應用“問題導向學習”於“臨床案例分析”護理課程之效果

Effectiveness of Applying Problem-Based Learning to a Nursing Course on "Symposiums Regarding Clinical Cases"

曾惠珍(Hui-Chen Tseng) ； 簡淑媛(Shu-Yuan Jian) ； 徐芸芸(Yun-Yun Hsu) ； 柯薰貴(Hsiun-Guei Ko) ； 金繼春(Chi-Chun Chin) ； 周汎澔(Fan-Hao Chou)

《醫護科技學刊》 8卷2期 (2006/04) Pp. 121-131

https://doi.org/10.6563/TJHS.2006.8(2).4

摘要

於課程中應用「問題導向學習」法，可增進學習者之批判性思考及自我導向學習能力，本研究之目的在評值「臨床案例分析」課程應用「問題導向學習」(problem-based learning, PBL)之效果。採類實驗研究設計作兩組前後測比較，以護理學系在職進修班60名學生為對象，選修「臨床案例分析」課程之30人為實驗組，同班其餘同學隨機抽樣再配對30人為對照組。研究結果顯示，參與「臨床案例分析」課程者較未參與者有較佳的批判性思考能力，統計上達到顯著差異；在自我導向學習能力方面，實驗組前後測進步得分高於對照組，但未達統計上的顯著差異。未來將應用「臨床案例分析」開課經驗，在必修課程中教導問題導向學習，期使學生在批判性思考及自我導向學習有更長期的培養與進步，以因應職場的變化與需求。

關鍵字

問題導向學習 ； 批判性思考 ； 自我導向學習

並列摘要

To keep up with the rapidly changing medical landscape, nursing education must change and one recent international trend has been towards the increased adoption of problem-based learning (PBL). In Taiwan, nursing curricula based on PBL remain in the immature stage. This study designed an elective PBL nursing course and evaluated the critical thinking, self-directed learning, and performance of participating students. A quasi-experimental study with a two group pretest-posttest design was conducted. A convenient sample of 30 nursing students who had taken the elective nursing course ”Symposium regarding Clinical Case” was assigned as the experimental group. Meanwhile, a control group was established comprising 30 randomly selected classmates from the same class who did not take. The findings of this study revealed that nursing students participating in the PBL course had statistically significant higher scores in the Critical Thinking Scale than those who did not participate. Moreover, students in experimental group also had higher scores in the Self-Directed Learning Scale and Students Performance in PBL Tutorial Sessions Questionnaire, but the differences were not always statistically significant. In conclusion, PBL could increase learner abilities in self-directed learning, critical thinking, and PBL performance. It helps students cope with the changing medical landscape and needs of medical circumstances in situations were teachers have adequate PBL teaching skills.

並列關鍵字

Problem-based learning ； critical thinking ； self-directed learning

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