Impact of case-based learning on critical thinking dispositions in Chinese nursing education: a systematic review and meta-analysis.

IF 3.1 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Frontiers in Medicine Pub Date : 2025-03-17 eCollection Date: 2025-01-01 DOI:10.3389/fmed.2025.1452051
Yunlu Xiang, Dong Liu, Liang Liu, I-Chun Liu, Lanka Wu, Hao Fan
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引用次数: 0

Abstract

Background: Case-based learning (CBL) is recognized for its potential to enhance critical thinking in nursing education. This meta-analysis aimed to assess the impact of CBL alone or in combination with other methods on improving critical thinking dispositions among nursing students in China.

Methods: A systematic search was conducted in databases including PubMed, Embase, Cochrane Library, CINAHL and China National Knowledge Infrastructure from inception of the databases through June 1, 2024. Studies that utilized the Chinese Version of Critical Thinking Dispositions Inventory (CTDI-CV) and compared CBL with traditional teaching methods were included. Random-effects models were used to pool the mean differences (MD) in critical thinking scores, and subgroup analyses were performed based on participant types and intervention methods.

Results: Thirteen studies involving 1,396 participants were included. The pooled results indicated a significant improvement in critical thinking dispositions (MD = 26.39, 95% CI: 18.71 to 34.06). Subgroup analysis revealed that nursing interns and combinations of CBL with problem-based learning (PBL) reported higher improvements. Secondary outcomes showed significant gains in both theoretical knowledge and operational skills, with heterogeneity observed across studies (I 2 > 79%). The Egger's test (p = 0.95) suggested no significant publication bias.

Conclusion: CBL significantly enhances critical thinking among nursing students in China, particularly when integrated with PBL. Despite the observed heterogeneity, the findings support the incorporation of CBL into nursing curricula to foster critical analytical skills. Further research should explore the contextual factors that affect the variability in outcomes.

案例学习对中国护理教育中批判性思维倾向的影响:一项系统回顾和荟萃分析。
背景:基于案例的学习(CBL)在护理教育中被认为具有增强批判性思维的潜力。本荟萃分析旨在评估CBL单独或与其他方法结合对提高中国护生批判性思维倾向的影响。方法:系统检索PubMed、Embase、Cochrane Library、CINAHL、China National Knowledge Infrastructure等数据库,检索时间为数据库建成至2024年6月1日。采用中文版批判性思维倾向量表(CTDI-CV)并将CBL与传统教学方法进行比较的研究包括在内。采用随机效应模型汇集批判性思维得分的平均差异(MD),并根据参与者类型和干预方法进行亚组分析。结果:纳入13项研究,涉及1,396名受试者。综合结果显示,批判性思维倾向有显著改善(MD = 26.39,95% CI: 18.71 ~ 34.06)。亚组分析显示,护理实习生和CBL与基于问题的学习(PBL)相结合报告了更高的改善。次要结果显示理论知识和操作技能均有显著提高,各研究之间存在异质性(I 2 > 79%)。Egger检验(p = 0.95)提示无显著发表偏倚。结论:CBL能显著提高中国护生的批判性思维能力,尤其是与PBL相结合时。尽管观察到的异质性,研究结果支持将CBL纳入护理课程,以培养批判性分析技能。进一步的研究应该探索影响结果变异性的环境因素。
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
Frontiers in Medicine
Frontiers in Medicine Medicine-General Medicine
CiteScore
5.10
自引率
5.10%
发文量
3710
审稿时长
12 weeks
期刊介绍: Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world
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