be transformed into a well-informed intellect, paired with the ability to feel and reason productively. Critical thinking can actually improve our quality of life and the life of the ones we love.

To take advantage of the best the world has to offer, you must activate your brain’s powers. Once you start to practice the above activities, you will be surprised by your own critical thinking skills. Let’s do this together and enjoy the process of learning.

References :

• https://www.lifehack.org
• https://www.thebalancecareers.com

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• Open access
• Published: 26 August 2024

Using a flipped teaching strategy in undergraduate nursing education: students’ perceptions and performance

• Shaherah Yousef Andargeery 1 ,
• Hibah Abdulrahim Bahri 2 ,
• Rania Ali Alhalwani 1 ,
• Shorok Hamed Alahmedi 1 &
• Waad Hasan Ali 1  

BMC Medical Education volume  24 , Article number:  926 ( 2024 ) Cite this article

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Flipped teaching is an interactive learning strategy that actively engages students in the learning process. Students have an active role in flipped teaching as they independently prepare for the class. Class time is dedicated to discussion and learning activities. Thus, it is believed that flipped teaching promotes students’ critical thinking, communication, application of knowledge in real-life situations, and becoming lifelong learners. The aim of this study was to describe the students’ perception of flipped teaching as an innovative learning strategy. And to assess if there was a difference in students’ academic performance between those who participated in a traditional teaching strategy compared to those who participated in flipped teaching intervention.

A quasi-experimental design with intervention and control groups. A purposive sampling technique of undergraduate nursing students was used.

A total of 355 students participated in both groups, and 70 out of 182 students in the intervention group completed the survey. The students perceived a moderate level of effectiveness of the flipped teaching classroom as a teaching strategy. The result revealed that there is a statistically significant difference in the mean students’ scores for the intervention group (M = 83.34, SD = 9.81) and control group (M = 75.57, SD = 9.82).

Flipped teaching proves its effectiveness in improving students’ learning experience and academic performance. Also, students had a positive perception about flipped teaching as it allowed them to develop essential nursing competencies. Future studies must consider measuring the influence of flipped teaching on students’ ability to acquire nursing competencies, such as critical thinking and clinical reasoning.

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The successful outcome of individualized nursing care of each patient depends on effective communication between nurses and patients. Therapeutic communication consists of an exchange of verbal and non-verbal cues. It is a process in which the professional nurse uses specific techniques to help patients better understand their conditions and promote patients’ open communication of their thoughts and feelings in an environment of mutual respect and acceptance [ 1 ]. Effective educational preparation, continuing practice, and self-reflection about one’s communication skills are all necessary for becoming proficient in therapeutic communication. Teaching therapeutic communication to nursing students explains the principles of verbal and non-verbal communication that can be emphasized through classroom presentation, discussion, case studies and role-play. It also helps them develop their ability to communicate effectively with patients, families, and other health care professionals. Nursing students should be able to critically think, conceptualizing, applying, analyzing, synthesizing, and evaluating information generated by observation, experience, reflection, reasoning, and communication. Utilizing a traditional teaching strategy can be a challenge to meet the previously stated requirements [ 2 ]. Therefore, nurse educators should adapt unique teaching methods to help students learn and participate in their own education.

The “flipped classroom” is a pedagogical approach that has gained popularity worldwide to foster active learning. Active learning is defined as instructional strategies that actively engage students in their learning. It requires them to do meaningful learning activities and reflect on their actions [ 3 ]. Flipped teaching is a teaching strategy that promotes critical thinking and the application of information learned outside of the classroom to real-world situations and solves problems within the classroom. It is used in a way that allows educators to deliver lectures by using technologies such as video, audio files, PowerPoint or other media. Thus, the students can read or study those materials on their own at home before attending the class. As a result, discussions and debates about the materials take place throughout the lecture time. Some of the main principles of flipped teaching are increasing interaction and communication between students and educators, allocating more time for content mastery and understanding, granting opportunities for closing gaps and development, creating opportunities for active engagement, and providing immediate feedback [ 4 , 5 ]. This teaching/learning methodology is supported by constructivism learning theory. A “problem-solving approach to learning” is how constructivism is frequently described. In which, it requires a shift in the nurse educator’s epistemic assumptions about the teaching-learning process. Constructivism requires nursing educators to take on the role of a learning facilitator who encourages collaboration and teamwork as well as guides the students in building their knowledge. The underlying assumptions of constructivism include the idea that learning occurs as a result of social interaction in which the student actively creates their own knowledge, while prior experiences serve as the foundation for the learning process. The “flipping classroom” reflects that approach, which integrates student-centered learning [ 6 ].

Flipped teaching approach has students learning before lectures, teaching the material to better use classroom time for cooperative learning. The discussed herein represents studies and case studies from primary through graduate schools. The literature indicated students did see value in this pedagogical approach. Most of the studies found that flipped teaching was associated with better understanding of the material learned, higher academic achievement/performance, and potentially improved psychosocial factors (self-esteem, self-efficacy) that are associated with learning. Interestingly, one article pointed out that non-didactic material used in flipped-teaching lead to an increase in performance and this did not happen with didactic material.

According to Jordan et al. [ 7 ], a flipped teaching is a methodology that was developed as a response to advancements and changes in society, pedagogical approaches, and rapid growth and advancement of technology; The flipped teaching was evolved from the peer instruction and just in time teaching approaches. Jordan and colleagues [ 7 ] state that independent learning happens outside the classroom prior to the lesson through instructional materials while classroom time is maximized to fosters an environment of collaborative learning. Qutob [ 8 ] states that flipped teaching enhances student learning and engagement and promotes greater independence for students.

Jordan et al. [ 7 ] studied the use of flipped teaching on the teaching of first- and fourth-year students’ discrete mathematics and graphs, models, and applications. Across all the classes studied (pilot, graph, model and application, practices, computer and business administration), students preferred flipped teaching compared to traditional teaching. According to Jordan et al. [ 7 ], the quality of the materials and exercises, and perceived difficulty of the course and material are important to student satisfaction with this method. Additionally, it was found that interactions with teachers and collaborative learning were positive. Likewise, Nguyen et al. [ 9 ] found students favorably perceive flipped teaching. This is especially true for those students who have an understanding that the method involves preparation and interaction and how these affect the outcomes. Vazquez and Chiang [ 10 ] discuss the lessons learned from observing two large Principles of Economics Classes at the University of Illinois; each class held 900 students. Vazquez and Chiang [ 10 ] found that the students preferred watching videos over reading the textbook. Secondly, students were better prepared after they watched pre-lecture videos compared to reading the textbook beforehand. The third finding involved the length of time pre-lecture work should take; the authors state pre-lecture work should be approximately 15 to 20 min of work ahead of each in-class session. The fourth finding is that the flipped teaching is a costly endeavor. Finally, it was found that having the students watch videos before the lectures reduced the time spent in class covering the material; the end result of this is students spend more time engaging in active learning than reviewing the material.

Qutob [ 8 ] studied the effects of flip teaching using two hematology courses. One of the courses was delivered using traditional teaching and the other course was flipped teaching. Qutob [ 8 ] found that students in the flipped course not only performed better on academic tasks, but also they had more knowledge and understanding of the material covered compared to those in the traditional format class. Additionally, Qutob [ 8 ] revealed that students in the flipped classroom found this style of learning is more beneficial than traditional teaching. Moreover, Florence and Kolski [ 11 ] found an improvement in high school students’ writing post-intervention. The authors further found that students were more engaged with the material and had a positive perception of the flipped model. Bahadur and Akhtar [ 12 ] conducted a meta-analysis of twelve research articles on flipped teaching; the studies demonstrated that students taught in the flip teaching classroom performed better academically and were more interactive and engaged in the material than students taught through traditional methods. Galindo-Dominguez [ 13 ] conducted a systematic review using 61 studies and found evidence for the effectiveness of this approach compared to other pedagogical approaches with regards to academic achievement, improved self-efficacy, motivation, engagement, and cooperativeness. Webb et al. [ 14 ] studied 127 students taking microeconomics and found the delivery of flipped material (didactic vs. non-didactic) influenced students’ improvements. They further found performance improvements for the students who attended flipped classes using non-didactic pre-class material. At the same time, Webb et al. [ 14 ] further found non-improvement associated with flipped classes that used didactic pre-class materials; these materials are akin to traditional lectures.

In the context of nursing education, flipped teaching strategy has demonstrated promising and effective results in enhancing student motivation, performance, critical thinking skills, and learning quality. The flipped teaching classrooms were associated with high ratings in teaching evaluations, increased course satisfaction, improved critical thinking skills [ 15 ], improved exam results and learning quality [ 16 ] and high levels of personal, teaching, and pedagogical readiness [ 17 ]. Another study showed that student performance motivation scores especially in extrinsic goal orientation, control beliefs, and self-efficacy for learning and performance were significantly higher in the flipped teaching classroom when compared to the traditional classroom strategy [ 16 ].

Regardless of these important findings, there have been limited studies published about the flipped teaching strategy in Saudi Arabia, particularly among nursing students. Therefore, implementing the flipped teaching strategy in a therapeutic communication course would be effective in academic performance and retention of knowledge. The flipped teaching method will fit best with the goals of a therapeutic communication course as both focus on active learning and student engagement. This approach is well-matched for a therapeutic communication course as it allows students to apply and practice the communication techniques and strategies, they have learned outside of class from the flipped teaching materials and freeing up class time for interactive and experiential activities. The filliped teaching method can provide opportunities for students to apply effective interpersonal communication skills in classes, provide more time to observe students practicing therapeutic communication techniques through role-play, group discussions, and case studies. It also allows instructors to refine and provide individualized feedback and offer real-time guidance to help students improve their interpersonal communication skills.

The current study aims to examine the students’ perception of a teaching innovation based on the use of the flipped teaching strategy in the therapeutic communication course. Further, to compare if there is a difference in students’ academic performance of students who participate in a traditional teaching strategy when compared with students who participate in flipped teaching intervention.

Students who participated in the intervention group perceived a high level of effectiveness of the flipped teaching classroom as a teaching/learning strategy.

There is a significant difference in the mean scores of students’ academic performance between students who participate in a traditional teaching strategy (control group) when compared with those students who participate in flipped teaching classroom (intervention group).

Design of the study

Quantitative method, quasi-experimental design was used in this study. This research study involves implementing a flipped teaching strategy (intervention) to examine the effectiveness of the flipped teaching among the participants in the intervention group and to examine the significant difference in the mean scores of the students’ performance between the intervention and control group.

College of Nursing at one of the educational universities located in Saudi Arabia.

A purposive sampling technique was conducted in this study. This sampling technique allows the researcher to target specific participants who have certain characteristics that are most relevant and informative for addressing the research questions. The advantages of the purposive sampling lie in gathering in-depth, detailed and contextual data from the most appropriate sources and ensure that the study captures a more comprehensive understanding of the concept of interest by considering different viewpoints [ 18 ]. Participants were eligible to participate in this study if they were (1) Enrolled in the undergraduate nursing programs (Nursing or Midwifery Programs) in the College Nursing; (2) Enrolled in Therapeutic Communication Course; (3) at least 18 years old or older. Participant’s data was excluded if 50% of the responses were incomplete. The sample size was calculated using G-Power. The required participants for recruitment to implement this study is 152 participants to reach a confidence level of 95% and a margin error of 5%.

Measurement

Demographic data including the participants’ age and GPA were collected from all the participants. Educational characteristics related to the flipped teaching were collected from the participants in the intervention group including the level of English proficiency, program enrollment, attending previous, attending previous course(s) that used flipped teaching strategy, time spent each week preparing for the lectures, time spent preparing for the course exams, and recommendation for applying flipped teaching in other classes.

The student’s perception of the effectiveness of the flipped teaching strategy was measured by a survey that focused on the effectiveness of flipped teaching. This data was collected only from the participants in the intervention group. The survey involves 14 items that used 5-point Likert-type scale (5 = strongly agree, 4 = agree, 3 = neutral, 2 = disagree and 1 = strongly disagree). The sum of the scores was calculated for the item, a high score indicates a high effectiveness of flipped teaching. The survey was developed by Neeli et al. [ 19 ] and the author was contacted to obtain permission to use the survey. The reliability of the scale was tested using Cronbach alpha, which was 0.91, indicating that the scale has an excellent reliability.

Also, student academic performance was measured for both the intervention and control groups though the average cumulative scores of the assessment methods of students who were enrolled in the Therapeutic Communication Course, given a total of 100. The students’ grades obtained in the course were calculated based grading structure of the Ministry of Education in Saudi Arabia (The Rules and Regulations of Undergraduate Study and Examination).

Ethical approval

Institutional Review Board (IRB) approval (No. 22-0860) was received before conducting the study. Participants were provided with information about the study and informed about the consent process. Informed consent to participate was obtained from all the participants in the study.

Intervention

Therapeutic communication course was taught face-to-face for students enrolled in the second year in the Bachelor of Science in Midwifery and Bachelor of Science in Nursing Programs. There were eight sections for the therapeutic communication course, two of them were under the midwifery program and the remaining (six sections) were under the nursing program. Each section was held once a week in a two-hour length for 10 weeks during the second semester of 2022. Students in all sections received the same materials, contents, and assessment methods, which is considered the traditional teaching strategy. The contents of the course included the following topics: introduction of communication, verbal and written communication, listening skills, non-verbal communication, nurse-patient relationship, professional boundaries, communication styles, effective communication skills for small groups, communication through nursing process, communication with special needs patient, health education and principles for empowering individuals, communication through technology, and trends and issues in therapeutic communication. The course materials, course objectives and learning outcomes, learning resources, and other supporting materials were uploaded to the electronic platform “Blackboard” (A Learning Management System) for all sections to facilitate students’ preparation during classes. The assessment methods include written mid-term examination, case studies, group presentation, and final written examination. The grading scores for each assessment method were also the same for all sections.

The eight course sections were randomly assigned into traditional teaching strategy (control group) or flipped teaching strategy (intervention group). Figure  1 shows random distribution of the course sections. The intervention group ( n  = 182) included one section of the Bachelor of Science in Midwifery program ( n  = 55 students) and three sections of Bachelor of Science in Nursing program ( n  = 127 students). The control group ( n  = 173) included one section of the Bachelor of Science in Midwifery program ( n  = 50 students) and three sections of Bachelor of Science in Nursing program ( n  = 123 students). Although randomization of the participants is not possible, we were able to create comparison groups between participants who received the flipped teaching and traditional teaching strategy. To ensure the consistency of the information given to the students and reduce the variability, the instructors were meeting periodically and reviewed the materials together. More importantly, all students received the same topics and assessment methods as stated in the course syllabus and as mentioned above. The instructors in all sections were required to answer students’ questions, provide clarification to the points raised throughout the semester, and give constructive feedback after the evaluation of each assessment method. Students were encouraged to freely express their opinions on the issues discussed and to share their thoughts when the opinions were inconsistent.

Random Distribution of the Course Sections

The intervention group were taught the course contents by using the flipped teaching strategy. The participants in the intervention group were asked to read the lectures and watch short videos from online sources before coming to classes. Similar materials and links were uploaded by the course instructors into the Blackboard system. During the classes, participants were divided into groups and were given time to appraise research articles and case scenarios related to the topics of the course. During the discussion time, each group presented their answers, and the course instructors encouraged the students to share their thoughts and provided constructive feedback. Questions corresponded to the intended objectives and learning outcomes were posted during the class time in Kahoot and Nearpod platforms as a competition to enhance students’ engagement. By the end of the semester, the flipped teaching survey was electronically distributed to students who were involved in the intervention group to examine the educational characteristics and assess the students’ perceptions about the flipped teaching.

Data collection procedure

After obtaining the IRB approval, the PI sent invitation letters to the potential participants using their official university email accounts. The invitation letter included a Microsoft Forms’ link with the description about the study, aim, research question, and sample size required to conduct the study. All students gave their permission to participate, and informed consent was obtained from them ( N  = 355). The link also included questions related to age, GPA, and approval to use their scores from assessment methods for research purposes. The first part of data collection was obtained immediately after the therapeutic communication course was over. The average cumulative scores of all the assessment methods (out of 100) were calculated to measure the students’ academic performance for both the intervention and control groups.

The second part of data collection was conducted after the final exam of the therapeutic communication course ( n  = 182). A Microsoft Forms link was sent to the participants in the intervention group only. It included questions related to educational characteristics and students’ perception of the effectiveness of flipped teaching. Students needed a maximum of 10 min to complete the study survey.

Data analysis

Data was analyzed using the SPSS version 27. Descriptive analysis was used to analyze the demographic and educational characteristics and perception of flipped teaching strategy. An independent t-test was implemented to compare the mean scores of the intervention and control groups to examine whether there is a statistically significance difference between both groups. A significance level of p  < 0.05 was determined as statistical significance in this study.

The total number of students who enrolled in therapeutic communication course was 355 students. The intervention group included 182 students and the control group included 173 students. The mean age of all participants in the study was 19 years old (M = 19.56, SD = 1.19). The mean GPA was 3.53 (SD = 1.43). Of those enrolled in the intervention group, only 70 out of 182 students completed the survey. Table  1 represents the description of the educational characteristics of the participants in intervention group ( n  = 70). Around 65% of the participants reported that their level of English proficiency is intermediate, and they were enrolled in the nursing program. Half of the students had precious courses that used flipped teaching strategy. About one-third of the students indicated that they spent less than 15 min each week preparing for lectures. Around 65% of the students stated that they spent more than 120 min preparing for the course exam. Half of the students gave their recommendation for applying flipped teaching strategy in other courses. The mean score of the students’ performance in Therapeutic Communication course who enrolled in the intervention group is 83.34 (SD = 9.81) and for those who were enrolled in the control group is 75.57 (SD = 9.82).

The students perceived a moderate level of effectiveness of the flipped teaching classroom as a teaching strategy (M = 3.49, SD = 0.69) (Table  2 ). The three highest items that improved students’ perception about the flipped teaching strategy were: flipped classroom session develops logical thinking (M = 3.77, SD = 0.99), followed by flipped classroom session provides extra information (M = 3.68, SD = 1.02), then flipped classroom session improves the application of knowledge (M = 3.64, SD = 1.04). The three lowest items perceived by the students were: Flipped classroom session should have allotted more time for each topic (M = 3.11, SD = 1.07), flipped classroom session requires a long time for preparation and conduction (M = 3.23, SD = 1.04), and flipped classroom session reduces the amount of time needed for study when compared to lectures (M = 3.26, SD = 1.07).

An independent sample T-test was implemented to compare the mean scores of the students’ academic performance between the intervention group ( n  = 182) and control group ( n  = 173) (Table  3 ). The results of Levene’s test for equality of variances ( p  = 0.801) indicated that equal variances assumed, and the assumption of equal variances has not been violated. The significant level value (2-tailed) is p  ≤ 0.001, indicating that there is a statistically significant difference in the mean scores of students’ academic performance for the intervention group (M = 83.34, SD = 9.81) and control group (M = 75.57, SD = 9.82). The magnitude of the differences in the means (Mean difference= -7.77%, CI: -10.02 to -5.52) is very small (Eta squared = 0.00035).

Flipped teaching is a learning strategy that engages students in the learning process allowing them to improve their academic performance and develop cognitive skills [ 20 ]. This study investigated the effect of implementing flipped teaching as an interactive learning strategy on nursing students’ performance. Also, the study examined students’ perceptions of integrating flipped teaching into their learning process. Flipped teaching is identified as an interactive teaching strategy that provides an engaging learning environment with immediate feedback allowing students to master the learning content [ 4 , 5 ]. Improvement in the student’s academic performance and development of learning competencies were expected outcomes. The flipped classroom approach aligns with the constructivist theory of education, which posits that students actively construct their own knowledge and understanding through engaging with the content and applying it in meaningful contexts. By providing pre-class materials (e.g., videos, readings) for students to engage with independently, the flipped classroom allows them to build a foundational understanding of the concepts before class, enabling them to actively participate in discussions, problem-solving, and collaborative activities during the class. By shifting the passive acquisition of knowledge to the pre-class phase and dedicating in-class time to active, collaborative, and problem-based learning, the flipped classroom approach creates an environment that fosters deeper understanding, the development of critical thinking and clinical reasoning skills as well as the ability to apply knowledge in clinical practice [ 21 ].

Effectiveness of the flipped teaching on students’ academic performance

The influence of flipped teaching on students’ academic performance was identified by evaluating students’ examination scores. The results of this study indicated that flipped teaching had a significant influence on students’ academic performance ( p  = 0.000). This significant influence implies the positive effectiveness of flipped teaching on students’ academic performance (M = 83.34, SD = 9.81) compared to traditional classroom (M = 75.57, SD = 9.82). These results are in line with other researchers regarding improving students’ academic performance [ 7 , 8 , 9 , 10 ]. Qutob’s [ 8 ] study shows that flipped teaching positively influences students’ performance. Preparation for class positively influenced students’ academic performance. The flipped classroom approach is underpinned by the principles of constructivism. These principles emphasize the active role of students in constructing their own understanding of concepts and ideas, rather than passively receiving information [ 21 ].

In a traditional classroom, the teacher typically delivers content through lectures, and students are tasked with applying that knowledge through homework or in-class activities. However, this model often fails to engage students actively in the learning process. In contract,

Flipped classroom requires students to prepare for the class which allows them to be exposed to the learning material before the class. During class time, students are giving opportunities to interact with their classmates and instructors to discuss the learning topic which can positively influencing their academic performance later [ 7 , 9 ]. Furthermore, the flipped classroom approach aligns perfectly with the core tenets of constructivism. Its adherence to the constructivist 5E Instructional Model further demonstrates its grounding in this learning theory. The 5E model, which includes the phases of engagement, exploration, explanation, elaboration, and evaluation, provides a framework for facilitating the active construction of knowledge [ 22 ].

It first sparks student interest and curiosity about the concepts (engagement), then enables students to investigate and experiment with the ideas through hands-on activities and investigations (exploration). This is followed by opportunities for students to make sense of their explorations and construct their own explanations (explanation). The flipped classroom then allows students to apply their knowledge in new contexts, deepening their understanding (elaboration). Finally, the evaluation phase assesses student learning and provides feedback, completing the cycle of constructivist learning [ 22 ]. This alignment with the 5E model, along with the flipped classroom’s emphasis on active learning and create environment that nurtures deeper understanding, the development of higher-order thinking skills, and the ability to transfer learning to real-world contexts.

In this study, one third of the students indicated that the preparation time was less than fifteen minutes a week. According to Vazquez and Chiang [ 10 ], preparation time for classroom should be about 15 to 20 min for each topic. Preparation for class did not take much time but positively influenced students’ academic performance. Furthermore, preparation for class allows students to develop the skills to be independent learners [ 8 ]. Independence in learning develops continuous learning skills, such as long-life learning which is a required competency for nursing. Garcia et al. [ 22 ] found out that focusing on shifting teachers’ practices towards active learning approaches, such as the 5E Instructional Model, can have lasting, positive impacts on students’ conceptual understanding and learning.

Students’ perception of flipped teaching as a teaching strategy

Students’ perception of flipped teaching as a learning strategy was examined using a survey developed by Neeli et al. [ 19 ]. Students recognize flipped teaching as an effective teaching strategy (M = 3.49, SD = 0.69) that had a positive influence on their learning processes and outcomes. Several studies identified the positive influence of flipped teaching on students’ learning process and learning outcomes [ 8 , 19 ]. Flipped teaching provides a problem-based learning environment allowing students to develop clinical reasoning, critical thinking, and a deeper understanding of the subject [ 5 , 8 , 19 , 23 ]. The flipped teaching approach introduces students to the learning materials before class. Class time is then utilized for discussion, hands-on, and problem-solving activities to foster a deeper understanding of the studied subject [ 5 ]. Consequently, flipped teaching provides a problem-based learning environment as it encourages students to be actively engaged in the learning process, work collaboratively with their classmates, and apply previously learned knowledge and skills to solve a problem. The result of this study is consistent with the results from a systematic review conducted by Youhasan et al. [ 5 ]. Implementing flipped teaching in undergraduate nursing education provides positive outcomes on students’ learning experiences and outcomes and prepares them to deal with future challenges in their academic and professional activities [ 5 ].

Implications

The results from this study identified that flipped teaching has a significant influence on students’ academic performance. The results also indicated that students have positive perception of flipped teaching as an interactive learning strategy. Flipped teaching pedagogy could be integrated in nursing curriculum to improve the quality of education process and outcomes which will result in improving the students’ performance. Flipped teaching provides an interactive learning environment that enhances the development of essential nursing competencies, such as communication, teamwork, collaboration, life-long learning, clinical reasoning, and critical thinking. For example, flipped teaching allows students to develop communication skills throughout discussion in the classroom, and collaboration skills by working with their classmate and instructor. In this study, flipped teaching was implemented in a theoretical course (therapeutic communication course). This interactive learning strategy could also be applied in clinical and practice setting for effective and meaningful learning process and outcomes.

Strengths and limitations

This research study reveals the effectiveness of flipped teaching on students’ academic performance. This study used a quasi-experimental design with control and intervention groups to investigate the influence of flipped teaching on nursing education. Nevertheless, this study has limitations. One of the study’s limitations is the lack of randomization, thus causal association between the variables cannot be investigated. In addition, this study used a self-administered survey which may include respondents’ bias; thus, it may affect the results. Also, this study investigated students’ perceptions of flipped teaching as a learning strategy. The results from examining students’ perceptions indicated that students had a positive perception of flipped teaching as it allowed them to develop essential nursing competencies. This study did not focus on identifying and measuring competencies. Therefore, future studies must consider measuring the influence of flipped teaching on students’ ability to acquire nursing competencies, such as critical thinking and clinical reasoning.

Flipped teaching is an interactive learning strategy that depends on students’ preparation of the topic to be interactive learners in the learning environment. Interactive learning environment improves learning process and outcomes. This study indicated that flipped teaching has significant influence on students’ academic performance. Students perceived flipped teaching as a learning strategy that allowed them to acquire learning skills, such as logical thinking and application of knowledge. These skills allow students to have meaningful learning experience. Also, students could apply these skills in other learning content and/or environments, for example, in clinical. Thus, we believe that flipped teaching is an effective learning approach to be integrated in the nursing curriculum to enhance students’ learning experience.

Data availability

The datasets generated and/or analyzed during the current study are not publicly available due to data privacy but are available from the corresponding author on reasonable request.

Abbreviations

Institutional Review Board

Standard deviation

The level of marginal significance within a statistical test

Confidence Interval of the Difference

Figueiredo AR, Potra TS. Effective communication transitions in nursing care: a scoping review. Ann Med. 2019;51(sup1):201–201. https://doi.org/10.1080/07853890.2018.1560159 .

Article   Google Scholar  

O’Rae A, Ferreira C, Hnatyshyn T, Krut B. Family nursing telesimulation: teaching therapeutic communication in an authentic way. Teach Learn Nurs. 2021;16(4):404–9. https://doi.org/10.1016/j.teln.2021.06.013 .

Thai NTT, De Wever B, Valcke M. The impact of a flipped classroom design on learning performance in higher education: looking for the best blend of lectures and guiding questions with feedback. Computers Educ. 2017;107:113–26. https://doi.org/10.1016/j.compedu.2017.01.003 .

Özbay Ö, Çınar S. Effectiveness of flipped classroom teaching models in nursing education: a systematic review. Nurse Educ Today. 2021;104922–104922. https://doi.org/10.1016/j.nedt.2021.104922 . 102 (n. Issue).

Youhasan P, Chen Y, Lyndon M, Henning MA. Exploring the pedagogical design features of the flipped classroom in undergraduate nursing education: a systematic review. BMC Nurs. 2021;20(1):50–50. https://doi.org/10.1186/s12912-021-00555-w .

Barbour C, Schuessler JB. A preliminary framework to guide implementation of the flipped classroom method in nursing education. Nurse Educ Pract. 2019;34:36–42. https://doi.org/10.1016/j.nepr.2018.11.001 .

Jordan C, Magrenan A, Orcos L. Considerations about flip education in the teaching of advanced mathematics. Educational Sci. 2019;9(3):227.

Qutob H. Effect of flipped classroom approach in the teaching of a hematology course. PLoS ONE. 2022;17(4):1–8.

Nguyen B, Yu X, Japutra A, Chen C. Reverse teaching: exploring student perceptions of flip teaching. Act Learn High Educ. 2016;17(1):51–61.

Vazquez J, Chiang E. Flipping out! A case study on how to flip the principles of economics classroom. Int Adv Econ Res. 2015;21(4):379–90.

Florence E, Kolski T. Investigating the flipped classroom model in a high school writing course: action research to impact student writing achievement and engagement. TechTrends: Link Res Pract Improve Learn. 2021;65(6):1042–52.

Bahadur G, Akhtar Z. Effect of teaching with flipped classroom model: a meta-analysis. Adv Social Sci Educ Humanit Res. 2021;15(3):191–7.

Google Scholar  

Galindo-Dominguez H. Flipped classroom in the educational system: Trend or effective pedagogical model compared to other methodologies? J Educational Technol Soc. 2021;24(3):44–60.

Webb R, Watson D, Shepherd C, Cook S. Flipping the classroom: is it the type of flipping that adds value? Stud High Educ. 2021;46(8):1649–63.

Barranquero-Herbosa M, Abajas-Bustillo R, Ortego-Maté C. Effectiveness of flipped classroom in nursing education: a systematic review of systematic and integrative reviews. Int J Nurs Stud. 2022;135:104327. https://doi.org/10.1016/j.ijnurstu.2022.104327 .

Lelean H, Edwards F. The impact of flipped classrooms in nurse education. Waikato J Educ. 2020;25:145–57.

Youhasan P, Chen Y, Lyndon M, Henning MA. Assess the feasibility of flipped classroom pedagogy in undergraduate nursing education in Sri Lanka: a mixed-methods study. PLoS ONE. 2021;16(11):e0259003. https://doi.org/10.1371/journal.pone.0259003 .

Harris AD, McGregor JC, Perencevich EN, Furuno JP, Zhu J, Peterson DE, Finkelstein J. The use and interpretation of quasi-experimental studies in medical informatics. J Am Med Inf Association: JAMIA. 2006;13(1):16–23. https://doi.org/10.1197/jamia.M1749 .

Neeli D, Prasad U, Atla B, Kukkala SSS, Konuku VBS, Mohammad A. (2019). Integrated teaching in medical education: undergraduate student’s perception.

Baloch MH, Shahid S, Saeed S, Nasir A, Mansoor S. Does the implementation of flipped Classroom Model improve the Learning Outcomes of Medical College Students? A single centre analysis. J Coll Physicians Surgeons–pakistan: JCPSP. 2022;32(12):1544–7.

Robertson WH. The Constructivist flipped Classroom. J Coll Sci Teach. 2022;52(2):17–22.

Garcia I, Grau F, Valls C, Piqué N, Ruiz-Martín H. The long-term effects of introducing the 5E model of instruction on students’ conceptual learning. Int J Sci Educ. 2021;43(9):1441–58.

Chu TL, Wang J, Monrouxe L, Sung YC, Kuo CL, Ho LH, Lin YE. The effects of the flipped classroom in teaching evidence based nursing: a quasi-experimental study. PLoS ONE. 2019;14(1):e0210606.

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Acknowledgements

The authors are grateful for the facilities and other support given by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2024R447), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

This research was funded by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2024R447), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

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Nursing Management and Education Department, College of Nursing, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh, 11671, Saudi Arabia

Shaherah Yousef Andargeery, Rania Ali Alhalwani, Shorok Hamed Alahmedi & Waad Hasan Ali

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Conceptualization, H.B, S.Y.A, W.A.; methodology, S.Y.A., S.H.A.; validation, S.Y.A.; formal analysis, S.Y.A.; resources, H.B, S.Y.A, W.A, R. A.; data curation, S.Y.A, S.H.A.; writing—original draft preparation, R.A, H.B, S.Y.A., S.H.A, W.A; writing—review and editing, R.A, H.B, S.Y.A, S.H.A, W.A; supervision, R.A, H.B, S.Y.A, S.H.A.; project administration, R.A, S.Y.A, S.H.A.; funding acquisition, S.Y.A. All authors have read and agreed to the published version of the manuscript.

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Correspondence to Hibah Abdulrahim Bahri .

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Andargeery, S.Y., Bahri, H.A., Alhalwani, R.A. et al. Using a flipped teaching strategy in undergraduate nursing education: students’ perceptions and performance. BMC Med Educ 24 , 926 (2024). https://doi.org/10.1186/s12909-024-05749-9

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DOI : https://doi.org/10.1186/s12909-024-05749-9

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