Strides in Development of Medical Education

Document Type : Original Article

Authors

1 Ph.D. Candidate in Nursing, Instructor of Psycho-social Health Dept., School of Nursing and Midwifery, Golestan University of Medical Sciences, Golestan, Iran

2 Ph.D. Candidate in Nursing, Instructor of Pediatric Nursing Dept., School of Nursing and Midwifery, Golestan University of Medical Sciences, Golestan, Iran

3 Ph.D. Candidate in Nursing, Instructor of Medical Surgical Dept., School of Nursing and Midwifery, Golestan University of Medical Sciences, Golestan, Iran

4 Ph.D. in Nursing, Associate Professor of Social Health Dept., School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

5 M.Sc. in Nursing, Instructor of Medical Surgical Dept., Gorgan School of Nursing and Midwifery, Golestan Univ rsity of Medical Sciences, Golestan, Iran

Abstract

Background & Objective: To offer a better care in complex clinical environments and with rapid changes in technology nurses need to improve their problemsolving skill Studentcentered and active learning approaches are more effective in this regard Hence this study was to determine the effect of ProblemBased Learning (PBL) on nursing students learning level Methods: This quasiexperimental study was conducted on 32 nursing students (in their fifth semester) who had chosen mental health course in Golestan University of Medical Sciences in 2007 The students were randomly divided into two groups of cases (8 persons) and controls (24 persons) Having applied PBL and lecture during the course learning was evaluated via theoretical exams of similar content and cognitive level in two groups right at the end and two months after the course Data was analyzed using MannWhitney and independent t Test The level of significance was 005 Results: Most of the students with a mean ( ± SD) age of 2185(±197) years were single (9062%) and lived in a dormitory (75%) Although the mean scores were higher in cases compared to the controls two months after the course there was no significant difference in both groups regarding overall learning However a significant difference was seen in different cognitive levels (P

Keywords

  1. Distler JW. Critical thinking and clinical competence: Result of the implementation of student-centered teaching strategies in an advanced practice nurse curriculum. Nurs Educ Prac 2007; 7 (1): 53-9.
  2. Worrell JA, Profetto-McGrath J. Critical thinking as an outcome of context-based learning among post RN students: A literature review. Nurs Educ Today 2007; 27(5): 420-6.
  3. Ozturk C, Muslu GK, Dicle A. A comparison of problem-based and traditional education on nursing students’ critical thinking disposition. Nurs Educ Today 2008; 28 (5): 627-32.
  4. Vahidi R, Azemian A, Vali Zadeh S. Feasibility of PBL implementation in clinical courses of nursing and midwifery from the viewpoints of faculty members of Tabriz University of Medical Sciences. Journal of Medical Education 2004; 4(2): 71-80. [In Persian]
  5. Baghaie M, Atrkar Roshan Z. A comparison of two Teaching Strategies: Lecture and PBL, on learning and retaining in nursing students. Journal of Gilan University of Medical Sciences 2003; 12(47): 86-94. [In Persian]
  6. Seldomridge LA, Walsh CM. Measuring critical thinking in graduate education: What do we know? Nurs Educ Today 2006; 31 (3): 132-6.
  7. Van Berkel H, Schmidt H. On the additional value of lectures in a problembased curriculum. Educ Health 2005; 18(1):45-61.
  8. Alessio H. Student perceptions about and performance in problem-based learning. Journal of Scholarship of Teaching and Learning 2004; 4 (1): 25-36.
  9. Sundblad G, Sigrell B, Knutsson John L, Lindkvist C. Students’ evaluation of a learning method: A comparison between problem-based learning and more traditional methods in a specialist University training programme in psychotherapy. Med Teach 2002; 24: 268-72.
  10. Alleyne T, Shirley A, Bennett C, Addae J, Walrond E, West S, et al. Problem-based compared with traditional methods at the faculty of Medical Sciences University of the West Indies: A model study. Med Teach 2002; 24: 273-9.
  11. Fattahi Bafghi A, Karimi H, Anvari MH, Barzegar K. Comparison of the effectiveness of two teaching methods of group discussion and lecturing in learning rate of laboratory medicine students. SDME 2007; 4 (1): 51-6. [In Persian]
  12. Srinivasan M, WilkesM, Stevenson F, Nguyen T, Slavin S. Comparing problembased learning with case-based learning: Effects of a major curricular shift at two institutions. Acad Med 2007; 82 (1): 74-82.
  13. Sadr Lahijani MS, Raoof Kateb HR. The effect of PBL and film showing, frequent quizzes and lecture-based method on shortterm performance of dentistry students. Journal of Medical Education 2004; 4 (2): 77-80. [In Persian]
  14. Antepohl W, Herzig S. Problem-based learning versus lecture-based learning in a course of basic pharmacology: A controlled, randomized study. Med Educ 1999; 33 (2): 106-13.
  15. Gossman P, Stewart T, Jaspers M, Chapman B. Integrating web-delivered problem-based learning scenarios to the curriculum. Act Learn High Educ 2007; 8(2): 139-53.
  16. Smits PB, Buisonje CD, Verbeek JH, Van Dijk FJ, Metz JC, Ten Cate OJ. Problembased learning versus lecture-based learning in postgraduate medical education. Scand J Work Environ Health 2003; 29 (4): 280-7.
  17. Carlisle C, Ibbotson T. Introducing problem-based learning into research methods teaching: Student and facilitator evaluation. Nurs Educ Today 2005; 25 (7): 527-41.
  18. Quinlan KM. Striking the right balance: an evaluation of a literature database to support problem based learning. J Excell College Teach 2000; 11: 27-39.
  19. Zolfaghari M, Mehrdad N, Parsa Yekta Z, Salmani Barugh N, Bahrani N. The effect of lecture and e-learning methods on learning mother and child health course in nursing students. IJME 2007; 7 (1): 31-9. [In Persian]
  20. Major CH, Betsy P. Assessing the effectiveness of problem-based learning in higher education: Lessons from the literature. Acad Exchange Quart 2001; 5(1).
  21. Albanese MA, Mitchell S. Problem-based learning: A review of literature on its outcomes and implementation issues. Acad Med 1993; 68 (1): 52-81.
  22. Gijbels D, Dochy F, Van den Bossche P, Segers M. Effects of problem-based learning: A meta-analysis from the angle of assessment. Rev Educ Res 2005; 75 (1):27-61.
  23. Distlehorst LH, Dawson E, Robbs RS. Problem-based learning outcomes: The glass half-full. Acad Med 2005; 80 (3):294-9.
  24. Kermanian F, Mahdizadeh M, Irvani SH, Markazi Moghaddam N, Shayan S. Comparing lecture and problem-based learning methods in teaching limb anatomy to first year medical students. IJME 2008; 7 (2): 379-88. [In Persian]
  25. Convway J, Sharkey R. Integrating on campus problem-based learning: issues and challenges in using computer mediated communication. Nurse Educ Today 2002; 22(7): 552-62.
  26. Doucet MD, Purdy RA, Kaufman DM, Langille DB. Comparison of problembased learning and lecture format in continuing medical education on headache diagnosis and management. Med Educ 1998; 32 (6): 590-6.
  27. Beckie TM, Lowry LW, Barnett S. Assessing critical thinking in baccalaureate nursing students: A longitudinal study. Holistic Nurs Prac 2001; 15 (3): 18-26.
  28. Cooke M, Moyle K. Students’ evaluation of problem-based learning. Nurs Educ Today 2002; 22 (4): 330-9.
  29. Ward K, Hartley J. Using a virtual learning environment to address one problem with problem-based learning. Nurs Educ Prac 2006; 6 (4): 185-91.
  30. Yuan H, Kunaviktikul W, Klunklin A, Williams BA. Improvement of nursing students’ critical thinking skills through problem-based learning in the People’s Republic of China: A quasi-experimental study. Nurs Health Sci 2008; 10 (1): 70-6.
  31. Seif AA. Methods of educational measurement and evaluation.18th ed. Tehran: Dowran Pub; 2006. [In Persian]