Case-Based Approach to Improve FDAR Nursing Documentation Practices Among Selected Fourth-Year Nursing Students
Keywords:
nursing documentation, case-based approach, FDAR (Focus-Data-Action-Response), mixed-methods design, educational interventionsAbstract
This action research examined the effectiveness of a case-based approach in improving FDAR nursing documentation practices among selected fourth-year nursing students at Riverside College, Inc. An exploratory sequential mixed-methods design was employed, which combined quantitative and qualitative data collection. Quantitative data was collected through a Self-Assessment Tool for Nursing Documentation Practices questionnaire administered to the participants before and after implementing the case-based approach. The results showed significant improvements in the students' documentation practices, including their ability to focus on relevant information, collect and analyze data, determine appropriate actions, and accurately document responses. Qualitative data were gathered through focus groups and interviews to gain insights into the students' experiences and perceptions of the case-based approach and its impact on their documentation practices. The qualitative findings comprehensively understood the intervention's effects and complemented the quantitative results. The study highlights the effectiveness of the case-based approach in enhancing FDAR nursing documentation practices among selected fourth-year nursing students. It emphasizes integrating interactive and practical learning experiences to bridge the theory-practice gap. The findings suggest incorporating case-based teaching strategies into nursing education curricula to address documentation deficiencies and better prepare students for their nursing careers while improving patient care outcomes. Further research is recommended to explore the long-term impact of the case-based approach on nursing students' documentation practices and patient outcomes. Additionally, gathering additional insights through qualitative methods can help refine educational interventions in this area. The study contributes to the growing knowledge of effective teaching strategies for improving nursing documentation practices.
References
Anef, M. R. a. P. R. (2013). Nursing Theorists and Their Work. Elsevier Health Sciences.
Azrimaidaliza, A., Elnovriza, D., & Syahrial, S. (2022). Case-Based Method and Improvement Student’s Performance on Life Cycle Nutrition Course among Nutrition Science Students. In Advances in social science, education and humanities research. Atlantis Press. https://doi.org/10.2991/assehr.k.220303.019
Bi, M., Zhao, Z., Yang, J., & Wang, Y. (2019). Comparison of case-based learning and traditional method in teaching postgraduate students of medical oncology. Medical Teacher, 41(10), 1124–1128. https://doi.org/10.1080/0142159x.2019.1617414
Bjerkan, B., Athlin, E. E., & Hedberg, B. (2021). Inadequate nursing documentation as a patient safety risk. A systematic review. Journal of Advanced Nursing, 77(2), 562-583.
Case Teaching. (n.d.). Instructional Moves. https://instructionalmoves.gse.harvard.edu/case-teaching
De Groot, K., Lingsma, H. F., Bakker, J., & Grol, R. (2022). Nursing documentation as a reflection tool in patient care: A systematic review. Journal of Clinical Nursing, 31(1-2), 7-25.
Ghorbanian, F. (2022). Competence and skills of nursing documentation. ResearchGate. https://www.researchgate.net/publication/357606032_Competence_and_skills_of_nursing_documentation
Glen, S. (2023, March 3). Cronbach’s alpha: Definition, interpretation, SPSS - statistics how to. Statistics How To. https://www.statisticshowto.com/probability-and-statistics/statistics-definitions/cronbachs-alpha-spss/
Hammad, E. A. E. (2020). Effect of case-based learning on critical thinking skills in undergraduate nursing students: A systematic review and meta-analysis. Nurse Education Today, 85, 104293.
Hashemiparast, M., Rassouli, M., Nasrabadi, A. N., & Zagheri-Tafreshi, M. (2019). Theoretical knowledge-to-practice gap: The case of nursing students. Nursing Forum, 54(2), 180-186.
Harvard Graduate School of Education. (n.d.). Case-Based collaborative learning. Instructional Moves. Retrieved May 12, 2023, from https://instructionalmoves.gse.harvard.edu/cbcl
Jones, S., et al. (2022). Enhancing student engagement through active learning strategies in nursing education. Journal of Nursing Education, 58(2), 78-85.
Jones, T., Martens, A., Miller, S., & Saucier, D. (2022). Trickle-down engagement: Effects of perceived teacher and student engagement on learning outcomes. International Journal of Teaching and Learning in Higher Education, 33(2), ISSN 1812-9129.
Kantar, L. D., & Sailian, S. D. (2018). The Effect of Instruction on Learning: Case-Based Versus Lecture Based. Teaching and Learning in Nursing, 13(4), 207–211.
Krain, M. (2016). Putting the Learning in Case Learning? The Effects of Case-Based Approaches on Student Knowledge, Attitudes, and Engagement. Journal on Excellence in College Teaching, 27(2), 131–153. https://eric.ed.gov/?id=EJ1103995
Liu, X., Lei, S., Zhang, Y., & Chen, J. (2020). Case-based teaching improves medical students' autonomous learning and promotes their interest in neurology. BMC Medical Education, 20(1), 489.
Ma, Y., & Zhou, L. (2022). The impact of case-based teaching on critical thinking ability, self-confidence and clinical decision-making among nursing students: A systematic review and meta-analysis. Nurse Education Today, p. 108, 105195.
Mendoza, M. C., Geroso, M. J., & Maguate, G. S. (2023). Hearing the Unheard: Unveiling the Untold Stories of Hearing Impaired Students in Inclusive Education. International Journal of Latest Research in Humanities and Social Science (IJLRHSS), 6(8), 01-09.
McNiff, J. (2017). Action Research: All You Need to Know. Routledge.
Michalec, B., et al. (2018). Integrating case-based learning in nursing education: A qualitative study. Journal of Nursing Education and Practice, 8(12), 112-118.
Nikolopoulou, K. (2022). What Is Content Validity? | Definition & Examples. Scribbr. https://www.scribbr.com/methodology/content-validity/
Ramani, S., & Leinster, S. (2008). AMEE Guide no. 34: Teaching in the clinical environment. Medical Teacher, 30(4), 347–364. https://doi.org/10.1080/01421590802061613
Rosier, G. (2022). The case method evaluated in terms of higher education research: A pilot study. The International Journal of Management Education, 20(3), 100660. https://doi.org/10.1016/j.ijme.2022.100660
Shafiee, M., Shanbehzadeh, M., Nassari, Z., & Kazemi-Arpanahi, H. (2022). Development and evaluation of an electronic nursing documentation system. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-021-00790-1
Spencer Clark, J. R., Dervin, F., Watson, G., & Murphy, M. P. (2020). Action Research in Education: Addressing Gaps in Methodology for Improving Practice. Frontiers in Education, pp. 5, 5. doi: 10.3389/feduc.2020.00005
The Derek Bok Center for Teaching and Learning. (n.d.). Teaching with Cases. Derek Bok Center, Harvard University. Retrieved May 12, 2023, from https://bokcenter.harvard.edu/cases
Tiwaken, S. U., et al. (2019). Practical application of knowledge in nursing education: A qualitative study. Nurse Education Today, pp. 79, 57–62.
Tran, T., & Thai, D. (2023). VIETNAMESE EFL INSTRUCTORS’ PERCEPTIONS OF CASE-BASED LEARNING IN A COMMUNICATION COURSE. European Journal of Applied Linguistics Studies, 6(1). https://doi.org/10.46827/ejals.v6i1.429
Wei, W., Xue, F., & Tian, M. (2020). Advanced case-based learning in airway management training: experience of teaching 2000 trainees. Trends in Anaesthesia and Critical Care, 30, e11–e12. https://doi.org/10.1016/j.tacc.2019.12.031
