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The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, research- related, and evidence-based nursing materials. Take credit for all your work, not just books and journal articles. To learn more, visit www.nursingrepository.org Item type Presentation Format Text-based Document Title Team-Based Learning in Nursing Fundamentals in an Accelerated Master's Direct-Entry Program Authors Mullen, Kathleen Marie Downloaded 12-Jul-2018 03:48:48 Link to item http://hdl.handle.net/10755/622904

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Page 1: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

The Henderson Repository is a free resource of the HonorSociety of Nursing, Sigma Theta Tau International. It isdedicated to the dissemination of nursing research, research-related, and evidence-based nursing materials. Take credit for allyour work, not just books and journal articles. To learn more,visit www.nursingrepository.org

Item type Presentation

Format Text-based Document

Title Team-Based Learning in Nursing Fundamentals in anAccelerated Master's Direct-Entry Program

Authors Mullen, Kathleen Marie

Downloaded 12-Jul-2018 03:48:48

Link to item http://hdl.handle.net/10755/622904

Page 2: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Team-Based Learningin Nursing Fundamentalsin an Accelerated Master’s Direct Entry Program

Kathleen Mullen, DNP, MA, RN, CNEAssistant Professor of Nursing at Columbia University Medical CenterColumbia University School of NursingNew York, New York

Page 3: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

ObjectivesIdentify the steps of the Team-Based Learning (TBL) instructional strategyDescribe learner attributes developed through TBLDiscuss the implementation of TBL in one nursing curriculum

Page 4: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Team-Based LearningLarry K. MichaelsenLarge class ≠ Case-based scenarios, Socratic questioning

Prepared for class Engaged Solve Problems Feedback

Constructivist Learning TheoryLearner-centeredProblem-solving activitiesInteraction with other learnersReflection in action and on action

Page 5: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

TBL: How does it workApplication ActivityProblem-solving activity during

class.Problem is valued by the learner.All teams work on the same

problem.Team must select a specific

choice for the correct answer to solve the problem.Teams present and defend their

solution to the class.

(Parmalee & Michaelsen, 2008)

Peer evaluation, face-to-face

Page 6: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Team Based Learning in Nursing

Critical Thinking Teamwork and Collaboration

Heidi Mennenga, PhD, RNTeam-Based Learning Student Assessment InstrumentTBL SAI

Peer CommunicationShared Decision-MakingAccountability for LearningLearner Satisfaction

Med-Surg Critical Care Community Obstetrics

Page 7: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Columbia University School of Nursing

Master’s Direct Entry Program (MDE)• Prelicensure• 200 students• 15 month program (June-August)• Degree: MS in Nursing

Page 8: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Team Based Learning in FundamentalsThe Logistics 200 students -> 40 teams Welcome letter identifies team assignment Welcome letter lists required reading for first class

Designated seats in auditorium for team Each TA assigned 10 teams of 50 students

Learning Management System iRAT & tRATMP4s Cases (patient SBAR, chart, labs, etc.)

Page 9: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

TBL Focus: The Nursing ProcessW

eek

1 2 3 4 5 6 7 8St

ep

Asse

ssme

nt

Diag

nosis

Outco

mes

Goals

Inter

venti

ons

Imple

menti

ng

Evalu

ation

s

QI &

EBP

Assignment – Progressive Concept Map and Care Plan

Page 10: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Weekly ScheduleMonday8:00 am Class begins9:00 am Complete iRAT on Canvas10:30 am Move to team seats

Complete tRAT on Canvas10:35 am Available on Canvas

• Previous week’s graded assignment with TA comments

• Exemplar of previous week assignment• Upcoming assignment and chart• MP4 (next step in nsg process)

10:35 am Team meeting ->• Review previous week• Plan upcoming week

11:00 am Class resumes until 12:00 p

Wed/ThuVarious times

Mini-simulation (x 4 wks)(<10 minutes + 20 min debrief)

Saturday11:59 pm Assignment dueSunday

TAs grade assignment against an exemplar

8 weeks in June & July

Peer evaluation at mid-term and final

Page 11: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Applying the Nursing Process in Week 1

Goals of team mini-simulation:Establish a therapeutic relationshipObtain vital signs

Week 1 iRAT

1. Nursing Assessments have the same components as medical assessments but with less detail. T/F

2. A ______ assessment is conducted to gather data about a specific health concern.

3. The nurse completes a health history and physical assessment on a patient who is admitted to the hospital for surgery. What is the purpose of this assessment? M/C

4. What is the primary patient benefit of the nurse using the nursing process? M/C

5. Which of the following are part of the assessment phase of the nursing process? SELECT ALL THAT APPLY M/C

Page 12: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Evaluation

0 5 10 15 20 25 30 35

I think team-based learning activities arean effective approach to learning

I remembered material better after theassignment used team-based learning.

I was proud of my ability to assist myteam in their learning

I spend time studying before teammeetings in order to be more prepared

Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

Page 13: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

Student Response to Team-Based LearningAwesome!I love my team!Everyone really works well together.Everyone is prepared for our meetings.We have really good discussions.I learned a lot from my team.

Page 14: Team-Based Learning in Nursing Fundamentals · Team-Based Learning in Nursing Fundamentals in an Accelerated Master’s Direct Entry Program. Kathleen Mullen, DNP, ... assessment

ReferencesBranson, S., Boss, L., & Fowler, D. L. (2016). Team-based learning: Application in undergraduate baccalaureate nursing education.

Journal of Nursing Education and Practice, 6, 50-64. doi: 10.5430/jnep.v6n4p59Cheng, C., Liou, S., Tsai, H., & Chang, C. (2014). The effects of Team-Based Learning on learning behaviors in the maternal-child

nursing course. Nurse Education Today, 34, 25-30. doi: 10.1016/j.nedt.2013.03.013Della Ratta, C. B. (2015). Flipping the classroom with team-based learning in undergraduate nursing education. Nurse Educator,

40, 71-74. doi: 10.1097/NNE.0000000000000112Hrynchak, P., & Batty, H. (2012). The educational theory basis of team-based learning. Medical Teacher, 34, 796-801. doi:

10.3109/0142159X.2012.687120Janotha, B. (2015). The effect of team-based learning on student self-directed learning. (Doctoral Dissertation) Proquest 3711071Kohtz, C., Hoadley, T., Liphart, J., Siegel, S., Briggs, K., Clark, S., . . . Tillis, K. M. (2017). Adopting team-based learning: Translating

evidence into practice. Nurse Educator, 42, 218-221. doi: 10.1097/0000000000000388Mennenga, H. (2013). Student engagement and examination performance in a team-based learning course. Journal of Nursing

Education, 52, 475-479. doi:10.3928/01484834-20130718-04Mennenga, H. (2012). Development and psychometric testing of the team-based learning student assessment instrument. Nurse

Educator, 37, 168-72. doi: 10.1097/NNE.0b013e31825a87ccMorris, J. (2016). The use of team-based learning in a second-year undergraduate pre-registration nursing course on evidence-

informed decision-making. Nurse Education in Practice, 21, 23-28. doi: 10.1016/j.nepr.2016.09.005Parmalee, D. & Michaelsen, L. K. (2010). Twelve tips for doing effective Team-Based Learning (TBL). Medical Teacher 32, 118-2.

doi: 10.3109/01421590903548562Syracuse, M. (Photographer). (2017, September). Columbia University School of Nursing.

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Questions?