Temesgen Oljira, Muleta Hailu
Integrated functional adult education program and its contributions for livelihoods in Ethiopia
Heliyon
recent years flipped classroom approach broadly applied nursing courses china however systematic quantitative assessment outcomes approach conducted purpose metaanalysis evaluate effectiveness flipped classroom pedagogy chinese baccalaureate nursing education metaanalysis randomized controlled studies randomized controlled trials relevant use flipped classrooms chinese nursing education retrieved following databases date inception september 23 2017 pubmed embase cochrane central register controlled trials cinahl china national knowledge infrastructure wanfang database chinese scientific journals database search terms including flipp inverted classroom nurs used identify potential studies also manually searched reference lists retrieved articles identify potentially relevant studies two reviewers independently assessed eligibility study extracted data cochrane riskofbias tool used evaluate quality studies revman version 53 used analyze data theoretical knowledge scores skill scores continuous data synthesized using standardized mean difference smd 95 confidence interval ci statistical heterogeneity included studies analyzed calculating i2 statistic applying chisquare test publication bias assessed funnel plots quality combined results evaluated using grading recommendations assessment development evaluation system eleven randomized controlled trials published 2015 2017 selected included studies moderate possibility bias due low methodological quality metaanalysis indicated theoretical knowledge scores skill scores significantly higher flipped classroom group traditional lectures group smd106 95 ci 070141 p 0001 smd140 95 ci 046234 p 0001 significant publication bias indicated primary analysis sensitivity analysis showed results metaanalysis reliable evidence grades results regarding theoretical knowledge skill scores low low respectively flipped classroom pedagogy effective traditional lectures improving students theoretical knowledge skill scores given limitations included studies robust randomized controlled trials warranted variety educational settings confirm findings