Assessment of the effectiveness of “conceive, design, implement, and operate-based” flipped classroom approach to laparoscopic nursing training

Abstract

This study investigated the effectiveness of a flipped classroom approach based on the CDIO (Conceive, Design, Implement, Operate) framework in training newly recruited gynecologic operating room nurses in laparoscopic nursing. A total of 74 nurses were randomly assigned to either a control group receiving traditional instruction or an observation group receiving CDIO-based flipped classroom teaching. Key learning outcomes were compared between the two groups, including performance in laparoscopic surgery assistance, procedural proficiency, theoretical knowledge, critical thinking, self-directed learning, and teaching satisfaction. Results showed that while both groups improved after training, the observation group outperformed the control group in all measured areas (P < 0.05). Nurses in the flipped classroom group showed better understanding of endoscopy, more accurate instrument handling, and greater gains in theoretical knowledge. They also demonstrated significantly improved critical thinking and independent learning skills, along with higher satisfaction with the teaching experience. These findings suggest that integrating the CDIO framework with a flipped classroom model can significantly enhance the clinical competence and learning engagement of new gynecologic OR nurses, making it a more effective alternative to traditional teaching methods