This study aimed to determine the effects of a flipped classroom (i.e., reversal of time allotment for lecture and homework) and innovative learning activities on academic success and the satisfaction of nursing students. A quasi-experimental design was used to compare three approaches to learning: traditional lecture only (LO), lecture and lecture capture back-up (LLC), and the flipped classroom approach of lecture capture with innovative classroom activities (LCI). Examination scores were higher for the flipped classroom LCI group (M = 81.89, SD = 5.02) than for both the LLC group (M = 80.70, SD = 4.25), p = 0.003, and the LO group (M = 79.79, SD = 4.51), p < 0.001. Students were less satisfied with the flipped classroom method than with either of the other methods (p < 0.001). Blending new teaching technologies with interactive classroom activities can result in improved learning but not necessarily improved student satisfaction.
The purpose of this descriptive pilot study was to describe sleep characteristics of hospitalized older adults and the nighttime environmental noise and light they encountered. Study participants included patients in an acute care setting; actigraphy and light and sound meters were used to measure the variables. Mean sleep time was 215 minutes, and the average sleep efficiency was 44.72%. Nighttime sleep was fragmented into 5 to 38 intervals of 15 to 24 minutes, with frequent awakenings. Mean light levels were 6.14 lux, with peak intensities of 59.68 lux lasting 95 minutes each night. Mean sound levels were 52.87 dB(A). Sleep was markedly impaired in an environment of elevated light and sound levels. Understanding the role of noise and light in the sleep efficiency of ill older adults can help nurses identify sources of noise and light and initiate sleep improvement protocols.
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