收稿日期: 2021-12-31
网络出版日期: 2022-10-25
Online and offline blended learning experience of undergraduate nursing students:a meta-synthesis of qualitative studies
目的 系统评价护理本科生线上线下混合式学习的真实体验和感受,为护理教育混合式教学改革提供参考。方法 运用PICo-D模型构建循证问题及文献纳入、排除标准,检索知网、万方、维普、PubMed、Web of Science、Science-Direct数据库中关于护理本科生线上线下混合式学习体验的质性研究,检索时间均为建库至2021年11月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价,采用ConQual系统对本研究整合的证据体进行可靠性和可信度分析,采用Meta整合中的汇集性整合方法进行结果整合。 结果 纳入9项研究,共提炼出54个研究结果,进一步归纳成5个新类别,形成3个整合结果:积极学习体验、消极学习体验、学生期望与建议。 结论 护理本科生对线上线下混合式学习持有积极态度,混合式学习一定程度上提高了学生的整体学习效果和综合能力,但在课程设计、教学过程实施、教师支持等方面需要进一步完善。
彭泽宇 , 杨子 , 王法颍 , 范宇莹 . 护理本科生线上线下混合式学习体验质性研究的Meta整合[J]. 中华护理教育, 2022 , 19(10) : 886 -892 . DOI: 10.3761/j.issn.1672-9234.2022.10.004
Objective To systematically synthesize findings of qualitative studies regarding the experience and feelings of nursing undergraduates about online and offline blended courses. Methods The PICo-D model was used to develop the evidence-based question and inclusion and exclusion criteria. Qualitative studies that explored the online and offline blended learning experience of undergraduate nursing students were comprehensively searched in the databases of CNKI,Wanfang Data,VIP,PubMed,Web of Science,and ScienceDirect from their inception to November 2021. The quality of the included studies was evaluated by the Joanna Briggs Institute(JBI) Critical Appraisal Checklist for Qualitative Research. The reliability and credibility of the evidence integrated in this study were analyzed by ConQual system. Findings were integrated by meta-integration. Results Fifty-four results were extracted from 9 studies and further grouped into 5 new categories,resulting in 3 overarching themes. The integrated themes were as follows:positive learning experience,negative learning experience,and students’ expectations and suggestions. Conclusion The available evidence shows that the undergraduate nursing students have a positive attitude towards online and offline blended courses,and the blended learning improves the overall learning effects and comprehensive ability of the students to some extent;however,curriculum design,teaching process implementation,and support for teachers need to be further improved.
| [1] | Westerlaken M, Christiaans-Dingelhoff I, Filius RM, et al. Blended learning for postgraduates;an interactive experience[J]. BMC Med Educ, 2019, 19(1):289. |
| [2] | Saiz-Manzanares MC, Escolar-Llamazares MC, Arnaiz Gonzalez A. Effectiveness of blended learning in nursing education[J]. Int J Environ Res Public Health, 2020, 17(5):1589. |
| [3] | 胡雁. 如何开展质性研究的系统评价和Meta整合[J]. 上海护理, 2020, 20(7):1-5. |
| [4] | El-Banna MM, Whitlow M, McNelis AM. Flipping around the classroom:accelerated bachelor of science in nursing students’ satisfaction and achievement[J]. Nurse Educ Today, 2017, 56:41-46. |
| [5] | Green RD, Schlairet MC. Moving toward heutagogical learning:illuminating undergraduate nursing students’ experiences in a flipped classroom[J]. Nurse Educ Today, 2017, 49:122-128. |
| [6] | Hsu LL. Qualitative assessment of a blended learning intervention in an undergraduate nursing course[J]. J Nurs Res, 2012, 20(4):291-299. |
| [7] | Shorey S, Siew AL, Ang E. Experiences of nursing under-graduates on a redesigned blended communication module:a descriptive qualitative study[J]. Nurse Educ Today, 2018, 61:77-82. |
| [8] | 陈丽斯, 罗艳华, 程红勤, 等. 混合教学模式下护理专升本学生学习体验的现象学研究[J]. 中国实用护理杂志, 2015, 31(19):1463-1466. |
| [9] | 金瑞华, 薛俊琳, 王金玄. 护理本科生对社区护理学混合式教学体验的质性研究[J]. 中国临床护理, 2019, 11(3):258-261. |
| [10] | 王克芳, 牟焕玉, 高洁, 等. 基于慕课的《护理学基础》翻转课堂教学学生真实体验的质性研究[J]. 中国实用护理杂志, 2017, 33(31):2462-2465. |
| [11] | 吴佳, 廖晓琴, 袁晓玲, 等. 本科护生对基于慕课的翻转课堂教学体验的现象学研究[J]. 上海护理, 2018, 18(9):36-39. |
| [12] | 俞徐菊, 余佳. 护生对《生物化学》慕课和翻转课堂学习的真实体验[J]. 中国继续医学教育, 2018, 10(34):26-29. |
| [13] | Yu Z, Hu R, Ling S, et al. Effects of blended versus offline case-centred learning on the academic performance and critical thinking ability of undergraduate nursing students:a cluster randomised controlled trial[J]. Nurse Educ Pract, 2021, 53:103080. |
| [14] | Berga KA, Vadnais E, Nelson J, et al. Blended learning versus face-to-face learning in an undergraduate nursing health assessment course:a quasi-experimental study[J]. Nurse Educ Today, 2021, 96:104622. |
| [15] | 刘斌, 张文兰, 刘君玲. 教师支持对在线学习者学习投入的影响研究[J]. 电化教育研究, 2017, 38(11):63-68,80. |
| [16] | 李艳, 张慕华. 高校学生慕课和翻转课堂体验实证研究:基于231条在线学习日志分析[J]. 现代远程教育研究, 2015(5):73-84,93 |
/
| 〈 |
|
〉 |