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Introduction <p>In recent decades, numerous studies have explored Problem-based Learning (PBL) or Case-based Learning (CBL) alone, but few have investigated their combination. Fundamental nursing is a core course for nursing undergraduates, and anaphylactic shock (a life-threatening clinical emergency) is a key teaching content. Traditional lecture-based learning (LBL) lacks interaction and fails to enhance critical thinking, highlighting the need for teaching methods.</p> Methods <p>Nursing undergraduates from a medical college were randomly divided into two groups (n=50 each): the traditional group (LBL) and the PBL-CBL group (combined method). The intervention focused on anaphylactic shock in fundamental nursing (September 2022–June 2024). Data were collected via post-class tests (theoretical, practical, case analysis) and anonymous questionnaires (California Critical Thinking Disposition Inventory, satisfaction, time consumption). Statistical analysis used SPSS 18.0.</p> Results <p>The PBL-CBL group had significantly higher total test scores (87.33±4.21 vs. 73.32±3.66, P&lt;0.001) and better performance in all test sections. Questionnaire results showed higher critical thinking scores (truth-seeking, analytical skills, etc.), course satisfaction, and teacher-student interaction in the PBL-CBL group, though it consumed more learning time (P&lt;0.05).</p> Discussion <p>The combined PBL-CBL method outperforms traditional LBL in deepening knowledge, enhancing clinical analysis ability, and improving critical thinking. It is a promising approach for fundamental nursing teaching, though it requires more student preparation time.</p>

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Application of the combined PBL-CBL teaching method of anaphylactic shock prevention and care in the fundamental nursing course

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月11日

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  • Xin Jiang,
  • Yiqing Hui,
  • Chuan Tong,
  • Dongxiao Li,
  • Chaoqun Zhang,
  • Ying Chang

摘要

Introduction

In recent decades, numerous studies have explored Problem-based Learning (PBL) or Case-based Learning (CBL) alone, but few have investigated their combination. Fundamental nursing is a core course for nursing undergraduates, and anaphylactic shock (a life-threatening clinical emergency) is a key teaching content. Traditional lecture-based learning (LBL) lacks interaction and fails to enhance critical thinking, highlighting the need for teaching methods.

Methods

Nursing undergraduates from a medical college were randomly divided into two groups (n=50 each): the traditional group (LBL) and the PBL-CBL group (combined method). The intervention focused on anaphylactic shock in fundamental nursing (September 2022–June 2024). Data were collected via post-class tests (theoretical, practical, case analysis) and anonymous questionnaires (California Critical Thinking Disposition Inventory, satisfaction, time consumption). Statistical analysis used SPSS 18.0.

Results

The PBL-CBL group had significantly higher total test scores (87.33±4.21 vs. 73.32±3.66, P<0.001) and better performance in all test sections. Questionnaire results showed higher critical thinking scores (truth-seeking, analytical skills, etc.), course satisfaction, and teacher-student interaction in the PBL-CBL group, though it consumed more learning time (P<0.05).

Discussion

The combined PBL-CBL method outperforms traditional LBL in deepening knowledge, enhancing clinical analysis ability, and improving critical thinking. It is a promising approach for fundamental nursing teaching, though it requires more student preparation time.