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Articles 7891 - 7920 of 155549
Full-Text Articles in Entire DC Network
Be Curious, Not Judgmental: Neurodiversity In Legal Education, Katherine Silver Kelly
Be Curious, Not Judgmental: Neurodiversity In Legal Education, Katherine Silver Kelly
Arkansas Law Review
This Article takes the position that the curiosity associated with legal education is limited to those who are neurotypical. For students who are neurodivergent, law school is a place of judgment, not curiosity. The number of neurodiverse law students is increasing, yet they are not sufficiently supported in law school. This Article will seek to show how the current structures of legal education, although fundamentally sound, have become overly rigid. Instead of providing students with intellectual foundations of legal doctrine that prepare them for the challenges of practicing law, the existing status quo stifles those goals. By limiting our practices …
Illuminating Two Secondary Schoolteachers’ Praxes On A ‘Terrain Of Freedom:’ Lessons For Teacher Education, Paul Tarc, Nicholas Ng-A-Fook, Tasha Ausman, Catherine James
Illuminating Two Secondary Schoolteachers’ Praxes On A ‘Terrain Of Freedom:’ Lessons For Teacher Education, Paul Tarc, Nicholas Ng-A-Fook, Tasha Ausman, Catherine James
Northwest Journal of Teacher Education
This paper attunes to the stated focus of this special issue—teacher subjectivities on a terrain of freedom—to consider the qualities, possibilities and limits of teachers’ praxes and development upon this ‘terrain.’ In response to the call, we explore three critical questions: 1) Where does the teacher’s freedom lie amidst required protocols and standardization?; 2) Can teachers transcend how they have been conceived and conditioned?; and 3) How can teachers engage in transformative development? Through a "poetics of teaching," inspired by Hansen (2004), we frame teaching as a curricular and pedagogical art form that melds interdisciplinary, intellectual, aesthetic, and …
The Experiences Of Adolescent Caregivers Of A Parent With Amyotrophic Lateral Sclerosis, Barbara Thornton
The Experiences Of Adolescent Caregivers Of A Parent With Amyotrophic Lateral Sclerosis, Barbara Thornton
Walden Dissertations and Doctoral Studies
In many families in the United States, minor children fulfill care duties for sick or disabled family members living within the children’s homes. Although there is extensive research and established support systems for adult family caregivers in the context of long-term illness, children in this caregiving role have been largely overlooked, resulting in a lack of support services to meet their unique needs and challenges. Grounded in Bronfenbrenner's ecological systems theory, the purpose of this qualitative phenomenological study was to examine the experiences of children who serve as caregivers for parents with amyotrophic lateral sclerosis (ALS), a progressive and terminal …
Wisdom Responses To Troubled Times: Healing Through Contemplative And Somatic Approaches, David Smith, Thomas Falkenberg, Remy Y.S. Low, David Chang, Åsa Jarskog, Jason Brown, Randy Persad, Anna Rumjahn, Charles Scott, Heesoon Bai
Wisdom Responses To Troubled Times: Healing Through Contemplative And Somatic Approaches, David Smith, Thomas Falkenberg, Remy Y.S. Low, David Chang, Åsa Jarskog, Jason Brown, Randy Persad, Anna Rumjahn, Charles Scott, Heesoon Bai
Journal of Contemplative and Holistic Education
Humanity is facing troubled times, as witnessed by increased polarization and division that are exploding into various forms of violence. Collectively, we are facing unprecedented ecological and environmental disasters. On campuses throughout North America, and closer to home, student anxiety, depression and other mental health issues are increasingly prevalent. The academic fields of contemplative inquiry and somatic studies, which highlight holistic approaches to education, are responding to these troubled times by showing how we can accomplish presence of mind, promote healing, and embrace the physical, intellectual, emotional, social, spiritual, and ecological dimensions of wellness.
An Educational Interventional Study To Compare The Effectiveness Of Small Group Discussion Versus Role Play As A Teaching Learning Method In The Subject Of Pharmacology, Akanksha B. Prajapati, Alay Patel, Rupal Shah, Vipul Chaudhari
An Educational Interventional Study To Compare The Effectiveness Of Small Group Discussion Versus Role Play As A Teaching Learning Method In The Subject Of Pharmacology, Akanksha B. Prajapati, Alay Patel, Rupal Shah, Vipul Chaudhari
Graduate Medical Education Research Journal
BACKGROUND: Teaching-learning methods include lectures, discussions, and small group activities. Small group discussions and role-plays enhance adult learning by promoting participation, reflection, communication, and teamwork. These methods improve knowledge retention and prepare students for real-life scenarios and professional challenges through experiential, interactive learning. Aim of the study was to compare the effectiveness of Small Group Discussion (SGD) vs Role play as a teaching learning (T/L) method among Phase II medical students.
METHODS. Out of 140 Phase II MBBS students, 88 participated in the pharmacology schedule and were included in the study. After randomization, 42 students (Group A) underwent SGD, and …
Immune Thrombocytopenic Purpura Association With Epstein-Barr Virus, Amer Aldamouk, Bachr Masri, Ali Khan, Pulkita Uppal
Immune Thrombocytopenic Purpura Association With Epstein-Barr Virus, Amer Aldamouk, Bachr Masri, Ali Khan, Pulkita Uppal
Graduate Medical Education Research Journal
Immune thrombocytopenia (ITP), also referred to as idiopathic thrombocytopenic purpura, is an acquired form of thrombocytopenia caused by antibodies directed against platelet glycoproteins, particularly anti-GpIIb/IIIa antibodies. Epstein-Barr virus (EBV), a herpes virus infecting a large majority of the population before adulthood, has been implicated in various immune-mediated disorders, including ITP. In this report, we present a case of a young adult female with a history of thrombocytopenia who was found to have severe thrombocytopenia attributed to chronic EBV infection. Despite initial treatment with corticosteroids and intravenous immunoglobulin (IVIG), the patient's condition necessitated second-line therapies, including rituximab and thrombopoietin receptor agonists. …
A Rare Delayed Neuropsychiatric Encephalopathy After Hyperbaric Oxygen Treatment For Carbon Monoxide Poisoning: A Couple’S Case Report, Sabrina Kasha, William J. Naber Ii, Michael Reimer
A Rare Delayed Neuropsychiatric Encephalopathy After Hyperbaric Oxygen Treatment For Carbon Monoxide Poisoning: A Couple’S Case Report, Sabrina Kasha, William J. Naber Ii, Michael Reimer
Graduate Medical Education Research Journal
Background: Carbon monoxide (CO) poisoning is caused when carbon monoxide builds up in the blood, most specifically due to its high binding affinity for the heme structure in hemoglobin. This can lead to serious tissue damage and even be fatal. CO poisoning is primarily the result of incomplete combustion of fuels, with common sources domestically and internationally including furnaces, gas heaters, generators, and motor vehicles.2 Symptoms tend to present as neuropsychiatric symptoms, such as dementia, psychosis, parkinsonism, and incontinence. There are few well-researched CO poisoning specific treatments, which suggest supplemental oxygen and hyperbaric oxygen are most effective. We present a …
Characteristics And Educational Background Of Current Deans Of Medicine, Joseph T. Mcgrath, Calla M. Sullivan, Divya Sharma, Evelyn Fagan, Erin X. Wei
Characteristics And Educational Background Of Current Deans Of Medicine, Joseph T. Mcgrath, Calla M. Sullivan, Divya Sharma, Evelyn Fagan, Erin X. Wei
Graduate Medical Education Research Journal
Background. Medical school leadership demographics have been examined previously, but there has not been a study investigating the educational background of the current Deans of Medicine (DOMs). The purpose of this report is to examine the demographics, as well as the educational and training background, of the current DOMs to determine how medical school leadership can continue to be diversified across various attributes, such as gender and specialty type.
Methods. The current DOMs at 159 Doctor of Medicine (MD) and 41 Doctor of Osteopathic (DO) programs were identified using medical school websites. Information about the DOM’s background, including pronouns used …
Transforming Primary Care: Innovative Post Graduate Pa Training For Real-World Solutions, Kenneth Botelho, James Ali
Transforming Primary Care: Innovative Post Graduate Pa Training For Real-World Solutions, Kenneth Botelho, James Ali
Lynchburg Journal of Medical Science
The ongoing crisis in primary care demands innovative and scalable strategies to prepare and retain advanced practice providers. This article introduces the Primary Care Practitioner (PCP) Program, a conceptual postgraduate training model designed for certified physician associates/assistants (PAs) who aim to serve in underserved and rural communities. The program integrates advanced clinical training, leadership development, telehealth competencies, VR-enhanced simulation, and evidence-based strategies to promote provider resilience. Rooted in systems-based thinking and real-world applicability, the PCP Program culminates in capstone projects that encourage innovation in care delivery and population health.
Aligned with national frameworks such as the HRSA Primary Care Training …
The Impact Of Tailored Educational Strategies On Academic Performance Among Physician Assistant Students, Lauren L. Lieb
The Impact Of Tailored Educational Strategies On Academic Performance Among Physician Assistant Students, Lauren L. Lieb
Lynchburg Journal of Medical Science
Impact of Tailored Educational Strategies on Academic Performance
This article explores the impact of customizing education to accommodate different learning styles and its potential to enhance Physician Assistant (PA) student success. Tailored learning strategies can address diverse learners, leading to improved retention of medical knowledge. PA students who retain information become better-prepared healthcare providers, which in turn leads to improved patient outcomes. The literature review highlights Kolb's learning style inventory, which includes visual, auditory, kinesthetic, and tactile learning styles. However, with a deeper look into learning styles, they can be further defined as sensing and intuitive perception, visual and verbal …
Empowering Interprofessional Collaboration: Peer Teaching In Doctor Of Physical Therapy And Nursing Education, Debra Ann Beazley, Jill Foster, Samantha Elam, Stephen W. Elam
Empowering Interprofessional Collaboration: Peer Teaching In Doctor Of Physical Therapy And Nursing Education, Debra Ann Beazley, Jill Foster, Samantha Elam, Stephen W. Elam
Lynchburg Journal of Medical Science
Purpose: This empirical study examined an interprofessional education (IPE) experience designed to develop communication and collaboration skills among Doctor of Physical Therapy (DPT) and nursing (NSG) students at a university in Virginia. Method: Second-year DPT students acted as peer educators, teaching patient management and mobility skills to first-year nursing students, with first-year DPT students serving as standardized patients. Result: A mixed-methods analysis of surveys and reflections from 106 participants indicated generally positive perceptions of the activity, which was described as engaging, collaborative, and relevant to future practice. Second-year DPT and nursing students differed significantly in their perceptions of …
Innovation In Active Learning: Evaluating The Flipped Classroom Method In Physician Associate Education, Malatrice R. Montgomery
Innovation In Active Learning: Evaluating The Flipped Classroom Method In Physician Associate Education, Malatrice R. Montgomery
Lynchburg Journal of Medical Science
The purpose of this review article aims to explore the effect of innovative, active learning methods, such as the flipped classroom, compared to traditional lectures to assess whether academic performance and learning outcomes are improved and result in better student engagement and knowledge retention. A literature search using the PubMed database was conducted. Six journal articles were identified that provided evidence to support the purpose of the article review. Findings demonstrated a higher academic performance in the flipped classroom. Results showed test scores were significantly higher for a majority of the flipped classroom courses. Research also indicated the opportunity for …
Transforming Care: An Academic And Community Symposium On Transgender Care And Experience, Alison Sutton-Ryan, Kimberly Van Vulpen
Transforming Care: An Academic And Community Symposium On Transgender Care And Experience, Alison Sutton-Ryan, Kimberly Van Vulpen
Transforming Communities
Background: Transgender experience is often excluded from education and training. An emphasis has been often placed on sexual identities instead of gender differences rendering transgender care invisible in the healthcare system (Gahagan & Colpitts 2017). Lack of education and training has created significant barriers to accessible gender-affirming care, contributing to disproportionately high levels of discrimination for transgender individuals seeking medical services (Redcay et al., 2021). Purpose: The Interprofessional Education Symposium on Transgender Care and Experience was an innovative initiative developed by the newly formed Transgender Interprofessional Care Team (TICT) at a medium-sized suburban university. This collaborative team, comprising key …
Learning From Evidence: Assessing Progress And Impact. Proceeding Of The 2024 International Conference On Assessment And Learning, Biyan Iskandar
Learning From Evidence: Assessing Progress And Impact. Proceeding Of The 2024 International Conference On Assessment And Learning, Biyan Iskandar
International Conference on Assessment and Learning (ICAL)
No abstract provided.
Digital Infrastructure For The Regenerative Movement: A Case Study Of The Mycelium Learning Network, Abigail Karparis
Digital Infrastructure For The Regenerative Movement: A Case Study Of The Mycelium Learning Network, Abigail Karparis
Journal of Nonprofit Innovation
The regenerative movement is gaining momentum worldwide, driven by communities working to restore ecological and social systems through place-based, culturally rooted action. Yet many of the groups leading this work, especially in the Global South or in hyper-local contexts, remain digitally invisible due to structural barriers, including limited access to appropriate technology, funding constraints, and misalignment between available tools and local values. Conventional digital infrastructures often exclude or marginalize these efforts, leaving regenerative practitioners disconnected from each other and from potential sources of support.
This article explores these challenges and presents a case study response: the co-creation of accessible, relational …
Alcohol & Substance Abuse Among Youth In South Africa, Carsyn R. Richins
Alcohol & Substance Abuse Among Youth In South Africa, Carsyn R. Richins
Journal of Nonprofit Innovation
South Africa is one of the riskiest drinking countries in the world, and its youth show some of the highest alcohol and substance abuse rates in the nation. In recent years, consumption rates among South African youth have increased while the average age of first use has decreased. This has led to higher levels of binge drinking, addiction, and dependency. This paper explores the root causes and long-term consequences of this growing issue. It argues that three primary factors — early and frequent exposure, poor governmental regulation, and the use of substances as a coping mechanism — have created a …
A Call For Change: Supporting Children With Tourette Syndrome, Matt Reall
A Call For Change: Supporting Children With Tourette Syndrome, Matt Reall
Journal of Nonprofit Innovation
Tourette Syndrome affects 1 in 100 U.S. children but remains widely misunderstood due to stigma, delayed diagnosis, and media misrepresentation. This neurological disorder is characterized by involuntary tics and often co-occurs with ADHD, anxiety, and sleep disorders. Children with Tourette Syndrome face disproportionate challenges in social, academic, and emotional settings—despite having average or above-average intelligence. One-third engage in self-harm, and suicide rates are four times the national average. Peer-education programs like the Tourette Association of America’s Youth Ambassador initiative have shown promise in reducing stigma, but unequal access and weak institutional support limit their impact. This paper calls for early …
Managing/Negotiating The Unexpected: Principals’ Sensemaking Of A School Reopening Policy During A Crisis, The Covid-19 Pandemic, Andrea O'Sullivan
Managing/Negotiating The Unexpected: Principals’ Sensemaking Of A School Reopening Policy During A Crisis, The Covid-19 Pandemic, Andrea O'Sullivan
USF Tampa Graduate Theses and Dissertations
The purpose of this study was to investigate high school principals’ Sensemaking of a school reopening policy during the COVID-19 pandemic. I inquired about four high school Principals, in the State of Florida, made sense of an Executive Order to reopen schools during a pandemic. As method, I applied Weick (1995) interpretivist framework of Sensemaking as reconceptualized by Coetzee & Wilkinson (2020), as both a theoretical and an analytic framework for a priori analysis. Weick (1995) included seven guiding principles of identity, retrospect, ongoing, enactments, social, extracted cues, and plausibility. Coetzee and Wilkinson (2020) emphasize an eighth principle of reflection …
Demanding More From Distance Learning: The Virtual & Democratized Futures Of Legal Education, Antonio M. Coronado, Gabriela Elizondo-Craig
Demanding More From Distance Learning: The Virtual & Democratized Futures Of Legal Education, Antonio M. Coronado, Gabriela Elizondo-Craig
Seattle University Law Review Online
Antonio M. Coronado and Gabriela Elizondo-Craig examine the transformative potential of online legal education through their work at Innovation for Justice, where they lead virtual legal training programs for community-based justice workers. They trace the development and limitations of ABA Standard 306, highlighting how the COVID-19 pandemic exposed both the rigidity of traditional legal education and the possibilities of technology-enabled learning. Drawing on adult education theory and best practices in online pedagogy, Coronado and Elizondo-Craig challenge prevailing critiques of distance legal education and advocate for a learner-centered, accessible, and inclusive model. Their experience demonstrates how online legal education, when intentionally …
Living Heritage, Resilience And Ethically Informed Infrastructures In Malawi, Martha B. Lerski, Frank Puluputu Mwale
Living Heritage, Resilience And Ethically Informed Infrastructures In Malawi, Martha B. Lerski, Frank Puluputu Mwale
Publications and Research
Rooted in a rural community’s needs, this paper explores how historically, and ethically informed infrastructures can support community engagement towards identification, documentation, and dissemination of local, traditional, and indigenous knowledge relating to climate change. The paper examines climate adaptation and sustainability issues through the lenses of community organizing and Library & Information Science best practices. It draws on a growing body of literature identifying a role for expanded epistemological and subject discipline perspectives. While the impacts of climate on material culture are increasingly recognized, intangible, and biocultural heritage have not received as much attention. Living heritage traditions and knowledge systems …
Effect Of Coaching On School Heads’ Servant Leadership Qualities: A Case Of Adventist Primary Schools In Southern Tanzania, Baraka Manjale Ngussa, Devotha Dioniz Magere, Randy Siebold, Ramiro Quero
Effect Of Coaching On School Heads’ Servant Leadership Qualities: A Case Of Adventist Primary Schools In Southern Tanzania, Baraka Manjale Ngussa, Devotha Dioniz Magere, Randy Siebold, Ramiro Quero
Adventist Human-Subject Researchers Association
Using the quasi-experimental design, this study assessed the role of coaching on school heads’ servant leadership in Tanzania. Twenty-seven employees assessed nine school heads’ servant leadership qualities before and after coaching sessions. Posttest leadership qualities results were significantly higher than pretest results. Therefore, coaching significantly improved the servant leadership qualities.
The "N" Framework: A Teacher Knowledge Framework For Numeracy Across The Curriculum, Kathy O'Sullivan, Niamh O'Meara, Merrilyn Goos, Paul Conway
The "N" Framework: A Teacher Knowledge Framework For Numeracy Across The Curriculum, Kathy O'Sullivan, Niamh O'Meara, Merrilyn Goos, Paul Conway
Numeracy
Governments and policymakers around the world are encouraging teachers to teach numeracy across the curriculum. This paper proposes a theoretical framework for the knowledge required to teach numeracy across multiple disciplines. The concept of teacher knowledge is complex and consists of many different facets of knowledge. This paper proposes a framework that integrates theories from existing models of general and subject specific teacher knowledge, along with a model of numeracy. The authors developed the "N" framework, an integrated framework of numeracy knowledge, subject specific knowledge, and pedagogical content knowledge. Each element is essential for teaching numeracy across the curriculum in …
Impact Of Climate Change On Students: A Case Study, Florence Zimunya, Constance Chifamba, Elisha Chembwa
Impact Of Climate Change On Students: A Case Study, Florence Zimunya, Constance Chifamba, Elisha Chembwa
Adventist Human-Subject Researchers Association
Climate change poses fundamental threats to humans, especially students. The researchers carried out a descriptive Qualitative case study with 34 participants. Findings indicate that climate change has a host of negative impacts on students. The study recommends adequate disaster preparedness in schools and communities to ensure they develop coping strategies.
Team Strong: Developing Resiliency In Rural Schools & Communities: A Multi-System Perspective, Pamela Shockley-Zalabak
Team Strong: Developing Resiliency In Rural Schools & Communities: A Multi-System Perspective, Pamela Shockley-Zalabak
DU Rural Summit Conference Proceedings
This session introduces how two transformative resilience programs, USOPM's Becoming Your Personal Best: Life Lessons from Olympians and Paralympians (BYPB) and UCCS's Greater Resilience Information Toolkit (GRIT), when combined as the Team STRONG program, offer support to positively impact our rural youth, families, schools, and communities. Team STRONG focuses on the development of healthy, strong, and supportive relationships in the lives of our children and the adults that support them. BYPB teaches resiliency skills to youth via the powerful stories of Olympians and Paralympians. GRIT is designed to harness the power of the community surrounding our youth to provide every …
Innovative Partnerships To Expand School-Based Health Capacity In Rural Communities, Robyn Thomas Pitts, Amy K. Mcdiarmid
Innovative Partnerships To Expand School-Based Health Capacity In Rural Communities, Robyn Thomas Pitts, Amy K. Mcdiarmid
DU Rural Summit Conference Proceedings
Our nation's youth are in dire need of increased access to high-quality school-based mental health (SBMH) services. In Colorado’s rural areas, the school psychologist-to-student ratio is 1:2,128— over four times the recommended level. Our team secured $4M in federal and state funding to implement an innovative partnership strategy for strengthening rural SBMH capacity. We describe how innovative partnerships enabled us to overcome systemic barriers to training future school psychologists as they live, work, and learn in rural settings. Our culturally sustaining approach to program design, implementation, and evaluation leverages family-school-community partnerships to expand rural SBMH capacity.
The City As The Classroom: The Case Of “Start ‘Em Young Advocacy” At Silliman University, Philippines, Novee Elarmo Maestrecampo Jr., Giovanni Tuballa Macahig
The City As The Classroom: The Case Of “Start ‘Em Young Advocacy” At Silliman University, Philippines, Novee Elarmo Maestrecampo Jr., Giovanni Tuballa Macahig
CSID Journal of Infrastructure Development
This case study highlights the value of engaging with communities as real-world environments for practical and reflective learning. It suggests that students can develop insights and acquire knowledge through interactions with diverse groups and locations, even within urban settings. The paper presents the experience of implementing the “Start ‘em Young Advocacy,” a student-led, environment-focused, and project-based initiative within the Civic Welfare Training Service (CWTS) under the National Service Training Program (NSTP) at Silliman University, Philippines. In collaboration with the City Social Welfare and Development Office (CSWDO), CWTS students worked with thirty daycare centers. Using Kolb’s Experiential Learning Theory as a …
Sustainable Pedagogical Space: Water Risk Reduction Management Through Permaculture Pedagogy, Susi Andriani Simanjuntak, Yuqin Zhou, Si Wen Li
Sustainable Pedagogical Space: Water Risk Reduction Management Through Permaculture Pedagogy, Susi Andriani Simanjuntak, Yuqin Zhou, Si Wen Li
CSID Journal of Infrastructure Development
This study explores a Permaculture design approach to promote water conservation and reduce water dependency, particularly in response to plastic pollution. Permaculture emphasizes water ethics, conservation principles, rainwater harvesting (via tanks, soil, land, and biomass), greywater reuse, and biological remediation techniques for water recycling and purification. The study applies a contextually adapted environmental pedagogy based on Permaculture for primary school students in North Sumatra, Indonesia, focusing on sustainable water conservation and plastic litter risk reduction. A case study method was employed, targeting schools that voluntarily participated. The approach highlights three commonly overlooked dimensions in environmental education: community connection, place-based authenticity, …
Maximizing Limited Resources In Rural Schools: Toward Effective Gifted Programs, Celeste Dc Sodergren
Maximizing Limited Resources In Rural Schools: Toward Effective Gifted Programs, Celeste Dc Sodergren
DU Rural Summit Conference Proceedings
Participants will receive knowledge and tools to support the implementation of local norms and universal screening within the boundaries of rural gifted programming. Participants will examine the variables impacting gifted identification and programming in rural school districts, evaluate rural gifted identification scenarios, and will explore ways to adapt universal screening and local norms to their own rural school districts' identification process.
Why Rural Matters 2025: A Preview And A Forward Look, Jerry Johnson
Why Rural Matters 2025: A Preview And A Forward Look, Jerry Johnson
DU Rural Summit Conference Proceedings
This presentation will provide a preview of the Why Rural Matters 2025 report that is currently in progress, including an overview of statistical gauges and indicators, topical essays, and key findings. Additionally, and looking forward beyond the report, presentation and discussion will engage the topic of cuts to federal programs that provide extant data essential for projects like Why Rural Matters and consider the implications for scholars, practitioners, and the general public.
Effects Of Blended Learning On The Self-Directed Learning And Academic Achievement Of First-Year Nursing Students Studying Metabolic Biochemistry, Yuree Chaopipat, Pimrat Tokun, Jerapa Srithahai
Effects Of Blended Learning On The Self-Directed Learning And Academic Achievement Of First-Year Nursing Students Studying Metabolic Biochemistry, Yuree Chaopipat, Pimrat Tokun, Jerapa Srithahai
Journal of Education Studies
This study examined the impact of blended learning on the self-directed learning and academic achievement of the first-year nursing students studying metabolic biochemistry. This quasi-experiment research recruited 150 first-year nursing students at one of the nursing college. A blended learning intervention, combining face-to-face instruction and various online activities, was implemented. Data were collected using a self-directed learning scale, pretest and posttest, and a final exam. Results indicated that blended learning significantly enhanced students' self-directed learning (t = -2.847, p = 0.005) and academic performance. Post-test scores across all chapters significantly improved after the intervention (t = -10.63, p …