The Effects of PBL(Problem-Based Learning) on the Metacognition, Critical Thinking, and Problem Solving Process of Nursing Students

문제중심학습이 간호학생의 비판적 사고, 메타인지 및 문제해결과정에 미치는 영향

  • Published : 2004.08.01

Abstract

Purpose: This investigation examined the effect of PBL on the meta-cognition, critical thinking, and problem solving process. Method: The research design was pre-posttest with a none qui valent control group design. Scenarios for PBL sessions were developed on the basis of textbooks and patients' charts and tested for content validity. Seventy six nursing students who took a 'Nursing Process' course from two nursing schools participated in the experimental group and control group. The experimental group performed PBL during the semester. Meta-cognition and problem solving processes were assessed by questionnaires which were developed using pedagogics. Critical thinking was measured by the CCTST(California Critical Thinking Skill Test) Form 2000. The data was analyzed by repeated measure (pretest-posttest) MANOVA, and correlation analysis. Result: PBL improved the participants' meta-cognition and problem solving process but not critical thinking. The relationship between meta-cognition and the problem solving process was supported but the relationship between critical thinking and problem solving was not supported. Conclusion: These results suggest that PBL has a positive effect on nursing students' educational outcomes. To improve the problem solving ability of nursing students, PBL should be applied to more subjects in the nursing curriculum.

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References

  1. Albanese, M. A., & Motchell, S. (1993). Problem-based learning: A review of literature on its outcomes and implementation issues. Acad Med, 68(1), 52-81
  2. American Philosophical Association. (1990). Critical thinking: A statement of expert consensus for purposes of educational assessment and instruction, ('The Delphi Report'). ERIC Doc. No. ED315-423, 80
  3. Andrew, M., & Jones, P. (1996). Problem-based learning in an undergraduate nursing programme: a case study. J Adv Nurs, 23, 357-365 https://doi.org/10.1111/j.1365-2648.1996.tb02679.x
  4. Arthur, D. (2001). The effects of the problem-based alcohol early-intervention education package on the knowledge and attitudes of students of nursing. J Nur Educ, 40(2), 63-72
  5. Barrows, H. (1994). Problem-based learning applied to medical education. Springfield, IL: Southern Illinois University School of Medicine
  6. Berardi-Coletta, R., Buyer, L. S., Dominowski, R. L., & Rellinger, E., R. (1995). Metacognition and problem solving: A process-oriented approach. J Exp Psychol, 21(1), 205-223
  7. Biley F. C., & Simth, K, L. (1999). Exploring the potential of problem-based learning in nurse education. Nurse Education Today, 18, 358-361
  8. Bransford, J. D., & Stein, B. S. (1984). The IDEAL problem solver: A guide for improving thinking, learning creativity. San Francisco : W. H. Freeman
  9. Chartier, L. (2001). Use of metacognition in developing diagnostic reasoning skills of novice nurses. Nurs Diagn, 12(2), 55-60
  10. Choi, H. (2003). A problem-based learning trial on the Internet involving undergraduate nursing students. J Nur Educ, 42(8), 359-363
  11. Choi, H., & Noh, Y. H. (2002). The effect of problem-based learning on problem-solving process of undergraduate. J Korean Acad Nurs Educ, 8(2), 325-334
  12. Claessen H. F. A., & Boshuizen, H, P, A. (1985). Recall of medical information by students and doctors. Med Educ, 19, 61-67 https://doi.org/10.1111/j.1365-2923.1985.tb01140.x
  13. De Grave, W. S., Boshuizen, H. P. A. & Schmidt, H. G. (1996). Problem based learning: Cognitive and metacognitive processes during problem analysis. Instructional Sci, 24, 321-341 https://doi.org/10.1007/BF00118111
  14. Facione, P. A., & Facione, N. C. (1997). Critical thinking assessment in nursing education programs: An aggregate data analysis. Millbrae, CA: The California Academic Press/Insight Assessment
  15. Facione, P. A., Facione, N. C,, Blohm, S. W., & Giancarlo, C. A. (2002). The California Critical Thinking Skills Test (CCTST). Millbrae, CA: The California Academic Press/Insight Assessment
  16. Finkelman, A. W. (2001). Problem-solving, decision-making, and critical thinking: How do they mix and why bother? Home Care Provid, December, 194-199
  17. Flavell, J. H. (1979). Metacognition and cognitive monitoring: A cognitive developmental inquiry. Am Psychol, 34, 906-911 https://doi.org/10.1037/0003-066X.34.10.906
  18. Gallagher, S. A., Stepien, W. J., & Rosenthal, H. (1992). The effects of problem-based learning on problem solving. Gifted Child Q, 36(4), 195-200
  19. Hwang, S. Y., & Chang, K. S. (2000). The development and implementation of problem-based learning module based on lung cancer case. J Korean Acad Nurs Edu, 6(2), 390-405
  20. Kim, Y. C. (1996). Psychology of thinking and problem solving. Seoul : Bakyoungsa
  21. Min, B. K. (1993). Effect on development of problem solving ability by teaching of metacognitive skills. Korea National University of Education, Unpublished Master Thesis
  22. Morales-Mann, E. T., & Kaitell, C. A. (2001). Problem-based learning in a new Canadian curriculum. J Adv Nurs, 33(1), 13-19
  23. Patel, V. L., Groen, G. J., & Norman, G. R. (1991). Effects of conventional and problem solving. Acad Med, 66, 380-389
  24. Peterson, R., Hakendorf, M., & Guscott, T. (1999). Improving aged care education for Australian rural nurses using problem-based learning. J Contin Educ Nurs, 30(3), 120-127
  25. Printrich, P. R., & Groot, E. (1990). Motivational and self-regulated learning components of cognitive processing during instruction. J Educ Psychol, 82, 33-40 https://doi.org/10.1037/0022-0663.82.1.33
  26. Santos-Gomez, L., Kalishman, S., Rezler, A., Skipper, B., & Mennin, S. P. (1990). Residency performance of graduates from a problem-based and a conventional curriculum. Med Educ, 24(4), 366-375
  27. Sternberg, R. J. (1999). Thinking and problem solving: Handbook of perception and cognition(2nd). Seoul: Sangjosa
  28. White, M. J., Amos, E., & Kouzekanani, K. (1999). Problem-based learning an outcomes study. Nurse Educ, 24, 33-36
  29. Williams, S. M. (1992). Putting case-based instruction into context; Examples from legal and medical education. J Learn Sci, 2(4), 367-427
  30. Woo, O. H. (2000). The effects of a PBL(Problem-Based Learning) on the problem sloving process of students by their meta-cognitive levels. Korea National University of Education, Unpublished Master Thesis
  31. Zafuto, M. S. (1997). Cooperative learning: A means to promote metacognitive and collaborative skills in heterogeneous nursing students. J Nur Educ, 36(6), 265-270