title: Preparing nursing students to be competent for future professional practice: applying the team-based learning-teaching strategy.
abstract: Team-based learning (TBL) has been used for many years in business and science, but little research has focused on its application in nursing education. This quasi-experimental study was to apply the TBL in four nursing courses at a university in Taiwan and to evaluate its effect on students' learning outcomes and behaviors. Adult health nursing, maternal-child nursing, community health nursing, and medical-surgical nursing were the 4 designated courses for this study. Three hundred ninety-nine students in 2-year registered nurse-bachelor of science in nursing, and regular 4-year nursing programs enrolled in the designated courses were contacted. Three hundred eighty-seven students agreed to participate in the data collection. Results showed that the TBL significantly improved the learning behaviors of students in both programs, including class engagement (p < .001) and self-directed learning (p < .001). The group readiness assurance test score was significantly higher than the mean individual readiness assurance test (IRAT) score. The final examination score was significantly higher than the IRAT score, which means that TBL is effective in improving students' academic performance. The study revealed that TBL generally improves students' learning behaviors and academic performance. These learning behaviors are important and beneficial for the students' future professional development. The TBL method can be considered for broader application in nursing education.
authors.affiliation: Associate Professor, Chang Gung University of Science and Technology at Chiayi Campus, Chiayi 613, Taiwan.
authors.forename: Ching-Yu
authors.initials: CY
authors.lastname: Cheng
authors.affiliation: Associate Professor, Chang Gung University of Science and Technology at Chiayi Campus, Chiayi 613, Taiwan. Electronic address: srliou5022@gmail.com.
authors.forename: Shwu-Ru
authors.initials: SR
authors.lastname: Liou
authors.affiliation: Assistant Professor, Chang Gung University of Science and Technology at Chiayi Campus, Chiayi 613, Taiwan.
authors.forename: Tsui-Hua
authors.initials: TH
authors.lastname: Hsu
authors.affiliation: Lecturer, Chang Gung University of Science and Technology at Chiayi Campus, Chiayi 613, Taiwan.
authors.forename: Mei-Yu
authors.initials: MY
authors.lastname: Pan
authors.affiliation: Lecturer, Chang Gung University of Science and Technology at Chiayi Campus, Chiayi 613, Taiwan.
authors.forename: Hsiu-Chen
authors.initials: HC
authors.lastname: Liu
authors.affiliation: Associate Professor, Chang Gung University of Science and Technology at Chiayi Campus, Chiayi 613, Taiwan.
authors.forename: Chia-Hao
authors.initials: CH
authors.lastname: Chang
mesh_terms: D002983:Clinical Competence; D006801:Humans; D007858:Learning; D013338:Students, Nursing
keywords: Class engagement; Collaborative learning; Self-directed learning; Team-based learning