Related Experiment Video
Updated: Apr 25, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Preparing nursing students to be competent for future professional practice: applying the team-based
Ching-Yu Cheng1, Shwu-Ru Liou1, Tsui-Hua Hsu2
1Associate Professor, Chang Gung University of Science and Technology at Chiayi Campus, Chiayi 613, Taiwan.
Team-based learning (TBL) significantly enhances nursing students' engagement and self-directed learning. This educational strategy also boosts academic performance, making it valuable for professional development.
Area of Science:
- Nursing Education
- Educational Psychology
- Pedagogy
Background:
- Team-based learning (TBL) is widely used in business and science but under-researched in nursing education.
- Limited studies explore TBL's impact on nursing students' learning outcomes and behaviors.
- Nursing education requires innovative pedagogical approaches to improve student performance.
Purpose of the Study:
- To apply Team-based Learning (TBL) in four core nursing courses.
- To evaluate TBL's effect on nursing students' learning outcomes and behaviors.
- To assess TBL's impact on class engagement, self-directed learning, and academic performance.
Main Methods:
- A quasi-experimental study involving 387 nursing students across four courses at a Taiwanese university.
- Implementation of TBL in adult health, maternal-child, community health, and medical-surgical nursing courses.
- Comparison of individual readiness assurance test (IRAT) scores with group readiness assurance test (GRAT) scores and final examination performance.
Main Results:
- TBL significantly improved nursing students' class engagement (p < .001) and self-directed learning (p < .001).
- Group readiness assurance test (GRAT) scores were significantly higher than individual readiness assurance test (IRAT) scores.
- Final examination scores were significantly higher than IRAT scores, indicating enhanced academic performance.
Conclusions:
- Team-based learning (TBL) effectively improves nursing students' learning behaviors and academic performance.
- Enhanced learning behaviors, such as engagement and self-directed learning, are crucial for future professional development.
- TBL is a viable and beneficial pedagogical strategy for broader implementation in nursing education.
Related Concept Videos
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Fundamentals of Nursing Process II
Current Trends in Nursing II

