Integrating case-based learning with collective reflection: outcomes of inter-professional continuing education

ABSTRACT

This study was conducted to identify the effect of integrating case-based learning with reflection on the outcomes of continuing nurse education. An experimental study with pre/post design was performed. Eighty participants were allocated to one of the two educational groups using cluster randomization. In the experimental group, the medical information of real patients, and the didactic components regarding the management of such cases was presented. Then, the participants were guided to perform a collective reflection on patient care, based on the Driscoll᾿ Model of Structured Reflection, including description, analysis, and proposed actions. In the other group, the traditional lecture method was applied by the same educators. After controlling the pre-test scores, the ANCOVA revealed a significant difference in the post-test mean score of learning (F = 11.54, p < 0. 01, η²_p = 0.13) and self- perceived competency (F = 29.54, p < 0.001, η²_p = 0.28). There was no significant difference in the participants’ reaction to the program between the groups. This study showed that integrated case-based reflection promoted the participant’s learning and self-perceived competency through continuing education.

KEYWORDS:

• Case-based learning
• continuing education
• reflective practice
• structured reflection
• teaching method

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported by The Office of Vice chancellor for Research at the Arak University of Medical Sciences. [2250].

Notes on contributors

Farzaneh Golaghaie

Farzaneh Golaghaie BSc MSN PhD is an Assistant Professor, Dean of Arak Faculty of Nursing and Midwifery and a member of the Educational Development Office at the Arak University of Medical Sciences, experienced in teaching the skills of client education for undergraduate and postgraduate nursing students.

Shadi Asgari

Shadi Asgari BSc MSN is a Nursing Instructor at the Malayer school of Nursing and Midwifery, IR Iran.

Sharareh Khosravi

Sharareh Khosravi BSc MSN PhD is an Assistant Professor and Head of the Pediatric Nursing Department, and former director of Educational Development Office at the Arak Faculty of Nursing and Midwifery, IR Iran.

Mohsen Ebrahimimonfared

Mohsen Ebrahimimonfared MD is an Assistant Professor at the Faculty of Medicine, and was formerly the Director of the Continuing Medical Education Office at the Arak Medical Sciences University.

Abolfazl Mohtarami

Abolfazl Mohtarami MD is an Assistant Professor at the Faculty of Medicine, Dean of Amir-Al Momenin University Hospital.

Fatemeh Rafiei

Fatemeh Rafiei MSc is a Tutor in Biostatistics and was previously Consultant in the Clinical Research Center at the Arak University of Medical Sciences.