The quality of problems used in problem-based learning: the nursing students' assessment
DOI:
https://doi.org/10.14528/snr.2016.50.3.113Keywords:
evaluation, nursing, problems, studentsAbstract
Introduction: With problem-based learning the context of learning has changed. The use of problem-based learning promotes critical thinking, group interaction, and the use of theory in practice. The purpose of the research was to determine the nursing students' assessment regarding the quality of problems used in the context of problem-based learning. Methods: The study employed methods of quantitative non-experimental research and a survey data collection. A total of 169 nursing students participated in the study. The data were processed by descriptive statistics, t-test and correlation analysis. The statistical significance was tested at a 5% risk level. Results: The average of all items which were related to the assessment of the quality of problems in the context of the problem-based learning was high ( > 4 out of 5). Depending on the mode of study (t = -1.333, p = 0.558) and gender (t = 0.236, p = 0.354), there is no difference in the quality of self-assessment of problems within the problem-based learning. The findings of the study show that there is a statistically significant difference in self-assessment of the quality of problems in the context of the problem-based learning with regard to the employment in nursing (t = 2.109, p = 0.04) and that there is a weak positive correlation (r = 0.190, p = 0.002) between the age and the self-assessment of the quality of problems in the present problem-based learning. Discussion and conclusion: Research results reveal high average values of the quality of problems used in the problem-based learning, which result in positive encouragement of students for self-directed learning, increased interest in a learning unit, improved motivation, better communication skills and critical thinking. Further research would be needed to explore the impact of problem-based learning on learning outcomes and the introduction of problem-based learning in all learning units of the nursing study programme.Downloads
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Al Kloub, M.I., Salameh, T.N. & Froelicher, E.S., 2014. Nursing students evaluation of problem based learning and the impact of culture on the learning process and outcomes: a pilot project. Nurse Education in Practice, 14(2), pp. 142–147. http://dx.doi.org/10.1016/j.nepr.2013.06.013 PMid:23871300
AlHaqwi, A.I., 2014. Learning outcomes and tutoring in problem-based learning: how do undergraduate medical students perceive them? International Journal of Health Sciences, 8(2), pp. 125–132. http://dx.doi.org/10.12816/0006078 PMid:25246879; PMCid:PMC4166984
Azer, S.A., 2007. Twelve tips for creating trigger images for problembased learning cases. Medical Teacher, 29(2-3), pp. 93–97. http://dx.doi.org/10.1080/01421590701291444 PMid:17701617
Azer, S.A., 2009. Interactions between students and tutors in problem based learning: the significance of deep learning. The Kaohsiung Journal of Medical Sciences, 25(5), pp. 240–249. http://dx.doi.org/10.1016/S1607-551X(09)70068-3 PMid:19502144
Azizi-Fini, I., Hajibagheri, A. & Adib-Hajbaghery, M., 2015. Critical thinking skills in nursing students: a comparison between freshmen and senior students. Nursing and Midwifery Studies, 4(1), p. e25721. http://dx.doi.org/10.17795/nmsjournal25721 PMid:25830160; PMCid:PMC4377532
Borglin, G., 2012. Promoting critical thinking and academic writing skills in nurse education. Nurse Education Today, 32(5), pp. 611–613. http://dx.doi.org/10.1016/j.nedt.2011.06.009 PMid:21807442
Brandon, A.F. & All, A.C., 2010. Constructivism theory analysis and application to curricula. Nursing Education Perspectives, 31(2), pp. 89–92. PMid:20455364
Chan, L.C., 2008. The role of a PBL tutor: a personal perspective. The Kaohsiung Journal of Medical Sciences, 24(Suppl 3), pp: S34–S38. http://dx.doi.org/10.1016/S1607-551X(08)70092-5
Cheng, C.Y., Liou, S.R., Tsai, H.M. & Chang, C.H., 2014. The effects of team-based learning on learning behaviors in the maternal-child nursing course. Nurse Education Today, 34(1), pp. 25–30. http://dx.doi.org/10.1016/j.nedt.2013.03.013 PMid:23618848
Chikotas, N.E., 2009. Problem-based learning and clinical practice: the nurse practitioners' perspective. Nurse Education in Practice, 9(6), pp. 393–397. http://dx.doi.org/10.1016/j.nepr.2009.01.010 PMid:19233724
Choi, E., Lindquist, R. & Song, Y., 2014. Effects of problembased learning vs. traditional lecture on Korean nursing students critical thinking, problem-solving, and self-directed learning. Nurse Education Today, 34(1), pp. 52–56. http://dx.doi.org/10.1016/j.nedt.2013.02.012 PMid:23535270
Çinar, N., Sözeri, C., Şahin, S., Cevahir, R. & Say, M., 2010. Problem solving skills of the nursing and midwifery students and influential factors. Revista Eletrônica de Enfermagem, 12(4), pp. 601–606. http://dx.doi.org/10.5216/ree.v12i4.8328
Dillard, N. & Siktberg, L., 2009. Curriculum development: an overview. In: Billings, D.M. & Halstead, J.A. eds. Teaching in nursing: a guide for faculty. 3rd ed. St. Louis: Saunders Elsevier, pp. 75–91.
Giddens, J.F. & Brady, D.P., 2007. Rescuing nursing education from content saturation: the case for a concept-based curriculum. Journal of Nursing Education, 46(2), pp. 65–69. PMid:17315564
Giddens, J.F., Wright, M. & Gray, I., 2012. Selecting concepts for a concept-based curriculum: application of a benchmark approach. Journal of Nursing Education, 51(9), pp. 511–515. http://dx.doi.org/10.3928/01484834-20120730-02 PMid:22849765
Hardin, P.K. & Richardson, S.J., 2012. Teaching the concept curricula: theory and method. Journal of Nursing Education, 51(3), pp. 155–159. http://dx.doi.org/10.3928/01484834-20120127-01 PMid:22283151
Hendricson, W.D., Andrieu, S.C., Chadwick, G., Chmar, J.E., Cole, J.R., George, M.C., et al., 2006. Educational strategies associated with development of problem-solving, critical thinking, and self-directed learning. Journal of Dental Education, 70(9), pp. 925–936. PMid:16954414
Hmelo Silver, C.E. & Barrows, H., 2006. Goals and strategies of a problem-based learning facilitator. Interdisciplinary Journal of Problem-Based Learning, 1(1), pp. 21–39. http://dx.doi.org/10.7771/1541-5015.1004
Hmelo Silver, C.E. & Barrows, H.S., 2008. Facilitating collaborative knowledge building. Cognition and Instruction, 26(1), pp. 48–94. http://dx.doi.org/10.1080/07370000701798495
Hmelo Silver, C.E. & Barrows, H.S., 2015. Problem-based learning: goals for learning and strategies for facilitating. In: Walker, A., Leary, H., Hmelo Silver, C.E. & Ertmer A. eds. Essential readings in problem-based learning. West Lafayete, Indiana: Purdue University press.
Hmelo Silver, C.E. & Eberbach, C., 2012. Learning theories and problem-based learning. In: Bridges, S., McGrath, C. & Whitehill, T. eds. Problem-based learning in clinical education: the next generation. New York: Springer, pp. 3–17. http://dx.doi.org/10.1007/978-94-007-2515-7_1
Hwang, S.Y. & Kim, M.J., 2006. A comparison of problem-based learning and lecture-based learning in an adult health nursing course. Nurse Education Today, 26(4), pp. 315–321. http://dx.doi.org/10.1016/j.nedt.2005.11.002 PMid:16364510
Jones, M., 2008. Developing clinically savvy nursing students: an evaluation of problem-based learning in an associate degree program. Nursing Education Perspectives, 29(5), pp. 278–283. PMid:18834057
Kapur, M. & Kinzer, C.K., 2007. Examining the effect of problem type in a synchronous computer-supported collaborative learning (CSCL) environment. Educational Technology Research and Development, 55(5), pp. 439–459. http://dx.doi.org/10.1007/s11423-007-9045-6
Kim, S., Phillips, W.R., Pinsky, L., Brock, D., Phillips, K. & Keary, J., 2006. A conceptual framework for developing teaching cases: a review and synthesis of the literature across disciplines. Medical Education, 40(9), pp. 867–876. http://dx.doi.org/10.1111/j.1365-2929.2006.02544.x PMid:16925637
Kong, L.N., Qin, B., Zhou, Y., Mou, S. & Gao, H.M., 2014. The effectiveness of problem-based learning on development of nursing students' critical thinking: a systematic review and meta-analysis. International Journal of Nursing Studies, 51(3), pp. 458–469. http://dx.doi.org/10.1016/j.ijnurstu.2013.06.009 PMid:23850065
Lekalakala Mokgele, E., 2010. Facilitation in problem-based learning: experiencing the locus of control. Nurse Education Today, 30(7), pp. 638–642. http://dx.doi.org/10.1016/j.nedt.2009.12.017 PMid:20089334
Loyens, S.M.M., 2014. New approaches to problem-based learning: revitalizing your practice in higher education. Interdisciplinary Journal of Problem-Based Learning, 8(1), pp. 85–87. http://dx.doi.org/10.7771/1541-5015.1519
Loyens, S.M.M., Kirschner, P. & Paas, F., 2012. Problem-based learning. In: Graham, S., Bus, A., Major, S. & Swanson, L. eds. APA educational psychology handbook, application to learning and teaching. Vol. 3. Washington: American Psychological Association, pp. 403–425. http://dx.doi.org/10.1037/13275-016
Lu, J., Lajoie, S.P. & Wiseman, J., 2010. Scaffolding problembased learning with CSCL tools. International Journal of Computer Supported Collaborative Learning, 5(3), pp. 283–298. http://dx.doi.org/10.1007/s11412-010-9092-6
Martyn, J., Terwijn, R., Kek, M.Y. & Huijser, H., 2014. Exploring the relationships between teaching, approaches to learning and critical thinking in a problem-based learning foundation nursing course. Nurse Education Today, 34(5), pp. 829–835. http://dx.doi.org/10.1016/j.nedt.2013.04.023 PMid:23706962
Munshi, F.M., El Zayat, E.S.A. & Dolmans, D.H., 2008. Development and utility of a questionnaire to evaluate the quality of PBL problems. South East Asian Journal of Medical Education, 2(2), pp. 32–40.
Niemer, L., Pfendt, K. & Gers, M., 2010. Problem-based learning in nursing education: a process for scenario development. Nurse Educator, 35(2), pp. 69–73. http://dx.doi.org/10.1097/NNE.0b013e3181ced891 PMid:20173591
Otting, H. & Zwaal, R., 2006. Critical task characteristics in problem-based learning. Industry & Higher Education, 20(5), pp. 347–357. http://dx.doi.org/10.5367/000000006778702283
Ozturk, C., Muslu, G.K. & Dicle, A., 2008. A comparison of problem-based and traditional education on nursing students' critical thinking. Nurse Education Today, 28(5), pp. 627–632. http://dx.doi.org/10.1016/j.nedt.2007.10.001 PMid:18054412
Paul, S.A., 2012. Assessment of critical thinking: a Delphi study. Nurse Education Today, 34(11), pp. 1357–1360. http://dx.doi.org/10.1016/j.nedt.2014.03.008 PMid:24713126
Pitt, V., Powis, D., Levett Jones, T. & Hunter, S., 2015. The influence of critical thinking skills on performance and progression in a pre-registration nursing program. Nurse Education Today, 35(1), pp. 125–131. http://dx.doi.org/10.1016/j.nedt.2014.08.006 PMid:25194469
Rogal, S.M. & Snider, P.D., 2008. Rethinking the lecture: the application of problem based learning methods to atypical contexts. Nurse Education in Practice, 8(3), pp. 213–219. http://dx.doi.org/10.1016/j.nepr.2007.09.001 PMid:17950670
Rotgans, J.I. & Schmidt, H.G., 2011. Situational interest and academic achievement in the active-learning classroom. Learning and Instruction, 21(1), pp. 58–67. http://dx.doi.org/10.1016/j.learninstruc.2009.11.001
Rotgans, J.I. & Schmidt, H.G., 2014. Situational interest and learning: thirst for knowledge. Learning and Instruction, 32, pp. 37–50. http://dx.doi.org/10.1016/j.learninstruc.2014.01.002
Sangestani, G. & Mahnaz, K., 2013. Comparison of problembased learning and lecture-based learning in midwifery. Nurse Education Today, 33(8), pp. 791–795. http://dx.doi.org/10.1016/j.nedt.2012.03.010 PMid:22503681
Schmidt, H.G., Loyens, S.M.M., van Gog, T. & Paas, F., 2007. Problem-based learning is compatible with human cognitive architecture: commentary on Kirschner, Sweller, and Clark (2006). Educational Psychologist, 42(2), pp. 91–97. http://dx.doi.org/10.1080/00461520701263350
Schmidt, H.G., van der Molen, H.T., te Winkel, W.W.R. & Wijnen, W.H.F.W., 2009. Constructivist, problem-based learning does work: a meta-analysis of curricular comparisons involving a single medical school. Educational Psychologist, 44(4), pp. 227–249. http://dx.doi.org/10.1080/00461520903213592
Shuler, C.F., 2012. Comparisons in basic science learning outcomes between students in PBL and traditional dental curricula at the same dental school. In: Bridges, S., Colman McGrath, T. & Whitehill, L. eds. Problem-based learning in clinical education: the next generation. New York: Springer, pp. 35–46. http://dx.doi.org/10.1007/978-94-007-2515-7_3
Thammasitboon, K., Sukotjo, C., Howell, H. & Karimbux, N., 2007. Problem-based learning at the Harvard school of dental medicine: self-assessment of performance in postdoctoral training. Journal of Dental Education, 71(8), pp. 1080–1089. PMid:17687090
Tiwari, A., Ali, P., So, M. & Yuen, K., 2006. A comparison of the effects of problem-based learning and lecturing on the development of students' critical thinking. Medical Education, 40(6), pp. 547–554. http://dx.doi.org/10.1111/j.1365-2929.2006.02481.x PMid:16700770
Walker, A.E. & Leary, H., 2009. A problem based learning meta analysis: differences across problem types, implementation types, disciplines, and assessment levels. Interdisciplinary Journal of Problem-Based Learning, 3(1), pp. 12–43. http://dx.doi.org/10.7771/1541-5015.1061
Yuan, H., Williams, B.A. & Fan, L., 2008. A systematic review of selected evidence on developing nursing students' critical thinking through problem-based learning. Nurse Education Today, 28(6), pp. 657–663. http://dx.doi.org/10.1016/j.nedt.2007.12.006 PMid:18267348
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