Perception about Problem-based Learning in Reflective Journals among Undergraduate Nursing Students

성찰일지에 기초한 간호학생의 문제중심학습 경험

  • Hwang, Seon-Young (Post-Doctoral Fellow, College of Nursing, University of Illinois) ;
  • Jang, Keum-Seong (Department of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science)
  • 황선영 (미국 일리노이주립대학교 간호대학, 전남과학대 간호과) ;
  • 장금성 (전남대 의대 간호학과, 간호과학연구소)
  • Published : 2005.01.01

Abstract

Objective: The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program). Method: Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis. Result: Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others. Conclusion: Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.Objective: The aim of this study is to explore the variation in perceptions about problem-based learning(PBL) according to the level of academic achievement and learning attitude in the nursing students of a junior college (3-year program). Method: Students (n=39) learned the respiratory and cardiac system with seven PBL packages and group-based learning for a semester in 2002. Students were asked to write reflective journals that focused on their learning perception after an experience with each learning package. A total of 208 journals were used for analysis. Result: Students positively perceived that PBL making them increase their sense of responsibility for learning and felt satisfaction with the learning process, and had a confidence in the use of clinical nursing interventions. On the other hand, they negatively perceived that PBL was a burden because it took more time than traditional learning tasks, and they experienced an anxiety about regular tests and felt conflicts and diffidences in the learning process. The negative perceptions were expressed more often from students with a low academic achievement and low learning attitude compared to others. Conclusion: Students perceived the PBL as effective in understanding the learning concepts in the clinical practice environment. PBL need to be supplemented by feedback-based lecture and facilitative strategies for academically low-achieved students.

Keywords

References

  1. Barrows, H. (1994). Problem-based learning applied to medical education. Springfield, IL: Southern Illinois University School of Medicine
  2. Chai, S. J., Lee, D. S., & Lee, Y. S. (2003). Casual analysis and improvement strategies of the problems In implementing a PBL program in integrated curriculum. J Korean Med Educ, 15(1), 35-42 https://doi.org/10.3946/kjme.2003.15.1.35
  3. Chai, S. J., Shin, J. S., Eun, H., C. & Lee, Y. S. (2002). A study on the use of reflective journals in problem based learning. J Korean Med Educ, 14(2), 157-164
  4. Cooke, M., & Moyle, K. (2002). Students' evaluation of problem-based learning. Nurse Educ Today, 22, 330-339 https://doi.org/10.1054/nedt.2001.0713
  5. Finucane, P., Johnson, S., & Prideaux, D. (1998). Problem-based leaning: its rationale and efficacy. Med J Aust, 168, 445-448
  6. Forbes, H., Duke, M., & Prosser, M. (2001). Students' perceptions of learning outcomes from group-based, problem-based teaching and learning activities. Adv Health Sci Educ. 6, 205-217 https://doi.org/10.1023/A:1012610824885
  7. Hwang, S. Y., & Jang, K. S. (2000). The development and implementation of problem-based learning module based on lung cancer case. J Korean Acad Nurs Educ, 6(2), 390-405
  8. Jo, K. H. (2002). The experience of nursing student who study on self-regulated learning through the critical thinking questionnaire. J Korean Acad Nurs Educ, 8(2), 295-303
  9. Jo, K. H. (2000). The perception of student nurse for problem-based learning. J Korean Acad Nurs Educ, 6(2), 359-375
  10. Jung, I. W., Shin, C. J., Han, H. S., & Song, Y. J. (1999). The practice and evaluation of problem-based learning in college of medicine. Korean J Med Educ, 11(2), 285-295
  11. Kang, I. A. (1997), Problem-Based Learning and Reflective journals. Ind Educ Res. 4(1), 3-28
  12. Kok, J., & Chabeli, M. M. (2002). Reflective journal writing: how it promotes reflective thinking in clinical nursing education: a students' perspective. Curationis. 25(3), 35-42
  13. Korean Educational Development Institute (1991). A study of program development for increasing thinking ability (IV). Seoul: Korean Educational Development Institute
  14. Lee, W. S., & Park, M. Y. (2001). A study for the developmental procedure model of PBL package, J Korean Acad Nurs Educ, 7(1), 126-142
  15. Lim, K. Y. (1998). Implementation of problem-based learning to established medical schools with insufficient resources. Korean J Med Educ, 10(1), 21-28
  16. Morales-Mann, E. T., & Kaitell, C. A. (2001). Problem-based learning in a new Canadian curriculum. J Adv Nurs, 33(1), 13-19 https://doi.org/10.1046/j.1365-2648.2001.01633.x
  17. Noh, Y. H., Kim, K. S., Park, H. S., Kim, K. S., Bae, K. M., Ahn, E. H., Jung, J. S., Lee, S. G., Choi, H. J., Jang, D. W., Park, S. H., Kim. G. M. & Jung, W. D. (2000). Learning formulas experienced in Konkuk University College of Medicine. Korean J Med Educ, 12(2). 191-206
  18. Usher, K., Francis, D., Owens, J., & Tollefson, J. (1999). Reflective writing: a strategy to foster critical inquiry in undergraduate nursing students. Aust J Adv Nurs, 17( 1), 7-12
  19. Walton, H. J., & Mathews, M, B. (1989). Essentials of problem-based learning. Med Educ, 23(6), 542-556 https://doi.org/10.1111/j.1365-2923.1989.tb01581.x
  20. Wetherell, J., & Mullins, G, (1996), The use of student journals in problem based learning. Med Educ, 30(2), 105-111 https://doi.org/10.1111/j.1365-2923.1996.tb00727.x
  21. White, M. J., Amos, E., & Kouzekanani, K. (1999). Problem-based learning, An outcomes study. Nurse Educ, 24(2), 33-36
  22. Wong, F, K., Kember, D., Chung, L. Y, Yan, L. J. (1995). Assessing the level of student reflection from reflective journals. J Adv Nurs, 22(1), 48-57 https://doi.org/10.1046/j.1365-2648.1995.22010048.x