PBL-based online-offline hybrid teaching in nursing education: enhancing self-regulated learning and teaching effectiveness in China

The blended PBL approach was associated with higher student satisfaction in the Obstetrics and Gynecology Nursing course. Class participation correlated positively with evaluations and outcomes. While active participants achieved expected results, less participative students also attained comparable outcomes through alternative methods. Although pre-class preparation time predicted learning effectiveness, efficiency was equally significant. Adopting a student-centered, PBL-oriented approach with diversified resources is recommended to address individual needs, enhance satisfaction, and develop SRL skills. This model promotes SRL by encouraging students to assess and adjust their learning strategies, thereby meeting diverse needs and supporting personalized development.