Ensino híbrido na formação em saúde: uma revisão sistemática

Autores/as

DOI:

https://doi.org/10.15649/cuidarte.2051

Palabras clave:

Ensino, Educação à Distância, Educação superior, Aprendizagem, Revisão Sistemática

Resumen

  • O ensino híbrido vem se destacando como uma possibilidade de organização do ensino nas instituições do ensino superior.
  • As atividades híbridas aumentaram a aprendizagem percebida e os níveis de satisfação dos estudantes, principalmente pela flexibilidade de horários e locais.
  • O ensino híbrido é um método de ensino capaz de tornar o aluno protagonista do seu processo de aprendizagem, pois promove o seu envolvimento direto, participativo e reflexivo.
  • O êxito do ensino híbrido pode estar relacionado ao seu caráter inovador, flexível, com uma boa relação custo-benefício e capaz de tornar os alunos protagonistas do seu processo de ensino-aprendizagem.

Introdução: A partir da necessidade de reestruturação das instituições de ensino em saúde devido à pandemia da COVID-19, o ensino híbrido vem se destacando como possibilidade de reorganização das atividades educativas. O objetivo deste estudo foi escrever o desenvolvimento do ensino híbrido na formação de profissionais da área da saúde. Materiais e Métodos: Revisão sistemática da literatura, baseada nas recomendações da Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A pesquisa foi desenvolvida em pares, entre julho a setembro de 2020, em quatro bases de dados eletrônicas. Os descritores foram os termos “Educação a Distância”, “Educação Superior”, “Aprendizagem”, “Saúde”, “Enfermagem”, “Medicina”, “Odontologia” e “Fisioterapia” e “Ensino híbrido”. Os artigos foram classificados conforme seu Nível de Evidência.  Resultados: 49 artigos foram selecionados, entre estudos quantitativos, qualitativos e de método misto. Foram encontradas experiências do desenvolvimento do ensino híbrido nos diferentes cursos de formação na área da saúde. Observou-se aplicação do ensino híbrido segundo o modelo de Rotação, modelo à la carte e o modelo Flex. Discussão: o ensino híbrido vem ganhando destaque cada vez maior no cenário da educação acadêmica em saúde. Foi visto que, a partir dele, o aluno destaca-se em sua aprendizagem, pois é o principal gerenciador deste processo, aprendendo ativamente por diversos instrumentos educativos a partir da condução do professor. Conclusões: O êxito do ensino híbrido pode estar relacionado ao seu caráter inovador, flexível, com boa relação custo-benefício e capaz de tornar os alunos protagonistas do seu processo de ensino-aprendizagem, influenciando no desempenho acadêmico dos alunos.

Como citar este artigo: De Lima, Ana Carolina Bezerra; Dos Santos, Danielle Christine Moura; De Almeida, Sabrina Lima; Da Silva, Ellen Lucena; E Pereira Emanuela Batista Ferreira.  Ensino híbrido na formação em saúde: uma revisão sistemática. Revista Cuidarte. 2022;13(1):e2051. http://dx.doi.org/10.15649/cuidarte.2051     

Biografía del autor/a

Ana Carolina Bezerra de Lima, Universidade de Pernambuco

Universidade de Pernambuco (UPE). Faculdade de Enfermagem Nossa Senhora das Graças (FENSG). Recife, Brasil

Danielle Christine Moura dos Santos, Universidade Estadual da Paraíba (PAPGEnf-UPE/UEPB)

Professora Adjunta da FENSG/UPE. Membro Permanente do Programa Associado de Pós-Graduação em Enfermagem da Universidade de Pernambuco/Universidade Estadual da Paraíba (PAPGEnf-UPE/UEPB). Recife, Brasil.

Sabrina Lima de Almeida, Universidade de Pernambuco (UPE)

Acadêmica de Enfermagem da FENSG/UPE. Recife, Brasil.

Ellen Lucena da Silva, Universidade de Pernambuco (UPE)

Acadêmica de Enfermagem da FENSG/UPE. Recife, Brasil.

Emanuela Batista Ferreira e Pereira, Universidade de Pernambuco (UPE)

Professora Adjunta da FENSG/UPE. Recife, Brasil.

Referencias

Akula SM, McCubrey JA. Where are we with understanding of COVID-19? Adv Biol Regul. 2020;78:100738. https://doi.org/10.1016/j.jbior.2020.100738

Khalil R, Mansour AE, Fadda WA, Almisnid K, Aldamegh M, Al-Nafeesah A et al. The sudden transition to synchronized online learning during the COVID-19 pandemic in Saudi Arabia: a qualitative study exploring medical students’ perspectives. BMC Med Educ. 2020;20:285. https://doi.org/10.1186/s12909-020-02208-z

Rajab MH, Gazal AM, Alkattan K. Challenges to Online Medical Education During the COVID-19 Pandemic. Cureus. 2020;12(7):e8966. https://doi.org/10.7759/cureus.8966.

Christensen CM, Horn MB, Staker H. Ensino híbrido: uma inovação disruptiva? Uma introdução à teoria dos híbridos. San Mateo: Clayton Christensen Institute, 2013. https://www.pucpr.br/wp-content/uploads/2017/10/ensino-hibrido_uma-inovacao-disruptiva.pdf

Ortiz PA. Teaching in the time of COVID‐19. Biochem Mol Biol Educ. 2020: 10.1002/bmb.21348. https://doi.org/10.1002/bmb.21348

Bacich L, Neto AT, Trevisani FM. Ensino híbrido: personalização e tecnologia na educação. Porto Alegre: Penso, 2015. https://www2.ifal.edu.br/ensino-remoto/professor/apostilas-e-livros/ensino-hibrido.pdf/

Santos CMC, Pimenta CAM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev. Latino-Am. Enfermagem. 2007;15(3):508-511. https://doi.org/10.1590/S0104-11692007000300023

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097

Lima, ACB. Ensino Híbrido: Revisão Sistemática da Literatura. Mendeley Data, V1. https://doi.org/10.17632/ghgkbxtjv3.2

Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare. A guide to best practice. 4ª ed. Philadelphia: Wolters Kluwer Health; 2019.

Wu XV, Chi Y, Selvam UP, Devi MK, Wang W, Chan YS et al. A Clinical Teaching Blended Learning Program to Enhance Registered Nurse Preceptors’ Teaching Competencies: Pretest and Posttest Study. J Med Internet Res. 2020;22(4):e18604. https://doi.org/10.2196/18604

Sáiz-Manzanares MC, Escolar-Llamazares MC, González AA. Effectiveness of Blended Learning in Nursing Education. Int J Environ Res Public Health. 2020;17(5):1589. https://doi.org/10.3390/ijerph17051589

Halasa S, Abusalim N, Rayyan M, Constantino RE, Nassar O, Amre H et al. Comparing student achievement in traditional learning with a combination of blended and flipped learning. Nursing Open. 2020;7(4):1129-1138. https://doi.org/10.1002/nop2.492

Fernandes RAML, Lima JTO, Silva BH, Sales MJT, Orange FA. Development, implementation and evaluation of a management specialization course in oncology using blended learning. BMC Med Educ. 2020;20:37. https://doi.org/10.1186/s12909-020-1957-4

Lozano-Lozano, Fernández-Lao C, Cantarero-Villanueva I, Noguerol I, Álvarez-Salvago F, Cruz-Fernández M et al. A Blended Learning System to Improve Motivation, Mood State, and Satisfaction in Undergraduate Students: Randomized Controlled Trial. J Med Internet Res. 2020;22(5):e17101. https://doi.org/10.2196/17101

Weber-Main AM, Shanedling J, Kaizer AM, Connett J, Lamere M, El-Fakahany EE. A randomized controlled pilot study of the University of Minnesota mentoring excellence training academy: A hybrid learning approach to research mentor training. J Clin Transl Sci. 2019;3(4):152–164. https://doi.org/10.1017/cts.2019.368

Shimizu I, Nakazawa H, Sato Y, Wolfhagen YHAP, Könings KD. Does blended problem-based learning make Asian medical students active learners?: a prospective comparative study. BMC Med Educ. 2019;19(1):147. https://doi.org/10.1186/s12909-019-1575-1

Røe Y, Rowe M,Ødegaard NB, Sylliaas H, Dahl-Michelsen T. Learning with technology in physiotherapy education: design, implementation and evaluation of a flipped classroom teaching approach. BMC Medical Education. 2019;19:291. https://doi.org/10.1186/s12909-019-1728-2

Naeem NK, Khan RA. Stuck in the blend: Challenges faced by students enrolled in blended programs of Masters in Health Professions Education. Pak J Med Sci. 2019;35(4):929–933. https://doi.org/10.12669/pjms.35.4.12

Westerlaken M, Christiaans-Dingelhoff I, Filius RM, de Vries B, Bruijne M, van Dam M. Blended learning for postgraduates; an interactive experience. BMC Med Educ. 2019;19(1):289. https://doi.org/10.1186/s12909-019-1717-5

Moon H, Hyun HS. Nursing students’ knowledge, attitude, self-efficacy in blended learning of cardiopulmonary resuscitation: a randomized controlled trial. BMC Medical Education. 2019;19:414. https://doi.org/10.1186/s12909-019-1848-8

Engel B, Esser M, Bleckwenn M. Piloting a blended-learning concept for integrating evidence-based medicine into the general practice clerkship. GMS J Med Educ. 2019;36(6):Doc71. https://doi.org/10.3205/zma001279

Rudd KE, Puttkammer N, Antilla J, Richards J, Heffron M, Tolentino H et al. Building workforce capacity for effective use of health information systems: Evaluation of a blended eLearning course in Namibia and Tanzania. Int J Med Inform. 2019;131:103945. https://doi.org/10.1016/j.ijmedinf.2019.08.005

Burrola-Mendez, Bonilla-Escobar FJ, Goldberg M, Pearlman J. Comparing the effectiveness of a hybrid and in-person courses of wheel chair service provision knowledge: A controlled quasi-experimental study in India and Mexico. PLoS One. 2019;14(5):e0217872. https://doi.org/10.1371/journal.pone.0217872

Yigzaw M, Tebekaw Y, Kim YM, Kols A, Ayalew F, Eyassu G. Comparing the effectiveness of a blended learning approach with a conventional learning approach for basic emergency obstetric and newborn care training in Ethiopia. Midwifery. 2019;78:42-49. https://doi.org/10.1016/j.midw.2019.07.014

Salim H, Lee PY, Ghazali SS, Ching SM, Ali H, Shamsuddin NH, et al. Perceptions toward a pilot project on blended learning in Malaysian family medicine postgraduate training: a qualitative study. BMC Med Educ. 2018;18(1):206. https://doi.org/10.1186/s12909-018-1315-y

Furnes M, Kvaal KS, Høye S. Communication in mental health nursing - Bachelor Students' appraisal of a blended learning training programme - an exploratory study. BMC Nursing. 2018;17:20. https://doi.org/10.1186/s12912-018-0288-9

Sheikhaboumasoudi J, Bagheri M, Hosseini SA, Ashouri E, Elahi N. Improving Nursing Students' Learning Outcomes in Fundamentals of Nursing Course through Combination of Traditional and e-Learning Methods. Iran J Nurs Midwifery Res. 2018;23(3):217–221. https://doi.org/10.4103/ijnmr.IJNMR_79_17

McCutcheon K, O'Halloran P, Lohan M. Online learning versus blended learning of clinical supervisee skills with pre-registration nursing students: A randomised controlled trial. Int J Nurs Stud. 2018;82:30-39. https://doi.org/10.1016/j.ijnurstu.2018.02.005

Könings KD, Jong N, Lohrmann C, Sumskas L, Smith T, O’Connor SJ et al. Is blended learning and problem-based learning course design suited to develop future public health leaders? An explorative European study. Public Health Rev. 2018;39:13. https://doi.org/10.1186/s40985-018-0090-y

Balasubramaniam SM, Bhargava S, Agrawal N, Asif R, Chawngthu L, Sinha et al. Blending virtual with conventional learning to improve student midwifery skills in India. Nurse Educ Pract. 2018;28:163-167. https://doi.org/10.1016/j.nepr.2017.10.028

Micheal S, Marjadi B. Blended learning to teach gender in medical school. Clin Teach. 2018;15(3):208-213. https://doi.org/10.1111/tct.12778

Aguilar-Rodríguez M, Marques-Sule E, Serra-Añó E, Espí-López GM, Dueñas-Moscardó L, Pérez-Alenda et al. A blended-learning programme regarding professional ethics in physiotherapy students. Nurs Ethics. 2019;26(5):1410-1423. https://doi.org/10.1177/0969733017748479

Wilbur K, Taylor ADJ. Does a blended learning environment suit advanced practice training for pharmacists in a Middle East setting? IJPP. 2018;26(6):560-567. https://doi.org/10.1111/ijpp.12437

Anderson LC, Krichbaum KE. Best practices for learning physiology: combining classroom and online methods. Adv Physiol Educ. 2017;41(3):383-389. https://doi.org/10.1152/advan.00099.2016

Herbert C, Velan GM, Pryor WM, Kumar RK. A model for the use of blended learning in large group teaching sessions. BMC Med Educ. 2017 Nov 9;17(1):197. https://doi.org/10.1186/s12909-017-1057-2

Luo L, Cheng X, Wang S, Zhang J, Zhu W, Yang J et al. Blended learning with Moodle in medical statistics: an assessment of knowledge, attitudes and practices relating to e-learning. BMC Med Educ. 2017;17(1):170. https://doi.org/10.1186/s12909-017-1009-x

Tirmizi SN, Khoja S, Patten S, Yousafzai AW, Scott RE, Durrani H, et al. Mobile-based blended learning for capacity building of health providers in rural Afghanistan. Mhealth. 2017;3:14. https://doi.org/10.21037/mhealth.2017.04.01

Fermozelli JA, Cesaretti MLR, Barbo MLP. Blended learning strategies in teaching general pathology at a medical course. J. Bras. Patol. Med. Lab. 2017;53(3):202-209. https://www.scielo.br/j/jbpml/a/wrvWHf6Tm78PxGpb8rHnTsN/?lang=en

Green RA, Whitburn LY, Zacharias A, Byrne B, Hughes DL. The relationship between student engagement with online content and achievement in a blended learning anatomy course. Anat Sci Educ. 2018;11(5):471-477. https://doi.org/10.1002/ase.1761

Extavour RM, Allison GL. Students' perceptions of a blended learning pharmacy seminar course in a Caribbean school of pharmacy. Curr Pharm Teach Learn. 2018 Apr;10(4):517-522. https://doi.org/10.1016/j.cptl.2017.12.007

Milic N, Masic S, Bjegovic-Mikanovic V, Trajkovic G, Marinkovic J, Milin-Lazovic J, et al. Blended learning is an effective strategy for acquiring competence in public health biostatistics. Int J Public Health. 2018;63:421–428. https://doi.org/10.1007/s00038-017-1039-5

Manyazewal T, Marinucci F, Belay G, Tesfaye A, Kebede A, Tadesse et al. Implementation and Evaluation of a Blended Learning Course on Tuberculosis for Front-Line Health Care Professionals. Am J Clin Pathol. 2017;147(3):285-291. https://doi.org/10.1093/ajcp/aqx002

Sonesson L, Boffard K, Lundberg L, Rydmark M, Karlgren K. The potential of blended learning in education and training for advanced civilian and military trauma care. Injury. 2018;49(1):93-96. https://doi.org/10.1016/j.injury.2017.11.003

Morton CE, Saleh SN, Smith SF, Hemani A, Ameen A, Bennie TD, et al. Blended learning: how can we optimise undergraduate student engagement? BMC Med Educ. 2016;16:195. https://doi.org/10.1186/s12909-016-0716-z

Keleekai NL, Schuster CA, Murray CL, King MA, Stahl BR, Labrozzi LJ et al. Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program. Simul Healthc. 2016;11(6):376–384. https://doi.org/10.1097/SIH.0000000000000186

Milic NM, Trajkovic GZ, Bukumiric ZM, Cirkovic A, Nikolic IM, Milin JS et al. Improving Education in Medical Statistics: Implementing a Blended Learning Model in the Existing Curriculum. PLoS One. 2016;11(2):e0148882. https://doi.org/10.1371/journal.pone.0148882

Page J, Meehan-Andrews T, Weerakkody W, Hughes DL, Rathner JA. Student perceptions and learning outcomes of blended learning in a massive first-year core physiology for allied health subjects. Adv Physiol Educ. 2017;41(1):44-55. https://doi.org/10.1152/advan.00005.2016

Sigaroudi AE, Ghiyasvandian S, Nasabadi AN. Understanding Doctoral Nursing Students' Experiences of Blended Learning: A Qualitative Study. Acta Med Iran. 2016;54(11):743-749. PMID: 28033699. https://pubmed.ncbi.nlm.nih.gov/28033699/

Atkins S, Yan W, Meragia E, Mahomed H, Rosales-Klintz S, Skinner D et al. Student experiences of participating in five collaborative blended learning courses in Africa and Asia: a survey. Glob Health Action. 2016;9:28145. https://doi.org/10.3402/gha.v9.28145

Protsiv M, Atkins S. The experiences of lecturers in African, Asian and European universities in preparing and delivering blended health research methods courses: a qualitative study. Glob Health Action. 2016;9:10.3402/gha.v9.28149. https://doi.org/10.3402/gha.v9.28149

Liebert CA, Mazer L, Merrell SB, Lin DT, Lau JN. Student perceptions of a simulation-based flipped classroom for the surgery clerkship: A mixed-methods study. Surgery. 2016;160(3):591-8. https://doi.org/10.1016/j.surg.2016.03.034

Te Pas E, Meinema JG, Visser MRM, van Dijk N. Blended learning in CME: the perception of GP trainers. Educ Prim Care. 2016;27(3):217-24. https://doi.org/10.1080/14739879.2016.1163025

Reissmann DR, Sierwald I, Berger F, Heydecke G. A model of blended learning in a preclinical course in prosthetic dentistry. J Dent Educ. 2015;79(2):157-65. PMID: 25640620.

Belfi LM, Bartolotta RJ, Giambrone AE, Davi C, Min RJ. "Flipping" the introductory clerkship in radiology: impact on medical student performance and perceptions. Acad Radiol. 2015;22(6):794-801. https://doi.org/10.1016/j.acra.2014.11.003

Patterson D, Resko S. Predictors of attrition for a sexual assault forensic examiner (SAFE) blended learning training program. J Contin Educ Health Prof. 2015;35(2):99-108. https://doi.org/10.1002/chp.21277

Hanson J. Surveying the experiences and perceptions of undergraduate nursing students of a flipped classroom approach to increase understanding of drug science and its application to clinical practice. Nurse Educ Pract. 2016;16(1):79-85. https://doi.org/10.1016/j.nepr.2015.09.001

Castro AB, Shapleigh E, Bruck A, Salazar MK. Developing blended online and classroom strategies to deliver an occupational health nursing overview course in a multi-state region in the United States. Workplace Health Saf. 2015;63(3):121-6. https://doi.org/10.1177/2165079915576919

Bösner S, Pickert J, Stibane T. Teaching differential diagnosis in primary care using an inverted classroom approach: student satisfaction and gain in skills and knowledge. BMC Med Educ. 2015;15:63. https://doi.org/10.1186/s12909-015-0346-x

Moran JM. Metodologias ativas e modelos híbridos na educação. In: Novas Tecnologias Digitais: Reflexões sobre mediação, aprendizagem e desenvolvimento. Curitiba: CRV, 2017. http://www2.eca.usp.br/moran/wp-content/uploads/2018/03/Metodologias_Ativas.pdf

Liu Q, Peng W, Zhang F, Hu R, Li Y, Yan W. The Effectiveness of Blended Learning in Health Professions: Systematic Review and Meta-Analysis. J Med Internet Res. 2016;18(1):e2. https://doi.org/10.2196/jmir.4807

Liaw SY, Tan KK, Wu LT, Tan SC, Choo H, Yap J et al. Finding the Right Blend of Technologically Enhanced Learning Environments: Randomized Controlled Study of the Effect of Instructional Sequences on Interprofessional Learning. J Med Internet Res. 2019;21(5): e12537. https://doi.org/10.2196/12537

Li C, He J, Yuan C, Chen B, Sun Z. The effects of blended learning on knowledge, skills, and satisfaction in nursing students: A meta-analysis. Nurse Education Today. Nurse Educ Today. 2019;82:51-57. https://doi.org/10.1016/j.nedt.2019.08.004

Sajid MR, Laheji AF, Abothenain F, Salam Y, AlJayar D, Obeidat A. Can blended learning and the flipped classroom improve student learning and satisfaction in Saudi Arabia? Int J Med Educ. 2016;7:281-5. https://doi.org/10.5116/ijme.57a7.83d4

Tolks D, Schäfer C, Raupach T, Kruse L, Sarikas A, Gerhardt-Szép S, et al. An Introduction to the Inverted/Flipped Classroom Model in Education and Advanced Training in Medicine and in the Healthcare Professions. GMS J Med Educ. 2016; 33(3): Doc46. https://doi.org/10.3205/zma001045

Joore IK, van Bergen JEAM, Riet GT, van der Maat A, van Dijk N. Development and evaluation of a blended educational programme for general practitioners’ trainers to stimulate proactive HIV testing. BMC Fam Pract. 2018;19:36. https://doi.org/10.1186/s12875-018-0723-8

Santos ACZF, Andrade IKR, Piva MR, Takeshita WM. Avaliação e desenvolvimento de ambiente virtual de aprendizagem no ensino da disciplina de Diagnóstico Oral por meio do blended learning. Revista da Abeno. 2017;17(2):76-87. https://doi.org/10.30979/rev.abeno.v17i2.372

Publicado

2022-03-15

Cómo citar

1.
Bezerra de Lima AC, Santos DCM dos, Almeida SL de, Silva EL da, Pereira EBF e. Ensino híbrido na formação em saúde: uma revisão sistemática. Revista Cuidarte [Internet]. 15 de marzo de 2022 [citado 22 de diciembre de 2024];13(1). Disponible en: https://revistas.udes.edu.co/cuidarte/article/view/2051

Altmetrics

Descargas

Los datos de descargas todavía no están disponibles.