The effect of co-teaching on academic engagement and test anxiety of nursing students of Lorestan University of Medical Sciences

Document Type : Original Article


1 Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran

2 Aligoudarz School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran

3 Department of Nursing and Midwifery, Lorestan University of Medical Sciences

4 Assistant Professor, Cardiovascular Research Center, Shahid Rahimi Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran.

5 Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran


Background: There is valid evidence that supports the impact of active teaching methods on student-related outcomes. One of these active teaching-learning approaches is co-teaching. This study aimed to determine the effect of co-teaching on nursing students' academic engagement and exam anxiety.
Methods: This study was conducted with a two-group semi-experimental design. In total, 35 undergraduate nursing students in the second semester of 2021-2022 at Lorestan University of Medical Sciences, who had chosen the Fundamental of Nursing course, was selected by whole enumeration based on the inclusion criteria. Teaching was provided conventionally for the control group (n =18) while co-teaching was done for the intervention group (n = 17). The participants completed the academic engagement scale and the exam anxiety scale at two points: the end of the 10th session and the end of the 20th week. Data were analyzed using t-test, paired t-test, and chi-square in Stata 17 software.
Results: The results showed that the collaborative teaching approach, compared to conventional teaching, had no significant difference in the students' average score of academic involvement and test anxiety.
Conclusion: The co-teaching method did not show any difference in the variables of academic involvement and test anxiety compared to conventional teaching. More studies are suggested to plan co-teaching methods.


Main Subjects

1. Noben I, Deinum JF, Douwes-van Ark IM, Hofman WA. How is a professional development programme related to developing university teachers' self-efficacy beliefs and teaching conceptions? Studies in Educational Evaluation. 2021;68:100966.
2. Jortveit M, Kova─Ź VB. Co-teaching that works: special and general educators’ perspectives on collaboration. Teach Educ. 2022;33(3):286-300.
3. Härkki T, Vartiainen H, Seitamaa-Hakkarainen P, Hakkarainen K. Co-teaching in non-linear projects: A contextualized model of co-teaching to support educational change. Teach Educ. 2021;97:103188.
4. Akerson A, Montgomery MS. Peer-to-Peer Co-Teaching: Idea to Implementation. SRATE Journal. 2017;26(2):1-8.
5. Zhang P, Feng Y. Implementation of team teaching in construction management education. Int J Learn Teach. 2020:230-5.
6. Lock J, Rainsbury J, Clancy T, Rosenau P, Ferreira C. Influence of co-teaching on undergraduate student learning: A mixed-methods study in nursing. Teaching and Learning Inquiry. 2018;6(1):38-51.
7. Dehnad A, Jalali M, Shahabi S, Mojgani P, Bigdeli S. Students’ view on supportive co-teaching in medical sciences: a systematic review. BMC Med Educ. 2021;21:1-13.
8. Hellier S, Davidson L. Team teaching in nursing education. J Contin Educ Nurs. 2018;49(4):186-92.
9. Monteblanco AD. Power dynamics, common pitfalls, and successful strategies associated with co-teaching. College Teaching. 2020;69(2):63-8.
10. Johnson NH, Brumback L. Co-teaching in the science classroom: The one teach/one assist model. Sci Scope. 2013;36(6):6.
11. Drewes A, Soslau E, Scantlebury K. Striving towards an ideal: coevaluation of student co-teaching experiences. Journal of Education for Teaching. 2021;47(1):60-74.
12.Kokko M, Takala M, Pihlaja P. Finnish teachers’ views on co-teaching. British journal of special education. 2021;48(1):112-32.
 13. Kelley RG, Brown MR, Knapp D. Evaluation of the Student Experience in the Co-Taught Classroom. Int J Spec Educ. 2017;32(3):520-37.
14. King-Sears ME, Jenkins MC. Active instruction for co-teachers in a support role. Interv Sch Clin. 2020;55(5):301-6.
15. Lochner WW, Murawski WW, Daley JT. The effect of co-teaching on student cognitive engagement. TheoryPract Rural Educ. 2019;9(2):6-19.
16. Ronnfeldt M, Farmer SO, McQueen K, Grissom JA. Teacher collaboration in instructional teams and student achievement. Am J Educ Res. 2015;52(3):475-514.
17. Carter CP, Reschly AL, Lovelace MD, Appleton JJ, Thompson D. Measuring student engagement among elementary students: Pilot of the Student Engagement Instrument—Elementary Version. Sch Psychol Q. 2012;27(2):61.
18. Reeve J. A self-determination theory perspective on student engagement. Handbook of research on student engagement: Springer; 2012. p. 149-72.
19. Nutt JE. Co-teaching Strategies: Improving Student Engagement by Increasing Opportunities to Respond. Kentucky Teacher Education Journal: The Journal of the Teacher Education Division of the Kentucky Council for Exceptional Children. 2021;8(2):3.
20. Hamzah F, Mat KC, Bhagat V, Amaran S, Hassan H. Assessing test anxiety among the first year nursing students’ of university Sultan Zainal Abidinb. Res J Pharm Technol. 2018;11(4):1448-51.
21. Hanfesa S, Tilahun T, Dessie N, Shumet S, Salelew E. Test anxiety and associated factors among first-year health science students of University of Gondar, Northwest Ethiopia: A cross-sectional study. Adv Med Educ Pract. 2020:817-24.
22. Tsegay L, Shumet S, Damene W, Gebreegziabhier G, Ayano G. Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia. BMC med educ. 2019;19:1-10.
23. Mohammad Hassani Soudmand F, Ahour T. The Effect of One Teach-One Assist Model of Co-teaching on Iranian EFL Learners’ Reading Comprehension. Journal of English Language Pedagogy and Practice. 2020;13(26):24-48.
24. Tobin K. Using collaborative inquiry to better understand teaching and learning. Activist science and technology education. 2014:127-47.
25. Chanmugam A, Gerlach B. A Co-Teaching Model for Developing Future Educators' Teaching Effectiveness. International Journal of Teaching and Learning in Higher Education. 2013;25(1):110-7.
26. Ansari B, Wahyu N, editors. Mathematics understanding and anxiety in collaborative teaching. Journal of Physics: Conference Series; 2017: IOP Publishing.
27. Shi CR, Rana J, Burgin S. Co-teaching: applications in medical education. Clin Teach. 2017;15(4):341-43.