MARC

LEADER 00000nab a2200000uu 4500
001 3244815139
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022 |a 1471-5953 
022 |a 1873-5223 
024 7 |a 10.1016/j.nepr.2025.104449  |2 doi 
035 |a 3244815139 
045 2 |b d20250801  |b d20250831 
084 |a 170342  |2 nlm 
100 1 |a Liu, You-Hua  |u Nursing Department, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China 
245 1 |a Enhancing clinical problem-solving skills in cardiology nursing interns: A randomized controlled study of case-based learning and task-driven learning 
260 |b Elsevier Limited  |c Aug 2025 
513 |a Evidence Based Healthcare Journal Article 
520 3 |a Aim To assess the effectiveness of integrating Case-Based Learning (CBL) with Task-Driven Learning (TDL) in the clinical education of nursing interns specializing in cardiology. Background Traditional lecture-based learning (LBL) may not adequately prepare nursing interns for clinical problem-solving in cardiovascular specialties. Combining CBL with TDL methodologies could potentially enhance theoretical understanding and practical application skills. Design A randomized controlled trial was conducted at Beijing Friendship Hospital, focusing on nursing interns in the cardiology department. Methods Nursing interns were randomly assigned to two groups: one group received a combination of Case-Based Learning (CBL) and Task-Driven Learning (TDL) (n = 220), while the other group underwent Lecture-Based Learning (LBL) (n = 218). The study was conducted from June 2021 to March 2024. Evaluation was based on examination scores, nursing round skills and an anonymous questionnaire survey. Results The CBL-TDL group engaged in more pre-class preparation and displayed significantly better post-internship theoretical knowledge (92.21 SD 5.73 vs 91.03 SD 4.43, P = 0.016) and ward round skills (means 90.99 SD 7.19 vs 86.62 SD 5.78, P < 0.001) than the LBL group. Higher satisfaction in the CBL-TDL group was noted across several educational aspects (P < 0.01), particularly in motivation to learn (OR 2.50, 95 %CI (1.80–3.45), P = 0.006) and practical skill (OR 2.40, 95 %CI (1.70–3.40), P = 0.002), although they reported less free time consumed. Conclusions The synergistic application of CBL and TDL methodologies enhances the theoretical understanding and practical application skills of nursing interns in cardiovascular specialties, suggesting a valuable pedagogical strategy for improving clinical problem-solving abilities. 
653 |a Internships 
653 |a Students 
653 |a Teaching methods 
653 |a Clinical training 
653 |a Cardiology 
653 |a Clinical skills 
653 |a Medical education 
653 |a Learning 
653 |a Motivation 
653 |a Academic achievement 
653 |a Knowledge 
653 |a Skill development 
653 |a Critical thinking 
653 |a Emergency medical care 
653 |a Patient assessment 
653 |a Nursing education 
653 |a Application 
653 |a Clinical medicine 
653 |a Problem solving 
653 |a Clinical trials 
653 |a Skills 
653 |a Friendship 
653 |a Clinical nursing 
653 |a Nurses 
653 |a Education 
653 |a Nursing 
653 |a Ability 
653 |a Satisfaction 
653 |a Groups 
653 |a Independent Study 
653 |a Learning Motivation 
653 |a Lecture Method 
653 |a Anatomy 
653 |a Leisure Time 
653 |a Evaluative Thinking 
653 |a Learner Engagement 
653 |a Educational Strategies 
653 |a Educational Quality 
653 |a Minimum Competency Testing 
653 |a Competence 
653 |a Control Groups 
653 |a Educational Methods 
653 |a Internship Programs 
653 |a Meta Analysis 
653 |a Communication Skills 
653 |a Clinical Teaching (Health Professions) 
653 |a Outcomes of Education 
653 |a Internal Medicine 
653 |a Integrated Activities 
653 |a Educational Needs 
700 1 |a Zhang, Li  |u Department of Disease Surveillance, Center for Disease Control and Prevention, Central Theater Command, No.66 Heishitou Road, Beijing 100042, China 
700 1 |a Zhang, Jing-jing  |u Nursing Department, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China 
700 1 |a Sun, Xing  |u Nursing Department, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China 
700 1 |a Wu, Li-Ping  |u Nursing Department, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China 
700 1 |a Liu, Guang  |u Nursing Department, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China 
700 1 |a Liu, Ming-Yuan  |u Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical Univesity, Beijing 100050, China 
773 0 |t Nurse Education in Practice  |g vol. 87 (Aug 2025), p. 104449-104455 
786 0 |d ProQuest  |t Sociology Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3244815139/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3244815139/fulltext/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3244815139/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch