The Effect of the Flipped Classroom Model on Pediatric Pain Management Knowledge and Learning Motivation of Nursing Students

NCT ID: NCT07129044

Last Updated: 2025-08-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-01

Study Completion Date

2022-08-15

Brief Summary

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The aim of this randomized controlled trial was to evaluate the effect of the flipped classroom model on pediatric pain management knowledge and learning motivation among nursing students. A total of 84 third-year nursing students from a public university in Turkey were randomly assigned to intervention (n=42) and control (n=42) groups. The intervention group received education using the flipped classroom model, while the control group followed a self-directed learning approach.

Data were collected at three time points: before the intervention (pre-test), one month after the intervention (post-test), and three months after the intervention (follow-up test). The Pediatric Pain Knowledge Test and the Motivation Scale Towards Learning were used to assess outcomes.

At baseline, there were no significant differences between the groups. Post-test and follow-up results showed that the intervention group demonstrated a statistically significant and sustained increase in both pediatric pain knowledge and learning motivation scores (p\<0.001), while the control group showed no meaningful change.

These findings support the flipped classroom model as an effective and sustainable teaching strategy in nursing education, particularly for improving knowledge and motivation in pediatric pain management.

Detailed Description

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This randomized controlled trial aimed to evaluate the effectiveness of the flipped classroom model in enhancing nursing students' pediatric pain management knowledge and learning motivation. The study was conducted at a public university in Turkey with 84 third-year undergraduate nursing students during the 2022-2023 academic year.

Participants were randomly assigned to either the intervention group (n = 42) or the control group (n = 42) using a computer-generated randomization list. The intervention group received the flipped classroom approach, which included:

Access to a specially designed online learning platform with educational videos and reading materials uploaded one week prior to the face-to-face sessions,

A face-to-face session focusing on discussion, case-based learning, and peer interaction led by the researcher,

Learning materials developed based on the "Pediatric Pain Management" content defined in the national nursing education curriculum and international guidelines.

The control group engaged in self-directed learning by studying the same written materials independently without structured guidance or interaction.

Data were collected at three time points:

Pre-test (baseline) before the intervention,

Post-test immediately after the intervention (1 month later),

Follow-up (retention test) three months after the intervention.

Two validated instruments were used:

Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain (PNKAS) adapted for nursing students to measure knowledge,

Motivation to Learn Scale to assess students' learning motivation.

A two-way mixed ANOVA was used to analyze the effects of the intervention across time and between groups. At baseline, no significant differences were found between groups in either knowledge or motivation scores. However, after the intervention, the intervention group showed statistically significant and sustained improvements in both variables, whereas the control group did not exhibit notable changes.

The findings support the use of the flipped classroom approach as an effective and sustainable educational strategy in nursing education, particularly in areas requiring complex knowledge and critical thinking such as pediatric pain management. Integration of this model into nursing curricula may enhance both cognitive outcomes and motivation to learn.

Conditions

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Pain Management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants were randomly assigned to either the intervention group receiving flipped classroom-based pediatric pain management training or the control group receiving self-directed learning. The intervention lasted four weeks, and data were collected at three time points: pre-test (baseline), post-test (immediately after the intervention), and follow-up (three months later).
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Not applicable. Participants and researchers were aware of group assignments due to the nature of the educational intervention.

Study Groups

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Flipped Classroom Training on Pediatric Pain Management

Participants in this group received pediatric pain management training through a flipped classroom model for 4 weeks. Training videos and readings were provided in advance and in-class sessions included interactive activities, discussions, and case-based learning.

Group Type EXPERIMENTAL

Flipped Classroom Training on Pediatric Pain Management

Intervention Type BEHAVIORAL

Participants in this group received pediatric pain management training designed to increase nursing students' knowledge and motivation. The training was delivered using a flipped classroom model over 4 weeks. Students were provided with pre-class educational materials, including video lectures, readings, and lecture notes. In-class sessions included interactive activities, discussions, case-based learning, and problem-solving exercises. Content was based on current pediatric pain management guidelines and adapted to nursing education standards.

Self-Directed Learning on Pediatric Pain Management

Participants in this group received the same pediatric pain management materials as the intervention group (lecture notes, readings, and video lectures) for self-study without any interactive activities or instructor-led sessions.

Group Type ACTIVE_COMPARATOR

Self-Directed Learning on Pediatric Pain Management

Intervention Type BEHAVIORAL

Participants in this group received pediatric pain management training designed to increase nursing students' knowledge and motivation. Students were provided with the same pre-class educational materials as the intervention group, including video lectures, readings, and lecture notes, for self-study without any interactive activities or instructor-led sessions. Content was based on current pediatric pain management guidelines and adapted to nursing education standards.

Interventions

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Flipped Classroom Training on Pediatric Pain Management

Participants in this group received pediatric pain management training designed to increase nursing students' knowledge and motivation. The training was delivered using a flipped classroom model over 4 weeks. Students were provided with pre-class educational materials, including video lectures, readings, and lecture notes. In-class sessions included interactive activities, discussions, case-based learning, and problem-solving exercises. Content was based on current pediatric pain management guidelines and adapted to nursing education standards.

Intervention Type BEHAVIORAL

Self-Directed Learning on Pediatric Pain Management

Participants in this group received pediatric pain management training designed to increase nursing students' knowledge and motivation. Students were provided with the same pre-class educational materials as the intervention group, including video lectures, readings, and lecture notes, for self-study without any interactive activities or instructor-led sessions. Content was based on current pediatric pain management guidelines and adapted to nursing education standards.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Being enrolled in the "Child Health and Diseases Nursing" course for the first time

Having access to the Internet and a computer or smartphone

Agreeing to attend synchronous sessions via Google Classroom

Volunteering to participate in the study

Exclusion Criteria

Having previously received any education on pediatric pain management

Withdrawing consent at any point during the study

Failing to complete the pre-test, post-test, or three-month follow-up assessment (e.g., missing a measurement session due to internet connectivity issues)
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mustafa Belli

OTHER

Sponsor Role lead

Responsible Party

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Mustafa Belli

Assistant Professor, Department of Pediatric Nursing, Faculty of Health Sciences, Burdur Mehmet Akif Ersoy University

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Mehmet Akif Ersoy University, Faculty of Health Sciences

Burdur, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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1070

Identifier Type: OTHER

Identifier Source: secondary_id

ErsoyU-Belli-FC2022

Identifier Type: -

Identifier Source: org_study_id

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