Journal of Education and Health Promotion

The effect of case‑based e‑learning on academic performance and problem‑solving ability in nursing students: A pre‑ and post‑test study

Document Type : Original Article

Authors

. Rita Rezaee 1
. Fateme Haveshki 2
. Reza Barati‑Boldaji 3
. Manoosh Mehrabi 4

1 Clinical Education Research Centre, Health Human Resources Research Centre, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Study and Development of Medical Education, Shiraz University of Medical Sciences, Shiraz, Iran

3 Gastroenterohepatology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran

4 Department of e-Learning Planning in Medical Sciences, Virtual School (Centre of Excellence for e-Learning in Medical Sciences), Shiraz University of Medical Sciences, Shiraz, Iran

Abstract
BACKGROUND: Case‑based learning is a modern learning approach, aims to prepare students
for practical skills. In the present study, we aimed to determine the effectiveness of case‑based
e‑learning (CBEL) on the academic performance and problem‑solving ability of nursing students.
MATERIALS AND METHODS: In this pre‑ and post‑test study, census sampling method was used
to select 128 nursing students who had nutrition courses during 2015–2017 at (blinded). Before and
after the educational intervention, the students completed the problem‑solving inventory including
problem‑solving confidence (PSC), approach‑avoidance style (AA), and personal control (PC) and a
scientific test for evaluating academic function. Continuous variables before and after the intervention
and categorical variables were analyzed using paired t‑test and Chi‑square test, respectively.
RESULTS: The mean scores of PSC, AA, and PC decreased after the intervention (P < 0.001). The
mean scientific score of the students improved after the intervention (P < 0.001).
CONCLUSION: This study showed that the CBEL method had a positive effect on the ability to solve
the learning problems and the academic performance of the students and can be used to train nurses
to improve their ability to confront clinical problems in the future.

Keywords

Academic performance
distance
education
problem solving
problem‑based learning
  1. Papathanasiou IV, Kleisiaris CF, Fradelos EC, Kakou K,
    Kourkouta L. Critical thinking: The development of an essential
    skill for nursing students. Acta Inform Med 2014;22:283‑6.
    2. Ajani K, Moez S. Gap between knowledge and practice in nursing.
    Proc Soc Behav Sci 2011;15:3927‑31.
    3. Lisko SA, O’Dell V. Integration of theory and practice: Experiential
    learning theory and nursing education. Nurs Educ Perspect
    2010;31:106‑8.
    4. Stanley MJ, Dougherty JP. A paradigm shift in nursing education:
    A new model. Nurs Educ Perspect 2010;31:378‑80.
    5. Bari M, Djouab R, Hoa CP. Elearning current situation and
    emerging challenges. People Int J Soc Sci 2018;4:97-109.
    6. Abuatiq A, Fike G, Davis C, Boren D, Menke R. E‑learning in
    nursing: Literature review. Int J Nurs Educ 2017;9:81‑6.
    7. McLean SF. Case‑based learning and its application in medical
    and health‑care fields: A review of worldwide literature. J Med
    Educ Curric Dev 2016;3:JMECD. S20377.
  2. 8. Bi M, Zhao Z, Yang J, Wang Y. Comparison of case‑based learning
    and traditional method in teaching postgraduate students of
    medical oncology. Med Teach 2019;41:1124‑8.
    9. Yoo MS, Park JH. Effect of case‑based learning on the development
    of graduate nurses’ problem‑solving ability. Nurse Educ Today
    2014;34:47‑51.
    10. Forsgren S, Christensen T, Hedemalm A. Evaluation of the case
    method in nursing education. Nurse Educ Pract 2014;14:164‑9.
    11. Gaupp R, Körner M, Fabry G. Effects of a case‑based interactive
    e‑learning course on knowledge and attitudes about patient
    safety: A quasi‑experimental study with third‑year medical
    students. BMC Med Educ 2016;16:172.
    12. Taurines R, Radtke F, Romanos M, König S. Using real patients
    in e‑learning: Case‑based online training in child and adolescent
    psychiatry. GMS J Med Educ 2020;37:Doc96.
    13. Sawras M, Khosa D, Lissemore K, Duffield T, Defarges A.
    Case‑based e‑learning experiences of second‑year veterinary
    students in a clinical medicine course at the Ontario veterinary
    college. J Vet Med Educ 2020;47:678‑94.
    14. McDonald EW, Boulton JL, Davis JL. E‑learning and nursing
    assessment skills and knowledge an integrative review. Nurse
    Educ Today 2018;66:166‑74.
    15. Yangoz ST. The use of e‑learning program in nursing education.
    New Trends Issues Proc Hum Soc Sci 2017;4:230‑6.
    16. Jeong M, Park M. Development and effects of E‑learning
    program for clinical questioning in evidence‑based practice using
    case‑based animation for nurses. Korean J Adult Nurs 2018;30:
    643-55.
    17. Mehrabi M. Setting up the structure and process for E‑content
    development. Interdiscip J Virtual Learn Med Sci 2019;10:78‑80.
    18. Heppner PP, Petersen CH. The development and implications of a
    personal problem‑solving inventory. J Couns Psychol 1982;29:66.
    19. Seyedfatemi N, Moshirabadi Z, Borimnejad L, Haghani H.
    Relationship between problem solving and assertiveness skills
    among nursing students. Hayat 2014;19:70‑81.
    20. Khodaei A, Mansourain M, Ganjei S, Asgari H. Strategies for
    decreasing gap between theory and clinical performance from
    the viewpoints of nursing students in tabriz university of medical
    sciences. Res Med Educ 2016;8:49‑59.
    21. Ahmady S, Shahbazi S. Impact of social problem‑solving training
    on critical thinking and decision making of nursing students. BMC
    Nurs 2020;19:94.
    22. Choi HR, Cho DS. Influence of nurses’ performance with critical
    thinking and problem solving process. Korean J Women Health
    Nurs 2011;17:265‑74.
    23. Abdollahi A, Talib MA, Yaacob SN, Ismail Z. Problem‑solving
    skills and hardiness as protective factors against stress in Iranian
    nurses. Issues Ment Health Nurs 2014;35:100‑7.
    24. Ancel G. Problem‑solving training: Effects on the
    problem‑solving skills and self‑efficacy of nursing students.
    Eur J Educ Res 2016.
    25. Heidari M, Shahbazi S. Effect of training problem‑solving skill
    on decision‑making and critical thinking of personnel at medical
    emergencies. Int J Crit Illn Inj Sci 2016;6:182‑7.
    26. Kocoglu RD, Duygulu RS, Abaan ES, Akin RB. Problem solving
    training for first line nurse managers. Int J Caring Sci 2016;9:955.
    27. Chan AW, Chair SY, Sit JW, Wong EM, Lee DT, Fung OW.
    Case‑based web learning versus face‑to‑face learning:
    A mixed‑method study on university nursing students. J Nurs
    Res 2016;24:31‑40.
    28. Thistlethwaite JE, Davies D, Ekeocha S, Kidd JM, MacDougall C,
    Matthews P, et al. The effectiveness of case‑based learning in
    health professional education. A BEME systematic review: BEME
    Guide No. 23. Med Teach 2012;34:e421‑44.
    29. Gholami M, Saki M, Toulabi T, Moghadam PK, Pour AH,
    DostizadehR. Iranian nursing students’ experiences of case‑based
    learning: A qualitative study. J Prof Nurs 2017;33:241‑9.
    30. Kelleci M, Yilmaz FT, Aldemir K. The effect of high fidelity
    simulation training on critical thinking and problem solving skills
    in nursing students in Turkey. Educ Res Med Sci 2018.
Journal of Education and Health Promotion
Volume 12, Issue 8
September 2022
Pages 1-5

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us