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병태생리학 사례기반학습이 간호대학생의 비판적 사고성향, 의사소통능력, 문제해결능력, 자기주도적 학습능력에 미치는 효과

The Effect of Case-based Learning (CBL) on Critical Thinking Disposition, Communication Ability, Problem Solving Ability and Self-directed Learning Ability of Nursing Students in Pathophysiology Course

  • 투고 : 2016.08.05
  • 심사 : 2016.08.20
  • 발행 : 2016.08.31

초록

Purpose: This study is a quasi-experimental study to investigate the effect of case-based learning (CBL) on critical thinking disposition, communication ability, problem solving ability and self-directed learning ability of nursing students in a pathophysiology course. Methods: The development of 3 CBL scenarios of pathophysiology were conducted by nursing faculties & clinical nurses before CBL began. Among the sophomore nursing students who were taking a pathophysiology course, the intervention group (n=43) was the nursing students who hope to participate in an extra-CBL program with usual pathophysiology lessons and the control group (n=36) was the nursing students who wanted to receive the usual pathophysiology lessons. The intervention group received additional CBL using 3 different scenarios for 1 hour per week during 4 weeks from May to June, 2016. Data were analyzed by a chi-square test, t-test and ANCOVA using SPSS WIN 18.0 Results: The mean score of critical thinking disposition (F=11.60, p=.001), communication ability (F=4.24, p=.043), and self-directed learning ability (F=4.75, p=.032) were significantly higher in intervention group than those in control group. But there was no significant difference between the two groups in problem solving ability (F=1.59, p=.211). Conclusions: The application of a CBL program during a pathophysiology course was effective in improving the critical thinking disposition, and the self-directed learning ability of sophomore nursing students.

키워드

참고문헌

  1. Distler JW. Critical thinking and clinical competence: Results of the implementation of student-centered teaching strategies in an advanced practice nurse curriculum. Journal of Nurse Education in Practice. 2007;7(1):53-59. https://doi.org/10.1016/j.nepr.2006.08.003
  2. Yoo MR, Choi YJ, Kang MS. The effects of PBL (Problem-Based Learning) on the self-directed learning, critical thinking disposition, and problem solving process of nursing students. Journal of Korean Fundamentals of Nursing. 2009;16(1):46-55.
  3. Jang KS, Park SJ. Effects of action learning approaches on learning outcomes in nursing management courses. Journal of Korean Academy of Nursing Administration. 2012;18(4):442-451. http://dx.doi.org/10.11111/jkana.2012.18.4.442
  4. Richards PS, Inglehart MR. An interdisciplinary approach to case-based teaching: Does it create patient-centered and culturally sensitive providers? Journal of Dental Education. 2006; 70(3):284-291.
  5. Kim HY, Kim HR. Effects of colonoscopy based simulation program on knowledge and clinical performance in nursing students. Journal of Korean Adult Nursing. 2015;27(2):135-145. https://doi.org/10.7475/kjan.2015.27.2.135
  6. Srinivasan M, Wilkes M, Stevenson F, Nguyen T, Slavin S. Comparing problem-based learning with case-based learning: Effects of major curricular shift at two institutions. Academic Medicine. 2010;82(1):74-82. https://doi.org/10.1097/01.ACM.0000249963.93776.aa
  7. Dietrich, JE, De Silva NK, Young AE. Reliability study for pediatric and adolescent gynecology case-based learning in resident education. Journal of Pediatric and Adolescent Gynecology. 2010;23(2):102-106. https://doi.org/10.1016/j.jpag.2009.09.002
  8. SaraC L, Ok A. The effects of different instructional methods on students''acquisition and retention of cardiopulmonary resuscitation skills. Resuscitation. 2010;81(5):555-561. https://doi.org/10.1016/j.resuscitation.2009.08.030
  9. Kim JA. Differences of problem solving ability, intrinsic motivation, and course satisfaction in nursing students with the application of case based learning. Journal of Korean Eductional Methodology Studies. 2015;27(1):21-37. http://dx.doi.org/10.7586/jkbns.2015.17.1.78
  10. Yoo MS, Park JH, Lee SR. The effects of case-based learning using video on clinical decision making and learning motivation in undergraduate nursing students. Korean Society of Nursing Science. 2010;40(6):863-871. DOI: 10.4040/jkan.2010.40.6.863
  11. Jeong ME, Park HS. The effects of case-based learning on clinical decision making and nursing performance in undergraduate nursing student. Journal of Fundamentals of Nursing. 2015;22(3):308-317. http://dx.doi.org/10.7739/jkafn.2015.22.3.308
  12. Seo WS. An analysis of requisite knowledge body of physiology for nursing education. Journal of Korean Academy of Fundamentals of Nursing. 1995;2(2):229-237.
  13. Yoo JS, Ahn JA, Yeo KS, Chu SH. Study to reorganize the course of basic nursing science in a college of nursing. Journal of Korean Biological Nursing Science. 2008;10:162-169.
  14. Kim NH, Park JY, Jeon SE. The effects of case-based learning (CBL) on learning motivation and learning satisfaction of nursing students in a human physiology course. Journal of Korean Biological Nursing Science. 2015;17(1):78-87. http://dx.doi.org/10.7586/jkbns.2015.17.1.78
  15. Lim YT, Ryoo WY. Case-based learning, type of case organization, reasoning, reasoning ability quotient. Journal of Educational Information and Media. 2009;15(2):109-131.
  16. Facione NC, Facione PA, Sanchez CA. Critical thinking disposition as a measure of competent clinical judgment: The development of the california critical thinking disposition inventory. Journal of Nursing Education. 1994;33(8):345-350.
  17. Yun J. Development of an Instrument for the measurement of critical thinking disposition : In Nursing [dissertation]. Seoul: Catholic University; 2004. p.1-64
  18. Heppner PP, Krauskopf CJ. An information-processing approach to personal problem solving. Journal of The Counseling Psychologist. 1987;15(3):371-447. https://doi.org/10.1177/0011000087153001
  19. Lee SJ, Jang YK, Lee HN, Park GY. A Study on the development of life-skills: communication, problem solving, and self-directed learning. Final report. Seoul: Korean Educational Development Institute; 2003 Dec. Report No.: RR2003-15-03.
  20. Kim HS. Study on development and validation of comprehensive evaluation model for educational programs: Focused on u-learning pilot school programs [dissertation]. Seoul: Seoul University; 2004. p. 1-251
  21. Lee WS, Cho KC, Yang SH, Rho YS, Lee GY. Effects of problem-based learning combined with simulation on the basic nursing competency of nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(1):64-72.
  22. Yoo JE. Misunderstandings and mis-applications on ANCOVA in educational studies. Journal of Learner-Centered Curriculum and Instruction. 2013;13(6):27-49.
  23. Sternberg RJ, editor. Thinking and problem solving: New York: Academic Press; 1994.
  24. O HK, Jeon EY. Effects of simulation based training using post-operating rehabilitation case on learning outcomes. Journal of Korean Rehabilitation Nursing. 2014;17(2):90-96. http://dx.doi.org/10.7587/kjrehn.2014.90
  25. Yeh ML, Chen HH. Effect of educational program with intensive videodisc systems in improving critical thinking dispositions for RN-BSN students in Taiwan. International Journal of Nursing Studies. 2005;42(3):333-340. http://dx.doi.org/10.1016/j.ijnurstu.2004.06.008
  26. Kim SO, Kim SM. Effects of the role play-based practice education on nursing students. Journal of the Korean Data Analysis Society. 2015;17(5):2837-2848.
  27. Kruijver IP, Kerkstra A, Franche AL, Bensing JM, van de Wiel HB. Evaluation of communication training programs in nursing care: A review of literature. Patient Education Counseling. 2000;39(1):129-145. http://dx.doi.org/10.1016/S0738-3991(99)00096-8
  28. Goh JK. The differences of stressors at grade and ways of coping in nursing students. Journal of Korean Academy on Communication in Healthcare. 2010;5(2):79-86.
  29. Baumberger-Henry M. Cooperative learning and case study: Does the combination improve student's perception of problem-solving and decision making skill? Nurse Education Today. 2016;25(3):238-246. https://doi.org/10.1016/j.nedt.2005.01.010

피인용 문헌

  1. 인체해부학 수업에서 사례기반 및 코넬식 노트를 활용한 학습법이 학습부진 간호대학생의 자기주도학습 능력, 비판적 사고 성향 및 팀워크에 미치는 영향에 관한 융합 연구 vol.11, pp.8, 2020, https://doi.org/10.15207/jkcs.2020.11.8.351
  2. 사례기반학습이 간호대학생의 문제해결능력, 자기주도학습능력과 학업적자기효능감에 미치는 효과 vol.9, pp.1, 2016, https://doi.org/10.15268/ksim.2021.9.1.141