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The Effect of Instruction on Learning: Case Based Versus Lecture Based


Teaching and Learning in Nursing Volume 13, Number 4, ISSN 1557-3087 Publisher: Elsevier Ltd


There is scarcity of evidence demonstrating the impact of the instructional approach on curriculum outcomes of knowledge retention and clinical judgment in nursing education. The study aimed at determining the influence of 2 instructional formats, namely, case-based and lecture-based learning, on knowledge retention and judgment skills offered to 2 cohorts of nursing students in a junior nursing course. The scores of both cohorts were compared using a 65-selected-response test, 8 months after the offering of the course. A stratified comparison was completed using an independent samples t test. The t test was also used to compare the scores on judgment skills such as noticing, interpreting, deciding, and reflecting. Findings did not reveal significant difference in the mean test scores of both cohorts regarding knowledge retention (p = .178), yet a significant difference was noted on the judgment skill of reflecting among the case-based cohort (t = 2.202; p = .033). This study adds evidence regarding the effectiveness of a case-based instruction on developing the skill of reflecting, thus supporting calls for contextualizing learning. Further probing into the instructional strategies that equip nursing students with knowledge remains an ongoing challenge for the discipline.


Kantar, L.D. & Sailian, S. (2018). The Effect of Instruction on Learning: Case Based Versus Lecture Based. Teaching and Learning in Nursing, 13(4), 207-211. Elsevier Ltd. Retrieved January 22, 2021 from .

This record was imported from Teaching and Learning in Nursing on March 1, 2019. Teaching and Learning in Nursing is a publication of Elsevier.

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