基于问题的学习对提供医疗和护理教育的影响:随机对照试验的系统审查和元分析
1Department of Nephrology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Worldviews on evidence-based nursing
|June 7, 2023
概括
基于问题的学习 (PBL) 增强了医疗和护理教育,与传统讲座相比,提高了知识和技能. 参与者对PBL的满意度更高,尽管研究质量有所不同.
科学领域:
- 医学教育研究 医学教育研究
- 医疗保健培训中的教育学
- 基于证据的教学方法
背景情况:
- 关于基于问题的学习 (PBL) 在医学和护理教育中的影响,存在有限的高级别证据.
- 需要对PBL有效性进行随机对照试验 (RCT) 的综合总结.
研究的目的:
- 在医学和护理教育中系统审查评估PBL的RCT.
- 评估PBL对知识,绩效和参与者满意度的影响.
主要方法:
- 在主要数据库 (MEDLINE,EMBASE,Cochrane,CINAHL) 进行系统搜索.
- 包括将PBL模块与传统方法进行比较的RCT.
- 使用标准化平均差异和随机效应模型对结果的元分析.
主要成果:
- 分析了22个涉及1969名参与者的RCT.
- 与对照组相比,PBL在知识和绩效方面表现出更好的结果.
- 在PBL组中,参与者的满意度显著更高,没有发现知识或绩效的出版偏差.
结论:
- 在医学教育中,PBL比传统的讲座更有效,增强知识和技能.
- 参与者反有利于PBL,表明更高的满意度.
- 纳入研究中的高异质性和偏差风险需要谨慎地解释研究结果.
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