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      Effect of gamified flipped classroom on improving nursing students’ skills competency and learning motivation: a randomized controlled trial

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          Abstract

          Background

          Flipped learning excessively boosts the conceptual understanding of students through the reversed arrangement of pre-learning and in classroom learning events and challenges students to independently achieve learning objectives. Using a gamification method in flipped classrooms can help students stay motivated and achieve their goals. 

          Methods

          This study adopted a randomized controlled study design with a pre-test and post-test and involved 128 nursing students at Mansoura University. This study randomly divided the students into the study and control groups. Data were collected at three time points using six tools . In the intervention group, Moodle was gamified for 6 weeks. 

          Results

          A significant difference in the students’ self-confidence ( p = 0.021), skills knowledge ( p < 0.001), intensity of preparation ( p < 0.001), and motivation ( p < 0.001) was observed between the two groups; however, no difference in the students’ skills performance ( p = 0.163) was observed between the two groups after using gamified flipped classrooms.

          Conclusions

          Compared with the traditional flipped classrooms, gamified flipped classrooms improved nursing students’ motivation, intensity of preparation, skills knowledge, and self-confidence during laboratory clinical practice. Thus, gamification is a learning approach that can be implemented in conjunction with the flipped classroom model to motivate students to participate in the learning process.

          Trial registration.

          Prospectively registered with ClinicalTrials.gov on 26/04/2021; registration number NCT04859192.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12912-022-01096-6.

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          Most cited references69

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          Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.

          R Ryan, E Deci (1999)
          Human beings can be proactive and engaged or, alternatively, passive and alienated, largely as a function of the social conditions in which they develop and function. Accordingly, research guided by self-determination theory has focused on the social-contextual conditions that facilitate versus forestall the natural processes of self-motivation and healthy psychological development. Specifically, factors have been examined that enhance versus undermine intrinsic motivation, self-regulation, and well-being. The findings have led to the postulate of three innate psychological needs--competence, autonomy, and relatedness--which when satisfied yield enhanced self-motivation and mental health and when thwarted lead to diminished motivation and well-being. Also considered is the significance of these psychological needs and processes within domains such as health care, education, work, sport, religion, and psychotherapy.
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            Likert scales, levels of measurement and the "laws" of statistics.

            Reviewers of research reports frequently criticize the choice of statistical methods. While some of these criticisms are well-founded, frequently the use of various parametric methods such as analysis of variance, regression, correlation are faulted because: (a) the sample size is too small, (b) the data may not be normally distributed, or (c) The data are from Likert scales, which are ordinal, so parametric statistics cannot be used. In this paper, I dissect these arguments, and show that many studies, dating back to the 1930s consistently show that parametric statistics are robust with respect to violations of these assumptions. Hence, challenges like those above are unfounded, and parametric methods can be utilized without concern for "getting the wrong answer".
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              Engagement and disaffection in the classroom: Part of a larger motivational dynamic?

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                Author and article information

                Contributors
                mohamadelzeky@mans.edu.eg
                Journal
                BMC Nurs
                BMC Nurs
                BMC Nursing
                BioMed Central (London )
                1472-6955
                16 November 2022
                16 November 2022
                2022
                : 21
                : 316
                Affiliations
                GRID grid.10251.37, ISNI 0000000103426662, Medical Surgical Nursing Department, Faculty of Nursing, , Mansoura University, ; Dakahlia, Egypt
                Article
                1096
                10.1186/s12912-022-01096-6
                9670406
                36384544
                2c3b7150-6a6e-4c48-8b51-4a1e014ce27b
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 2 September 2022
                : 3 November 2022
                Funding
                Funded by: Mansoura University
                Categories
                Research
                Custom metadata
                © The Author(s) 2022

                Nursing
                gamification,flipped classroom,nursing students,skills competency,self-confidence,learning motivation

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