Feasibility of a Flipped Learning–Based Low Back Training Programme in Nurses to Support Ergonomic Knowledge, Performance, and Confidence
Ni Luh Dwi Indrayani, Jong‐Ni Lin, Jer‐Hao Chang, Li‐Chieh Kuo, Mei‐Feng Lin, I Gede Putu Darma Suyasa, Chi‐Jane WangABSTRACT
Aims
To evaluate the feasibility of a flipped learning low back training programme among nurses, focussing on ergonomic knowledge, exercise performance and confidence, and participant satisfaction.
Background
Work‐related low back pain is a common occupational health problem among nurses. Comprehensive training programs including promotion of ergonomic knowledge, proper exercise performance, and confidence may enhance safe musculoskeletal practice.
Design
Feasibility study.
Methods
Twenty registered nurses were recruited from a graduate nursing programme between 2022 and 2023 with prior clinical experience. The training programme used a flipped‐learning approach, incorporating evidence‐based low back exercises and gamified strategies. Meanwhile, ergonomic knowledge was assessed post‐programme and at 1‐year follow‐up, the exercise performance was rated during training and confidence in back exercise performance was self‐reported at follow‐up. Participant satisfaction was also measured.
Results
Participants demonstrated high ergonomic knowledge (mean score 71/100) after training, which remained satisfactory at 1‐year follow‐up (64.4/100). Peer scores of 13 low back exercises ranged from fair to excellent. Self‐confidence in performing the exercises 1 year later ranged from 7 to 9 out of 10, reflecting sustained ability to properly perform the exercises. Participants' satisfaction was high, indicating acceptance and perceived value in the programme.
Conclusions
The flipped learning–based low back training programme was feasible for nurses and supported retention of ergonomic knowledge, correct exercise performance, and sustained confidence 1 year after training. High participant satisfaction further supports its acceptability, suggesting its potential for future implementation in clinical musculoskeletal practice. These observations are exploratory given the descriptive study design; hence, these findings should be interpreted cautiously.