The Efficacy of Problem Solving Strategies Utilized in Professional Nursing Concepts Course to Improve ProblemSolving Abilities in Students Enrolled in a Two-Year Baccalaureate Nursing Program

Jing-Jy Wang；Chi-Hui Kac LO；Kuei-Min Chen；Jane Lee Hsieh；Ya-Lie KU

professional nursing concept teaching ； problem solving ； nursing as sess ment ； nurs ing dia gnosis ； nursing intervention, nursing evaluation

The Journal of Nursing Research

10卷2期（2002 / 06 / 01）

113 - 120

英文

Using problem solving strategies in pro fessional nursing concepts course (PS-PNC) was a newly developed core course in a two-year baccalaureate nursing pro gram in an institute of technology. The purpose of this study was to evaluate the efficacyofprob1cm solving strategies used in this new course to improve students’ clinical problem solving abilities. Prior to the PS-PNC, 12 faculty who participated in the teaching received complete training, and then continued to receive super visionand to conduct group discussions during the whole period of the PS-PNC implementation. A one-group posttest design with repeated measures was used. In total 49 nursingstu dents from one class agreed to be recruited as the study subjects. The PS-PNC was per formed separately in three semesters. After each class learning, students would start their clinical practice, were advised by the same faculty group who participated in the PS-PNC, and were asked to submit three writ ten nursing process recordings during each clinic. Assignments from the three practices were named post-test 1, 11, and III sequentially, and pro vided the data for this study. A coding strategy was developed by the in vesti gators. Then, data were collected and analyzed by four selected faculty who had been involved in the PS-PNC. The overall score of prob1cm solving indicated that the three post-tests significantly increased, meaning those students’ clinical problem solving ability improved. How ever, data on the sub-concepts of prob1em solving on nursing assessment, nursing diagnosis, nursing intervention, and nursing evaluation showed no constant improvement. It is inferred that teaching of professional nursing concepts utilizing problem-solving strategies may be useful for future nursing students but dignified control should be strengthened.

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