title: Teaching skills to resolve conflicts with acute confusional syndrome patients in nursing using the Case Method (CM).
abstract: OBJECTIVE
  This study sets out to design and implement a teaching sequence that offers students the opportunity to acquire the necessary knowledge, skills, attitudes and values to deal with a confrontational patient. When designing the teaching methodology, we chose an active teaching strategy, commonly entitled the Case Method.
  
  
  METHODS
  The case was developed during the 2011-2012 academic year and implemented across the curriculum in the 2012-2013 academic year, in the "Relations and Communications in Nursing Care" and "Geriatric Nursing" subject modules, in the second year undergraduate nursing course at the University of the Basque Country.
  
  
  RESULTS
  Implementation results indicate that the Case Method is a satisfactory tool to facilitate acquisition of the chosen skills, as well as being a learning method that is well received by students. At the end of the process, 72.8% of them shared the opinion that "this methodology has helped me more or much more than traditional 'chalk and talk' expository methodology". Moreover, 93% of the students successfully achieved at least the minimum learning results required. Nevertheless, students said that they felt overwhelmed on more than one occasion.
  
  
  CONCLUSIONS
  The study has provided evidence that the Case Method contributes to acquiring skills that every nurse will need during their career. This should spur us on to continue extending the range of possibilities offered by active methodologies.
authors.affiliation: University of the Basque Country, Leioa School of Nursing, Barrio Sarriena, 48940 Leioa, Spain. Electronic address: marta.arrue@ehu.es.
authors.forename: Marta
authors.initials: M
authors.lastname: Arrue
authors.affiliation: University of the Basque Country, Leioa School of Nursing, Barrio Sarriena, 48940 Leioa, Spain.
authors.forename: Silvia
authors.initials: S
authors.lastname: Caballero
mesh_terms: D002983:Clinical Competence; D034462:Dissent and Disputes; D004508:Education, Nursing, Baccalaureate; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017008:Negotiating; D009723:Nurse-Patient Relations; D015402:Nursing Education Research; D013030:Spain; D013338:Students, Nursing; D013663:Teaching / Q000379:methods
keywords: Acute confusional syndrome; Case Method; Innovative methodology; Nursing; Relationship and communication