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Updated: Oct 10, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Meta-Analysis of Flipped Learning Effects in Nursing Education
1Department of Nursing, Shinsung University, 1, Daehak-ro, Jeongmi-myeon, Dangjin-si 31801, Chungcheongnam-do, Korea.
Background:
This study is a meta-analysis confirming the effect size of clinical competence, critical thinking ability, self-directedness, and learning satisfaction, the outcome variables of flipped learning applied to nursing education.
Methods:
We selected 18 related studies that analyzed data using CMA (Comprehensive Meta-Analysis 2.2).
Results:
The effect size of the entire study was Hedges' g = 0.68 (95% CI = 0.43~0.92). The heterogeneity of the overall effect size was I2 = 90.7% (Q = 246.67, p < 0.001); critical thinking ability had an effect size of Hedges' g = 0.87, learning satisfaction of Hedges' g = 0.79, clinical competence of Hedges' g = 0.53, and self-directedness of Hedges' g = 0.37. The differences were statistically significant.
Conclusion:
Flipped learning can effectively improve nursing students' clinical competence, critical thinking ability, self-direction, and learning satisfaction.
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