Original Research ArticleInternational Journal of Community Medicine and Public Health

Publication:
Evaluation of the effects of a flipped classroom model versus lecture method on BSc nursing students’ knowledge in a health assessment course

Int J Community Med Public Health. 2026;13(9):4870-4875.DOI10.18203/2394-6040.ijcmph20263164

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Abstract

Background Conventional teacher-centred pedagogy has dominated nursing education. However, these methods have been associated with passive learning, inability to develop problem-solving and critical thinking skills among nursing students, and an increasing theory and practice gap. Adoption of innovative student-centred teaching methods such as the flipped classroom has been proposed as a strategy to bridge this gap. The study aimed to evaluate the effect of a flipped classroom model versus the lecture method on knowledge acquisition among second-year BSc. nursing students undertaking a health assessment course at a Kenyan University.

Methods A mixed-method study consisting of a non-equivalent control group pre-test post-test quasi-experimental design was adopted. Forty-one students received training through the lecture method, while 39 were exposed to the flipped classroom approach over consecutive academic years. A knowledge test was administered pre-course and post-course. Data were analyzed using descriptive and inferential statistics, including the chi-square test and paired and independent t-tests.

Results There was a significant difference in post-test health assessment knowledge mean scores, with the flipped classroom group attaining higher scores compared to their traditional lecture counterparts (p=0.004).

Conclusions The flipped classroom had a positive effect on nursing students’ knowledge of health assessment. This student-centred pedagogy can be recommended for teaching foundational nursing courses.

Keywords

Affiliations

  1. School of Nursing, Jomo Kenyatta University of Agriculture and Technology, Kenya
  2. School of Nursing, Meru University of Science and Technology, Kenya

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