Effects of Online Team-Based Learning on Knowledge and Learning Satisfaction among Nursing Students in a Pediatric Nursing Course
Keywords:
online team-based learning, knowledge, satisfaction,, nursing studentsAbstract
The outbreak of Coronavirus Disease 2019 (COVID-19) led to changes in the format of online teaching and learning management. Team-based learning (TBL) was implemented to enhance students’ learning experiences through open discussion and the free exchange of ideas, resulting in diverse perspectives and increased participation in expressing opinions, all fostered by the collaborative team process. This quasi-experimental research with a one-group pretest-posttest design aimed to examine the effects of online team-based learning on knowledge and learning satisfaction among 189 third-year nursing students in a pediatric nursing course. The topics included pediatric nursing care for children with disorders of the respiratory, cardiovascular, and nervous systems. The research instruments consisted of 1) a personal information questionnaire, 2) pre- and post-test knowledge assessments, and 3) a satisfaction questionnaire. Instrument quality was verified by three experts. The item-objective congruence (IOC) indices for the pre-instruction tests on pediatric nursing care for children with disorders of the respiratory, cardiovascular, and nervous systems were 0.95, 0.90, and 0.96, respectively. The IOC indices for the post-instruction tests were 0.94, 0.92, and 0.98, respectively. The satisfaction questionnaire demonstrated excellent reliability, with a Cronbach's alpha coefficient of 0.90. Data were analyzed using frequency distributions, percentages, means, standard deviations, and paired t-tests.
The results revealed that the mean post-test knowledge scores were significantly higher than the pre-test scores (p < .05). Students’ satisfaction with the online team-based learning in the pediatric nursing course was at a high level. Therefore, team-based learning can be effectively applied to pediatric nursing courses and other subjects to enhance students’ learning outcomes.
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Prince of Songkla University. Prince of Songkla University announcement: Teaching, learning practices, and examinations during the COVID-19 pandemic [Internet]. 2021 [cited 2024 Oct 21]. Available from: https://www.psu.ac.th/trang/wp-content/uploads/32-ประกาศ-แนวทางการจัดการเรียนการสอน-1-2564-127-21-พ.ค.64.pdf (in Thai)
Daosri T, Thipkonglad P, Khemphong P, Dubsork S, Pengpis S, Wisarutphaisan W, et al. The study of the learning management approach of school in the 21st century. Journal of Humanities and Social Sciences Nakhon Pathom Rajabhat University. 2023;11(1):60–73. (in Thai)
Saraketrin A, Rongmuang D, Chantra R. Nursing education in the 21st century: Competencies and roles of nursing instructors. Journal of The Royal Thai Army Nurses. 2019;20(1):12–20. (in Thai)
Sinthuchai S, Ubolwan K, Panidchakul K. Team-based learning: Implementing in learning and teaching Journal of Health and Nursing Research. 2020;36(3):273–6. (in Thai)
Rungrattanachai U, Khotcharrat R, Kositanurit I, Chootip K, Boonying V. Problem-based learning and team-based learning for 3rd year nedical students in faculty of medicine, Naresuan University. Journal Of Humanities and Social Sciences University of Phayao. 2022;10(2):76–84. (in Thai)
Sinthuchai S, Ubolwan K. Fidelity simulation-based learning: Implementation to learning and teaching management. Journal of The Royal Thai Army Nurses. 2017;18(1):29–38. (in Thai)
Thongpradab J, Lohacheewa S, Preeyanon L. Effects of game-based learning on nursing students’ knowledge of English psychiatry terminology. Journal of Thailand Nursing and Midwifery Council. 2022;37(4):111–24. (in Thai)
Lekagul A. Team-based learning (TBL): Concept, implementation, and considerations. In: Medical Education and Academic Articles in Celebration of the 65th Birthday Retirement. 1st ed. Bangkok: The Faculty of Medicine, Prince of Songkla University; 2023. p. 50–65. (in Thai)
Yaisoon S, Rattanaviboon P, Chankao C. Effects of team-based learning on knowledge and perceived learning outcomes in antenatal care of nursing students. Thai Red Cross Nursing Journal. 2016;9(2):73–87. (in Thai)
Wut R, Sittiwong S, Srikrajang C. The effects of team-based learning to enhance learning outcomes under Thai Qualifications Framework for Higher Education and self-direction in adult learning of nursing students. The Journal of Nursing and Health Research. 2015;16(2):69–80. (in Thai)
Saithanu K, Thani S, Luprasong S. Effect of team-based learning on learning outcomes according to Thai qualifications framework for higher education for nursing students in the topic of therapeutic relationship. Journal of The Royal Thai Army Nurses. 2019;20(3):343–52. (in Thai)
Phunsawat M, Inchaithep S, Thinwang W, Puasiri S, Phongkunakorn N, Thungmeephon P, et al. The effectiveness of team-based learning on learning achievement, critical thinking, teamwork skills and self-directed learning readiness of student nurses. The Journal of Nursing and Health Research. 2015;16(2):92–102. (in Thai)
Thangthum W, Thiengtrongdee A. Effects of team-based learning on knowledge and teamwork perception of nursing students. The Journal of Nursing and Health Research. 2020;21(1):1–9. (in Thai)
Srisawet S, Mekanantawat K, Tummee S. Effects of online team-based learning in heart disease pediatric nursing on learning outcomes of nursing students. Journal of Prachomklao College of Nursing, Phetchaburi. 2020;3(3):129–45. (in Thai)
Jonglertmontree W, Rasrikris P, Pholtana S, Munkong K, Rodrux A. Effects of team-based learning with the Line Bot application on knowledge and perceived learning outcomes in routine and environmental care among second-year nursing students. Journal of Health Science and Medical Research. 2023;17(1):52–64. (in Thai)
Santanavanich C, Pumpuang W, Thavorn T. The evaluation of team-based learning process in nursing students: Learning outcomes in accordance with Thai qualification framework, feasibility, and readiness assurance of students. Nursing Science Journal of Thailand. 2015;33(Suppl 1):37–47. (in Thai)
Kongpet J, Wattanasit P, Theppradit P. Effects of team-based learning on knowledge and satisfaction in pediatric nursing course. Songklanagarind Journal of Nursing. 2022;42(1):97–107. (in Thai)
Bormann SV, Khumkom S, Khaobunmasiri S, Wajanatinapart P, Jai ai R. Effects of team based learning on critical thinking, problem solving skills, and attitudes towards learning in second year nursing students. Nursing Journal of the Ministry of Public Health. 2025;32(2):22–35. (in Thai)
Jiratchayaporn K, Christraksa W. Using team-based learning for junior nursing students’ preparation before mental health and psychiatric nursing practicum. International Journal of Nursing Education. 2020;12(4):74–9. doi: 10.37506/ijone.v12i4.11220
Phormpayak D, Chaisa P. Development of team-based learning to enhance critical thinking and teamwork skill of nursing students. NU Journal of Nursing and Health Sciences. 2022;16(1):68–82. (in Thai)
Michaelsen LK, Knight AB, Fink LD. Team-based learning: A transformative use of small groups in college teaching. Stirling, VA: Stylus; 2004.
Michaelsen L, Sweet M. The essential elements of team-based learning. New Directions for Teaching and Learning. 2008;(116):7-27. doi.org/10.1002/tl.330
Soper DS. Effect size (Cohen’s d) calculator for a student t-test [Internet]. 2023 [cited 2023 Jan 30]. Available from https://www.danielsoper.com/statcalc/calculator.aspx?id=48
Tongvichean T, Kittipimpanon K. The effectiveness of online team-based learning in a subject of family health nursing on self-directed learning readiness, learning outcomes and satisfaction in nursing students under COVID-19 pandemic. The Journal of Nursing and Health Research. 2022;38(3):117–27. (in Thai)
Best JW, Kahn JV. Descriptive data analysis. Research in education, 10th ed. Boston: Pearson Education; 2006
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