The Development of a Learning Management Model Using High Fidelity Simulations Based Learning and Flipped Classroom to Enhance the Ability of Problem Solving Thinking of Nursing Students at Praboromarajchanok Institute

Abstract

           This study aimed to: (1) develop a learning management model by integrating high fidelity simulationbased learning with the flipped classroom approach to enhance the problem-solving skills of nursing students at Praboromarajchanok Institute and (2) examine the effectiveness of the developed model. The study included the following sub-objectives: 2.1) Compare the academic achievement of nursing students before and after learning with the developed model. 2.2) Investigate the improvement in problem-solving skills among nursing students after learning with the developed model. 2.3) Explore students' opinions on learning through the developed model. The study sample consisted of 30 fourth-year nursing students enrolled in the first semester of the academic year 2024 at Boromarajonani College of Nursing, Suphanburi. The research instruments included: (1) the developed learning management model, (2) the implementation manual for the model, (3) lesson plans, (4) an academic achievement test, (5) an assessment of problem-solving skill development, (6) a reflective learning log, and (7) a student opinion questionnaire. The data were analyzed using mean, standard deviation, dependent t-test, and one-way ANOVA with repeated measures.
          Research Findings: 1.The Problem-Solving Simulation Learning Model (PSSL Model) was developed by integrating simulation-based learning with the flipped classroom approach to enhance nursing students' problem-solving skills. The model consisted of five key components: 1) Principles 2) Objectives 3) Learning activities, which comprised four stages: Stage 1: Preparation Stage 2: Self-Paced Learning (outside the classroom) Stage 3: Simulation Practice (learning through virtual scenarios in the classroom) Stage 4: Learning Evaluation 4) Assessment and Evaluation 5) Conditions and supporting factors for successful learning management. The model’s quality assessment by experts indicated a high level of appropriateness (M=4.52, SD=0.54). 2.The effectiveness of the PSSL Model was evaluated, revealing the following results: The academic achievement of nursing students significantly improved after learning with the model compared to before learning, at a statistical significance level of 0.05. The development of problem-solving skills among nursing students significantly increased after learning with the model, at a statistical significance level of 0.05. Students’ opinions on learning through the model were highly positive (M=4.66, SD=0.50).