2.1. Application of flipped learning in nursing educationFlipped learning is an instructional approach, transferring direct teaching in class from the group learning space to the pre-classindividual learning space. Through self-learning videos or other media, learners become acquainted with knowledge relevant to theclass, freeing up more class time for case discussion, technical practice or knowledge application in the simulated contexts with theguidance of instructors (Bergmann & Sams, 2012; Billings, 2016). Flipped learning differs greatly from the traditional instruction inwhich students sit in the classroom and listen to the teacher's lecturing. In flipped learning, students have to watch videos orinstructional media prepared by teachers before the class, repeatedly watch them, and become familiar with the instructional contentbased on their own learning situation, which emphasizes their autonomous learning (Hwang et al., 2015; Kim, Kim, Cho, & Jang,2017). The concept of flipped learning tracks with that of medical education which encourages active learning. Studies have foundthat an increasing number of researchers make attempts to adopt flipped learning to enhance students' learning performance (Akçayır& Akçayır, 2018; Park & Park, 2018). Researchers have further pointed out the potential effectiveness of flipping learning, includingimproving learners' achievements (El-Banna, Whitlow, & McNelis, 2017; Njie-Carr et al., 2017), skills (Lockman et al., 2017), selfefficacy (Hao, 2016) and critical thinking (Kong, 2015; Park & Park, 2018) as well as reducing their cognitive load
2.1. Application of flipped learning in nursing education<br>Flipped learning is an instructional approach, transferring direct teaching in class from the group learning space to the pre-class<br>individual learning space. Through self-learning videos or other media, learners become acquainted with knowledge relevant to the<br>class, freeing up more class time for case discussion, technical practice or knowledge application in the simulated contexts with the<br>guidance of instructors (Bergmann & Sams, 2012; Billings, 2016). Flipped learning differs greatly from the traditional instruction in<br>which students sit in the classroom and listen to the teacher's lecturing. In flipped learning, students have to watch videos or<br>instructional media prepared by teachers before the class, repeatedly watch them, and become familiar with the instructional content<br>based on their own learning situation, which emphasizes their autonomous learning (Hwang et al., 2015; Kim, Kim, Cho, & Jang,<br>2017). The concept of flipped learning tracks with that of medical education which encourages active learning. Studies have found<br>that an increasing number of researchers make attempts to adopt flipped learning to enhance students' learning performance (Akçayır<br>& Akçayır, 2018; Park & Park, 2018). Researchers have further pointed out the potential effectiveness of flipping learning, including<br>提高學生的成績(埃爾 - 版納,惠特洛,與McNelis,2017年;恩傑-Carr等,2017)(。Lockman等人,2017年),技能,selfefficacy(皓,2016)和批判性思維(香港,2015年;公園及公園,2018),以及減少他們的認知負荷
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