Abstract

Objective To establish a mixed teaching mode characterized by online teaching and flipped class, and explore its application effect. Methods From February 2016 to July 2016, a total of 180 students from 6 classes of grade 2015 in Hangzhou Medical College were selected as the research object by cluster sampling method. According to random number table, students were divide into the control group (3 classes, n=90) , and the observation group (3 classes, n=90) . For the comprehensive skills and clinical thinking courses, traditional teaching mode was applied in the control group, while observation group adopted the mixed teaching mode which was combined the massive open online courses (MOOCs) and flipped class together. Teaching participation, teaching effect, teaching methods were evaluated to assess the implementation effect of two teaching methods one term after the implementation of mixed teaching model. Results The total person-time of online visits was 9 564. The number of discussions and fullfiled tasks were 372 and 38. The total final exam score of students in the observation group was (91.75±5.40) , which was higher than that in the control group (84. 57±5.32) (t=-2.683, P<0.05) . The scores of evaluation of 8 aspects in the observation group were higher than those in the control group, such as urging to prepare, finding information actively, developing self-study ability, improving study enthusiasm, improving the class participation enthusiasm, being impressive for the mistake, assessing more objectively and overall evaluation (P<0.05) . Conclusions Mixed teaching model could promote the autonomous learning and class participation of nursing students. It also can make the teaching appraisal more objective and fair. However, how to make the students love this mode and how to set up the examination ratio scientifically should be studied further. Key words: Education, nursing; Massive open online courses; Flipped class; Mixed teaching mode

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