Orapuh Journal | Journal of Oral & Public Health
Strategies to enhance nurse educator–student interaction in the higher education classroom environment: A Limpopo Province study
Orap J, 7(2), 2026
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Keywords

Strategies
nurse educators
student nurses
interaction
higher education
classroom environment

How to Cite

Mathevula, R. F., & Mathebula, L. (2026). Strategies to enhance nurse educator–student interaction in the higher education classroom environment: A Limpopo Province study . Orapuh Journal, 7(2), e1417. https://doi.org/10.4314/orapj.v7i2.17

Abstract

Introduction

The effectiveness of nurse education largely depends on meaningful engagement between nurse educators and student nurses in the classroom environment. Positive classroom interaction supports active learning, improves knowledge acquisition, and promotes the development of critical thinking abilities essential for professional nursing practice.

Purpose

The study aimed to explore strategies to enhance interaction between nurse educators and novice student nurses within the higher education classroom environment in Limpopo Province.

Methods

A qualitative descriptive design was employed. Three nurse educators were selected using purposive sampling, and data were collected through in-depth, face-to-face semi-structured interviews. A sample of 25 student nurses was selected using stratified random sampling and participated in focus group discussions. The group consisted of 10 males and 15 females. Data analysis was guided by Tesch’s method, a systematic eight-step qualitative data analysis process commonly used in nursing research to identify themes from textual interview data.

Results

The findings revealed three key factors influencing educator–student classroom interaction: the classroom environment, teaching methods, and educator attitudes. Students reported that overcrowded classrooms hindered concentration, questioning, and meaningful interaction. They preferred active and participatory approaches—such as case studies, group discussions, and problem-based learning—over traditional lectures. Educator approachability, respect, and the creation of a safe learning space were considered critical. One student noted that being listened to made them feel valued and encouraged positive interaction. Using Peplau’s Theory, the study identified building trust and safety, promoting collaborative knowledge exchange, and fostering independence and reflection as key strategies for enhancing educator–student classroom interaction.

Conclusion

A key recommendation is that nursing programmes should limit class sizes in foundational courses to a maximum of 40 students and implement structured training for educators in interactive, student-centred teaching approaches to improve classroom interaction and overall learning quality.

https://doi.org/10.4314/orapj.v7i2.17
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References

Agyare, V. A., Poku, C. A., Baafi, S., Berchie, E., & Attafuah, P. Y. A. (2025). Exploring the evolving relationship between students and nurse educators in tertiary institutions in Ghana. BMC Medical Education, 25(1), Article 586. https://doi.org/10.1186/s12909-025-07155-1

Annesley, S. H., Platt, A., Wade, J. A., & Tomietto, M. (2023). Grading practice as a strategy to improve proficiencies in undergraduate nurse education: Modelling key areas of competence. Nurse Education Today, 128, 105890. https://doi.org/10.1016/j.nedt.2023.105890

Baduge, M. S. D. S. P., Garth, B., Boyd, L., Ward, K., Joseph, K., Proimos, J., & Teede, H. J. (2024). Barriers to advancing women nurses in healthcare leadership: A systematic review and meta-synthesis. EClinicalMedicine, 67, 102367. https://doi.org/10.1016/j.eclinm.2024.102367

Barranquero-Herbosa, M., Abajas-Bustillo, R., & Ortego-Maté, C. (2022). Effectiveness of flipped classroom in nursing education: A systematic review of systematic and integrative reviews. International Journal of Nursing Studies, 135, 104327. https://doi.org/10.1016/j.ijnurstu.2022.104327

Beresford, M., & Wutich, A. (2025). Sample size in qualitative research: Moving from data saturation to information power. Qualitative Health Research, 35(1), 1–12. https://doi.org/10.1177/10497323241296206

Bhardwaj, V., Zhang, S., Tan, Y. Q., & Pandey, V. (2025, February). Redefining learning: Student-centered strategies for academic and personal growth. In Frontiers in Education (Vol. 10, p. 1518602). Frontiers Media SA. https://doi.org/10.3389/feduc.2025.1518602

Binoy, S. (2024). Transforming education: Enhancing student performance and satisfaction through the flipped classroom method. Asian Journal of Education and Training, 3(1), 21–21. https://doi.org/10.54536/ajet.v3i1.2121

Chan, S., & Smith, G. D. (2024). Strategies for enhancing Chinese students’ engagement in a large class learning environment: An interpretative phenomenological approach. Nurse Education in Practice, 79, 104023. https://doi.org/10.1016/j.nepr.2024.104023

Chipeta, L., & Hwang, W. (2024). Creating a trusting and motivating educational atmosphere through educator attributes. Nurse Education in Practice, 77, 103967. https://doi.org/10.1016/j.nepr.2024.103967

Clark, C. (2025). Creating & sustaining civility in nursing education. Sigma Theta Tau.

Creswell, J. W., & Creswell, J. D. (2021). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE Publications.

da Silva, T., & Mitchell, T. (2024). Addressing faculty shortages and resource constraints in nursing education. The Journal of Nursing Regulation, 15(1), 45–52. https://doi.org/10.1016/j.jnur.2023.11.005

De Gagne, J., Cho, E., & Park, H. (2021). Fostering lifelong learning and autonomy in nursing students. Teaching and Learning in Nursing, 16(3), 249–254. https://doi.org/10.1016/j.teln.2021.03.005

Duong Thi Ngoc, L., Dao Nguyen Dieu, T., Le Van, A., Ho Duy, B., Pham Thi Thuy, V., Nguyen Truong, S., Dang Thi Thanh, P., Duong Duc, H., & Nguyen Ngoc Quynh, A. (2024). Enhancing learning, classroom engagement, and attitude through team-based learning among Vietnamese nursing students: A quasi-experimental study. Pacific Rim International Journal of Nursing Research, 28(4), 885–897. https://doi.org/10.60099/prijnr.2024.268402

Froneman, S. (2023). The role of non-verbal communication and constructive feedback in building trust in the classroom. Health SA Gesondheid, 28, Article 2107. https://doi.org/10.4102/hsag.v28i0.2107

Ghasemi, M. (2020). Strategies to sustain and enhance nursing student engagement in the classroom. Journal of Nursing Education, 59(7), 375–380. https://doi.org/10.3928/01484834-20200615-09

Glaze, T. C. (2023). Exploring student engagement in large classes using mobile polling (Doctoral dissertation, ProQuest Dissertations and Theses Global). https://search.proquest.com/openview/058c45cf500ec7e3aa7284bc71a39f9f/1

Gray, J. R., Grove, S. K., & Sutherland, S. (2020). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.

Hamid, S., Rajendran, P., Lee, T., & Ismail, A. (2025). Gamification and technology integration in nursing education: Enhancing interaction without replacement. Clinical Simulation in Nursing, 88, 101512. https://doi.org/10.1016/j.ecns.2025.101512

Jadhav, H. R., Sethi, D., Subrahmanyam, N., Sharmila, P., Tamang, R., Surendran, S., Nelavala, A. D., R., D. N., & Umar, M. (2025). Approaches to fostering active learning techniques for Generation Z in nursing education: Concept review article. International Journal of Research in Medical Sciences, 13(8), 3608–3613. https://doi.org/10.18203/2320-6012.ijrms20252444

Kassab, M. (2024). Escape rooms as a pedagogical tool for critical thinking and teamwork in nursing. Nurse Education in Practice, 75, 103889. https://doi.org/10.1016/j.nepr.2024.103889

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Sage.

Mathevula, R. F. (2019). Professional nurses’ and student nurses’ perceptions of clinical supervision in training hospitals of Limpopo Province, South Africa (Doctoral dissertation, University of Venda). University of Venda Institutional Repository. http://hdl.handle.net/11528/3123

Milgate, T., O’Reilly, S., & Peterson, A. (2025). Negative educator behaviours as barriers to student interaction and learning. Nurse Education in Practice, 80, 104125. https://doi.org/10.1016/j.nepr.2025.104125

Moropa, T. D., Matshaka, L., & Makhene, A. (2025). Enhancing effective interpersonal interactions through soft skills: Perceptions of nurse educators. BMC Nursing, 24(1), Article 380. https://doi.org/10.1186/s12912-025-02864-w

National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. (1979). The Belmont report: Ethical principles and guidelines for the protection of human subjects of research. U.S. Department of Health, Education, and Welfare. https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html

Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1–13. https://doi.org/10.1177/1609406917733847

Opoku-Danso, A., Bennett, J., & Clarke, P. (2025). High-quality interactions in nursing education: A cornerstone for student engagement and professional identity. Journal of Advanced Nursing, 81(3), 1124–1133. https://doi.org/10.1111/jan.15243

Peterson, S., & Bredow, T. (2009). Middle range theories: Application to nursing research (2nd ed.). Lippincott Williams & Wilkins.

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.

Poto Rapudi, A. (2025). Challenges in public nursing education in rural South Africa: A case study of Limpopo province. Department of Health, Republic of South Africa. https://www.health.gov.za/reports/nursing-education-2025

Rosario, R. M. (2023). Copious teaching methodology in nursing—quality improvement. Journal of Pediatric Nursing Science, 6(2), 65–68. https://doi.org/10.18231/j.ijpns.2023.010

Sellers, K. (2022). Essential elements of a safe and supportive classroom climate for nursing students. Journal of Nursing Education, 61(2), 75–80. https://doi.org/10.3928/01484834-20220125-04

Sobhy Abo El Yazid, E., Ahmed Elsayed, K., & Mohamed Rashad Ebrahim, R. (2024). Enhancing fourth year nursing students’ self confidence and engagement by using panel discussion strategy. Journal of Nursing Science, Benha University, 5(1), 124–144.

South African Department of Higher Education and Training. (2024). Statistics on post school education and training in South Africa, 2024 (Statistical report). https://www.dhet.gov.za/Information%20Systems%20Management/Statistics%20on%20Post-School%20Education%20and%20Training%20in%20South%20Africa%202024.pdf

South African Nursing Council. (2025). Age statistics 2024 [PDF]. https://www.sanc.co.za/wp-content/uploads/2025/06/Age-stats-2024.pdf

Steele, T. J. (2024). Use of flipped classroom learning activities in nursing: A basic qualitative study [Doctoral dissertation, Capella University]. Sigma Repository. https://www.sigmarepository.org/dissertations/1596/

Tesch, R. (1990). Qualitative research: Analysis types and software tools. Falmer Press.

Ugwu, S. N., Ogbonnaya, N. P., Nwaneri, A., Chinwuba, A., & Chijioke, V. C. (2022). Baccalaureate nursing students’ lived experiences of theory–practice gap (TPG) in a tertiary health institution in Enugu: A phenomenological approach. International Journal of Innovative Research and Development, 11(5).

UNESCO. (2024). Global education monitoring report: Transition from secondary to higher education. UNESCO Publishing.

University of Venda. (2024). Faculty of Health Sciences: Annual report 2024. https://www.univen.ac.za/faculty/health-sciences/annual-report-2024

Villamin, S. (2024). Descriptive qualitative approaches for educational research. Sage Publications.

Zhang, D., Smith, J., & Lee, A. (2025). Nursing students’ experiences and perceptions regarding in class flipped classroom settings. BMC Medical Education, 25(1), 123–135. https://doi.org/10.1186/s12909-025-07248-x

Zheng, Y. (2025). Impact of supportive educator–student relationships on nursing students’ learning. Nurse Education Today, 54, 102–110. https://doi.org/10.1016/j.nedt.2025.102110

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