scholarly journals Evaluation of Self-Directed Learning in Nursing Students: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Mohammad Nazarianpirdosti ◽  
Maryam Janatolmakan ◽  
Bahareh Andayeshgar ◽  
Alireza Khatony

Background. Self-directed learning plays an important role in nursing education and is associated with academic achievement, communication self-efficacy, assertiveness, responsibility, and students’ clinical competencies. This study was conducted to analyze the existing research on the level of self-directed learning in nursing students. Methods. In this systematic review and meta-analysis, all studies that had examined the level of self-directed learning in nursing students until March 2, 2020, were searched in Science Direct, Ovid, Scopus, PubMed, ProQuest, Web of Science, and Google Scholar databases. In the meta-analysis section, I2 index and the random effects model were used. Comprehensive Meta-Analysis software (version 2) was used for data analysis. Results. The mean score of self-directed learning in 12 articles with 3830 samples was 156.73 ± 1.47 out of 200 (95% CI: 153.3–160.1). These scores were 153.50 ± 2.71 (95% CI: 148.18–158.82) and 154.67 ± 1.32 (95% CI: 157.50–159.32) in the male and female students, respectively. There was a significant relationship between self-directed learning and sample size, year of study, and semester ( p < 0.05 ). Conclusion. The mean self-directed learning in nursing students was at a moderate level, which does not seem to be sufficient. Given the positive role of self-directed learning in nursing education, it is essential that nursing professors teach self-directed learning skills to students via training courses.

2018 ◽  
Vol 5 (4) ◽  
pp. 317-329 ◽  
Author(s):  
Ya-Qian Liu ◽  
Yu-Feng Li ◽  
Meng-Jie Lei ◽  
Peng-Xi Liu ◽  
Julie Theobald ◽  
...  

Abstract Objectives To examine the best practice evidence of the effectiveness of the flipped classroom (FC) as a burgeoning teaching model on the development of self-directed learning in nursing education. Data sources The relevant randomized controlled trial (RCT) and non-RCT comparative studies were searched from multiple electronic databases including PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), Wanfang Data, China National Knowledge Infrastructure (CNKI), and Chinese Science and Technology Periodical Database (VIP) from inception to June 2017. Review methods The data were independently assessed and extracted for eligibility by two reviewers. The quality of included studies was assessed by another two reviewers using a standardized form and evaluated by using the Cochrane Collaboration’s risk of bias tool. The self-directed learning scores (continuous outcomes) were analyzed by using the 95% confidence intervals (CIs) with the standard deviation average (SMD) or weighted mean difference (WMD). The heterogeneity was assessed using Cochran’s I2 statistic. Results A total of 12 studies, which encompassed 1440 nursing students (intervention group = 685, control group = 755), were eligible for inclusion in this review. Of 12 included studies, the quality level of one included study was A and of the others was B. The pooled effect size showed that compared with traditional teaching models, the FC could improve nursing students’ self-directed learning skill, as measured by the Self-Directed Learning Readiness Scale (SDLRS), Self-Directed Learning Readiness Scale for Nursing Education (SDLRSNE), Self-Regulated Learning Scale (SRL), Autonomous Learning Competencies scale (ALC), and Competencies of Autonomous Learning of Nursing Students (CALNS). Overall scores and subgroup analyses with the SRL were all in favor of the FC. Conclusions The result of this meta-analysis indicated that FCs could improve the effect of self-directed learning in nursing education. Future studies with more RCTs using the same measurement tools are needed to draw more authoritative conclusions.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Walter C. Millanzi ◽  
Patricia Z. Herman ◽  
Mahamudu R. Hussein

Abstract Background Self-directed learning is important in nursing as it is associated with improved clinical and moral competencies in providing quality and cost-effective care among people. However, unethical professional conduct demonstrated by some graduate nurses is linked with the way they are developed in schools alongside the content and pedagogies prescribed in nursing curricula. Pedagogical transformations appear to be inevitable to develop enthusiastic nursing students who can work independently in delivering quality and cost-effective nursing services to people. This study intended to examine the impact of facilitation in a problem-based pedagogy on self-directed learning readiness among undergraduate nursing students in Tanzania. Methods A controlled quasi-experimental design was conducted in Tanzanian higher training institutions from January to April 2019. A 40-item Self-directed learning Readiness scale for nursing education adopted from previous studies measured self-directed learning and the Student A descriptive analysis via a Statistical Package for Social Sciences software program (version 23) was performed to establish nursing students’ socio-demographic characteristics profiles. Independent samples t-test determined mean scores difference of self-directed learning readiness among nursing students between groups while regression analysis was performed to discriminate the effect of an intervention controlled with other co-related factors. Results The post-test results of self-directed learning readiness showed that nursing students scored significantly higher [(M = 33.01 ± 13.17; t (399) = 2.335; 95%CI: 0.486,5.668)] in the intervention group than their counterparts in the control. Findings of SDL readiness subscales were significantly higher among students in the intervention including self-management [(M = 10.11 ± 4.09; t (399) = 1.354; 95%CI: 0.173,4.026)], interest learning [(M = 9.21 ± 2.39; t (399) = 1.189; 95%CI: 0.166,4.323)] and self-control [(M = 13.63 ± 5.05; t (399) = 2.335; 95%CI: 0.486,5.668)]. The probability of nursing students to demonstrate self-directed learning readiness was 1.291 more times higher when exposed to the intervention (AOR = 1.291, p < 0.05, 95%CI: 0.767, 2.173) than in the control. Conclusion Facilitation in a problem-based pedagogy promises to change the spectrum of nursing learning habits potentially to their academic and professional achievements. Nurse tutors need to be empowered with it to prepare nursing students to meet their academic and professional potentials.


Author(s):  
Ria den Hertog ◽  
Henny P. A. Boshuizen

AbstractSince decades, nursing education struggles with a persistent gap between the theoretical knowledge offered in the study program and its application in professional practice. To bridge this gap competence-based curricula were developed with instructional designs as authentic learning contexts and self-directed learning. In this project we explored final year Bachelor Nursing (BN) students’ experiences in learning in a newly developed curriculum, and their knowledge quality outcomes and the degree of agreement with knowledge requirements. An instrumental multiple case study was conducted with interviews, concept mapping and a domain knowledge list. Results show that a third of the participants had positive learning experiences and got high appraisals for their knowledge quality. Similar to the medium and low scoring participants, they developed instrumental knowledge but integrated other forms of learning into a system of meaning, which is needed to solve non-routine problems in future practice. Medium and low scoring participants did not profit from learning in authentic contexts and self-directed learning. In conclusion, developing sufficient professional knowledge in a constructivist competence-based curriculum is influenced by students’ intrinsic motivation to build a strong knowledge base, by their perception of how to learn and use professional knowledge, and their expectations of the degree of supervision and guidance by the teacher. It is recommended to evaluate the extent to which the intended curriculum is being taught.


2020 ◽  
Vol 10 (1) ◽  
pp. 27-30
Author(s):  
Indu Singh ◽  
Binita Paudel

Background: Self-directed learning is a type of instructional strategy where students take charge of their learning process. Self-directed learning is learning approach where learners are responsible towards learning which helps students think critically and perform task confidently. The skills that are learned through self-directed learning remain lifelong and helps to provide patient care in effective way and uplifting the nursing profession. This study was conducted to identify the readiness for self-directed learning among nursing students in Chitwan Medical College. Methods: A descriptive cross-sectional study design was adopted. Sample size was 107 nursing students from Bachelor in science of nursing and Bachelor in nursing science program. They were selected by using probability, stratified, simple random technique. A standardized tool (Self Directed Learning Readiness Scale) was used to collect data. Data were analyzed by using descriptive statistics and inferential statistics. Results: More than two-third of the nursing students were ready for self-directed learning. The mean score of self control was higher than the mean score of self-management and mean score of desire. The level of the readiness for self-directed learning was significantly associated with age (p=0.036), ethnicity (0.036) and most prefer resource (p=0.010). Conclusions: Self-directed learning helps for self control towards their learning and enable students move forward towards their career goal. So, the faculties need to focus on the selection resources for learning that help to create desire for learning and promote self-directed learning skills among nursing students.


2019 ◽  
Vol 3 (1) ◽  
pp. 32
Author(s):  
Ni Gusti Ayu Eka ◽  
Grace Solely Houghty ◽  
Juniarta Juniarta

<p>Though blended learning has been applied in nursing schools in Indonesia, the number of studies with regards to students’ motivation and self-readiness in their courses is still lacking. In addition, many student nurses claimed that the Research and Statistics course was more difficult than other nursing courses. This study aimed to assess the nursing students’ motivation and self-learning readiness of blended learning in a Research and Statistics course of the Faculty of Nursing at Universitas Pelita Harapan. The preliminary study recruited forty nursing students for validity and reliability test purposes. Two questionnaires were translated and tested including the adapted Academic Motivation Scale and the adapted Self-Directed Learning Readiness Scale for Nursing Education. Both Cronbach’s alphas of the questionnaires were above 0.8 (good reliability), however some questions were revised based on its validity test results and its readability. A total of 181 students were involved in the study and descriptive statistics were applied in the data analysis. The findings showed that nursing students had relatively moderate self-directed learning readiness (mean 90.18). With regards to academic motivation, students’ intrinsic motivation to know (mean 3.35) was higher than in other subdimensions of academic motivation. It also means that most of the students felt happy while learning and exploring something new in the course. In conclusion, motivation and self-learning readiness of students are important when applied to a blended course. It is recommended that nurse educators should identify students’ motivation and self-learning readiness to provide student-centered learning especially in a Research and Statistics course. Further research may involve more universities in different regions of Indonesia.</p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Meskipun blended learning telah diterapkan di pendidikan keperawatan di Indonesia, sejumlah studi berkaitan dengan motivasi dan kesiapan diri mahasiswa dalam pembelajaran mereka masih kurang. Selain itu, banyak mahasiswa perawat mengklaim bahwa mata kuliah Penelitian dan Statistik lebih sulit daripada mata kuliah keperawatan lainnya. Penelitian ini bertujuan untuk mengidentifikasi motivasi mahasiswa keperawatan dan kesiapan belajar sendiri dalam mata kuliah Penelitian dan Statistik dengan blended learning di Fakultas Keperawatan Universitas Pelita Harapan. Studi pendahuluan merekrut empat puluh mahasiswa keperawatan untuk keperluan uji validitas dan reliabilitas. Dua kuesioner diterjemahkan dan diuji yaitu Skala Motivasi Akademik dan Skala Kesiapan Belajar Sendiri (self-directed readiness) yang telah disesuaikan untuk pendidikan keperawatan. Hasil uji kedua kuesioner mempunyai nilai Cronbach Alpha berada di atas 0,8 (reliabilitas yang baik), namun beberapa pertanyaan direvisi berdasarkan pada hasil tes validitas dan keterbacaannya. Sebanyak 181 siswa terlibat dalam penelitian ini dan statistik deskriptif diterapkan dalam analisis data. Dalam penelitian ini, terungkap bahwa mahasiswa keperawatan memiliki kesiapan belajar mandiri yang relatif sedang (rata-rata 90,18). Sehubungan dengan motivasi akademik, motivasi intrinsik mahasiswa untuk mengetahui (rata-rata 3,35) lebih tinggi daripada sub-dimensi lain dari motivasi akademik. Ini juga berarti bahwa sebagian besar mahasiswa merasa bahagia saat belajar dan menggali sesuatu yang baru dalam pembelajaran. Sebagai kesimpulan, motivasi dan kesiapan diri adalah penting saat melaksanakan blended learning. Penelitian ini merekomendasikan agar pendidik perawat atau dosen untuk mengidentifikasi motivasi dan kesiapan diri mahasiswa dalam memberikan pembelajaran yang berpusat pada mahasiswa terutama dalam mata kuliah Penelitian dan Statistik. Penelitian selanjutnnya dapat memasukkan lebih dari satu universitas di daerah yang berbeda di Indonesia.</p>


2018 ◽  
Vol 24 (4) ◽  
pp. 376-390 ◽  
Author(s):  
Hyewon Shin ◽  
Jung Min Lee ◽  
Shin Jeong Kim

Purpose: The purpose of this study was to (a) synthesize nursing education literature using a smartphone for Korean nursing college students based on Whittemore and Knafl's integrative five-step review method and to (b) evaluate the quality appraisal of each article using Gough's weight of evidence. Methods: Articles published in Korea were identified through electronic search engines and scholarly websites using a combination of three search terms, including nursing student, smartphone, and education. Scientific, peer-reviewed articles in nursing education for Korean college nursing students, written in Korean or in English, and published between January 2000 and May 2018 were included in this review. Thirteen papers met the inclusion criteria and had above average ratings in quality appraisals. Results: Three characteristics related to nursing education using a smartphone were derived: (a) as a familiar media, motivating learning and enabling self-directed learning, (b) for the purpose of education or evaluation utilizing the educational movie of application, and (c) the iterative exercise of smartphone usage reinforces student learning. Conclusion: Smartphone use is an effective tool for improving nursing knowledge and skills for nursing college students in nursing education. Future research is needed to standardize smartphone applications across schools for nursing education.


2020 ◽  
Vol 27 (3) ◽  
pp. 246-258
Author(s):  
Yeoungsuk Song ◽  
Seurk Park

Purpose: The objective of this systematic review and meta-analysis was to estimate the effectiveness of problem-based learning in developing student nurses’ critical thinking, problem solving, and self-directed learning.Methods: To conduct the meta-analysis, 1,963 studies were retrieved from eight databases (Pubmed, EMbase, CINAHL, Cochrane Library, KERIS, KISS, NDSL, KoreaMed) without restriction on publication year. Articles published up to March 2019 were selected for this study. Fourteen studies were selected for meta-analysis based on satisfaction of inclusion criteria and low risk of bias. Baseline demographic data, exercise features, and outcome data were extracted from all trials included. The data was analyzed using the RevMan 5.3 program.Results: Most studies were of low risk of bias. The pooled effect size showed problem-based learning was able to improve nursing students’ critical thinking (ES=0.29, 95% Cl=0.04~0.54, <i>p</i>=.002), problem solving (ES=0.39, 95% Cl=-0.09~0.87, <i>p</i>=.11), and self-directed learning (ES=0.35, 95% Cl=-0.22~0.91, <i>p</i>=.23) compared with traditional lectures.Conclusion: PBL help improve the critical thinking in nursing students. Although problem solving and self directed learning were not affected, more research with a larger sample size and repeated meta-analysis of PBL are required.


2021 ◽  
Vol 28 (2) ◽  
pp. 237-248
Author(s):  
Hayoung Park ◽  
Yoojin Kim

Purpose: The purpose of this study was to use a systematic review to investigate how infection control education has been designed, implemented and evaluated in undergraduate programs in nursing.Methods: This study was conducted base on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). To search studies related to infection control education programs, Ovid-EMBASE, CINAHL, Pubmed, KoreaMed, KMBASE and KISS were used. A total of 2,306 studies were identified, and 13 studies were selected for final analysis.Results: Ten studies out of 13 were designed as pre-post, no control group, quasi-experimental study designs. Nosocomial infection and standard precautions related infection control education were the most frequently selected topics and online was the most common teaching-learning method. The infection control education programs showed significant effect on knowledge and attitude. The mean difference of 7 studies for knowledge was 5.1 (95% CI: 2.36, 8.67, p<.001) and the mean difference of 4 studies for attitude was 3.34 (95% CI: 0.12, 6.55, p<.001).Conclusion: The results of this study indicate that infection control education effectively improves the knowledge, attitude and compliance of nursing students. Therefore, it is necessary to develop more specific educational programs that can reflect the changes of the times and the demands of clinical nurses.


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