Practice and effectiveness of "nursing case-based learning" course on nursing student's critical thinking ability: A comparative study.
Abstract
Background Case-based Learning was an effective and highly efficient teaching approach that was extensively applied in education systems across a variety of countries. Critical thinking ability is an important indicator for access the study ability for baccalaureate nursing education. Objectives The study aimed to explore the effect of "nursing case-based learning" course on the critical thinking ability of nursing student. Participants A total of 80 students who were in Junior were included in this study. The experimental group included 40 students who selected "nursing case-based learning" course. The control group included 40 students who selected the traditional teaching course. Methods The critical thinking disposition inventory (CTDI-CV) was used to evaluate the effects of the critical thinking abilities during the 1st week (pre-test), the 9th week (mid-test), and the 18th week (post-test). Results There are no statistically significant differences between two groups in the pre-test thinking abilities (P > 0.05). After nine weeks, the critical thinking abilities of experimental group were significantly higher than control group (P < 0.05). Three obtained time-points had statistically significant differences of control and experimental group (P < 0.05). Conclusion The "nursing case-based learning" was an effective course to develop the critical thinking abilities of nursing students. Strict instructional design was the guarantee for the smooth implementation of "nursing case-based learning" course.
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Group case-based learning leads to greater improvements in critical thinking than individual case studies.
“Research indicates that group case-based learning leads to greater improvements in critical thinking than individual case studies, as it encourages collaboration and diverse perspectives [82,83].”
From Systematic literature review on critical thinking in higher education (2025) · cites this paper as [82]
Cites
McLean, S. F. (2016) · Journal of Medical Education and Curricular Development · doi:10.4137/jmecd.s20377 · Cited by 759 · see citing works
Clinical judgment: The last frontier for evaluation
Lasater, K. (2011) · Nurse Education in Practice · doi:10.1016/j.nepr.2010.11.013 · Cited by 179 · see citing works
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Systematic literature review on critical thinking in higher education
Rothinam, N., Vengrasalam, R., Naidu, S., Nachiappan, S., & Jabamoney, S. (2025) · Edelweiss Applied Science and Technology · doi:10.55214/25768484.v9i5.7377 · Cited by 21 · see citing works
“Research indicates that group case-based learning leads to greater improvements in critical thinking than individual case studies, as it encourages collaboration and diverse perspectives [82, 83].”
- Authors
- Li, S., Ye, X., & Chen, W.
- Affiliations
- Huzhou Normal University (CN)
- Second Military Medical University (CN)
- Corresponding author
- Li, Shasha
- Venue
- Nurse Education in Practice
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 36
- Pages
- 91-96
- ISSN
- 1471-5953 (ISSN-L)
- OpenAlex
- W2921024828
- Cited by
- 101
- References
- 2
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 20 · 2023: 23 · 2022: 13 · 2021: 11 · 2020: 12 · 2019: 1
- FWCI
- 24.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nurse Education in Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Teaching Reform of Higher Education (kg2015612)
- Topics
- Social Sciences › Education › Education and Critical Thinking Development
- Social Sciences › Education › Problem and Project Based Learning
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- case-based learning, critical thinking, nursing students, baccalaureate nursing education, nursing curriculum, instructional design, Critical Thinking Disposition Inventory
- MeSH terms
- China, Education, Nursing, Baccalaureate, Humans, Nursing Care, Surveys and Questionnaires, Students, Nursing, Thinking, Problem-Based Learning
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