Faculty of Nursing, Chiang Mai University, 110 Inthawarorots Rd., Sriphum Distric, Muang, Chiang Mai 50200, Thailand.
Nurse Educ Pract. 2011 Nov;11(6):370-4. doi: 10.1016/j.nepr.2011.03.011. Epub 2011 Apr 11.
Student-centred forms of learning have gained favour internationally over the last few decades including problem based learning, an approach now incorporated in medicine, nursing and other disciplines' education in many countries. However, it is still new in Thailand and being piloted to try to offset traditional forms of didactic, teacher-centred forms of teaching. In this qualitative study, 25 undergraduate nursing students in northern Thailand were interviewed about their experiences with problem-based learning in a health promotion subject. Content analysis was used to interrogate interview data, which revealed four categories: adapting, seeking assistance, self-development, and thinking process development. Initially participants had mixed emotions of confusion, negativity or boredom in the adaption process, but expressed satisfaction with creativity in learning, group work, and leadership development. They described increased abilities to problem solve and think critically, but struggled to develop questioning behaviours in learning. Socio-culturally in Thai education, students have great respect for teachers, but rarely question or challenge them or their learning. We conclude that problem-based learning has great potential in Thai nursing education, but educators and systems need to systematically prepare appropriate learning environments, their staff and students, to incorporate this within curricula.
以学生为中心的学习形式在过去几十年中在国际上受到青睐，包括基于问题的学习，这种方法现在已被许多国家的医学、护理和其他学科的教育所采用。然而，在泰国它仍然是新的，正在试行中，试图取代传统的教学形式，即以教师为中心的教学形式。在这项定性研究中，对泰国北部的 25 名本科护理学生进行了关于他们在健康促进主题中基于问题的学习经历的访谈。内容分析被用来探究访谈数据，揭示了四个类别：适应、寻求帮助、自我发展和思维过程发展。最初，参与者在适应过程中表现出困惑、消极或厌倦的混合情绪，但对学习中的创造力、小组工作和领导力发展表示满意。他们描述了提高解决问题和批判性思维的能力，但在学习中发展质疑行为方面存在困难。在泰国教育的社会文化中，学生非常尊重教师，但很少质疑或挑战他们或他们的学习。我们的结论是，基于问题的学习在泰国护理教育中有很大的潜力，但教育者和系统需要有系统地准备适当的学习环境、他们的员工和学生，将其纳入课程。
