EFFECT EVALUATION OF THE BOPPPS TEACHING MODEL BASED ON THE OBE CONCEPT AND SPOC PLATFORM ON HUMANISTIC CARE ABILITY AND NURSING COMMUNICATION COMPETENCE OF HIGHER VOCATIONAL NURSING STUDENTS
Keywords:
BOPPPS, OBE, SPOC, Humanistic care, Clinical competence, Nursing communication abilities, Higher vocational nursing educationAbstract
Objective: Higher vocational nursing education aims to develop students’ clinical competence, yet traditional teaching methods often fail to adequately cultivate humanistic care and nursing communication abilities. The BOPPPS model, combined with the OBE concept and SPOC platform, offers a student-centred, outcome-driven, blended learning approach. However, evidence of its effectiveness in Internal Medicine Nursing courses for vocational nursing students remains limited. Methods: A quasi-experimental study was conducted. The 2022 and 2023 higher vocational nursing students (hereinafter referred to as nursing students) from two parallel classes at a vocational college were enrolled. A total of 452 students participated: the class of 2022 (n=216) served as the control group (traditional teaching), and the class of 2023 (n=236) as the experimental group (BOPPPS–OBE–SPOC intervention). Humanistic care ability and nursing communication competence were measured using validated scales before and after the intervention. Results: Following the intervention, the experimental group taught with the BOPPPS model (based on the OBE concept and SPOC platform) exhibited significantly superior performance in humanistic care and nursing communication abilities relative to the control group (P < 0.05). Conclusion: The BOPPPS teaching model based on the OBE concept and SPOC platform significantly improves humanistic care and nursing communication abilities in higher vocational nursing students enrolled in the Internal Medicine Nursing course. This blended, student-centred approach can be considered an effective pedagogical strategy for nursing education.References
[1] China issues guideline on advancing vocational education reform. 2022-12-21. http://www.gov.cn/zhengce/2022-12/21/content_5732986.htm (In Chinese).
[2] Zhongguo Jiaoyu Xiandaihua 2035 [China Educational Modernization 2035]. Bulletin of the Ministry of Education, 2019(Z1): 2-5.
[3] Chen M, Huang M, Mu YM, et al. Teaching reform and practice of the "Internal Medicine Nursing" course based on the CDIO educational concept. Journal of Nurses Training. 2021, 36(22): 2103-2108. DOI: 10.16821/j.cnki.hsjx.2021.22.018._(In Chinese)
[4] Wang Y, Wang Y Y. Application of role practice in internal medicine nursing teaching in higher vocational colleges. Chinese Nursing Research, 2016, 30(7A): 2418-2419.
[5] Spady W G. Choosing 0utcomes of Significance. Educational Leadership, 1994, 6(51): 18-22.
[6] Li P. Teaching design and application research of the "Micro-lecture Design and Production" course based on OBE theory (Master’s thesis). Inner Mongolia Normal University, 2021.
[7] Engineering Changes: A Study of the Impact of EC2000. ABET Website, 2001-06-23. http://www. aber. org.
[8] Mouton N, Louw G P, Strydom G L. A historical analysis of the post -apartheid dispensation education in south Africa (1994-2001). International Business& Economics Research Journal, 2013, 12(2): 1211-1221.
[9] Donnell K. Australia,s adoption of Outcomes based education: a critique. Issues in Education Research, 2007, 17(2): 21.
[10] James A. Tucker. The Ideology of Outcome-based Education an Interview with William Spady. Journal of Research on Christian Education, 1998, 7(1): 5-18.
[11] Wu Q. Construction of the teaching model of ideological and political theory courses in colleges and universities in the new era based on OBE theory (Master’s thesis). China University of Petroleum (East China). 2021.
[12] Wen X J, Liang . Q. A study on the blended teaching model based on the OBE concept: Taking the “Management” course as an example. Journal of Higher Education Finance, 2018, 21(1): 45–55.
[13] Zhang H, Wu Z J, Liao R. SPOC teaching mode in basic surgery course for international students teaching evaluation. Chongqing Medicine, 2024:1-8.
[14] Gao B, Yan C, An Y, et al. Research on mixed teaching mode based on SPOC and WebQuest in clinical teaching. Asian journal of surgery, 2024.
[15] M A G, Michele S, Davon T, et al. A qualitative study to explore experiences of anti-racism teaching in medical residency programs across the United States and subsequent creation of the SPOC (Support - Pipeline - Outcomes - Community) Model to guide future curricula design. BMC Medical Education, 2024, 24(1): 382-382.
[16] Giustini D. Utilizing learning theories in the digital age: from theory to practice. Jourmal of the Canadian Health Libraries Association, 2009, 30(1): 19-25.
[17] Wunderlich I Bridge-ins. About building bridges at the beginning of a language lesson.UPED-skrift, 2015: 1-8.
[18] Foxe J P, Frake-Mistak M, Popovic C. The instructional skills workshop: A missed opportunityin the UK? Innovations in Education and Teaching International, 2016(11): 135-142.
[19] Nemeth C. Evidence Based Design: Exploring Research, Education, and Application in InteriorDesign. Calgary: University of Calgary, 2014.
[20] Li S. Reflections on the blended teaching model based on “Rain Classroom”. Modern Communication, 2019(2): 137–138.
[21] Wang L. Exploring personalized education methods in the internet era — A review of Blended Learning: Using Disruptive Innovation to Promote an Education Revolution. Art and Literature for the Masses, 2019(11): 213–214.
[22] Cui X, Su K Y, Zhou B L, et al. Teaching reform and innovation of SPOC + BOPPPS hybrid model — Taking “Power System Relay Protection” as an example. The Theory and Practice of Innovation and Entrepreneurship, 2023, 6(22): 158–160+171.
[23] Shi W M, Ding Y C, Liao J Z, et al. Research on the “SPOC + BOPPPS” blended teaching model for the Pharmaceutical Physical Chemistry course based on the OBE concept. Journal of Gannan Medical University, 2023, 43(7): 760–764.
[24] Li J, Wang J Y, Chen X N, et al. Application of SPOC + BOPPPS teaching model in experimental teaching of pathophysiology. Basic Medical Education, 2023, 25(6): 509–513.
[25] Zuo W G, Li F. Application research of SPOC + BOPPPS teaching model in higher vocational education — Taking “Python Programming” course as an example. Higher Vocational Education (Journal of Tianjin Vocational Institute), 2021, 30(2): 65–69.
[26] Xu J. A survey study on caring ability of nursing staff in hospital [Master’s thesis]. Huazhong University of Science and Technology, 2008.
[27] Yang F Y, Shen N, Li Z J. Preliminary development of a clinical communication competence scale for nursing students [Master’s thesis]. Peking Union Medical College, 2003.
[28] Tan K, Chong MC, Subramaniam P, et al. The effectiveness of outcome based education on the competencies of nursing students: A systematic review. Nurse Education Today, 2018, 64: 180-189.
[29] Peng Y, Sha LY, Dong JL, et al. A systematic review of the application effect of SPOC-based blended teaching in nursing professional education. Chinese Journal of Nursing Education, 2021, 18(5): 446-451.
[30] Chen X, Song Y, Li X, et al. Analysis of the effectiveness of SPOC combined with BOPPPS teaching method in stoma care training for nurses in neonatal intensive care units. BMC Medical Education, 2025, 26(1): 77. DOI: 10.1186/s12909-025-08379-x.
[31] Xiao X, Xie Y, Zhao X, et al. The application effectiveness of the “One Case to the End” teaching model based on BOPPPS in pediatric nursing: a quasi-experimental study. BMC Medical Education, 2025, 25(556). DOI: 10.1186/s12909-025-07073-2.
[32] Jeffrey V. Reflective journaling towards caring behaviors and compassionate empathy skills of students in clinical nursing. Journal of Professional Nursing, 2026.
[33] Li S. A BOPPPS-structured narrative medicine intervention to enhance empathy and reduce ageism among undergraduate nursing students. BMC Medical Education, 2026. DOI: 10.1186/s12909-026-09171-1.
[34] Zhu J, Xiao H, Zhou R, et al. The efficacy of the BOPPPS teaching model in clinical and health education: a systematic review and meta-analysis. BMC medical education, 2005, 25(1): 997. DOI: 10.1186/s12909-025-07274-9.
[35] Fang Hongli, Deng Li, Gao Huifang, et al. Application Effect of OBE Concept on the Nursing Clinical Practice Education. Journal of Kunming Medical University, 2023, 44(4): 165-169. DOI: 10.12259/j.issn.2095-610X.S20230417.
[36] Zhou P, Deng RJ. Systematic evaluation of the effect of core competence development of practicing nursing students based on OBE concepts. Journal of Modern Medicine & Health, 2025, 41(4): 967-974.
[37] Sung J, Kweon Y. Effects of a Nonviolent Communication-Based Empathy Education Program for Nursing Students: A Quasi-Experimental Pilot Study. Nursing reports (Pavia, Italy), 2022, 12(4): 824–835. DOI: 10.3390/nursrep12040080.