Effectiveness of a Problem-Based Learning Approach in Clinical Teaching of The Undergraduate Nursing Students: An Integrative Literature Review

https://doi.org/10.20956/icon.v9i1.33085

Authors

Keywords:

problem-based learning, clinical teaching, nursing students

Abstract

Aims: To explore the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students Methods: An integrative literature review was used to evaluate the effectiveness of PBL in integrating theory and practice among nursing students in clinical practice. The review searched research articles published in English from 2013 to 2023. Medical Subject Headings (MeSH) guidelines were used to identify relevant search terms, which included PBL. Articles that met the inclusion criteria entailed research articles published in peer-reviewed journals, written in English and the population of undergraduate nursing students. A matrix was developed that outlined (1)  characteristics of the study population and (2) challenges affecting the implementation and effectiveness of PBL in clinical teaching. Results: The literature search revealed twenty-one (n=21) studies conducted in various countries. The studies highlighted positive experiences on the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students. Skills such as critical thinking, problem-solving, and patient diagnosis were attributed to using PBL in the simulation. Conclusion: This paper contributes to the body of knowledge on the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students. It also contributes to the body of knowledge on PBL in nursing education, particularly in South Africa.  

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Author Biographies

Zodwa Margaret Manyisa, University of South Africa

Health studies department

Sisinyana Hannah Khunou, University of South Africa

Health studies department
Dimensions

Ali, D.A.S., Shazly, M.M. & Saad, N.F. (2019). The effect of problem-based learning strategy on nursing student’s problem-solving abilities. Impact: International Journal of Research in Applied, Natural and Social Sciences, 7(6): 21-34.

Allert, C., Dellkvist, H., Hjelm, M. & Andersson, E.K. (2022). Nursing students' experiences applying problem‐based learning to train the core competence teamwork and collaboration: An interview study. Nursing Open, 9(1), 569-577.

Al-Najar, H., Khalil, A., Bakar, S. & Aziz, N. (2019). Problem-based learning (PBL) versus lecture-based learning (LBL): Effect on developing critical thinking, problem-solving and self-directive learning skills in nursing students. Journal of Nursing and Care, 8(3): 2-11.

Arrue , M., De Alegría, B.R., Zarandona, J. & Cillero, I.H. (2017). Effect of a PBL teaching method on learning about nursing care for patients with depression. Nurse Education Today, 52: 109-115. http://dx.doi.org/10.1016/j.nedt.2017.02.016

Badeau, K.A. (2010). Problem-based learning: An educational method for nurses in clinical practice. Journal for Nurses in Professional Development, 26(6), pp. 244-249.

Balshem, H., Helfand, M., Schunemann, H. J, et al. (2011). GRADE guidelines, rating the quality of evidence. Journal of Clinical Epidemiology, 64.

Baran, M. & Sozbilir, M. (2017). Applying context- and problem-based learning (c-pbl) into teaching thermodynamics. Research in Science Education, 48(3): 1-27. doi:10.1007/s11165-016-9583-1

Cecily, S.H.J. & Omoush, A. (2022). Efficacy of problem-based learning (PBL) over lecture method in enhancing the critical thinking skills and problem-solving ability among nursing students in KSA. International Journal of Educational Science and Research, 4(5): 1-8

Choi, E., Lindquist. R. & Song, Y. (2014). Effects of problem-based learning vs. traditional lecture on Korean nursing students' critical thinking, problem-solving, and self-directed learning. Nurse Education Today,34(1): 52-6.

D'Sa, J.L. & Bhaduri, A. (2013). Acceptability of a problem-based learning approach in a baccalaureate nursing program – A pilot study. International Journal of Nursing Education, 5(1):92.

Fung, J.T.C., Chan, S.L., Takemura, N., Chiu, H., Huang, H., Lee, J., Preechawong, S., Hyun, M.Y., Sun, M., Xia, W., Xiao, J. & Lin, C. (2023). Virtual simulation and problem-based learning enhance perceived clinical and cultural competence of nursing students in Asia: A randomized controlled cross-over study. Nurse Education Today, 123: 105721. https://doi.org/10.1016/j.nedt.2023.105721

Gabr, H., & Mohamed, N. (2011). Effect of problem-based learning on undergraduate nursing students enrolled in nursing administration course. International Journal of Academic Research, 3(1).

Hamdan, A.R., Kwan, C.L., Khan, A., Ghafar, M.N. & Sihes, A.J. (2014). Implementation of problem-based learning among nursing students. International Education Studies, 7(7): 136-42. https://doi.org/10.5539/ies.v7n7p136

Dehkordi, A.H. & Heydarnejad, M.S., 2008. The effects of problem-based learning and lecturing on the development of Iranian nursing students’ critical thinking. Pak J Med Sci, 24(5)

Huang, CY, & Wang, Y. (2020). Toward an integrative nursing curriculum: Combining team-based and problem-based learning with emergency-care scenario simulation. International Journal of Environmental Research and Public Health, 17(12): 4612. https://doi.org/10.3390/ijerph17124612

Hung, W., Jonassen, D.H. & Liu, R. (2019). Problem-based learning. In Handbook of research on educational communications and technology, 3(1), pp. 485-506.

Jamshidi, H., Maslakpak, M.H. & Parizad, N. (2021). Does problem-based learning education improve knowledge, attitude, and perception toward patient safety among nursing students? A randomized controlled trial. BMC Nursing, 20: 70. https://doi.org/10.1186/s12912-021-00588-1

Keshk, L.I., Qalawa, S.A.H. & El-Azim, S.A. (2016). Efficiency of problem based learning course at college of nursing in Egypt and KSA: Comparative study. American Journal of Educational Research, 4(6): 450-458. doi:10.12691/education-4-6-3

Khatiban, M. & San, G. (2014). The effects of using problem-based learning in the clinical nursing education on the students' outcomes in Iran: A quasi-experimental study. Nurse Education in Practice. http://dx.doi.org/10.1016/j.nepr.2014.10.002

Kousar, R. & Afzal, M. (2021). The effects of problem-based learning on critical thinking and problem-solving skills among midwifery students. Pakistan Journal of Medical & Health Sciences, 15(4): 722-725.

Ku, T. K., & Ha, M. (2016). The application of problem-based learning in undergraduate nursing education: A strategy for curriculum reform. Journal of Biosciences and Medicines, 4(6), 52-59.

L'Ecuyer, K.M., Pole, D. & Leander, S.A. (2015). The use of PBL in an interprofessional education course for health care professional students. Interdisciplinary Journal of Problem-Based Learning, 9(1). https://doi.org/10.7771/1541-5015.1497

Lee, J. & Son, H.K. (2021). Comparison of learning transfer using simulation problem-based learning and demonstration: An application of Papanicolaou Smear. International Journal of Environmental Research and Public Health, 18: 1765. https://doi.org/10.3390/ijerph 18041765

Lu, Y., Lee, S., Hsu, M., Shih, F., Yen, W., Huang, C., Li, P., Hung, C., Chuang, H. & Kuo, C. (2022). Effects of problem-based learning strategies on undergraduate nursing students’ self-evaluation of their core competencies: A longitudinal cohort study. International Journal of Environmental Research and Public Health, 19, 15825. https://doi.org/10.3390/ ijerph192315825

Maginnis, C. & Croxon, L. (2010). Transfer of learning to the nursing clinical practice setting. Rural and Remote Health, 10(2): 1313-1320.

Marken, P.A., Zimmerman, C., Kennedy, C., Schremmer, R. & Smith, K.V. (2010). Human simulators and standardized patients to teach difficult conversations to interprofessional health care teams. American Journal of Pharmaceutical Education, 74(7).

Moradi, T. & Taghadosi, M. (2016). The effect of problem-based learning clinical education on nursing student's critical thinking. Future of Medical Education Journal, 6(3): 20-25.

Othman, S.Y. & Shalaby, S.A. (2014). Students’ perception and acceptance of problem-based learning approach in critical care nursing practice. Scientific Co-operations International Workshops on Medical Topics, Ankara-TURKEY, 52-67.

Penjvini, S. & Shahsawari S.(2021). Comparing problem based learning with lecture based learning on medicine giving skill to newborn in nursing students. Journal of Nursing Education and Practice, 3(9): 53-59, http://dx.doi.org/10.5430/jnep.v3n9p53

Roh, R.S., Kim, S.S. & Kim, S.H. (2013). Effects of an integrated problem-based learning and simulation course for nursing students. Nursing and Health Sciences, 16: 91-96. http// doi: 10.1111/nhs.12069

Sahota, S. (2020). Using problem-based learning to improve patient safety in the emergency department. Emergency Nurse, 28(2): 3-42. https://doi.org/1 0.7748/en.2020.e1958.

Sangestani, G. & Khatiban, M. (2013). Comparison of problem-based learning and lecture-based learning in midwifery. Nurse Education Today, 33(8): 791-795. doi:10.1016/j.nedt.2012.03.010

Sohn, M., Ahn, Y., Lee, M., Park, H. & Kang, N. (2013). The problem-based learning integrated with simulation to improve nursing students’ self-efficacy. Open Journal of Nursing, 3: 95-100. http://dx.doi.org/10.4236/ojn.2013.31012

Son, H.K. (2020). Effects of S-PBL in maternity nursing clinical practicum on learning attitude, metacognition, and critical thinking in nursing students: A quasi-experimental design. International Journal of Environmental Research and Public Health, 17: 7866. doi:10.3390/ijerph17217866

Søndergaard, B.D. (2016). The principles and practices of problem and project-based learning (PBL) at Aalborg University. PowerPoint presentation in Didaktik-Forum, Brandenburg. https://vsl.thbrandenburg.de/fileadmin/user_upload/allgemein/bilder/Vielfalt/ Didaktikforum/2-Dahls_Keynote1-PBL-at-AAU.pdf

Svensson, J., Axén, A., Andersson, E.K. & Hjelm, M. (2021). Nursing students' experiences of what influences the achievement of learning outcomes in a problem-based learning context: A qualitative descriptive study. Nursing Open, 8: 1863-1869. https://doi.org/10.1002/nop2.842

Thabet, M., Taha, EELS, Abood, S.A. & Morsy, S. (2017). The effect of problem-based learning on nursing students’ decision-making skills and styles. Journal of Nursing Education and Practice, 7(6): 108-116.

Tseng, H.C., Chou, F.H., Wang, H.H., Ko, H.K., Jian, S.Y. & Weng, W.C. (2011). The effectiveness of problem-based learning and concept mapping among Taiwanese registered nursing students. Nurse Education Today, 31(8): e41-e46.

Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x

Xing, C., Zhou, Y., Li, M., Wu, Q., Zhou, Q., Wang, Q. & Liu, X. (2021). The effects of CPBL+ SBAR teaching mode among the nursing students. Nurse Education Today, 100: 104828. https://doi.org/10.1016/j.nedt.2021.104828

Yadav, R.L., Piryani, R.M., Deo, G.P., Shah, D.K., Yadav, L.K. & Islam, M.N. (2018). Attitude and perception of undergraduate medical students toward problem-based learning in Chitwan Medical College, Nepal. Advances in Medical Education and Practice, 4(9): 317-322. doi:10.2147/AMEP.S160814

Yew, E.H. & Goh, K. (2016). Problem-based learning: An overview of its process and impact on learning. Health Professions Education, 2(2): 75-9.

Yuan, H.B., Williams, B.A., Yin, L., Liu, M., Fang, J.B. & Pang, D. (2011). Nursing students’ views on the effectiveness of problem-based learning. Nurse Education Today, 31(6): 577-581.

Zhang, W. (2014). Problem-based learning in nursing education. Advances in Nursing, Hindawi Publishing Corporation Advances in Nursing Volume 2014, Article ID 125707, 5 pages http://dx.doi.org/10.1155/2014/125707

Published

2024-08-27

How to Cite

Manyisa, Z. M., & Khunou, S. H. (2024). Effectiveness of a Problem-Based Learning Approach in Clinical Teaching of The Undergraduate Nursing Students: An Integrative Literature Review. Indonesian Contemporary Nursing Journal (ICON Journal), 9(1), 37-50. https://doi.org/10.20956/icon.v9i1.33085