ผลการจัดการเรียนรู้โดยใช้กรณีศึกษาเป็นฐานและสถานการณ์จำลองร่วมกับการสะท้อนคิดที่มีต่อความสามารถในการตัดสินใจทางคลินิกของนักศึกษาพยาบาล

Pimnatcha Sulaiman; Narongsak   Rorbkorb

Authors

Pimnatcha Sulaiman Boromarajonai College of Nursing, Yala Faculty of Nursing, Praboromarajchanok Institute, Yala, 95000, Thailand
Narongsak Rorbkorb Faculty of Education, Prince of Songkhla University, Pattani Campus, Pattani, 94000, Thailand

Keywords:

case-based learning, simulation-based learning, reflection, clinical decision-making

Abstract

This quasi-experimental research aimed to compare clinical decision-making ability of the third-year nursing students before and after attending the case-based learning (CBL) and simulation-based learning (SBL) approach and to compare the difference in clinical decision-making ability between the 2 groups, a control group and an experimental group. Sixty third-year nursing students were randomly selected and divided into 2 groups, 30 students in each group. The research tools consisted of 2 parts: 1) lesson plans and instructional media were employed as the experimental tools, and 2) a Clinical Decision-Making. A questionnaire was used for data collection. Content validity was assessed by three panels of experts, with Cronbach's alpha coefficient at .75. The data were analyzed using paired t-test and independent t-test.

Findings revealed that, after studying, the experiment group had significantly higher scores of clinical decision-making ability compared with before studying at .05 level (M = 39.07, SD = 1.33 and M = 23.77, SD = 2.11; t = 33.99, p = .000). Meanwhile, the experimental group had significantly higher scores of clinical decision-making ability than the control group at .05 level (t = 32.72, p = .000).

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