Objective To investigate the case-based learning (CBL) combined with team-based learning (TBL) teaching method for developing critical thinking and independent learning ability of nursing undergraduates.Methods Experimental control method was used.Totally 107 nursing students of grade 2015 of a medical school were randomly divided into experimental group (54 students) and control group (53 students) in 2018.The control group received traditional teaching and the observation group received CBL combined with TBL teaching method.Critical Thinking Disposition Inventory Chinese Version (CTDI-CV) and Self-directed Learning Readiness Scale for Nursing Education were used before and after probation to test the level of critical thinking and independent learning ability of both groups of students.Besides,both two groups had a theory test after the internship.Results After probation the total score of critical thinking in the experimental group was higher than that in the control group[(292.09±28.26) vs (282.47±37.12)].Both groups of students had a good level of critical thinking.For independent learning preparation,the score of self-management in the experimental group were higher than those in the control group[(49.07±5.57) vs (46.13±7.56),t=2.08,P=0.04].After probation the total score of critical thinking improved evidently in the experimental group[(292.09±28.26) vs (273.32±28.26),t=3.91,P<0.01 ].After probation the total score of independent learning preparation improved significantly in experimental group[(158.13±15.25) vs (147.84±14.92),t=3.47,P<0.01].The score of analytical questions[(45.43±4.00) vs (41.28±9.11)] and the total score[(74.90±4.60) vs (69.77±14.77)] in the theory test in the experimental group were higher than those in the control group after internship (all P<0.05).Conclusions CBL combined with TBL teaching method in the clinical probation of nursing undergraduates can improve the ability to analyze and solve problems and enhance students' academic performance.Besides,it also can develop the critical thinking and autonoruous learning of students.
Wang Tianci
,
Liu Yunxia
,
Lu Danhua
,
Liu Yuexin
. Discussion on the cultivation of critical thinking and independent learning ability of nursing students with CBL and TBL teaching methods[J]. Chinese Journal of Medical Education, 2019
, 39(11)
: 822
-826
.
DOI: 10.3760/cma.j.issn.1673-677X.2019.11.005
[1] 蒙桂琴.TBL在高职《护理学基础》课程中的应用[J].科技信息,2012(13):11.DOI:10.3969/j.issn.1001-9960.2012.13.009.
[2] Kibble JD,Bellew C,Asmar A,et al.Team-based learning in large enrollment classes[J].Adv Physiol Educ,2016,40(4):435-442.DOI:10.1152/advan.00095.2016.
[3] 吕茵茵.“TBL”联合“翻转课堂”教学模式在临床护理教学中的应用探讨[J].中国继续医学教育,2016,8(12):5-6.DOI:10.3969/j.issn.1674-9308.2016.12.004.
[4] Parmelee LKMM.Team based leaming:Small group learning next big step[M].NewYork:Jone Wiley and Sons Inc,2008:10-15.
[5] Koles P,Nelson S,Stolfi A,et al.Active learning in a year 2 pathology curriculum[J].Med Educ,2005,39(10):1045-1055.DOI:10.1111/j.1365-2929.2005.02248.x.
[6] Park SE,Salihoglu-Yener E,Fazio SB.Use of team-based learning pedagogy for predoctoral teaching and learning[J].Eur J Dent Educ,2019,23(1):e32,e36.DOI:10.1111/eje.12396.
[7] Sookhoo D,Thurston C.Effectiveness and experiences of team-based learning in nurse education programs:A mixed methods systematic review protocol[J].JBI Database System Rev Implement Rep,2018,16(10):1912-1921.DOI:10.11124/JBISRIR-2017-003575.
[8] 李芳,许瑞,王艳波,等.TBL教学法在护理学本科部分临床课程中的应用研究[J].中国高等医学教育,2016(12):108-109.DOI:10.3969/j.issn.1002-1701.2016.12.056.
[9] 张清伟,宋佳玉,王锋,等.CP结合TBL教学在妇产科学临床实习教学中的应用体会[J].重庆医学,2016,45(8):1133-1135.DOI:10.3969/j.issn.1671-8348.2016.08.045.
[10] 刘亮,周庆,李冰.改良TBL教学法在临床医学本科毕业实习中的应用探讨[J].重庆医学,2013(35):4349-4351.DOI:10.3969/j.issn.1671-8348.2013.35.050.
[11] 朱品泽.TBL结合CBL教学法在医学影像学教学中的应用[J].心理医生,2018,24(36):347-348.
[12] 彭美慈,汪国成,陈基乐,等.批判性思维能力测量表的信效度测试研究[J].中华护理杂志,2004,39(9):644-647.
[13] 张琳,宁艳花,买红娟,等.护生个人因素对批判性思维能力的影响[J].护理研究,2011,25(19):1711-1713.DOI:10.3969/j.issn.1009-6493.2011.19.008.
[14] 李慧,唐四元,宋爱芹,等.护理学研究生批判性思维的现状及影响因素分析[J].中华护理杂志,2010,45(10):919-921.DOI:10.3761/j.issn.0254-1769.2010.10.021.
[15] Fisher M,King J,Tague G.Development of a self-directed learning readiness scale for nursing education[J].Nurse Educ Today,2001,21(7):516-525.DOI:10.1054/nedt.2001.0589.
[16] Fisher MJ,King J.The self-directed learning readiness scale for nursing education revisited:A confirmatory factor analysis[J].Nurse Educ Today,2010,30(1):44-48.DOI:10.1016/j.nedt.2009.05.020.
[17] 王伟.护理实习生自主学习能力与问题解决能力的现状研究及启示[D].上海:复旦大学,2010.