RESUMO
Background and Purpose: Despite the known effect of problem-based learning, there are still many challenges against its being replaced with the conventional methods. This research was conducted to find out the students' experiences of the modified problem-based learning [MPBL] combined with working in small groups
Methods and Materials: In this qualitative study, 35 nursing students participated. The course of Pediatric Nursing was instructed to the students by the modified problem-based learning method and working in small groups. There were 35 semi structured and 6 group-oriented interviews, which were analyzed by content analysis method
Results: Findings demonstrated that MPBL was associated with experiences of thinking, research, self-regulation, motivation and barriers. Barriers were its being time-consuming, difference of attitudes among group members and their resistance against change
Conclusion: Based on the results, MPBL is effective in reinforcing the learning mechanisms
RESUMO
Nowadays in health care arena, the nurses are confronting with increasingly complicated situation constantly changing. This unreliable and unstable situation requires nurses with ability of decision making. Since decision making became more complex, critical thinking is necessary to use. Regarding the importance of critical thinking and clinical decision making in modern nursing, this study aims to estimate capacities of nurses and to evaluate their relationship. This is why most of the authors believe that critical thinking improves clinical decision making. This research was a cross sectional descriptive correlation study. The study was planed with the purpose of detection of relationship between critical thinking and clinical decision making of nurses in general and intensive care wards. Furthermore, it is to compare nurses of general wards with nurses of intensive ones. This study was conducted on 140 nurses in two groups [70 nurses from general and 70 nurses from intensive wards]. The samples were selected based on stratified random sampling and the data were collected by a questionnaire. This questionnaire was consisted of three parts, demographic characteristics, clinical decision making inventory and California critical thinking skills test. Validity and reliability of the tool were confirmed with content validity, test retest and internal correlation. Data were analyzed with SPSS and descriptive and inferential statistics. Mean score of critical thinking and clinical decision making for intensive care nurses were 10.61 and 63.27 respectively. For general care nurses, they were 10.67 and 61.66 respectively. The results didn't show a difference between mean score of critical thinking in intensive and general ward nurses. Also there was not any difference between mean score of clinical decision making in intensive and general ward nurses. The result didn't show any relationship between critical thinking and clinical decision making of nurses. The findings showed that mean score of nurses' critical thinking is low. The reason can be either due to the defects during training or professional ones during working period. Also, this study didn't show any relationship between critical thinking and clinical decision making. Some experts claim that lack of relationship between critical thinking and clinical decision making is due to lack of an appropriate tool or project to measure them rather than the lack of their relationship