Six teaching methods on the effectiveness of community nursing education for nursing students in China: A systematic review and network meta-analysis

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-03-01 DOI:10.1016/j.nepr.2025.104323

Xiaoyan Wang , Lifeng Yang , Mei Du , Yan Wang

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引用次数: 0

Abstract

Aim

This study aims to compare the effectiveness of six different teaching methods with traditional teaching approaches in community nursing education for nursing students in China.

Background

In recent years, an increasing number of Chinese nursing educators exploring various pedagogical approaches to enhance the educational outcomes in community nursing. However, there is still no consensus on the superiority of different teaching methods and no direct comparisons of their effectiveness have been made. Therefore, evaluating the impact of six teaching strategies on community nursing education for Chinese nursing students is both necessary and timely.

Design

This study is a systematic review and network meta-analysis.

Methods

In November 2024, a comprehensive search was conducted across nine databases to identify studies that met predefined inclusion and exclusion criteria. This process involved screening studies based on set criteria, extracting relevant data, and assessing the quality of the studies before conducting the network meta-analysis. The review protocol of this study was prospectively registered in the PROSPERO (CRD42025635443).

Results

From an initial pool of 3077 articles, 33 were meticulously selected for a network meta-analysis. The findings indicate that PBL significantly outperforms other methods in improving nursing students' final examination scores and practical skills. PAD class approach emerged as the most effective method in fostering self-directed learning capabilities among Chinese nursing students.

Conclusion

The results of this study show that PBL and PAD class were identified as having the greatest potential to enhance Chinese nursing student academic achievement and self-directed learning. Nonetheless, future investigations should employ larger sample sizes and more rigorous methodologies to substantiate these findings.

Tweetable abstract

With the increasing aging of the population in China, it is urgent for nursing educators to think about how to cultivate nursing students' interest in community nursing and improve the teaching quality of community nursing in order to meet the growing demand for primary health services. More and more nursing educators have realized the shortcomings of traditional teaching methods, so they try to use a variety of teaching methods to improve the teaching effect of community nursing. However, there is currently no consensus on the superiority of different teaching methods, and no studies have directly compared their effects. Therefore, evaluating the impact of various teaching strategies on community nursing education is both necessary and meaningful. Hence, we employed network meta-analysis to assess the effectiveness of six common teaching methods used in community nursing education in China, aiming to provide insights for the selection of appropriate teaching models for community nursing education. From the establishment of the database until November 2024, a comprehensive search of nine databases was conducted. According to inclusion and exclusion criteria, 33 literatures on community nursing teaching of nursing students in China were included for analysis. The results ranked PBL as the most effective strategy for improving both final examination scores and practical skills. Furthermore, presentation-assimilation-discussion class (PAD class) approach was identified as having the greatest potential to enhance autonomous learning abilities among these students. Future investigations should employ larger sample sizes and more rigorous methodologies to substantiate these findings.

查看原文本刊更多论文

背景近年来，越来越多的中国护理教育工作者探索各种教学方法，以提高社区护理的教学效果。然而，对于不同教学方法的优劣仍未达成共识，也没有对其效果进行直接比较。因此，评估六种教学策略对中国护生社区护理教育的影响既必要又及时。方法2024 年 11 月，我们在九个数据库中进行了全面检索，以确定符合预定纳入和排除标准的研究。这一过程包括根据既定标准筛选研究、提取相关数据以及在进行网络荟萃分析前评估研究质量。本研究的综述方案在 PROSPERO（CRD42025635443）上进行了前瞻性注册。结果从最初的 3077 篇文章中，精心挑选出 33 篇进行网络荟萃分析。研究结果表明，在提高护理专业学生的期末考试成绩和实践技能方面，PBL 明显优于其他方法。结论本研究结果表明，PBL 和 PAD 课程在提高中国护生学业成绩和自主学习能力方面具有最大的潜力。Tweetable摘要随着中国人口老龄化的加剧，如何培养护生对社区护理的兴趣，提高社区护理的教学质量，以满足日益增长的基层医疗卫生服务需求，是护理教育工作者迫切需要思考的问题。越来越多的护理教育者已经意识到传统教学方法的弊端，因此尝试采用多种教学方法来提高社区护理学的教学效果。然而，目前对不同教学方法的优劣尚未达成共识，也没有研究对其效果进行直接比较。因此，评价各种教学策略对社区护理教学的影响既有必要又有意义。因此，我们采用网络荟萃分析法评估了中国社区护理教育中常用的六种教学方法的效果，旨在为社区护理教育选择合适的教学模式提供启示。自数据库建立至2024年11月，对9个数据库进行了全面检索。根据纳入和排除标准，共纳入 33 篇有关中国护生社区护理教学的文献进行分析。结果显示，PBL 是提高期末考试成绩和实践技能最有效的策略。此外，Presentation-Assimilation-Discussion class（PAD课堂）方法被认为最有可能提高这些学生的自主学习能力。今后的研究应采用更大的样本量和更严格的方法来证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.