{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T21:05:22Z","timestamp":1788037522877,"version":"build-2784847793"},"reference-count":64,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T00:00:00Z","timestamp":1641254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007104","name":"Trakya \u00dcniversitesi","doi-asserted-by":"publisher","award":["2019\u2010120"],"award-info":[{"award-number":["2019\u2010120"]}],"id":[{"id":"10.13039\/501100007104","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>In nursing education, innovative approaches are crucial to enhancing students\u2019 competence and preparing them to respond to the complex healthcare needs of society. The aim of the current study was to compare the efficacy of the flipped classroom and traditional educational approaches on the acquisition of urinary system knowledge and skill level, and on the motivation and learning strategies of first\u2010year nursing students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was implemented with a single blind and randomized controlled design in the nursing department of a university\u2019s faculty of health sciences between December 2018 and December 2019, with 94 first\u2010year undergraduate nursing students (47 in the experimental group adopting a flipped classroom approach, 47 students in the traditional approach control group). The study was conducted over pre\u2010test and posttest phases for both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The experimental group had higher mean scores than the controls in intrinsic goal orientation, task value, self\u2010efficacy, rehearsal, elaboration, and organization and effort regulation, but lower scores in test anxiety (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001). The theoretical and skill exam scores of the experimental group were higher than those of the control group (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The flipped classroom approach was effective for improving urinary system knowledge and skill level, and for the motivation and learning strategies of nursing students. This innovative education approach can be recommended as a student\u2010centered method in nursing education for teaching theoretical knowledge and evidence\u2010based practices.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jjns.12469","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T06:08:49Z","timestamp":1641362929000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Examining effects of the flipped classroom approach on motivation, learning strategies, urinary system knowledge, and urinary catheterization skills of first\u2010year nursing students"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1796-7819","authenticated-orcid":false,"given":"Berna","family":"Aksoy","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Trakya University  Edirne Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0711-2112","authenticated-orcid":false,"given":"Eylem","family":"Pasli Gurdogan","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Trakya University  Edirne Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/00313831.2020.1825524"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"76","article-title":"The effect of a flipped classroom model on academic achievement, self\u2010directed learning readiness, motivation and retention","volume":"6","author":"Alsancak Sirakaya D.","year":"2018","journal-title":"Malaysian Online Journal of Educational Technology"},{"issue":"4","key":"e_1_2_10_4_1","first-page":"1","article-title":"Flipping an EMI physics class: Implications of student motivation and learning strategies for the design of course contents","volume":"13","author":"Ancliff M.","year":"2017","journal-title":"International Journal of Contents"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0256814"},{"key":"e_1_2_10_6_1","first-page":"1","article-title":"Comparing the effects of traditional teaching and flipped classroom methods on midwifery students' practical learning: The embedded mixed method","author":"Behmanesh F.","year":"2020","journal-title":"Tech Know Learn"},{"key":"e_1_2_10_7_1","volume-title":"Educating nurses: A call for radical transformation","author":"Benner P.","year":"2009"},{"key":"e_1_2_10_8_1","volume-title":"Flip your classroom: Reach every student in every class every day","author":"Bergmann J.","year":"2012"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2015.12.010"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nepr.2019.01.004"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1473-6861.2007.00144.x"},{"issue":"2","key":"e_1_2_10_12_1","first-page":"231","article-title":"The validity and reliability study of the Turkish version of the motivated strategies for learning questionnaire","volume":"4","author":"B\u00fcy\u00fck\u00f6zt\u00fcrk S.","year":"2004","journal-title":"Educational Sciences: Theory & Practice"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.5977\/jkasne.2020.26.1.25"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/medu.13272"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12724"},{"issue":"3","key":"e_1_2_10_16_1","first-page":"11","article-title":"Exploring the effects of online academic help\u2010seeking and flipped learning on improving students' learning","volume":"20","author":"Chyr W. 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