Intergrating Problem-Based Learning and Team-Based Learning (PITBL) in Nursing Students: A Pilot study

https://doi.org/10.22146/jpki.32222

Yossi Indra Kusuma(1*), Gandes Retno Rahayu(2), Savitri Shitarukmi(3)

(1) Faculty of Medicine and Health Sciences, Universitas Islam Negeri Maulana Malik Ibrahim, Indonesia
(2) Faculty of Medicine, Universitas Gadjah Mada, Indonesia
(3) Faculty of Medicine, Universitas Gadjah Mada, Indonesia
(*) Corresponding Author

Abstract


Background: Change seems to be a constant in education. The shifting paradigm from teacher-centered to student-centered impact on demands of medical and health professions education institution to undertake curricullum reform. The development of PBL requires the provision of resources needed for its implementation. The emergence of newly developed method, TBL, garnered interest because of its potential to promote active learning without requiring large numbers of resources. The integration of these two methods can complement each deficiencies with their advantages, so it can optimize student learning. This study is aimed to determine the impact of the integration of PBL and TBL (PiTBL) on student engagement and to evaluate the perceptions of students in terms of accountability, preferences and their satisfaction with this method.

Method: This study was a pre-experimental with one group pre and post test design. Subjects consisted of 103 nursing students who enrolled Fluid, Electrolyte an Elimination course. The collection of data before and after the intervention were held to determine the difference in student engagement, using “Classroom Engagement Survey” instrument from Baylor University. Students perceptions in terms of accountability, preference and satisfaction were measured with PiTBL-Student Assessment Instrument (PiTBL-SAI).

Results: PiTBL had a positive impact on student engagement, but its results were lower then PBL. The difference was not significant for participation sub-scale, and significant in several weeks of course for enjoyment sub-scale and total value of student engagement. Students perceptions in terms of accountability, preference and their satisfaction with PiTBL all showed positive results.

Conclusions: PiTBL had a positive impact on student engagement, although lower than PBL. Students perceptions in terms of their accountability, preference and satisfatction with this method is also positive. We concluded that this method can be used as an alternative in implementing an effective and eficient active learning method.


Keywords


Team-Based Learning, Problem-Based Learning, PBL and TBL integration, combining PBL and TBL, student engagement.

Full Text:

PDF


References

  1. Haidet P, O’Malley KJ, Richards B. An initial experience with “Team-learning” in Medical Education. Academic Medicine. 2005;77:40-4.
  2. Dolmans D, Michaelsen L, Merrienboer JV, Vleuten CVD. Should we choose between problem-based learning and team-based learning? No, combine the best of both worlds! Medical Teacher. 2015;37:354-9.
  3. Frenk J, Chen LC, Bhutta ZA. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet. 2010;376:1923-57.
  4. McMahon KK. Team-Based Learning. Jeffries WB & Hugget KN (ed.): An Introduction to Medical Teaching, pp:55-64. Springer, New York; 2010.
  5. Thompson BM, Schneider VF, Haidet P, Levine RE, McMahon KK, Perkowski LC, Richards BF. Team-based learning at ten medical schools: two years later. Medical Education. 2007;41:250-7.
  6. Parmelee DX. Team-based learning: Moving forward in curriculum innovation: A commentary. Medical Teacher. 2010;32:105-7.
  7. Kelly PA, Haidet P, Schneider V, Searle N, Seidel CL, Richards BF. A comparison of In-Class Learner Engagement Across Lecture, Problem-Based Learning, and Team Learning Using the Strobe Classroom Observation Tool. Teaching and Learning in Medicine. 2005;17(2).
  8. Parmelee DX, Michaelsen LK, Cook S, Hudes PD. Team-based learning: A practical guide: AMEE Guide No:65. Medical Teacher. 2012;34:e275-87.
  9. Fund for the Improvement of Postsecondary Education. Baylor University: Evaluation of team learning in health-sciences education. 2003. Retrieved from: http://www.fipse.aed.org/grantshow.cfm?grantNumber=P116B000884&printGrant=yes
  10. Mennenga HA. Team-based learning: Engagement and accountability with psychometric analysis of a new instrument. UNLV Theses/Dessertations/Professional Papers/Capstones. Paper 854; 2010.
  11. Kingsbury MP, Lymn JS. Problem-based learning and larger student groups: mutually exclusive or compatible concepts – pilot study. BMC Medical Education. 2008;8(35).
  12. Pastirik PJ. Using problem-based learning in a large classroom. Nurse Education in Practice. 2006;6: 261-7.
  13. Nicholl TA, Lou K. A Model for Small-Group Problem-Based Learning in a Large Class Facilitated by One Instructor. American Journal of Pharmaceutical Education. 2011;76(6).
  14. Haidet P, Levine RE, Parmelee DX, Crow S, Kennedy F, Kelly PA, Perkowski L, Michaelsen L, Richards BF. Perspetive: Guidelines for Reporting Team-Based Learning Activities in the Medical and Health Sciences Education Literature. Academic Medicine. 2012;87(3).
  15. Vogeltanz-Holm N, Olson LM, Borg KE, Hill TM. Implementation and Evaluation of a Team-Based Learning Approach Within a Hybrid Problem-Based Learning Medical Education Curriculum. Med Sci Educ. 2014;24(125).
  16. Michaelsen L, Richards B. Commentary: Drawing Conclusions from the Team-Learning Literature in Health-Sciences Education: A Commentary. Teaching and Learning in Medicine. 2005;17(1):85-8.
  17. Vasan NS, DeFouw DO, Holland BK. Modified Use of Team-Based Learning for Effective Delivery of Medical Gross Anatomy and Embryology. Anat Sci Educ. 2007;1:3-9.
  18. Chuangchum P, Pholchan T, Napkesorn T, Pannarunothai S. Effects of using an integrated team-based and problem-based learning approach for developing lifelong learning karakteristik of first year medical students. South-East Asian Journal of Medical Education. 2011;5(2).
  19. Burgess A, Ayton T, Mellis C. Implementation of team-based learning in year 1 of a PBL based medical program: a pilot study. BMC Medical Education. 2016;16(49).
  20. Oliver R (Ed). Using a blended learning approach to support problem-based learning with first year students in large undergraduate classes. Proceeding of the 2005 conference on Towards Sustainable and Scalable Educational Innovations Informed by the Learning Sciences: Sharing Good Practices of Research, Experimental and Innovations. 2005;pp.848-51.
  21. Michaelsen LK, Sweet M. The Essential Elements of Team-Based Learning. New Directions for Teaching and Learning. 2008:116. Published online in Wiley Interscience (www.interscience.wiley.com).
  22. Cestone CM, Levine RE, Lane DR. Peer Assessment and Evaluation in Team-Based Learning. New Directions for Teaching and Learning. 2008;116. Published online in Wiley Interscience (www.interscience.wiley.com).
  23. Hrynchak PK, Spafford MM. Optometry Students’ Attitudes about Team-Based Learning. Optometric Education. 2015;40(2):89-93.
  24. Parmelee DX, DeStephen D, Borges NJ. Medical students’ attitudes about Team-based learning in a pre-clinical curriculum. Med Educ Online. 2009;14(1).
  25. Koles PG, Stolfi A, Borges NJ, Nelson S, Parmelee DX. The Impact of Team-Based learning on Medical Students’ Academic Performance. Academic Medicine. 2010;85(11):1739-45.



DOI: https://doi.org/10.22146/jpki.32222

Article Metrics

Abstract views : 1692 | views : 2367

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Yossi Indra Kusuma, Gandes Retno Rahayu, Savitri Shitarukmi

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:


JPKI Stats