Korean J Women Health Nurs.  2021 Dec;27(4):388-397. 10.4069/kjwhn.2021.11.16.

The effects of team-based learning on nursing students’ learning performance with a focus on high-risk pregnancy in Korea: a quasi-experimental study

Affiliations
  • 1Department of Nursing, Gimcheon University, Gimcheon, Korea
  • 2Department of Nursing, Pyeongtaek University, Gyeonggi-Do, Korea

Abstract

Purpose
The purpose of this study was to examine the effects of team-based learning (TBL) on nursing students’ communication ability, problem-solving ability, self-directed learning, and nursing knowledge related to high-risk pregnancy nursing.
Methods
This quasi-experimental study used a nonequivalent control group pretest-posttest design. The participants were 91 nursing students allocated to an experimental group (n=45) and a control group (n=46). The experimental group received TBL lectures three times over the course of 3 weeks (100 minutes weekly) and the control group received instructor-centered lectures three times over the course of 3 weeks (100 minutes weekly). Data were collected by questionnaires from September 10 to November 8, 2019. Data were analyzed using the chi-square test, paired t-test, and independent t-test.
Results
After the intervention, the mean scores of problem-solving ability (t=–2.59, p=.011), self-directed learning (t=4.30, p<.001), and nursing knowledge (t=3.18, p=.002) were significantly higher in the experimental group than in the control group. No significant difference in communication ability was found between the experimental and control group (t=1.38, p=.171)
Conclusion
The TBL program was effective for improving nursing students’ problem-solving ability, self-directed learning, and nursing knowledge. Thus, TBL can be considered an effective teaching and learning method that can improve the learning outcomes of high-risk pregnancy nursing in women’s health nursing classes. The findings of this study suggest that TBL will be helpful for future nursing students to develop the nursing expertise necessary for providing nursing care to high-risk pregnant women.

Keyword

Communication; High-risk pregnancy; Learning; Nursing students; Problem solving

Figure

  • Figure 1. Research design.


Reference

1. Rezaee R, Moadeb N, Shokrpour N. Team-based learning: a new approach toward improving education. Acta Med Iran. 2016; 54(10):678–682.
2. Shin JH. Analyzing the level of concerns about learner-centered pedagogical method of university faculty. J Lifelong Learn Soc. 2014; 10(1):109–136. https://doi.org/10.26857/JLLS.2014.02.10.1.109.
Article
3. Lee SJ, Jang YK, Lee HA, Park KE. A study on the development of life-skills: communication, problem-solving, and self-directed learning. Seoul: Korean Educational Development Institute;2003. p. 145.
4. Yoon JH, Lee EJ. The effect of team-based simulation learning on critical thinking, communication clarity, clinical performance ability and self-efficacy of nursing students. J Korean Nurs Res. 2017; 1(2):11–20.
5. Branney J, Priego-Hernández J. A mixed methods evaluation of team-based learning for applied pathophysiology in undergraduate nursing education. Nurse Educ Today. 2018; 61:127–133. https://doi.org/10.1016/j.nedt.2017.11.014.
Article
6. Alberti S, Motta P, Ferri P, Bonetti L. The effectiveness of team-based learning in nursing education: a systematic review. Nurse Educ Today. 2021; 97:104721. https://doi.org/10.1016/j.nedt.2020.104721.
Article
7. Dearnley C, Rhodes C, Roberts P, Williams P, Prenton S. Team based learning in nursing and midwifery higher education; a systematic review of the evidence for change. Nurse Educ Today. 2018; 60:75–83. https://doi.org/10.1016/j.nedt.2017.09.012.
Article
8. Lee SH. Effect of practical delivery-nursing simulation education on team-based learning on the nursing knowledge, self-efficacy, and clinical competence of nursing students. Korean J Women Health Nurs. 2018; 24(2):150–162. https://doi.org/10.4069/kjwhn.2018.24.2.150.
Article
9. Baek KS, Kim JY. The effect of team based child care simulation learning on critical thinking and problem solving ability. J Korean Soc Multicult Health. 2016; 6(2):9–15.
10. Kim SO, Kim MS. The effects of team-based learning on fundamentals of nursing. J Korea Acad Industr Coop Soc. 2016; 17(12):107–119. https://doi.org/10.5762/KAIS.2016.17.12.107.
Article
11. Ryu YM, Kim HJ. The comparison of effects of team-based learning and lecture-based learning in nursing students. J Learn Cent Curric Instr. 2018; 18(12):49–66.
Article
12. Moon DH. Effect of team-based learning on International relationship, self-leadership and learner’s participation of nursing students. J Digit Content Soc. 2019; 20(7):1373–1380. https://doi.org/10.9728/dcs.2019.20.7.1373.
Article
13. Lee EJ. The effects of lessons using team-based learning on nursing students: focusing on pregnant women care. AJMAHS. 2018; 8(11):685–696. http://doi.org/10.35873/ajmahs.2018.8.11.065.
Article
14. Kim SM. Effects of team based learning on academic achievement, problem solving skill and communication ability in high risk pregnant nursing. J Korea Acad Industr Coop Soc. 2019; 19(8):556–564. https://doi.org/10.5392/JKCA.2019.19.08.556.
Article
15. Lee SY, Soo YO, Sohn IS. Reproductive health rights and indicators. J Korean Soc Matern Child Health. 2021; 25(1):1–9. https://doi.org/10.21896/jksmch.2021.25.1.1.
Article
16. Ahn TG, Hwang JY. Maternity care system for high risk pregnant women in obstetrically underserved area. J Korean Med Assoc. 2016; 59(6):436–442. https://doi.org/10.5124/jkma.2016.59.6.436.
Article
17. American College of Obstetricians and Gynecologists; Society for Maternal-Fetal Medicine. Obstetric care consensus No. 6: periviable birth. Obstet Gynecol. 2017; 130(4):e187–e199. https://doi.org/10.1097/AOG.0000000000002352.
18. Des Jarlais DC, Lyles C, Crepaz N; TREND Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004; 94(3):361–366. https://doi.org/10.2105/ajph.94.3.361.
Article
19. Kang JH, Bang KS, Ko SH. Power analysis in experimental designs with t test analysis. J Korean Acad Soc Nurs Educ. 2009; 5(1):120–127. https://doi.org/10.5977/JKASNE.2009.15.1.120.
Article
20. Lee SJ, Jang YK, Park GY. A study on the development of life-skills: communication, problem solving, and self-directed learning. Jincheon: Korea Educational Development Institute;2003.
21. Rotthoff T, Baehring T, David DM, Bartnick C, Linde F, Willers R, et al. The value of training in communication skills for continuing medical education. Patient Educ Couns. 2011; 84(2):170–175. https://doi.org/10.1016/j.pec.2010.07.034.
Article
22. Park EH. The meta-analysis on the effects of communication-training counseling program [dissertation]. Daegu: Kyungpook National University;2014. 87.
23. Jun HS, Ju HJ. The effect of term based learning on communication ability, problem solving ability and self-directed learning in nursing science education. J Digit Converg. 2017; 15(10):269–279. https://doi.org/10.14400/JDC.2017.15.10.269.
Article
24. Hwang JY. Reclassification of high-risk pregnancy for maternal-fetal healthcare providers. J Korean Soc Matern Child Health. 2020; 24(2):65–74. https://doi.org/10.21896/jksmch.2020.24.2.65.
Article
25. Haidet P, Levine RE, Parmelee DX, Crow S, Kennedy F, Kelly PA, et al. Perspective: guidelines for reporting team-based learning activities in the medical and health sciences education literature. Acad Med. 2012; 87(3):292–299. https://doi.org/10.1097/ACM.0b013e318244759e.
Article
26. Lee J, Yang S. The effects of learner centered instruction in nursing: a meta-analysis. Asian J Educ. 2018; 19(4):1049–1077. https://doi.org/10.15753/aje.2018.12.19.4.1049.
Article
27. Ulfa Y, Igarashi Y, Takahata K, Horiuchi S. Effects of team-based learning about postpartum haemorrhage on learning outcomes and experience of midwifery students in Indonesia: a pilot study. Nurs Open. 2020; 8(1):241–250. https://doi.org/10.1002/nop2.623.
Article
28. Korea Health Personnel Licensing Examination Institute. Question analysis result of the 60th national nurse examination in 2020 [Internet]. Seoul: Author;2020. [cited 2021 Apr 12]. Available from: https://www.kuksiwson.or.kr/analysis/brd/m_91/view.do?seq=234.
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr