An evaluation of problem-based learning in a nursing theory and practice module

Interest in Problem-Based Learning (PBL) within nurse education has increased internationally in recent years. The expectations of this teaching/learning strategy are that it will enable nurses to develop skills required for professional practice including: enquiry, reasoning, interpersonal and lifelong learning skills. However, to date, there is little empirical evidence within nursing literature to support such expectations. This study evaluated the reiterative PBL approach in an undergraduate programme within one University. The Responsive Evaluation Model (Guba & Lincoln 1989) guided the design of the study, permitting multiple methods of observation, focus group interviews and a questionnaire. Findings revealed an overall positive student experience of PBL. However, many students found PBL initially stressful due to the deliberately ambiguous nature of the scenario and the requirement upon students to direct their own learning. The tutor role was unclear to some students, while others found the facilitative approach empowering. Recommendations are offered which may be of value to students, teachers and practitioners implementing and facilitating PBL within Making A Difference curricula (Department of Health 1999). © 2002, Elsevier Science Ltd. All rights reserved.