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The Effects of Case-Based Learning (CBL) on Problem Solving Ability and Academic Self-efficacy in Nursing Students

사례기반학습을 적용한 수업이 간호대학생의 문제해결능력과 학업적 자기효능감에 미치는 효과

  • Received : 2023.10.07
  • Accepted : 2023.11.10
  • Published : 2023.11.30

Abstract

The purpose of this study was to the effects of case-based learning (CBL) on problem solving ability and academic self-efficacy in nursing students and was a quasi-experimental study with a one-group pretest-posttest design. The subjects of this study were 121 grade 4 students, and the data collection period was from Aprill 24 to June 12, 2023. The research procedure was scenario development, preliminary investigation, application of case-based learning classes, and follow-up investigation, and the CBL was conducted for 2 weeks, 50 minutes per week. The general characteristics of the subjects were obtained by frequency, percentage, mean, and standard deviation and the effects of CBL on problem solving ability and academic self-efficacy was tested using a paired t-test. The results of this study showed that nursing students' problem solving ability (t=-5.70, p<.001) and academic self-efficacy (t=-3.25, p<.002) improved after applying CBL compared to before applying it. We suggest the use of case-based learning as a strategy to improve problem-solving skills and academic self-efficacy in nursing education. In the future, follow-up research is needed to verify the effectiveness by developing and applying step-by-step clinical cases at an appropriate level according to the learning content of nursing major subjects by grade.

본 연구는 사례기반학습을 적용한 수업이 간호대학생의 문제해결능력과 학업적 자기효능감에 미치는 효과를 확인하고자 시도되었으며, 단일군 사전·사후 실험설계의 유사 실험연구이다. 연구대상자는 간호학과 4학년 재학생 121명으로, 자료수집 기간은 2023년 04월 24일~06월 12일까지였다. 연구절차는 시나리오 개발, 사전조사, 사례기반학습 수업 적용 및 사후조사 순이었으며, 사례기반학습을 적용한 수업은 1주 50분씩 2주 동안 진행하였다. 대상자의 일반적 특성은 빈도, 백분율, 평균, 표준편차로 구하였으며, 대상자의 사례기반학습이 문제해결능력 및 학업적 자기효능감에 미치는 효과검정은 paired t-test로 분석하였다. 본 연구결과 사례기반학습을 적용한 수업을 제공받기 전에 비해 제공받은 후 간호대학생의 문제해결능력(t=-5.70, p<.001)과 학업적 자기효능감(t=-3.25, p<.002)은 향상된 것으로 나타났다. 이에 우리는 간호교육에서 문제해결능력과 학업적 자기효능감 향상을 위한 전략으로 사례기반학습의 활용을 제언한다. 추후 학년별, 간호학 전공 교과목의 학습내용에 따라 적합한 수준의 단계별 임상사례 개발하고 적용하여 그 효과를 검증하는 후속연구가 필요하다.

Keywords

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