Implementation of a Blended Online and Offline Teaching Model

Plain-language summary

This study aims to design, implement, and evaluate a blended online and offline teaching model for Internal Medicine Nursing, integrating generative artificial intelligence (GAI), a virtual simulation platform, card-based exercises, and scenario simulation. The objective is to address key limitations of traditional teaching, including low student engagement, insufficient cultivation of clinical thinking, limited personalized learning, and a disconnect between theory and practice. A mixed-methods approach will be used. All undergraduate nursing students from the 2024 cohort at Changsha Medical University will be enrolled via convenience sampling as the experimental group to receive the new blended model. The 2023 cohort will serve as the control group, receiving traditional teaching. Quantitative data (course grades, satisfaction questionnaires) and qualitative data (semi-structured interviews) will be collected to comprehensively evaluate the model's effectiveness. Expected outcomes include improved student mastery of theoretical knowledge, enhanced practical skills and clinical thinking, increased learning interest, and higher teaching satisfaction. The study intends to provide a replicable, scalable innovative solution for nursing education reform, ultimately contributing to the training of high-quality applied nursing talents. Key problems addressed: Overcoming single-method teaching and poor interaction through GAI and gamification. Enhancing clinical thinking and decision-making via dynamic GAI cases and card-based exercises. Providing personalized learning paths and instant feedback using GAI technology. Bridging the theory-practice gap with high-fidelity virtual and scenario simulations. Implementing a multi-dimensional evaluation system beyond final exams to assess comprehensive student abilities.

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