"Flipped Classrooms" for nursing internships

[CraigB-RN, MSN, RN]

Is anyone out there using any form of flipped classroom during their nurse internship programs?

[morte, LPN, LVN]

what does the term mean??

Is anyone out there using any form of flipped classroom during their nurse internship programs?

[classicdame, MSN, EdD]

what is it?

[HouTx, BSN, MSN, EdD]

This is a wonderful instructional model. The students are expected to do all of the "lecture-y" stuff via self-study prior to class. Then, class time is devoted to interactions designed to apply or enlarge on the material. It has been reported to be much more engaging than the typical lock-step instructional models. An example: students review ESI (triage) criteria prior to class. In class, the instructor presents "real life" ED arrivals (actors, videos, case studies, etc) and hits a buzzer... students are asked to immediately hold up cards assigning a triage level. The instructor facilitates discussion and learning. It feels like a game, but it's a very powerful learning exercise.

I have introduced this to my clinical educators - they are enthusiastic and want to use it . . . BUT they report ongoing problems with participants just failing to do the prep work. Most of the participants won't do anything on their own - they want everything handed to them; if we ask them to do anything on their own, they want to know how we are going to pay them for the time it takes. Srsly. It's a catch 22... according to FLSA, employers have to pay for any education mandated for non-exempt staff.

Are you having the same problems?

[llg, PhD, RN]

I have introduced this to my clinical educators - they are enthusiastic and want to use it . . . BUT they report ongoing problems with participants just failing to do the prep work. ?

That's been our problem with using it. Federal law requires that people be paid for the time they spend doing required work for the employer. That includes "homework/preparation" for class. My employer isn't going to pay for people doing their class preparation at home -- especially if it throws them into "overtime" pay, which is also mandatory. They are only willing to pay for class time.

Management's solution is that they should do their homework on "down time." What down time? "Down time" is not always available. And even when the unit is slow, the environmnet is not always conducive to reading, watching a video, etc. Unless time is set aside for the student to complete the pre-work before class, it is not fair to expect them to work it into brief moments snatched between patients.

And I actually agree with the people who expect to be paid. If the class is mandatory, the time spent on that class should be paid time.

[CraigB-RN, MSN, RN]

Yeah that's been my problem also. They tend to think i'm supposed to spoon feed them. Although as the quality of my productions improves I hope the interest does also. Also trying to get students to motivate each other, and use the social part of education to teach each other.

I've also been making an effort to make sure the individual pieces are small enough not to take to much time. Short bite sized pieces.

[classicdame, MSN, EdD]

had a big complaint first thing this morning from a nurse who did not study for ACLS (takes too long) and then failed the course. We do pay them for attendance but not for studying.

[CraigB-RN, MSN, RN]

Which is why my next thesis will be "Benner was an optimist". That's why 65% of nurses never get past advanced beginner.

[classicdame, MSN, EdD]

don't know where you got the 65% stat, but the quote is CLASSIC.

A lot of the problem has to do with attitude (like most problems). Does the individual see nursing as a job or a career?

[CraigB-RN, MSN, RN]

It came from a book called Pragmatic Thinking & Learning by Andy Hunt. IT's not specific to nursing,but the Convent of novice to Expert concept in general. To many people think that just putting in your time makes you an expert. But unless your like Bill Murray in Groundhog Day Learning something new every day, you don't advance. You stay stagnant.

[msn10]

Are you having the same problems?

We have had the same problems at the university level and in staff development.

The university students will "watch" the videos or PP at home, but with all of the digital distractions out there, it was evident that the majority of them were not completely engaged or even completing the assignment and coming very unprepared to what we called the 'application lab'. This was the same for APN students as well which was even more disheartening.

Additionally, for a nurse residency program we started in the hospital settings, the nurses would not do work outside of class time (even read one article a month for prep) unless they were paid, as per employment law.

[CraigB-RN, MSN, RN]

Hmm. So does that mean every time I look up something at home to take care of a patient the next day I should get paid for it? Last time I looked into it, our attorney said, Nurses are professionals,it's expected that they have to do some reading at home to best prepared to do their job. Payment, not needed. To much open to interpretation.

This is the future of nursing! It's as much about current generation, as well as the external factors from regulators of employers. But I teach PA students also and it's the same with them. Same category as new nurses not wanting to work nights and to go right into APRN school without working as a nurse.