Abstract
The purpose of this study was to compare graduating baccalaureate students in a problem-based curriculum with those in a conventional nursing program with regard to perceived preparation for clinical practice, clinical functioning, knowledge and satisfaction with their education. Prior tograduation, students completed a self-report questionnaire that consisted of five sections and took about 45 minutes to complete. Following graduation, their pass rates on the National Nursing Registration Examination (RN Exam) were also compared.
The findings indicated no significant differences in their perceived preparation for nursing practice, although the conventional students scored higher in all areas. There were also no significant differences between the two groups in their perceived clinical functioning, although there was a trend toward higher function in the areas of communication and self-directed learning in the PBL group. There were no statistically significant differences in RN scores. The PBL students scored significantly higher on perceptions of their nursing knowledge, particularly in the areas of individual, family and community health assessment, communication, teaching/learning, and the health care system. The students undertaking the PBL program were more satisfied with their educational experience than their counterparts in the conventional program, indicating higher satisfaction with tutors, level of independence, assessment and program outcomes, but no difference in relation to workload orclarity of expectations
This study contributes to our understanding of the relationship between different educational approaches and student outcomes. It suggests that PBL is an effective approach for educating nurses. Furthermore, it indicates that nursing students in the PBL program, like their counterparts in PBL medical programs, report higher levels of satisfaction. Future studies that are longitudinal in design and rely less on self-report measures would contribute further to our understanding of the benefits and limitations of PBL in nursing education.
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References
Albanese, M.A. & Mitchell, S. (1993). Problem-based learning: A review of literature on its outcomes and implementation issues. Academic Medicine 68: 52–81.
Amos, E. & White, M.J. (1998). Problem-based learning. Nurse Educator 23(2): 11–14.
Andrews, M. & Jones, P.R. (1996). Problem-based learning in an undergraduate nursing programme: A case study. Journal of Advanced Nursing 23: 357–365.
Berkson, L. (1993). Problem-based learning: Have the expectations been met? Academic Medicine 68(10): S79–S88.
Bernstein, P., Tipping, J., Bercovitz, K. & Skinner, H.A. (1995). Shifting students and faculty to a PBL curriculum: Attitudes changed and lessons learned. Academic Medicine 70(3): 245–247.
Bevis, E.O. & Watson, J. (1989). Toward a Caring Curriculum: A New Pedagogy for Nursing. New York: NLN.
Busari, J.O., Scherpbier, J.J.A. & Boshuizen, H.P.A. (1997). Comparative study of medical education as perceived by students at three Dutch universities. Advances in Health Sciences Education 1: 141–151.
Clarke, R.M., Feletti, G.I. & Engel, C.E. (1984). Student perceptions of the learning environment in a new medical school. Medical Education 18: 321–325.
Creedy, D., Horsfall, J. & Hand, B. (1992). Problem-based learning in nursing education: an Australian view. Journal of Advanced Nursing 17: 727–733.
Crook, J. & Feldman, E. (1981). The McMaster BScN Nurse: A Survey Regarding Preparation and Practice Competency as Assessed by Graduates and Their Supervisors. Hamilton: McMaster University School of Nursing, Faculty of Health Sciences.
Davis, S.S. (1994). Problem-based learning in medical education: A qualitative study of curriculum design and students' experience in an experimental program. (Doctoral Dissertation, Ohio State University, 1994). Dissertation Abstracts International, 9516978.
Dieklemann, N. (1995). Reawakening thinking: Is traditional pedagogy nearing completion? Journal of Nursing Education 34: 195–196.
Distlehorst, L.H. & Robbs, R.S. (1998). A comparison of problem-based learning and standard curriculum students: Three years of retrospective data. Teaching and Learning in Medicine 10(3): 131–137.
Duke, M., Forbes, H., Hunter, S. & Prosser, M. (1998). Problem-based learning (PBL): Conceptions and approaches of undergraduate students of nursing. Advances in Health Sciences Education 3: 59–70.
Entwistle, N. & Ramsden, P. (1983). Understanding Student Learning. London: Croom Helm
Frost, M. (1996). An analysis of the scope and value of problem-based learning in the education of health professionals. Journal of Advanced Nursing 24: 1047–1053.
Glen, S. (1994). Towards a new model of nursing education. Nurse Education Today 15: 90–95.
Heliker, D. (1994). Meeting the challenge of the curriculum revolution: Problem-based learning in nursing education. Journal of Nursing Education 33: 45–47.
Ingram, C., Rideout, E., Weir, R., Brown, M., Woodward, C. & Crook, J. (1994). The impact of personal and situational variables on career patterns among nurses fromthree types of educational programs. Journal of Professional Nursing 10(5): 297–307.
Ishida, D.N. (1995). Learning preferences among ethnically diverse nursing students exposed to a variety of collaborative learning approaches including problem-based learning. (Doctoral dissertation, University of Hawaii, 1995) Dissertation Abstracts International, University Microfilms No. 3135.
Kaufman, D.M. & Mann, K.V. (1999). Achievement of students in a conventional and problem-based (PBL) curriculum. Advances in Health Sciences Education 4: 245–260.
Kaufman, D.M. & Mann, K.V. (1997). Basic science in problem-based learning and conventional curricula: Students attitudes. Medical Education 31: 177–180.
Khoiny, F.E. (1995). The effectiveness of problem-based learning in nurse practitioner education. (Doctoral dissertation, University of Southern California, 1995). Dissertation Abstracts International, 9614036.
Little, P. & Ryan, G. (1988). Educational change through problem-based learning. Australian Journal of Advanced Nursing 5(4): 31–35.
Lunyk-Child, O., Crooks, D., Ellis, P., Ofosu, C., O'Mara, L. & Rideout, E. (2001). Student and faculty perceptions of self-directed learning. Journal of Nursing Education 40: 116–124.
McMillan, M.A. & Dwyer, J. (1989). Changing times, changing paradigm: the MacArthur experience. Nurse Education Today 9: 93–99.
Moore-West, M., Harrington, D.L., Mennin, S.P., Kaufman, A. & Skipper, B.J. (1989). Distress and attitudes toward the learning environment: Effects of a curriculum innovation. Teaching and Learning in Medicine 1(3): 151–157.
Newman, M.G. (1995). A Comparison of Nursing Students in Problem-Based and the Lecture Method. Unpublished master's thesis, University of Alberta, Edmonton, Alberta.
Norman, G.R. & Schmidt, H.G. (1992). The psychological basis of problem-based learning: A review of the evidence. Academic Medicine 67(9): 557–565.
Rideout, E. (1998) The experience of learning and teaching in a non-conventional nursing curriculum. Doctoral Dissertation, University of Toronto.
Ryan, G. & Little, P. (1991). Innovations in a nursing curriculum. In D. Boud & G. Feletti (eds.), The Challenge of Problem-Based Learning. New York: St. Martin's Press.
Solomon, P.E., Binkley, J. & Stratford, P.W. (1996). A descriptive study of learning processes and outcomes in two problem-based curriculum designs. Journal of Physical Therapy 10(2): 72–76.
Solomon, P. & Finch, E. (1998). A qualitative study identifying stressors associated with adapting to problem-based learning. Teaching and Learning in Medicine 10(2): 58–64.
Stern, P. (1995). Case-based learning in occupational therapy: A case study of student perceptions. (Doctoral dissertation, University of Virginia, 1995). Dissertation Abstracts International, 9525035.
Tompkins, C. (2001). Educating nurses for the twenty-first century. In E. Rideout (ed.), Transforming Nursing Education Through Problem-Based Learning. Sudbury, MA: Jones and Bartlett.
Townsend, J. (1990). Problem-based learning. Nursing Times 86(14): 61–62.
Vernon, D.T.A. & Blake, R.L. (1993). Does problem-based learning work? A meta-analysis of evaluative research. Academic Medicine 68: 550–563.
White, M.J., Amos, E. & Kouzekanani, K. (1999). Problem-based learning: An outcomes study. Nurse Educator 24(2): 33–36.
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Rideout, E., England-Oxford, V., Brown, B. et al. A Comparison of Problem-Based and Conventional Curricula in Nursing Education. Adv Health Sci Educ Theory Pract 7, 3–17 (2002). https://doi.org/10.1023/A:1014534712178
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DOI: https://doi.org/10.1023/A:1014534712178