Innovation of Teaching-Learning Method in Baccalaureate Nursing Education.

本研究的目的在于发展创新的教学方法，让学生透过情境案例进行整合学习。研究对象为护理教育学士班二年级学生，采准实验研究设计。对照组为1994年接受传统授课的60名学生。1995年，实验组59名学生接受了以问题为基础的学习（PBL）的小组课程。课程前、课程结束时及课程结束后三个月，以多项选择测验来测量知识，满意度则以两份问卷及访谈来测量。实验组学生的知识水平和满意度均显著高于对照组，实验组学生在陈述问题、文献检索、案例展示、学习动机等方面的学习方式发生了变化，虽然大部分学生对PBL持肯定态度，一些学生表示PBL压力很大，因为他们必须花更多的时间复习课程。这是由于课程安排紧凑。

The purpose of this study is to develop innovate teaching-learning method in which students learn integratively through situltional cases. Subjects were the second year students in baccalaureate program in nursing education.The design was a quasi-experimental study. The control group was 60 students who received classes by traditional lectures in 1994. Fifty nine students in the experimental group recieved classes on the same subject in a small group with Problem Based Learning (PBL) in 1995. Knowledge was measured by multiple choice exams before the class, on completion of the class, and three months after the classes.Satisfaction was measured by two questionaire, and by interview. Formative and summative evaluation were also used for analysis.Both knowlege level and satiosfaction were significantly higher in experimental group.The learning style of the students in experimental group had been changed by PBL in skills of stating the problems, searching literature, presenting the cases, learning motivation, and others.Even though most students showed positive attitudes towards PBL,a few students stated that PBL was stressful because they have to spend more time prepareing for the classes. This was due to tight schedule in curriculum.