Evaluating the Effectiveness of Two Teaching Strategies to Improve Nursing Students’ Knowledge, Skills, and Attitudes About Quality Improvement and Patient Safety

Abstract The purpose of this study was to evaluate two teaching strategies with regard to quality and safety education for nurses content on quality improvement and safety. Two groups (total of 64 students) participated in online learning or online learning in conjunction with a flipped classroom. A pretest/posttest control group design was used. The use of online modules in conjunction with the flipped classroom had a greater effect on increasing nursing students’ knowledge of quality improvement than the use of online modules only. There was no statistically significant difference between the groups for safety.

[1]  Lynn Summers,et al.  Flipping the Classroom to Improve Student Performance and Satisfaction , 2022 .

[2]  P. Mitchell,et al.  Quality and Safety Education for Nurses. , 2007, Nursing outlook.

[3]  L. Cronenwett,et al.  Improving quality and safety education: The QSEN Learning Collaborative. , 2009, Nursing outlook.

[4]  Sue Lasiter,et al.  Using quality and safety education for nurses principles to enhance foundational nursing courses: Outcomes from an innovative curriculum project , 2012 .

[5]  Jonathan Bergmann,et al.  Flip Your Students' Learning. , 2013 .

[6]  Mary Tedesco-Schneck.  Active learning as a path to critical thinking: are competencies a roadblock? , 2013, Nurse education in practice.

[7]  L. Headrick,et al.  Changing and Sustaining Medical Students' Knowledge, Skills, and Attitudes about Patient Safety and Medical Fallibility , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[8]  P. Dycus,et al.  Using QSEN to Measure Quality and Safety Knowledge, Skills, and Attitudes of Experienced Pediatric Oncology Nurses: An International Study , 2009, Quality management in health care.

[9]  D. Thornlow,et al.  A necessary sea change for nurse faculty development: spotlight on quality and safety. , 2010, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[10]  Heng Ngee Mok.  Teaching Tip: The Flipped Classroom , 2014, J. Inf. Syst. Educ..

[11]  L. Cronenwett,et al.  Assessing quality and safety competencies of graduating prelicensure nursing students. , 2009, Nursing outlook.

[12]  C. Kovner,et al.  New nurses' views of quality improvement education. , 2010, Joint Commission journal on quality and patient safety.

[13]  Amnart Pohthong,et al.  Electronic learning and constructivism: a model for nursing education. , 2010, Nurse education today.

[14]  R. Jensen,et al.  Three technological enhancements in nursing education: informatics instruction, personal response systems, and human patient simulation. , 2009, Nurse education in practice.

[15]  David H. Jonassen,et al.  Constructivism: new implications for instructional technology? , 1991 .

[16]  L. Lockyer,et al.  Nursing and healthcare students' experiences and use of e-learning in higher education. , 2010, Journal of advanced nursing.

[17]  L. Benedict,et al.  Reframing nursing education: the Quality and Safety Education for Nurses initiative , 2010 .

[18]  Cheryl Tatano Beck,et al.  Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. , 2007, Research in nursing & health.

[19]  M. Lage,et al.  Inverting the Classroom: A Gateway to Creating an Inclusive Learning Environment , 2000 .

[20]  Cheryl Tatano Beck,et al.  Resource Manual for Nursing Research: Generating and Assessing Evidence for Nursing Practice , 2011 .

[21]  Crystal Day Black,et al.  Cutting edge technology to enhance nursing classroom instruction at Coppin State University. , 2006, The ABNF journal : official journal of the Association of Black Nursing Faculty in Higher Education, Inc.

[22]  A. Greer,et al.  Learner-Centered Characteristics of Nurse Educators , 2010, International journal of nursing education scholarship.

[23]  Nancy M. Aguilar-Roca,et al.  Learn before Lecture: A Strategy That Improves Learning Outcomes in a Large Introductory Biology Class , 2010, CBE life sciences education.

[24]  Jane Barnsteiner,et al.  Quality and Safety in Nursing: A Competency Approach to Improving Outcomes , 2012 .

[25]  Karen S. Desjardins,et al.  Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. , 2008, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[26]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[27]  Mete Akcaoglu,et al.  Blending Synchronous Face-to-face and Computer-Supported Cooperative Learning in a Hybrid Doctoral Seminar , 2013, TechTrends.

[28]  G. Sherwood,et al.  Quality and safety curricula in nursing education: matching practice realities. , 2007, Nursing outlook.

[29]  L. Cronenwett,et al.  Current assessments of quality and safety education in nursing. , 2007, Nursing outlook.

[30]  R. Benjamin.  Technology in Nursing Education , 2008, International Journal for Human Caring.

[31]  Jane Barnsteiner,et al.  Taking a "deep dive" on integrating QSEN content in San Francisco Bay Area Schools of Nursing. , 2013, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[32]  L. McKeon,et al.  Using quality and safety education for nurses to guide clinical teaching on a new dedicated education unit. , 2011, The Journal of nursing education.

[33]  Michael B. Horn.  The Transformational Potential of Flipped Classrooms: Different Strokes for Different Folks , 2013 .

[34]  Heather Wharrad,et al.  Exploring the underlying factors influencing e-learning adoption in nurse education. , 2013, Journal of advanced nursing.

[35]  Norah L. Johnson,et al.  How to Select The Correct Education Strategy: When Not To Go Online , 2009, Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization.

[36]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[37]  L. Ware,et al.  Nursing faculty and use of Web 2.0 , 2013 .

[38]  M. Mansour.  Current assessment of patient safety education. , 2012, British journal of nursing.

[39]  Anna McDaniel,et al.  Are Nursing Students Engaged in Learning? A Secondary Analysis of Data from the National Survey Of Student Engagement , 2011, Nursing education perspectives.

[40]  L. Daniel,et al.  Frameworks for patient safety in the nursing curriculum. , 2010, The Journal of nursing education.

[41]  Nancy Chism.  Using a Framework to Engage Faculty in Instructional Technologies , 2004 .

[42]  P. Maurette,et al.  [To err is human: building a safer health system]. , 2002, Annales francaises d'anesthesie et de reanimation.

[43]  B. Tabachnick,et al.  Using multivariate statistics, 5th ed. , 2007 .

[44]  K. Fater,et al.  An education-service partnership to achieve safety and quality improvement competencies in nursing. , 2011, The Journal of nursing education.

[45]  Diana Girdley,et al.  Teaching quality improvement. , 2010, The Journal of nursing education.

[46]  Barbara Seels,et al.  Instructional Technology: The Definition and Domains of the Field , 1994 .