Journal of Education and Health Promotion最新文献

{"title":"A neuroeducational approach to STEM education: Integrating real-time cognitive analysis and cognitive load theory to optimize teaching and learning at universities.","authors":"Amanda Mendes","doi":"10.4103/jehp.jehp_2092_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_2092_25","url":null,"abstract":"<p><strong>Background: </strong>The relevance of science, technology, engineering, and mathematics (STEM) education to effectively meet challenging academic requirements has become imperative for university entrants. With emerging advancements within the domain of learning neuroscience and analytics, it has become possible to analyze and track the real-time mental states of learners. This has opened several avenues to apply the theoretical perspectives of Cognitive Load Theory (CLT). Though applications of neuro-technological interventions for learning have become widely sought, their effective implementation within STEM education has not been comprehensive at the university level. The innovations brought about within this study include its conceptual fusion for STEM education based upon real-time mental state analysis and CLT. The goal of this research is to integrate the current research findings on real-time cognitive analysis practices used in STEM education in universities and analyze how cognitive load can be monitored dynamically and discuss teaching practices according to principles of CLT to improve effectiveness and inclusiveness for better cognitive load management throughout learning.</p><p><strong>Materials and methods: </strong>A systematic narrative review with cross-case synthesis was conducted using peer-reviewed empirical studies published between 2018 and 2025. The relevant articles were identified through the searching of databases such as Scopus, Web of Science, ERIC, and PsycINFO. Studies focusing on higher education STEM contexts were included if they employed neuroeducational tools (e.g., electroencephalography, functional near-infrared spectroscopy, eye tracking, or artificial intelligence-driven analytics) or incorporated instructional designs informed by Cognitive Load Theory (CLT). A standardized framework for extracting data was used, and data were thematically analyzed to identify patterns across the studies regarding cognitive load measurement, adaptive instructional strategies, learning outcomes, teacher experiences, and ethical considerations.</p><p><strong>Results: </strong>From the synthesis, real-time cognitive feedback is perceived to have positively influenced teaching effectiveness by allowing the instructor to dynamically adjust pacing, scaffolding, and learning activities (<i>d</i> = 0.68-0.72, <i>P</i> < 0.01). Multimodal cognitive analytics were also associated with more precise estimates of cognitive load, supporting the development of adaptive learning strategies. It is also apparent that cognitively based personalization is effective in reducing the cognitive load and improving motivation and knowledge acquisition for both diverse and neurodiverse students.</p><p><strong>Conclusion: </strong>The synergistic combination of real-time cognitive analysis and CLT has the potential for making progressive inroads for inclusive and adaptive STEM education in universities. This conceptual combination is in goo","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"363"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of coping strategies regarding fear of missing out on academic performance among nursing and pharmacy students at selected colleges, Coimbatore, India.","authors":"M Baskaran, R Jeyadeepa, R Rathi","doi":"10.4103/jehp.jehp_1903_24","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1903_24","url":null,"abstract":"<p><strong>Background: </strong>Fear of missing out (FoMO) is a pervasive concern in the digital age, particularly among healthcare students, potentially impairing academic engagement and performance. There is a need for evidence-based interventions to mitigate FoMO in high-pressure educational settings such as nursing and pharmacy.</p><p><strong>Methods and material: </strong>A pre-test-post-test comparative experimental study was conducted in 2024 among 120 nursing and pharmacy students (aged 20-22 years) selected via stratified random sampling and randomly assigned to intervention (<i>n</i> = 60) or routine care (<i>n</i> = 60) groups. The intervention consisted of five one-hour sessions on coping strategies (seeking support, time management, goal setting, stress reduction, and balanced lifestyle). FoMO was measured using the Fear of Missing Out Scale (FoMOS), and academic performance was assessed via the Situated Academic Writing Self-Efficacy Scale (SAWSES). Data were analyzed using SPSS v28.0 with paired and unpaired <i>t</i>-tests and correlation analyses.</p><p><strong>Results: </strong>Significant reductions in FoMO scores were observed in the intervention group compared to controls (nursing: <i>t</i> = 3.82, <i>P</i> = 0.05; pharmacy: <i>t</i> = 4.43, <i>P</i> = 0.037). Academic writing self-efficacy improved significantly in the intervention group (<i>P</i> < 0.05). A strong positive correlation was found between pre-test and post-test FoMO (<i>r</i> = 0.401, <i>P</i> < 0.01) and academic performance (<i>r</i> = 0.691, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The structured coping strategies intervention significantly reduced FoMO and enhanced academic writing self-efficacy among nursing and pharmacy students. Integrating such programs into student support services is recommended to promote academic well-being.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"378"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between hypochondriasis and clinical self-efficacy in nursing students: A cross-sectional multi-institutional study.","authors":"Zahra Fotokian, Mozhdeh Taheri Afshar, Ali Zabihi, Shakiba Lajmiri, Ali Pourhabib","doi":"10.4103/jehp.jehp_155_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_155_25","url":null,"abstract":"<p><strong>Background: </strong>Psychological factors, such as anxiety, depression, and self-esteem, can significantly impact nursing students' clinical self-efficacy. Hypochondriasis emerges as a critical yet understudied factor in the clinical competence of nursing students, warranting further investigation. This study aimed to investigate the relationship between hypochondriasis and clinical self-efficacy among nursing students.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted in nursing schools of West Mazandaran province in 2024. The sample size was 228 nursing students. Data were collected using a personal information form, the standard clinical self-efficacy questionnaire, and the hypochondriasis questionnaire during 2023-2024. Data were analyzed using univariable and multivariable logistic regression analyses performed in (Stata Corp LP, College Station, Texas, USA). Odds ratios (ORs) with 95% confidence intervals were calculated.</p><p><strong>Results: </strong>The mean hypochondriasis score among students was 23.43 ± 10.81. The prevalence of hypochondriasis among nursing students was 54.3%. Univariable logistic regression analysis revealed a significant negative relationship between hypochondriasis and clinical self-efficacy (OR = 0.92, <i>P</i> < 0.001). Multivariable logistic regression analysis highlights a significant association between gender (<0.001), academic year (0.021), lower self-efficacy (<0.001), and increased levels of hypochondriasis.</p><p><strong>Conclusions: </strong>This study reveals a significant inverse link between hypochondriasis and clinical self-efficacy in nursing students, driven by gender, academic year, and GPA. These findings necessitate integrating mental health support and tailored academic strategies into nursing education to alleviate health-related anxieties, bolster clinical confidence, and ultimately improve patient care outcomes by fostering resilient, competent professionals.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"362"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of self-study training on resilience and effective coping style of women involved in domestic violence.","authors":"Simin Karimifar, Fatemeh Zargar, Zahra Boroumandfar","doi":"10.4103/jehp.jehp_2203_24","DOIUrl":"https://doi.org/10.4103/jehp.jehp_2203_24","url":null,"abstract":"<p><strong>Background and objective: </strong>Intimate partner violence (IPV) is a serious yet preventable public health issue. Resilience plays a significant role in helping women overcome the effects of IPV. The aim of this study was to investigate the effect of self-help training on the resilience of women exposed to IPV.</p><p><strong>Material and methods: </strong>In this clinical trial, 62 female survivors of violence who were attending comprehensive health service centers in 2022, randomly assigned to either an intervention or a control group. Data collection instruments included a demographic characteristics questionnaire, the Violence Against Women Scale, the Connor-Davidson Resilience Scale (CD-RISC), and the problem-focused coping subscale of the Ways of Coping Questionnaire (WOCQ) by Lazarus and Folkman. The training in this study was delivered in person using lectures, group discussions, and question-and-answer sessions. The total number of sessions was 14 sessions of 60 min each, for two groups of 16 participants. Data were analyzed using SPSS software (version 21), independent <i>t</i>-tests, and analysis of variance with repeated measures (ANOVA).</p><p><strong>Results: </strong>The results demonstrated a significant increase in resilience scores in the intervention group over time, (baseline 58.27 ± 19.83, immediately 65.79 ± 17.77, one month 66.68 ± 17.49, and two months 66.44 ± 17.61, post-intervention) (<i>P</i> value: 0.002). And in effective coping style scores (baseline 35.51 ± 11.64, immediately 43.13 ± 12.47, one month 43.37 ± 12.39, and two months 43.86 ± 12.65, post-intervention) (<i>P</i> value: 0.008).</p><p><strong>Conclusion: </strong>Verbal self-instruction improves resilience scores and effective coping styles, but its impact is greater on resilience. This training method can be included in counseling and support programs to optimize healthcare services for women affected by domestic violence.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"359"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence as a transformative tool for empowering the role of clinical informationists in healthcare systems.","authors":"Alireza Rahimi, Ahmad Papi, Saeid Shirvani, Hosein Beigi-Harchegani","doi":"10.4103/jehp.jehp_1496_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1496_25","url":null,"abstract":"","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"385"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's outcome instrument for maternal health care (WOICE) of Iranian pregnant women after 35: A cross-sectional study.","authors":"Marjan Havaei, Shahnaz Torkzahrani, Malihe Nasiri, Nooshin Eshraghi, Zohreh Keshvarz","doi":"10.4103/jehp.jehp_552_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_552_25","url":null,"abstract":"<p><strong>Background: </strong>Exploring the health dimensions of pregnant women over 35 opens a window into a deeper understanding of the physical and psychological challenges of this critical period and paves the way for targeted interventions. This study aimed to make the voices of pregnant women aged 35 and older heard.</p><p><strong>Materials and methods: </strong>This study was conducted in 2024 at three major hospitals in Tehran. The sample size consisted of 300 pregnant women. The participants were selected from among pregnant women older than 35 years. We utilized the women's outcome instrument for maternal health care instrument, which was developed by the World Health Organization (WHO). Data analysis was performed using SPSS (Version 22).</p><p><strong>Results: </strong>The participants, with a mean age of 38.37 ± 2.61 years, were included in the study. Most had more than a high school education (65%). 36.7% reported sexual dissatisfaction. The overall rate of anxiety was 28.9%, while 25% showed symptoms of depression. Additionally, 3.6% had experienced violence, 3.3% of participants had a history of substance abuse or smoked cigarettes, and 2.3% reported impaired functioning. Furthermore, 38.5% reported a medical condition or other health problem.</p><p><strong>Conclusion: </strong>Considering the results of the study and the problems of pregnant women in the field of maternal complications in pregnant women over 35 years of age, it seems that policymakers should make the necessary revisions in the policies and laws of the youth population to meet the needs of physical health, care facilities, and improve social support and counseling specific to pregnant women and the necessary training for spouses.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"361"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life among patients with type 2 diabetes mellitus using EuroQol five-dimension five level: A cross-sectional study from an urban health training center, Coimbatore, India.","authors":"Suganathan Soundararajan, R Senthil Kumar, Merlin Veronika, S L Ravi Shankar, Ramakrishnan Nanjundan","doi":"10.4103/jehp.jehp_27_26","DOIUrl":"https://doi.org/10.4103/jehp.jehp_27_26","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus significantly impacts health-related quality of life (HRQoL). Data from urban primary care settings in South India remain limited. This study assessed HRQoL among type 2 diabetes mellitus (T2DM) patients and identified demographic and clinical determinants associated with EuroQol five-dimension five level (EQ-5D-5L) index and EQ visual analogue scale (EQ-VAS) scores.</p><p><strong>Materials and methods: </strong>A hospital-based cross-sectional study was conducted (April-July 2025) at the urban health training center (UHTC), Coimbatore, Tamil Nadu, India. A total of 279 T2DM patients (aged ≥18 years) were enrolled using consecutive sampling. HRQoL was assessed using the licensed Tamil and English EQ-5D-5L questionnaire. Data were analyzed using R software; Chi-square tests and independent <i>t</i>-tests were applied (<i>P</i> < 0.05).</p><p><strong>Results: </strong>Mean EQ-5D-5L index was 0.63 ± 0.37 and EQ-VAS was 72.6 ± 18.0. Pain/discomfort (52.1%) and anxiety/depression (43.2%) were the most affected dimensions. Microvascular complications (neuropathy <i>P</i> = 0.001; nephropathy <i>P</i> = 0.001; retinopathy <i>P</i> = 0.003), longer disease duration (<i>P</i> = 0.001), hospitalization (<i>P</i> = 0.001), and lower income (<i>P</i> = 0.003) were significantly associated with poorer HRQoL.</p><p><strong>Conclusion: </strong>Pain/discomfort and psychological distress are the most impaired HRQoL domains in urban South Indian T2DM patients. Microvascular complications, longer disease duration, hospitalization, and lower socioeconomic status are key determinants. These findings support integrating HRQoL monitoring within primary care non-communicable diseases (NCD) programmers under the National Programmed for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) framework.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"381"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of music therapy on diabetes distress and bio-physiological parameters in patients with diabetic foot ulcer.","authors":"Anju Ullas, Prabha Adhikari, K C Leena, Vijayalakshmi Subramaniam","doi":"10.4103/jehp.jehp_1331_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1331_25","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcer (DFU) is a common and significant complication of uncontrolled diabetes mellitus (DM), frequently resulting in increased physiological suffering and emotional burden. Music therapy, as a complementary intervention, has shown potential in lowering stress and improving general well-being, but its influence on patients with DFU is unknown. The present study aimed to identify the impact of music therapy on diabetes distress and bio-physiological parameters among patients with DFU.</p><p><strong>Methods and materials: </strong>The study was conducted in a selected tertiary care hospital in South India, and a Quasi-experimental pretest-posttest control group research design was used. A non-probability purposive sampling was used to select 159 participants with DFU into three groups: Group I (n = 53) received patient-selected music therapy, Group II (n = 53) received researcher-selected music, and the control group (n = 53) received routine treatment only. The intervention involved listening to music for 20 minutes twice daily over 21 consecutive days, along with standard medical care. Ethical clearance was obtained from the institutional review board and ethics committee. Data were analyzed by descriptive and inferential statistics using SPSS version 26.</p><p><strong>Results: </strong>The study shows a statistically significant (p ˂ 0.001) difference within Groups I, II, compared to the control group for diabetes distress and all the bio-physiological parameters. However, the mean posttest scores of diabetes distress and bio-physiological parameters in Groups I and II were considerably reduced from the mean pretest scores compared to the control group.</p><p><strong>Conclusion: </strong>The study finding helps to integrate music therapy as a complementary therapy for people with DFU to preserve good physical and mental health.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"348"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the effect of vitamin C supplementation on bacterial vaginosis: A systematic review and meta-analysis.","authors":"Parvin Abedi, Mina Iravani, Somayeh Makvandi, Solmaz Mohammadi, Maryam Zahedian, Parvin Esfandiarinezhad","doi":"10.4103/jehp.jehp_787_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_787_25","url":null,"abstract":"<p><p>Bacterial vaginosis (BV), the most common type of vaginitis, results from reduced vaginal lactobacilli and increased anaerobic bacteria. Vitamin C may aid BV treatment by promoting lactic acid production. This study evaluated the effectiveness of vitamin C in treating BV. To this aim, a systematic search of PubMed, Scopus, Web of Science, and Iranian databases identified randomized clinical trials published up to October 29, 2024. The protocol for this systematic review is registered. Risk of bias was assessed using the Verhagen tool. Mean differences and their 95% confidence intervals (CIs) were calculated using the random-effects model. The quality of the evidence was evaluated with GRADEpro Guideline Development Tool, and statistical analyses were conducted using Review Manager (RevMan v5.3). Substantial heterogeneity (I² >50%) prompted the use of the random-effects model, subgroup analyses, and sensitivity analyses to investigate its origins. The meta-analysis included six randomized controlled trials of varying quality. Vitamin C showed a nonsignificant positive effect on the Whiff test (relative risk [RR] =1.19, 95% CI: 0.97-1.47, <i>P</i> = 0.09) but significantly improved vaginal pH < 4.5 (RR = 1.57, 95% CI: 1.21-2.03, <i>P</i> = 0.0006). While no significant reduction in vaginal discharge was observed (RR = 1.23, 95% CI: 0.94-1.60, <i>P</i> = 0.13), vitamin C significantly reduced the number of clue cells (RR = 1.34, 95% CI: 1.06-1.68, <i>P</i> = 0.01). Based on these findings, vitamin C supplementation may aid in achieving a vaginal pH < 4.5 and reducing clue cells in BV. However, further large-scale studies are warranted to confirm these results and elucidate the underlying mechanisms.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"355"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of helicopter teaching in nursing education and approaches to foster independent learning: A narrative review.","authors":"Kalpana Thakur, Suresh K Sharma, Thungchanbeni Ezung","doi":"10.4103/jehp.jehp_1326_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1326_25","url":null,"abstract":"<p><p>The 'helicopter teaching' in nursing education can be harmful to the development of clinical judgement, decision-making, and autonomy among nursing students because it involves excessive control, constant supervision, and over-dependence. This narrative review examines the impact of helicopter teaching on the academic and professional development of nursing students. It also discusses evidence-based approaches that encourage independent learning and resilience. We searched databases such as PubMed, CINAHL, and Scopus with a mixture of search terms and Medical Subject Headings to analyze the evidence between 2010 and 2024. The review identified several contributing factors behind this helicopter style of teaching including faculty anxiety, a lack of confidence in student competency, and institutional pressures relating to patient safety. The study also examined how such practices can negatively impact student learning and these include reduced confidence, limited thinking and dependence on instructors. The article also focused on educational theories like Vygotsky's Zone of Proximal Development or experiential learning models to propose evidence-based strategies for countering overprotection including scaffolded education, safe-to fail environments, reflection debriefings, growth zone challenges and peer coaching between faculty. These approaches can help nursing educators create a learning environment that balances patient care with the development of competent and independent future nurses to enter real-world clinical practices. Institutions must prioritize faculty development, curriculum changes and supervised autonomy as core components of nursing education.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"367"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}