Problem based learning (PBL): A conundrum

Samantha H Wells
School of Nursing, Deakin University, Waterfront Campus, Geelong VIC

Philip J Warelow
School of Nursing, University of Ballarat, Mt Helen Campus, Ballarat VIC

Karen L Jackson
School of Nursing, Deakin University, Waterfront Campus, Geelong VIC

PP: 191 - 201

Abstract

Problem Based Learning (PBL) using minimal guided instruction is used as an educational strategy across a broad variety of disciplines in the tertiary sector. This paper includes some of the strengths and weaknesses of PBL, both in general and in relation to the health care setting, encompassing some of its philosophical underpinnings and its methodological approach.

In an effort to explore some of the benefits and problems with PBL in the work setting, this account will comprise a realistic rather than idealistic focus and will include a range of perspectives from both a facilitator and student standpoint. We suggest that PBL is a useful strategy across a comprehensive nursing degree programme (as the ideal) provided the learning programme is supported financially and that its ideal creed which support a small group approach are adhered to.

What we find is that reality is often different, with individual facilitators condensing their PBL programmes to incorporate a modified PBL approach with this personalised approach often taking strength away from the original conceptions of PBL. What we suggest here is that these circumstances constitute a conundrum.

| More

Keywords

Problem Based Learning, nursing, implementation, benefits, difficulties


View references

References

Albanese M and Mitchell S (1993) Problem based learning: A review of the literature on its outcomes and implementation issues. Academic Medicine 69: 52-81.

Azer SA (2001) Problem based learning: Challenges, barriers and outcome issues. Saudi Medical Journal 22(5): 389-397.

Banning M (2005) Approaches to teaching: Current opinions and related research. Nurse Education Today 25: 502-508.

Barrows HS (1988) The tutorial process. Springfield: Southern Illinois University School of Medicine.

Benner P (2000) Shaping the future of nursing. Nursing Management 7(1): 31-35.

Berkson L (1993) Problem based learning: Have the expectations been met? Academic Medicine, 68(10): S79-S88.

Bernstein P, Tipping J, Bercovitz K and Skinner HA (1995) Shifting students and faculty to a PBL curriculum: Attitudes changed and lessons learned. Academic Medicine 70(3): 245-247.

Biley F (1999) Creating tension: Undergraduate students nurses' response to a problem-based learning curriculum. Nurse Education Today 19(7): 586-589.

Boud D, Keogh R and Walker D (1995) Reflection: Turning experiences into learning. London: Kogo.

Bridges EM and Hallinger P (1996) Problem based learning in leadership education. New Directions in Teaching and Learning 68: 53-61.

Capon N and Kuhn D (2004) What's so good about problem based learning? Cognition and Instruction 22(1): 61-79.

Carrera LI, Tellez TE and D'Ottavio AE (2003) Implementing a problem-based learning curriculum in an Argentinean Medical School: Implications for developing countries. Academic Medicine 78: 798-801.

Colliver J (2000) Effectiveness of problem based learning curricula. Academic Medicine 75: 259-266.

Crosby J (1996) AMEE medical education guide No. 8. Learning in small groups. Medical Teacher 18(3): 99-111.

Das Carlo M, Swadi H and Mpofu D (2003) Medical students' perceptions of factors affecting productivity of problem-based learning tutorial groups: Does culture infl uence the outcome. Teaching and Learning in Medicine 15(1): 59-64.

Duke M, Forbes H, Hunter S and Prosser M (1998) Problem-based learning (PBL): Conceptions and approaches of undergraduate students of nursing. Advances in Health Sciences Education 3: 59-70.

Edward KL, Hercelinskyj J, Warelow P and Munro I (2007) Simulation to practice: Developing nursing skills in mental health: An Australian perspective. International Electronic Journal of Health Education 10: 60-64.

Finucane P, Johnson S and Prideaux D (1998) Problem-based learning: Its rationale and efficacy. Medical Journal of Australia 168: 445-448.

Haith-Cooper M (2002) An exploration of tutors' experiences of facilitating problem based learning. Part two: Implications for the facilitator of PBL. Nurse Education Today 23: 65-75.

Hitchcock MA and Anderson AS (1997) Dealing with dysfunctional tutorial groups. Teaching and Learning in Medicine 9(1): 19-24.

Hwang SY and Kim MJ (2006) A comparison of problem-based learning and lecture-based learning in an adult health nursing course. Nurse Education Today 26: 315-321.

Johnstone A and Otis K (2006) Concept mapping in problem based learning: A cautionary tale. Chemistry, Education, Research and Practice 7(2): 84-95.

Kenny N and Beagan B (2004) The patient as text: A challenge for problem-based learning. Medical Education 38: 1071-1079.

Kiley M, Mullins G, Peterson R and Rogers T (2000) Leap into...Problem-based learning. Adelaide: University of Adelaide.

Kirschner PA, Sweller J and Clark RE (2006) Why minimal guidance during instruction does not work: An analysis of the failure of constructivist, discovery, problem-based, experiential, and inquiry based teaching. Educational Psychologist 41: 75-86.

Knowles M (1975) Self directed learning: Guide for learners and teaching. Toronto: Prentice Hall.

Levine A (2001) Problem based learning, Maricopa Centre for learning and instruction. Retrieved 29 September 2007 from www.mcli.dist.maricopa.edu/pbl/problem.html.

Lloyd-Jones G, Margetson D and Bligh J (1998) Problem-based learning: A coat of many colours. Medical Education 32: 492-494.

Marks J (2001) What is problem based learning? Retrieved 29 September from www.imsa.edu/team/cpbl/whatis/whatis/slide3.

Maudsley G (1999) Roles and responsibilities of the problem based learning tutor in the undergraduate medical curriculum. British Medical Journal 318: 657-661.

McCourt C and Thomas G (2001) Evaluation of a problem based curriculum in midwifery. Midwifery 17: 323-331.

McLoughlin M and Darvill A (2007) Peeling back the layers of learning: A classroom model for problem-based learning. Nurse Education Today 27: 271-277.

Mentzelou P (2004) The design of a Web-based information technology student support system for higher education, Advanced Learning Technologies, 2004, pp.908-909. Proceedings, IEEE International Conference, 30 August-1 September 2004.

Niederhoffer E (2000) Southern Illinois University School of Medicine. Retrieved 23 July 2008 from www.biochem.siuc.edu/som_pbl/PBL.html.

Norman G (2008) Problem-based learning makes a difference, But why? Canadian Medical Association Journal 178(1): 61.

Norman G and Schmidt H (2000) Effectiveness of problem based learning curricula: Theory, practice and paper darts. Medical Education 34: 721-728.

Pang S, Wong T, Dorcas K, Allen L, Lai C and Lee R (2002) Evaluating the use of developmental action inquiry in constructing a problem-based learning curriculum for preregistration nursing education in Hong Kong: A student perspective. Journal of Advanced Nursing 402: 230-241.

Piggott J (2003) PBL: A sceptic's diary. LTSN website: Retrieved February 2008 from www.economics.ltsn.ac.uk.

Pincus KV (1995) Introductory accounting: Changing the first course. New Directions for Teaching and Learning 61: 88-98.

Rideout E, England-Oxford V, Brown B, Fothergill-Bourbonnais F, Ingram C, Benson G, Ross, M and Coates A (2002) A comparison of problem based and conventional curricula in nursing education. Advances in Health Sciences Education: Theory and Practice 7(1): 3-17.

Rowan C, McCourt C and Beake S (2008) Problem based learning in midwifery - The students' perspective. Nurse Education Today 28: 93-99.

Rowan C, McCourt C, Bick D and Beake S (2007) Problem based learning in midwifery - A teachers' perspective. Nurse Education Today 27: 131-138.

San Diego State University (1996) Assessment of problem based learning; students and classes. Retrieved 29 September 2007 from http://edweb.sdsu.edu/clrit.webassess.studentNclasses.html.

Schmidt HG (1983) Problem based learning: Rationale and description. Medical Education 17: 11-16.

Southern Illinois University School of Medicine (2000) The minimal essentials for problem based learning in medical education. Retrieved 29 September 2007 from www.Pbli.org/pbl/medical_pbl.htm.

Steinert Y (2004) Student perceptions of effective small group teaching. Medical Education 38(3): 286-293.

Weyers M (2006) Teaching the FE curriculum. London: Continuum Publishing Group.

Wilkie K (2000) The nature of problem based learning. Basingstoke: McMillan Press.

Williams A (1999) An Antipodean evaluation of problem-based learning by clinical educators. Nurse Education Today 19: 659-667.

Williams B (2004) Self direction in a problem based learning program. Nurse Education Today 24: 277-285.

Wood D (2003) ABC of learning and teaching in medicine: Problem based learning. BMJ 326: 328-330.



Sign Me Up

*Email Address
First Name
Surname

Web Feed

Latest Articles

Special Issues

Indigenous Health Care (2nd edn)
Volume 37/1


Nursing Workforce and Workplaces
Volume 36/1
Summary


Modeling of Clinical Nursing Care
Volume 35/1
Summary


Advances in Contemporary Mental Health Nursing – Second Edition
Volume 34/2
Summary


Advances in Contemporary Nursing and Gender
Volume 33/2
Summary | Contents


Advances in Contemporary Nurse Education
Volume 32/1-2
Summary | Contents


Advances in Contemporary Nursing: History of Nursing and Midwifery in Australasia
Volume 30/2
Summary | Contents


Advances in Contemporary Transcultural Nursing: Pathways to Cultural Awareness (2nd edn)
Volume 28/1-2
Summary | Contents


Advances in Contemporary Palliative and Supportive Care
Volume 27/1
Summary | Contents


Advances in Contemporary Aged Care: Retirement to End of Life
Volume 26/2
Summary | Contents


Advances in Contemporary General Practice Nursing: Role of the Practice Nurse
Volume 26/1
Summary | Contents


Advances in Contemporary Nurse Recruitment and Retention: Problems and Challenges in Human Capacity Development
Volume 24/2
Summary | Contents


Advances in Contemporary Community and Family Health Care
Volume 23/2
Summary | Contents


Advances in Contemporary Indigenous Health Care (1st edn)
Volume 22/2
Summary | Contents


Advances in Contemporary Nursing and Interpersonal Violence
Volume 21/2
Summary | Contents


Advances in Contemporary Mental Health Nursing (1st edn)
Volume 21/1
Summary | Contents


Advances in Contemporary Child and Family Care
Volume 18/1-2
Summary | Contents


Advances in Contemporary Transcultural Nursing (1st edn)
Volume 15/3
Summary | Contents




Website by Arrowsmith Websites. Business, Government & Corporate Websites, Web Hosting, Domain Names & SEO. Maleny, Sunshine Coast, Australia.