4. ijmps - effectiveness of problem based learning vs concept
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EFFECTIVENESS OF PROBLEM BASED LEARNING VS CONCEPT MAPPING
REGARDING LEVEL OF KNOWLEDGE ON BEHAVIORAL THERAPY AMONG
NURSING STUDENTS- A COMPARATIVE STUDY
S.VIJAY ANAND1, G. DHANALAKSMI
2 & V.P. MATHESWARAN
3
1 Assistant Professor, Billroth College of Nursing, Chennai, Tamil Nadu, India
2 Research Scholar, University of Madras, Chennai, Tamil Nadu, India
3 Head Incharge, Department. of Adult and Continuing Education, University of Madras, Chennai, Tamil Nadu, India
ABSTRACT
Nursing wisdom as many things both abstract and concrete. This can make the concept and shows how it is to
used in nursing education and nursing practice. Referring on how we learn and process including information is key to
the process. This is a comparative study to asses the effectiveness of problem based learning Vs concept mapping
regarding level of knowledge on behavioral therapy among III year B.Sc., (Nursing) in Billroth College of Nursing.
Objectives
• To asses the pretest level of knowledge in both group regarding behavioral therapy
• To asses the post test level of knowledge in both group regarding behavioral therapy
• To determine the effectiveness of problem solving on the level of knowledge regarding behavior therapy.
•
To determine the effectiveness of concept mapping on level of knowledge of regarding behavior therapy.
• To compare the effectiveness of problem solving vs concept mapping on behavior therapy.
• To associate the level of knowledge on behavior therapy with background variable .
•
Research Design
Quasi experimental design
Settings: The study will be conducted in a selected Nursing College in Chennai.
Population
Population of the study includes all nursing students in Billroth College of Nursing.
Findings& Conclusions
The major findings of the study revealed that the concept mapping and problem solving method of teaching
helps in overall improvement in the level of knowledge on behaviour therapy. The study concluded that there was a
significant improvement in the level of knowledge on behaviour therapy after concept mapping and problem solving
method of teaching.
Implication
The study can be applied to nursing practice, nursing education, nursing administration and nursing research
.The significant rise in knowledge on behavior therapy in post-test compare to pre-test. So, more studies in various
settings needed to conducted regarding the effectiveness of concept mapping and problem solving method of teaching
Or i gi n al Ar t i
c l e
International Journal of Medicine and
Pharmaceutical Sciences (IJMPS)
ISSN(P): 2250-0049; ISSN(E): 2321-0095
Vol. 6, Issue 2, Apr 2016, 19-34
© TJPRC Pvt. Ltd.
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20 S. Vijay Anand, G. Dhanalaksmi & V.P. Matheswaran
Impact Factor (JCC): 5.4638 NAAS Rating: 3.54
among third year students and also other studies to be conducted based on pertaining with new method of teaching
techniques among various batches of students in various disciplines
KEYWORDS:
Received: Feb 02, 2016; Accepted: Mar 02, 2016; Published: Mar 04, 2016; Paper Id.: IJMPSAPR20164
INTRODUCTION
“Education is the manifestation perfection already in Man”
– Swami Vivekananda.
Nursing wisdom as many things both abstract and concrete. This can make the concept and shows how it is to
used in nursing education and nursing practice. Referring on how we learn and process including information is key to the
process. The pathway to excellence in nursing wisdom is comparative study in which expert slowly can occur to the point
where it is able to main with very little effort by learning through new statutory like problem based learning and concept
mapping.
Background of the Study
The Traditional method of teaching consists mainly of giving lecture by the instructor and expecting students to
be cognitively active but physically inactive, except for note taking. Most students of any age cannot maintain such
behavior for a long period of time Cangelosi (2003).One aspect of the Traditional method of teaching is that it has a
tendency to view students as passive learners (Steinhorst and Keeler, 1995) because it does not engage them actively.
There is ample evidence that the current status of teaching nursing at all levels is not satisfactory. Nursing educators,
researchers, and administrators have been calling for and demanding drastic changes in the way Nursing educator is being
taught and learned. Problem solving and Concept mapping is an study procedure to activate and elaborate on prior
knowledge on behavior therapy. The study is to use concept mapping and problem solving in behavioral therapy, both
learning have parallel purposes, both based on constructive view of learning. In faculty of nursing both problem solving
learning and concept mapping have been applied together as main learning modes in learning behavioral therapy
Need for the Study
Class room teaching mostly depends upon lecture method which places students in a passive rather than in active
role, passivity probably hinders teaching, it encourages one way communication therefore, lecture must take a conscious
effort to became aware of inculcating different strategies in teaching One of the main goals in nursing education is to
promote and anyone adequate critical thinking skills in our nursing students beyond this various teaching and learning
strategies to ensure good accomplishment located to learning in behavioral therapy, making association between concept
mapping and problem solving methods are fantastic method for teaching, to induce critical thinking in nursing students.
Learning styles influences knowledge retain lecture method 10% knowledge in students reading method retain 20%
knowledge in students Audio visual method retains 30% knowledge in students, demonstration method retain 50%
knowledge in students discussion group method retain 75% knowledge, in by doing retains 80% knowledge in students
teaching others retain 90% knowledge in students immediate application in situation retain 90% knowledge in students.
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Effectiveness of Problem Based Learning Vs Concept Mapping Regarding Level of 21 Knowledge on Behavioral Therapy among Nursing Students- A Comparative Study
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Problem Statement
A comparative study to asses the effectiveness of problem based learning Vs concept mapping regarding level of
knowledge on behavioral therapy among III year B.Sc., (Nursing) in Billroth College of Nursing.
Objectives
• To asses the pretest level of knowledge in both group regarding behavioral therapy
• To asses the post test level of knowledge in both group regarding behavioral therapy
• To determine the effectiveness of concept mapping on level of knowledge of regarding behavior therapy.
• To determine the effectiveness of problem solving on the level of knowledge regarding behavior therapy.
• To compare the effectiveness of problem solving VS concept mapping on behavior therapy.
•
To associate the level of knowledge on behavior therapy with selected demographic variable
Hypothesis
There will be significant difference in knowledge on behavior therapy between two group after concept mapping
and problem solving method of teaching.
Limitation
• Study is limited to a period of 4 weeks
• The study findings is limited to the students of Billroth college of Nursing
Projected Outcomes
• The result obtained will being awareness about problem based learning and concept mapping among nursing
students.
• Methodology
Research Design
• Quasi experimental design
• (Non equivalent control group design)
Research Approach
Quantitative research approach
Variables
Independent variable: Concept mapping and problem solving method of teaching
Dependent Variable: Knowledge on behavior therapy
Settings
The study was conducted at Billroth College of Nursing.
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Impact Factor (JCC): 5.4638 NAAS Rating: 3.54
Population
Population of the study includes all nursing students in Billroth College of Nursing.
Sample
Nursing students who fulfilled the inclusion criteria
Sample size: 40
Sampling Technique
Non – Random sampling technique
Inclusive Criteria
• Students who are willing to participate
•
Students who are present on study period
• Students who are studying 3rd
Year B.Sc (N) in Billroth College of Nursing.
Exclusive Criteria
Students who have previously attended a comparative studying on behavior therapy
Students with hearing and physical problems.
Development of the Tool
Self developed tool by investigator, tool consists of questionnaire with 2 parts.
Part 1: Deals with Demographic Data
Part: Demographic Data
It consisted of base line data includes age, sex, medium of instruction in school, type of family, family monthly
income, and order of the birth.
Part 2: Self Structured Questionnaire:
Self structured questionnaire for self assessment of knowledge on behavior therapy
Content Validity
The tool and the content was validated by the Experts of the various departments and the tool was statistically
assessed for the test retest method.
Pilot Study
Pilot study was carried out with 10 students as two groups at Billroth college of nursing 3rd
week of April in
period of 5 days from 16-3-2015 to 20-3-2015.The pilot study was designed to find out the feasibility of the tool and
practicability’s of the selected samples were tested for level of knowledge by distributing the questionnaires. The subjects
were asked to respond to questionnaires and in case of doubts, the investigator clarified the doubts. On an average , it took20 to 30 minutes for each individual to hand over the fixed tool it was followed problem solving method of teaching and
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Effectiveness of Problem Based Learning Vs Concept Mapping Regarding Level of 23 Knowledge on Behavioral Therapy among Nursing Students- A Comparative Study
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concept mapping on the same day. On the seventh day 22-3 2015 post test was conducted with questionnaires which is
identical to pre- test.
The result of pilot study showed that level of knowledge was highly correlated with the’ r’ value 0.8. Sample used
for pilot study were excluded in the main study.
Data Collection Procedure
The investigators obtained formal permission from the Principal, college of nursing, Institutional review board
college of nursing to conduct the study. The period of data collection was four weeks 40 samples were selected by non –
random sampling technique. The purpose of the study was explained and got consent from students. The students were
given opportunity to decline from the participation at any time. All ethical principles were followed.
During the data collection period, first week 02-3-2015to 06-3-2014 pre test were done and next one week 09-3-
2014 to 13-3-2014. Concept mapping and problem solving method of teaching were implemented in various session with
various process in behavior therapy, next one weeks 15-5-2014 to 20-5-2014 they were given time to learning practice
applying method of concept mapping and problem solving, another last week 22-5-2014 to 27-5-2014 post test were done.
Data Analysis and Interpretation
Table 1: Frequency and Percentage Distribution of Demographic Variables of
III Year Students Studying in Billroth College of Nursing
No Demographic Variables Frequency (F) Percentage( N)=%
1.
Age
19-20
21-23
Above 24
25
15
0
62.5%
37.5%
0%
2.Gender
Male
Female
5
35
12.5%
87.5%
3.
Medium of instruction
in school
English
Tamil
others
20
19
1
50%
47.5%
2.5%
4.
Religion
Hindu
Muslim
Christian
Others
20
0
20
0
50%
0%
50%
0%
5.
Family monthly income
Below Rs 2000Rs 2001-3000
Rs 3001-4000
Above Rs4000
1117
7
5
27.5%42.5%
17.5%
12.5%
6.Type of stay
Hostel
Days scholar
20
20
50%
50%
7.Type of family
Joint familyNuclear family
1924
47.5%52.5%
8.
Type of parenting
Father and mother
Only father
28
4
70%
10%
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Only mother
others
6
0
20%
0%
9.
Order of birth
First
Second
Third and above
16
17
7
40%
42.5%
17.5%
Table 1 Shows:
Frequency and percentage distribution of pretest and posttest assessing effectiveness of problem solving on level
of knowledge on behavioral therapy among 3rd year B.sc nursing students studying in Billroth college of nursing.
Regarding the age group maximum of 25(62.5%) are in the age group of 19-20yrs.
concerning the gender the maximum of 5(12.5%) are Male and 35(87.5%) are Female
On the subject of the medium of instruction the maximum are Tamil medium 20(50%)
On the heading of religion the maximum of 20(50%) are Hindu and 20(50%) are Christian
With regards to the family monthly income the maximum of Rs (42.5%) are RS 2001 to Rs3000
On the heading of the type of stay maximum of 20(50%) are hostlers and 20 (50%) day scholar
In relation to the type of family, maximum of are 24 (52.5%) nuclear family.
Pertaining to the type of parenting maximum of 28(70%) are father and mother
With reference to the order of birth maximum of 16(40%%) are second
Table 2: Frequency and Percentage Distribution of Pre-Test and Post Test Assessing Effectiveness ofConcept Mapping and Problem Solving Method of Teaching on the Level of
Knowledge on Behavioral Therapy among Third Year Students N=40
Level of Knowledge on
Behaviour
Therapy
Pre Test Post Test
NO % NO %
Good knowledge 0 O% 37 92.5%
Moderate 1 2.5% 3 7.5%
Average 23 57.5% 0 0%
Poor knowledge 16 40% 0 0
P=0.05
Inference: table 2 there is an significant increase in level of knowledge on behavior therapy after concept
mapping and problem solving method of teaching
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Effectiveness of Problem Based Learning Vs Concept Mapping Regarding Level of 25 Knowledge on Behavioral Therapy among Nursing Students- A Comparative Study
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Figure 1: Frequency and Percentage Distribution of Pre-Test and Post Test Assessing Effectiveness of Concept
Mapping and Problem Solving Method of Teaching on The Level of Knowledge on Behavioral Therapy among
Third Year Students
Inference: Reveals that there is an significant increase in level of knowledge on behavior therapy after concept
mapping and problem solving method of teaching
Table 3: Freuency and Percentage Distribution of Pre-Test And Post Test Assessing Effectiveness of
Problem Solving Method of Teaching on Level of Knowledge on Behavioral Therapy among
3rd
Year B. Sc Nursing Students Studying in Billroth College of Nursing. N= 20
Level of knowledgePre Test Post Test
NO % NO %
Good knowledge 0 O% 17 85%Moderate 0 0% 3 15%
Average 19 95% 0 0%
Poor knowledge 1 5% 0 0
P=0.05
Inference: There is an significant improvement in level of knowledge on behavior therapy after problem solving
method of teaching among III yr B.sc nursing student compare with pre test and post test knowledge .
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Impact Factor (JCC): 5.4638 NAAS Rating: 3.54
Figure 3: Frequency and Percentage Distribution of Pre-Test And Post Test Assessing Effectiveness of Problem
Solving Method of Teaching on Level of Knowledge on Behavioral Therapy Among 3rd
Year B. Sc Nursing Students
Studying in Billroth College of Nursing
Inference: Reveals Frequency and percentage distribution of pre-test and post test assessing effectiveness of
problem solving method of teaching on level of knowledge on behavioral therapy among 3rd
year B.sc nursing students
studying in Billroth college of nursing.
Table 4: Frequency and Percentage Distribution of Pre-Test and Post Test Assessing Effectiveness of Concept
Mapping Method of Teaching on Level of Knowledge on Behavioral Therapy among 3rd Year B.SC Nursing
Students Studying in Billroth College of Nursing. N= 20
Level of
knowledge
Pre Test Post Test
NO % NO %
Good knowledge 0 O% 18 90%
Moderate 1 5% 2 10%
Average 4 20% 0 0%
Poor knowledge 15 75% 0 0
P= 0.05
Inference: There is an significant improvement in level of knowledge on behavior therapy after problem solving
method of teaching among III yr B.sc nursing student compare with pre test and post test knowledge.
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Effectiveness of Problem Based Learning Vs Concept Mapping Regarding Level of 27 Knowledge on Behavioral Therapy among Nursing Students- A Comparative Study
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Figure 4: Frequency and Percentage Distribution of Pre-Test and Post Test Assessing Effectiveness of Concept
Mapping Method of Teaching on Level of Knowledge on Behavioral Therapy among 3rd Year B.SC Nursing
Students Studying in Billroth College of Nursing
Inference: Reveals Frequency and percentage distribution of pre-test and post test assessing effectiveness of
concept mapping method of teaching on level of knowledge on behavioral therapy among 3rd
yeaB.sc nursing students
studying in Billroth College of nursing.
Table 5: Mean and Standard Deviation of Pre-Test and Post Test Assessing Effectiveness of Concept Mapping and
Problem Solving on the Level of Knowledge on Behavioral Therapy among Third Year Students. N=20
Variables Pre-Test Post- TestPair ‘t’
Test
Behaviour
Therapy
Mean S.D Mean S.d
22.161
S*31 5.25 60 5
P=0.05
Inference: There is an significant difference in Mean and standard deviation of pre-test and post-test assessing
effectiveness of concept mapping and problem solving on the level of knowledge on behavioral therapy among third year
students. pair “t” test shows highly significance 22.161* at the level of 5%
Table 6: Mean and Standard Deviation of Pre-Test and Post Test AssessingEffectiveness of Concept Mapping on The Level of Knowledge on
Behavioral Therapy among Third Year Students N=40
Variables Pre-Test Post- TestPair ‘t’
Test
Level of knowledge on
Behaviour therapy
Mean S.d Mean S.d
20
S*28 6.02 59 3.18
P=0.05
Inference: There is an significant difference in Mean and standard deviation of of pre-test and post test assessing
effectiveness of problem solving on the level of knowledge on behavioral therapy among third year students. Pair “t”
shows highly significant 20* at the level of 5%
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Impact Factor (JCC): 5.4638 NAAS Rating: 3.54
Table 7: Mean and Standard Deviation of Pre-Test and Post Test Assessing Effectiveness of
Problem Solving on The Level of Knowledge on Behavioral Therapy among
Third Year Students N= 20
Variables Pre-test Post- testPair ‘t’
test
Behaviour therapy
Mean S.D Mean S.D
19
S*35 4.24 56 6
P=0.05
Inference: There is an significant difference in Mean and standard deviation of of pre-test and post test assessing
effectiveness of problem solving on the level of knowledge on behavioral therapy among third year students. Paired ‘t’ test
shows highly significance 19* at level of 5%
Table 8: Association between Level of Knowledge on Behavior Therapy and Demographic Variables N=40
Demographic Variables Good Moderate AveragePoor
Knowledge
Chi square
test and p
value50 and above 40- 50 30-40
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Effectiveness of Problem Based Learning Vs Concept Mapping Regarding Level of 29 Knowledge on Behavioral Therapy among Nursing Students- A Comparative Study
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Table 8: Contd.,
Type of parenting
Father and mother
Only father
Only mother
others
26
3
3
2
65%
7.5%
7.5%
5%
2
2
2
0
5%
5%
5%
0
0
0
0
0
0%
0
0
0
0
0
0
0
0%
0%
0%
0%
X2= 0.36
DF =9
P= 21.67
(N.S)
Order of birth
First
Second
Third and above
11
15
12
.27.5%
37.5%
30%
1
1
0
.2.5%
2.5%
0
0
0
0
0%
0%
0%
0%
0
0
0
0%
0%
0%
0%
X2= 0.95
DF =6
P= 16.81
(N.S)
Inference: There is no significant association between level of knowledge on behavior therapy, concept mapping
and demographic variables
DISCUSSIONS
This discussion is based on the objectives specified in the studies.
The First Objective of the Study is to Asses the Pretest Level of Knowledge in Both Group Regarding
Behavioral Therapy: study to asses on Indian nursing students' changing levels of knowledge on behavior therapy during
their pre-registration programmed Aim: To ascertain nursing students' perceived levels of knowledge on behavior therapy
prior to, and nearing the completion of, their third-year pre-registration programmer. Methods: The students commencing
general nurse education programmers in two schools in Southern India agreed to take part (n=72). A questionnaire adapted
from a number of scales, and tested for validity and reliability in this population, was used to collect data. Results: In
general, students' reported level of knowledge on behavior therapy rose as they approached completion of their third year
education program me.
To Asses the Post Test Level of Knowledge in Both Group Regarding Behavioral Therapy: Conducted a
study on Relationship between contrived in concept mapping and Problem solving on behavior therapy. In post test most of
the students 95% were Used a 2 (concept mapping) x 2 (problem solving) design to investigate the external validity. The
Conflict Resolution Inventory was used as the selection device. Results indicated a positive relationship between problem
solving and concept mapping method of teaching. They also indicated that self-report scores were not predictive of
behavior in the contrived in vivo condition; moreover, knowledge on behavior therapy was enhanced in the problem
solving and concept map method of teaching, while the converse occurred in the contrived in vivo condition. The results
indicate that generalizations to more naturalistic settings like problem solving and concept mapping method of teaching
based upon scores must be made with caution.
To Determine the Effectiveness of Concept Mapping on Level of Knowledge of Regarding Behavior
Therapy: A study on Evaluation of an concept mapping method of teaching on behavior therapy program on nursing and
medical students' behavior therapy, self-esteem, and interpersonal communication satisfaction. Aim: To evaluate the effect
of an knowledge level on behavior therapy training program on nursing and medical student Methods: Using a longitudinal
research design using scale assessing knowledge on behavior therapy. Inventory. Results:. The knowledge on behavior
therapy of the experimental group were significantly improved in nursing and medical students after concept mapping
method of learning
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To Determine the Effectiveness of Problem Solving on the Level of Knowledge Regarding Behavior
Therapy: conducted a study on the the influence of problem solving method of teaching on behavior therapy. Effect of
problem solving method of teaching on self-evaluation of improved knowledge on behavior therapy. Aim: of the study is to
investigate the "differential effect of role-playing enactments" hypothesis through self-evaluations of improvement inbehavior therapy by participants in an assertive training program. Methods: Twenty-two nonassertive Israeli students were
trained in two groups: mimetic-replications (action modeling, n = 12) and spontaneous (self-produced action, n = 10) role-
playing interventions. Results: Comparisons of their scores on the Self-Expression College Scale (CSES) before and after
the training showed that both groups significantly improved their self-evaluations, but the mimetic-replication group did
better. In particular, this group scored significantly higher on the CSES first factor (the willingness to take risks in
situations that involved other, significant persons).
To Compare the Effectiveness of Problem Solving Vs Concept Mapping on Behavior Therapy: Conducted a
study on Behavioral and bodily self concept changes after concept mapping and problem solving method of teaching, Aim
of the study is to finding correlations between the development of behavior therapy through problem solving and concept
map method of teaching, assertive training and the modification of the bodily self concept (or body image).Method: Eleven
social phobic patients (6 women, 5 men, mean age 31.5) are treated in two groups and measured by Rathus's behavior
therapy schedule, and Osgood's semantic differential (key concepts: my self, my body, my voice, my gestures, my look;
control concept: a table). At post test and follow-up (between 6 and 9 months), Results: ANOVA shows a significant
positive change in behavior therapy (p 0.001), correlated with modifications in bodily self concept. The patients are rating
their body and their look as more active and stronger, but the body is perceived as more dangerous (p 0.05). No change
appears in the other key concepts and the control concept. The interrelation between behavioral therapy and problem
solving and concept mapping method of teaching and cognitive changes are discussed.
CONCLUSIONS
To Associate the Level of Knowledge on Behavior Therapy with Selected Demographic Variables: The
association level of behavior therapy with demographic variables in terms of age ,gender, medium of instruction, Religion,
family monthly income, Type of stay, Type of family, type of parenting and order of birth. The inference shows that there
is no significant association with demographic variables. Shahsiah M, Botlani S, (2009) Conducted a study on The effect of
behavior therapy training on student's academic anxiety. Aim of the study is to determine the effect of behavior therapy
training on reducing anxiety levels There were 3 questionnaires, namely demographic, academic anxiety and behavior
therapy Rathus questionnaires in which the validity and reliability were calculated and approved.
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Effectiveness of Problem Based Learning Vs Concept Mapping Regarding Level of 31 Knowledge on Behavioral Therapy among Nursing Students- A Comparative Study
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APPENDIX
Self Structured Questionairre for
Self Assesment of Level of Knowledge on Behavioral Therapy
Table 9
S:NO Questions AgreedPartially
Agrred
Partially
Not Agrred
Not
Agreed
1.Behavior therapy is an form of
psychotherapy.
2.Principles of Behavior therapy is
based on operant conditioning.3.
Behavior therapy is applied to
unwilling patients.
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Table 9: Contd.,
4.Behavior therapy is long
duration therapy.
5.Phobias treatment choice is
behavior therapy
6.Modeling refer to learning ofnew behavior.
7. Time out is an aversive stimulus
8.Systemic desensitization is antechnique to overcome fear of
phobic stimulus.
9.Flooding sometimes called
implosive therapy.
10.Premark principle is an
technique of behavior therapy
11.
Reciprocal inhibition decrease
(or) eliminates maladaptive
behavior12.
Unpleasant aversion is producedby electric stimulus.
13.Behavior therapy includes
relaxation training
14.
Response prevention and
restraints can be combined with
flooding
15.Token economy is an type of
contingency contracting.
Scoring
50 and above- Having Good Knowledge On Behavior Therapy
40-49- having moderate Knowledge On Behavior Therapy
30-40 Having Average Knowledge On Behavior Therapy
Below 30 - Having Poor Knowledge On Behavior Therapy
DEMOGRAPHIC DATA
• Age in years
• 19-20 yrs
• 21-23yrs
• Above24yrs
• Gender
• Male
• Female
• Medium of instruction in school
• English medium
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Effectiveness of Problem Based Learning Vs Concept Mapping Regarding Level of 33 Knowledge on Behavioral Therapy among Nursing Students- A Comparative Study
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• Tamil medium
• Others
• Religion
• Hindu
• Muslim
• Christian
• Others
• Family monthly income
• below Rs 2000
• Rs 2001-3000
• Rs 3001- 4000
• Above 4000
• Type of stay
• Hostel
• Day scholar
• Type of family
• Joint family
• Nuclear family
• Type of parenting
• Father and Mother
• Only Father
•
Only mother
• others
• Order of birth
• First
• Second
• Third and above
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