Nursing students’ experiences of case-based learning in medical-surgical nursing courses: A phenomenological qualitative
https://doi.org/10.52235/lp.v7i2.849
Keywords:
case-based learning, nursing education, medical-surgical nursing, focus group discussion, phenomenologyAbstract
Background: Case-Based Learning (CBL) method is interactive and utilizes actual or realistic scenarios to promote authentic learning. It is an interactive, student-centred exploration that begins with illustrating real-life situations. CBL combines a constructivist and experiential approach, developing professional skills such as problem-solving, clinical reasoning, and knowledge of theory.
Objective: This study aimed to explore students' experiences in using CBL learning method in medical-surgical nursing courses at Faculty of Nursing, Universitas Andalas.
Methods: This study used a descriptive phenomenological qualitative design. Twenty-three fifth-semester nursing students enrolled in medical-surgical nursing courses using CBL were selected through purposive sampling. Data were collected in July 2022 through three focus group discussions lasting 60–90 minutes, guided by semi-structured questions on students’ perceptions, benefits, challenges, and suggestions for CBL implementation. Audio recordings were transcribed verbatim and analyzed using the Stevick-Colaizzi-Keen phenomenological method. Trustworthiness was ensured through credibility, transferability, dependability, and confirmability.
Results: Based on the results of the thematic analysis, several themes were found, including (1) CBL learning method develops analytical thinking students (2) Using cases in CBL learning method improves the quality of learning (3) Inappropriate standard of implementation CBL learning methods.
Conclusion: This study showed some benefits of using CBL learning method. Based on the results, it is necessary to optimize the implementation of CBL in medical-surgical nursing courses and develop it in other courses in Faculty of Nursing, Universitas Andalas.
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References
Abou-Zaid, C. M. (2014). Action research for change: Implementation of ‘case based learning’ to the undergraduate nursing students: A qualitative study. Journal of Nursing Education and Practice, 4(12). https://doi.org/10.5430/jnep.v4n12p105
Arab, F., & Saeedi, M. (2024). Heliyon The effect of the case-based learning approach on the level of satisfactions and learning of nursing students in Iran : A randomized controlled trial. Heliyon, 10(15), e35149. https://doi.org/10.1016/j.heliyon.2024.e35149
Berg, E., & Lepp, M. (2023). Nurse Education in Practice The meaning and application of student-centered learning in nursing education : An integrative review of the literature. Nurse Education in Practice, 69(November 2022), 103622. https://doi.org/10.1016/j.nepr.2023.103622
Choi, H., Tak, S. H., & Lee, D. (2023). Nursing students ’ learning flow , self-efficacy and satisfaction in virtual clinical simulation and clinical case seminar. BMC Nursing, 22(1), 1–8.
Cleary, M., Hayter, M., & Horsfall, J. (2014). Data collection and sampling in qualitative research: Does size matter? Journal of Advanced Nursing, 473–475. https://doi.org/https://doi.org/10.1111/jan.12163
Franco-tantuico, M. A. (2022). Active Learning: A Concept Analysis With Implications for Nursing Education. Nursing Education Perspectives, 43(4), 233–237. https://doi.org/10.1097/01.NEP.0000000000000895
Ghezzi, J. F. S. A., Higa, E. de F. R., Lemes, M. A., & Marin, M. J. S. (2021). Strategies of active learning methodologies in nursing education : an integrative literature review. Revista Brasileira de Enfermagem, 74(1), 1–10.
Gholami, M., Changaee, F., Karami, K., & Shahsavaripour, Z. (2021). Effects of multiepisode case-based learning ( CBL ) on problem-solving ability and learning motivation of nursing students in an emergency care course. Journal of Professional Nursing, 37(3), 612–619. https://doi.org/10.1016/j.profnurs.2021.02.010
Gholami, M., Saki, M., Toulabi, T., Kordestani Moghadam, P., Hossein Pour, A. H., & Dostizadeh, R. (2017). Iranian Nursing Students’ Experiences of Case-Based Learning: A Qualitative Study. Journal of Professional Nursing, 33(3), 241–249. https://doi.org/10.1016/j.profnurs.2016.08.013
Heiney, S. P., Norwood, V. P., & DeGregory, C. (2019). Using a continuing multimedia case study to develop critical thinking and empathy. Journal of Nursing Education, 58(3), 169–172.
Huang, Y. C., Chen, H. H., Yeh, M. L., & Chung, Y. C. (2012). Case studies combined with or without concept maps improve critical thinking in hospital-based nurses: A randomized-controlled trial. International Journal of Nursing Studies, 49(6), 747–754. https://doi.org/10.1016/j.ijnurstu.2012.01.008
Koto-shimada, K., Carandang, R. R., Shibanuma, A., Kiriya, J., Ing, K., & Ong, C. (2023). Understanding competency of nursing students in the course of case-based learning in Cambodia : a convergent mixed method study. BMC Nursing, 22(1), 1–12.
Li, S., Ye, X., & Chen, W. (2019). Nurse Education in Practice Practice and e ff ectiveness of “ nursing case-based learning ” course on nursing student ’ s critical thinking ability : A comparative study. Nurse Education in Practice, 36(759), 91–96. https://doi.org/10.1016/j.nepr.2019.03.007
Moleong, L. J. (2016). Qualitative Research Methods. Remaja rosdakarya.
Ossenberg, C., Mitchell, M., Burmeister, E., & Henderson, A. (2023). Measuring changes in nursing students’ workplace performance following feedback encounters: A quasi-experimental study. Nurse Education Today, 121.
Perez-Perdomo, A., & Zabalegui, A. (2024). Teaching Strategies for Developing Clinical Reasoning Skills in Nursing Students : A Systematic Review of Randomised Controlled Trials. Healthcare, 12(1), 1–11.
Pivac, S., Skela-Savic, B., Jovic, D., Avdic, M., & Kalender-Smajlovic, S. (2021). Implementation of active learning methods by nurse educators in undergraduate nursing students ’ programs – a group interview. BMC Nursing, 20(1), 1–10.
Ramm, D., Thomson, A., & Jackson, A. (2015). Learning clinical skills in the simulation suite: The lived experiences of student nurses involved in peer teaching and peer assessment. Nurse Education Today, 35(6), 823–827. https://doi.org/10.1016/j.nedt.2015.01.023
Saeedi, M., Ghafouri, R., Tehrani, F. J., & Abedini, Z. (2021). The effects of teaching methods on academic motivation in nursing students : A systematic review. Journal of Education and Health Promotion, 10, 1–8. https://doi.org/10.4103/jehp.jehp
Schwartz, M. (2015). Teaching Methods for Case Studies. The Learning and Teaching Office, 1–7. http://www.ryerson.ca/content/dam/lt/resources/handouts/CaseMethodBestPractices.pdf
Shohani, M., Bastami, M., Gheshlaghi, L. A., & Nasrollahi, A. (2023). Nursing student ’ s satisfaction with two methods of CBL and lecture ‑ based learning. BMC Medical Education, 1–5. https://doi.org/10.1186/s12909-023-04028-3
Wospakrik, F., Sundari, S., & Musharyanti, L. (2020). Pengaruh penerapan metode pembelajaran case based learning terhadap motivasi dan hasil belajar mahasiswa. JHeS (Journal of Health Studies), 4(1), 30–37. https://doi.org/10.31101/jhes.515
Yao, J., Fu, R., Jia, L., Dong, X., Shi, Y., Zhang, X., & Yuan, H. (2023). Case-based learning interventions for undergraduate nursing students in a theoretical course: A review of design, implementation, and outcomes. Journal of Professional Nursing, 26, 119–133.
Yoo, M. S., & Park, H. R. (2015). Effects of case-based learning on communication skills, problem-solving ability, and learning motivation in nursing students. Nursing and Health Sciences, 17(2), 166–172. https://doi.org/10.1111/nhs.12151
Yoo, M. S., & Park, J. H. (2014). Effect of case-based learning on the development of graduate nurses’ problem-solving ability. Nurse Education Today, 34(1), 47–51. https://doi.org/10.1016/j.nedt.2013.02.014
Yoong, S. Q., Wang, W., Chao, F. F. T., Dong, Y., Goh, S. H., Chan, Y. S., Lim, S., Seah, A. C. W., Wu, X. V., & Zhang, H. (2023). Using peer feedback to enhance nursing students’ reflective abilities, clinical competencies, and sense of empowerment: A mixed-methods study. Nurse Education in Practice, 69.
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Copyright (c) 2026 Devia Putri Lenggogeni, Hema Malini, Esthika Ariany Maisa , Bunga Permata Wenny, Mahathir Mahathir
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