The effect of flipped-jigsaw learning models on ethical decision-making

Area of Science:

• Nursing Education
• Medical Ethics
• Collaborative Learning

Background:

• Effective ethical decision-making education in nursing requires integrating theory with practice and visualizing concepts.
• Collaborative learning models can enhance the understanding of complex ethical principles.

Purpose of the Study:

• To evaluate the impact of flipped and jigsaw learning models on nursing students' ethical decision-making and ethical sensitivity.
• To assess the effectiveness of these models in a nursing ethics course.

Main Methods:

• A nested mixed-methods design combining quasi-experimental (pretest-posttest) and case study approaches.
• Quantitative data collected from 117-128 nursing students using ethical dilemma and sensitivity scales.
• Qualitative data gathered through three semi-structured focus group interviews with 16 students.

Main Results:

• Student perspectives improved post-training, with increased familiarity with ethical dilemmas (68.4% to 77.3%).
• Ethical sensitivity scores showed an overall increase after the educational intervention.
• Qualitative analysis revealed themes of ethical decision-making, sensitivity, dilemmas, and improvement processes.

Conclusions:

• Flipped and jigsaw learning models positively influenced nursing students' ethical sensitivity and familiarity with ethical dilemmas.
• These collaborative learning strategies are recommended for nursing ethics education.