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Case-based learning and simulation: useful tools to enhance nurses' education? Nonrandomized controlled trial.

Marta Raurell-Torredà¹, Josep Olivet-Pujol, Àngel Romero-Collado

¹Lecturer, School of Nursing, University of Girona, Girona, Spain.

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing

|October 28, 2014

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Case-based learning significantly improved patient assessment skills in undergraduate nursing students compared to traditional methods. This approach enhances clinical readiness and standardizes practice, even when compared to experienced nurses.

Area of Science:

Nursing Education
Medical Simulation
Clinical Skills Assessment

Background:

Undergraduate nursing students require effective clinical skill development.
Comparing learning outcomes between novice and experienced nurses is crucial for curriculum design.
Assessing clinical skills using standardized methods like human patient simulators is valuable.

Purpose of the Study:

To compare the effectiveness of case-based learning versus traditional methods for undergraduate nursing students in a medical-surgical course.
To compare the clinical skills of undergraduate nursing students with experienced nurses in continuing professional education (CPE).

Main Methods:

A nonrandomized clinical trial involving 101 undergraduates assigned to traditional or case-based learning (CBL) groups.

Keywords:

Assessment case method case study case-based learning nontechnical skills nurse education nursing students objective structured clinical examination simulation

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A comparison group of 59 CPE nurses with clinical experience.

Objective structured clinical examination (OSCE) using a human patient simulator to assess skills.

Main Results:

Undergraduates in the CBL group demonstrated significantly better patient assessment skills than the control group (p = .04).
The CBL group's performance was comparable to that of experienced CPE nurses (p = .06).
Experienced CPE nurses committed more rules-based errors in patient identification and allergy checks than undergraduates.

Conclusions:

Case-based learning enhances patient assessment skills in undergraduate nursing students.
CBL contributes to standardizing clinical processes, improving quality and consistency in nursing practice.
Clinical experience did not correlate with better adherence to safety protocols among CPE nurses.