Portland Community College | Portland, Oregon

Core outcomes.

  • Core Outcomes: Critical Thinking and Problem Solving

Think Critically and Imaginatively

  • Engage the imagination to explore new possibilities.
  • Formulate and articulate ideas.
  • Recognize explicit and tacit assumptions and their consequences.
  • Weigh connections and relationships.
  • Distinguish relevant from non-relevant data, fact from opinion.
  • Identify, evaluate and synthesize information (obtained through library, world-wide web, and other sources as appropriate) in a collaborative environment.
  • Reason toward a conclusion or application.
  • Understand the contributions and applications of associative, intuitive and metaphoric modes of reasoning to argument and analysis.
  • Analyze and draw inferences from numerical models.
  • Determine the extent of information needed.
  • Access the needed information effectively and efficiently.
  • Evaluate information and its sources critically.
  • Incorporate selected information into one’s knowledge base.
  • Understand the economic, legal, and social issues surrounding the use of information, and access and use information ethically and legally.

Problem-Solve

  • Identify and define central and secondary problems.
  • Research and analyze data relevant to issues from a variety of media.
  • Select and use appropriate concepts and methods from a variety of disciplines to solve problems effectively and creatively.
  • Form associations between disparate facts and methods, which may be cross-disciplinary.
  • Identify and use appropriate technology to research, solve, and present solutions to problems.
  • Understand the roles of collaboration, risk-taking, multi-disciplinary awareness, and the imagination in achieving creative responses to problems.
  • Make a decision and take actions based on analysis.
  • Interpret and express quantitative ideas effectively in written, visual, aural, and oral form.
  • Interpret and use written, quantitative, and visual text effectively in presentation of solutions to problems.
  • AB: Auto Collision Repair Technology
  • ABE: Adult Basic Education
  • AD: Addiction Studies
  • AM: Automotive Service Technology
  • AMT: Aviation Maintenance Technology
  • APR: Apprenticeship
  • ARCH: Architectural Design and Drafting
  • ASL: American Sign Language
  • ATH: Anthropology
  • AVS: Aviation Science
  • BA: Business Administration
  • BCT: Building Construction Technology
  • BI: Biology
  • BIT: Bioscience Technology
  • CADD: Computer Aided Design and Drafting
  • CAS/OS: Computer Applications & Web Technologies
  • CG: Counseling and Guidance
  • CH: Chemistry
  • CHLA: Chicano/ Latino Studies
  • CHN: Chinese
  • CIS: Computer Information Systems
  • CJA: Criminal Justice
  • CMET: Civil and Mechanical Engineering Technology
  • COMM: Communication Studies
  • Core Outcomes: Communication
  • Core Outcomes: Community and Environmental Responsibility
  • Core Outcomes: Cultural Awareness
  • Core Outcomes: Professional Competence
  • Core Outcomes: Self-Reflection
  • CS: Computer Science
  • CTT: Computed Tomography
  • DA: Dental Assisting
  • DE: Developmental Education – Reading & Writing
  • DE: Developmental Education – Reading and Writing
  • DH: Dental Hygiene
  • DS: Diesel Service Technology
  • DST: Dealer Service Technology
  • DT: Dental Lab Technology
  • DT: Dental Technology
  • EC: Economics
  • ECE/HEC/HUS: Child and Family Studies
  • ED: Paraeducator and Library Assistant
  • EET: Electronic Engineering Technology
  • ELT: Electrical Trades
  • EMS: Emergency Medical Services
  • ENGR: Engineering
  • ESOL: English for Speakers of Other Languages
  • ESR: Environmental Studies
  • Exercise Science (formerly FT: Fitness Technology)
  • FMT: Facilities Maintenance Technology
  • FN: Foods and Nutrition
  • FOT: Fiber Optics Technology
  • FP: Fire Protection Technology
  • GD: Graphic Design
  • GEO: Geography
  • GER: German
  • GGS: Geology and General Science
  • GRN: Gerontology
  • HE: Health Education
  • HIM: Health Information Management
  • HR: Culinary Assistant Program
  • HST: History
  • ID: Interior Design
  • INSP: Building Inspection Technology
  • Integrated Studies
  • ITP: Sign Language Interpretation
  • J: Journalism
  • JPN: Japanese
  • LAT: Landscape Technology
  • LIB: Library
  • Literature (ENG)
  • MA: Medical Assisting
  • MCH: Machine Manufacturing Technology
  • MLT: Medical Laboratory Technology
  • MM: Multimedia
  • MP: Medical Professions
  • MRI: Magnetic Resonance Imaging
  • MSD: Management/Supervisory Development
  • MT: Microelectronic Technology
  • MTH: Mathematics
  • MUC: Music & Sonic Arts (formerly Professional Music)
  • NRS: Nursing
  • OMT: Ophthalmic Medical Technology
  • OST: Occupational Skills Training
  • PCC Core Outcomes/Course Mapping Matrix
  • PE: Physical Education
  • PHL: Philosophy
  • PHY: Physics
  • PL: Paralegal
  • PS: Political Science
  • PSY: Psychology
  • Race, Indigenous Nations, and Gender (RING)
  • RAD: Radiography
  • RE: Real Estate
  • RUS: Russian
  • SC: Skill Center
  • SOC: Sociology
  • SPA: Spanish
  • TA: Theatre Arts
  • TE: Facilities Maintenance
  • VP: Video Production
  • VT: Veterinary Technology
  • WLD: Welding Technology
  • Writing/Composition
  • WS: Women’s and Gender Studies

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Creating Learning Outcomes

Main navigation.

A learning outcome is a concise description of what students will learn and how that learning will be assessed. Having clearly articulated learning outcomes can make designing a course, assessing student learning progress, and facilitating learning activities easier and more effective. Learning outcomes can also help students regulate their learning and develop effective study strategies.

Defining the terms

Educational research uses a number of terms for this concept, including learning goals, student learning objectives, session outcomes, and more. 

In alignment with other Stanford resources, we will use learning outcomes as a general term for what students will learn and how that learning will be assessed. This includes both goals and objectives. We will use learning goals to describe general outcomes for an entire course or program. We will use learning objectives when discussing more focused outcomes for specific lessons or activities.

For example, a learning goal might be “By the end of the course, students will be able to develop coherent literary arguments.” 

Whereas a learning objective might be, “By the end of Week 5, students will be able to write a coherent thesis statement supported by at least two pieces of evidence.”

Learning outcomes benefit instructors

Learning outcomes can help instructors in a number of ways by:

  • Providing a framework and rationale for making course design decisions about the sequence of topics and instruction, content selection, and so on.
  • Communicating to students what they must do to make progress in learning in your course.
  • Clarifying your intentions to the teaching team, course guests, and other colleagues.
  • Providing a framework for transparent and equitable assessment of student learning. 
  • Making outcomes concerning values and beliefs, such as dedication to discipline-specific values, more concrete and assessable.
  • Making inclusion and belonging explicit and integral to the course design.

Learning outcomes benefit students 

Clearly, articulated learning outcomes can also help guide and support students in their own learning by:

  • Clearly communicating the range of learning students will be expected to acquire and demonstrate.
  • Helping learners concentrate on the areas that they need to develop to progress in the course.
  • Helping learners monitor their own progress, reflect on the efficacy of their study strategies, and seek out support or better strategies. (See Promoting Student Metacognition for more on this topic.)

Choosing learning outcomes

When writing learning outcomes to represent the aims and practices of a course or even a discipline, consider:

  • What is the big idea that you hope students will still retain from the course even years later?
  • What are the most important concepts, ideas, methods, theories, approaches, and perspectives of your field that students should learn?
  • What are the most important skills that students should develop and be able to apply in and after your course?
  • What would students need to have mastered earlier in the course or program in order to make progress later or in subsequent courses?
  • What skills and knowledge would students need if they were to pursue a career in this field or contribute to communities impacted by this field?
  • What values, attitudes, and habits of mind and affect would students need if they are to pursue a career in this field or contribute to communities impacted by this field?
  • How can the learning outcomes span a wide range of skills that serve students with differing levels of preparation?
  • How can learning outcomes offer a range of assessment types to serve a diverse student population?

Use learning taxonomies to inform learning outcomes

Learning taxonomies describe how a learner’s understanding develops from simple to complex when learning different subjects or tasks. They are useful here for identifying any foundational skills or knowledge needed for more complex learning, and for matching observable behaviors to different types of learning.

Bloom’s Taxonomy

Bloom’s Taxonomy is a hierarchical model and includes three domains of learning: cognitive, psychomotor, and affective. In this model, learning occurs hierarchically, as each skill builds on previous skills towards increasingly sophisticated learning. For example, in the cognitive domain, learning begins with remembering, then understanding, applying, analyzing, evaluating, and lastly creating. 

Taxonomy of Significant Learning

The Taxonomy of Significant Learning is a non-hierarchical and integral model of learning. It describes learning as a meaningful, holistic, and integral network. This model has six intersecting domains: knowledge, application, integration, human dimension, caring, and learning how to learn. 

See our resource on Learning Taxonomies and Verbs for a summary of these two learning taxonomies.

How to write learning outcomes

Writing learning outcomes can be made easier by using the ABCD approach. This strategy identifies four key elements of an effective learning outcome:

Consider the following example: Students (audience) , will be able to label and describe (behavior) , given a diagram of the eye at the end of this lesson (condition) , all seven extraocular muscles, and at least two of their actions (degree) .

Audience 

Define who will achieve the outcome. Outcomes commonly include phrases such as “After completing this course, students will be able to...” or “After completing this activity, workshop participants will be able to...”

Keeping your audience in mind as you develop your learning outcomes helps ensure that they are relevant and centered on what learners must achieve. Make sure the learning outcome is focused on the student’s behavior, not the instructor’s. If the outcome describes an instructional activity or topic, then it is too focused on the instructor’s intentions and not the students.

Try to understand your audience so that you can better align your learning goals or objectives to meet their needs. While every group of students is different, certain generalizations about their prior knowledge, goals, motivation, and so on might be made based on course prerequisites, their year-level, or majors. 

Use action verbs to describe observable behavior that demonstrates mastery of the goal or objective. Depending on the skill, knowledge, or domain of the behavior, you might select a different action verb. Particularly for learning objectives which are more specific, avoid verbs that are vague or difficult to assess, such as “understand”, “appreciate”, or “know”.

The behavior usually completes the audience phrase “students will be able to…” with a specific action verb that learners can interpret without ambiguity. We recommend beginning learning goals with a phrase that makes it clear that students are expected to actively contribute to progressing towards a learning goal. For example, “through active engagement and completion of course activities, students will be able to…”

Example action verbs

Consider the following examples of verbs from different learning domains of Bloom’s Taxonomy . Generally speaking, items listed at the top under each domain are more suitable for advanced students, and items listed at the bottom are more suitable for novice or beginning students. Using verbs and associated skills from all three domains, regardless of your discipline area, can benefit students by diversifying the learning experience. 

For the cognitive domain:

  • Create, investigate, design
  • Evaluate, argue, support
  • Analyze, compare, examine
  • Solve, operate, demonstrate
  • Describe, locate, translate
  • Remember, define, duplicate, list

For the psychomotor domain:

  • Invent, create, manage
  • Articulate, construct, solve
  • Complete, calibrate, control
  • Build, perform, execute
  • Copy, repeat, follow

For the affective domain:

  • Internalize, propose, conclude
  • Organize, systematize, integrate
  • Justify, share, persuade
  • Respond, contribute, cooperate
  • Capture, pursue, consume

Often we develop broad goals first, then break them down into specific objectives. For example, if a goal is for learners to be able to compose an essay, break it down into several objectives, such as forming a clear thesis statement, coherently ordering points, following a salient argument, gathering and quoting evidence effectively, and so on.

State the conditions, if any, under which the behavior is to be performed. Consider the following conditions:

  • Equipment or tools, such as using a laboratory device or a specified software application.
  • Situation or environment, such as in a clinical setting, or during a performance.
  • Materials or format, such as written text, a slide presentation, or using specified materials.

The level of specificity for conditions within an objective may vary and should be appropriate to the broader goals. If the conditions are implicit or understood as part of the classroom or assessment situation, it may not be necessary to state them. 

When articulating the conditions in learning outcomes, ensure that they are sensorily and financially accessible to all students.

Degree 

Degree states the standard or criterion for acceptable performance. The degree should be related to real-world expectations: what standard should the learner meet to be judged proficient? For example:

  • With 90% accuracy
  • Within 10 minutes
  • Suitable for submission to an edited journal
  • Obtain a valid solution
  • In a 100-word paragraph

The specificity of the degree will vary. You might take into consideration professional standards, what a student would need to succeed in subsequent courses in a series, or what is required by you as the instructor to accurately assess learning when determining the degree. Where the degree is easy to measure (such as pass or fail) or accuracy is not required, it may be omitted.

Characteristics of effective learning outcomes

The acronym SMART is useful for remembering the characteristics of an effective learning outcome.

  • Specific : clear and distinct from others.
  • Measurable : identifies observable student action.
  • Attainable : suitably challenging for students in the course.
  • Related : connected to other objectives and student interests.
  • Time-bound : likely to be achieved and keep students on task within the given time frame.

Examples of effective learning outcomes

These examples generally follow the ABCD and SMART guidelines. 

Arts and Humanities

Learning goals.

Upon completion of this course, students will be able to apply critical terms and methodology in completing a written literary analysis of a selected literary work.

At the end of the course, students will be able to demonstrate oral competence with the French language in pronunciation, vocabulary, and language fluency in a 10 minute in-person interview with a member of the teaching team.

Learning objectives

After completing lessons 1 through 5, given images of specific works of art, students will be able to identify the artist, artistic period, and describe their historical, social, and philosophical contexts in a two-page written essay.

By the end of this course, students will be able to describe the steps in planning a research study, including identifying and formulating relevant theories, generating alternative solutions and strategies, and application to a hypothetical case in a written research proposal.

At the end of this lesson, given a diagram of the eye, students will be able to label all of the extraocular muscles and describe at least two of their actions.

Using chemical datasets gathered at the end of the first lab unit, students will be able to create plots and trend lines of that data in Excel and make quantitative predictions about future experiments.

  • How to Write Learning Goals , Evaluation and Research, Student Affairs (2021).
  • SMART Guidelines , Center for Teaching and Learning (2020).
  • Learning Taxonomies and Verbs , Center for Teaching and Learning (2021).

Center for Teaching Innovation

Resource library.

  • Establishing Community Agreements and Classroom Norms
  • Sample group work rubric
  • Problem-Based Learning Clearinghouse of Activities, University of Delaware

Problem-Based Learning

Problem-based learning  (PBL) is a student-centered approach in which students learn about a subject by working in groups to solve an open-ended problem. This problem is what drives the motivation and the learning. 

Why Use Problem-Based Learning?

Nilson (2010) lists the following learning outcomes that are associated with PBL. A well-designed PBL project provides students with the opportunity to develop skills related to:

  • Working in teams.
  • Managing projects and holding leadership roles.
  • Oral and written communication.
  • Self-awareness and evaluation of group processes.
  • Working independently.
  • Critical thinking and analysis.
  • Explaining concepts.
  • Self-directed learning.
  • Applying course content to real-world examples.
  • Researching and information literacy.
  • Problem solving across disciplines.

Considerations for Using Problem-Based Learning

Rather than teaching relevant material and subsequently having students apply the knowledge to solve problems, the problem is presented first. PBL assignments can be short, or they can be more involved and take a whole semester. PBL is often group-oriented, so it is beneficial to set aside classroom time to prepare students to   work in groups  and to allow them to engage in their PBL project.

Students generally must:

  • Examine and define the problem.
  • Explore what they already know about underlying issues related to it.
  • Determine what they need to learn and where they can acquire the information and tools necessary to solve the problem.
  • Evaluate possible ways to solve the problem.
  • Solve the problem.
  • Report on their findings.

Getting Started with Problem-Based Learning

  • Articulate the learning outcomes of the project. What do you want students to know or be able to do as a result of participating in the assignment?
  • Create the problem. Ideally, this will be a real-world situation that resembles something students may encounter in their future careers or lives. Cases are often the basis of PBL activities. Previously developed PBL activities can be found online through the University of Delaware’s PBL Clearinghouse of Activities .
  • Establish ground rules at the beginning to prepare students to work effectively in groups.
  • Introduce students to group processes and do some warm up exercises to allow them to practice assessing both their own work and that of their peers.
  • Consider having students take on different roles or divide up the work up amongst themselves. Alternatively, the project might require students to assume various perspectives, such as those of government officials, local business owners, etc.
  • Establish how you will evaluate and assess the assignment. Consider making the self and peer assessments a part of the assignment grade.

Nilson, L. B. (2010).  Teaching at its best: A research-based resource for college instructors  (2nd ed.).  San Francisco, CA: Jossey-Bass. 

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  • v.31(3); 2021 Jun

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Effective Learning Behavior in Problem-Based Learning: a Scoping Review

Azril shahreez abdul ghani.

1 Department of Basic Medical Sciences, Kulliyah of Medicine, Bandar Indera Mahkota Campus, International Islamic University Malaysia, Kuantan, 25200 Pahang Malaysia

2 Department of Medical Education, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kota Bharu, 16150 Kelantan Malaysia

Ahmad Fuad Abdul Rahim

Muhamad saiful bahri yusoff, siti nurma hanim hadie.

3 Department of Anatomy, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan Malaysia

Problem-based learning (PBL) emphasizes learning behavior that leads to critical thinking, problem-solving, communication, and collaborative skills in preparing students for a professional medical career. However, learning behavior that develops these skills has not been systematically described. This review aimed to unearth the elements of effective learning behavior in a PBL context, using the protocol by Arksey and O’Malley. The protocol identified the research question, selected relevant studies, charted and collected data, and collated, summarized, and reported results. We discovered three categories of elements—intrinsic empowerment, entrustment, and functional skills—proven effective in the achievement of learning outcomes in PBL.

Introduction

Problem-based learning (PBL) is an educational approach that utilizes the principles of collaborative learning in small groups, first introduced by McMaster Medical University [ 1 ]. The shift of the higher education curriculum from traditional, lecture-based approaches to an integrated, student-centered approach was triggered by concern over the content-driven nature of medical knowledge with minimal clinical application [ 2 ]. The PBL pedagogy uses a systematic approach, starting with an authentic, real-life problem scenario as a context in which learning is not separated from practice as students collaborate and learn [ 3 ]. The tutor acts as a facilitator who guides the students’ learning, while students are required to solve the problems by discussing them with group members [ 4 ]. The essential aspect of the PBL process is the ability of the students to recognize their current knowledge, determine the gaps in their knowledge and experience, and acquire new knowledge to bridge the gaps [ 5 ]. PBL is a holistic approach that gives students an active role in their learning.

Since its inception, PBL has been used in many undergraduate and postgraduate degree programs, such as medicine [ 6 , 7 ], nursing [ 8 ], social work education [ 9 ], law [ 10 ], architecture [ 11 ], economics [ 12 ], business [ 13 ], science [ 14 ], and engineering [ 15 ]. It has also been applied in elementary and secondary education [ 16 – 18 ]. Despite its many applications, its implementation is based on a single universal workflow framework that contains three elements: problem as the initiator for learning, tutor as a facilitator in the group versions, and group work as a stimulus for collaborative interaction [ 19 ]. However, there are various versions of PBL workflow, such as the seven-step technique based on the Maastricht “seven jumps” process. The tutor’s role is to ensure the achievement of learning objectives and to assess students’ performance [ 20 , 21 ].

The PBL process revolves around four types of learning principles: constructive, self-directed, collaborative, and contextual [ 19 ]. Through the constructive learning process, the students are encouraged to think about what is already known and integrate their prior knowledge with their new understanding. This process helps the student understand the content, form a new opinion, and acquire new knowledge [ 22 ]. The PBL process encourages students to become self-directed learners who plan, monitor, and evaluate their own learning, enabling them to become lifelong learners [ 23 ]. The contextualized collaborative learning process also promotes interaction among students, who share similar responsibilities to achieve common goals relevant to the learning context [ 24 ]. By exchanging ideas and providing feedback during the learning session, the students can attain a greater understanding of the subject matter [ 25 ].

Dolmans et al. [ 19 ] pointed out two issues related to the implementation of PBL: dominant facilitators and dysfunctional PBL groups. These problems inhibit students’ self-directed learning and reduce their satisfaction level with the PBL session. A case study by Eryilmaz [ 26 ] that evaluated engineering students’ and tutors’ experience of PBL discovered that PBL increased the students’ self-confidence and improved essential skills such as problem-solving, communications, critical thinking, and collaboration. Although most of the participants in the study found PBL satisfactory, many complained about the tutor’s poor guidance and lack of preparation. Additionally, it was noted that 64% of the first-year students were unable to adapt to the PBL system because they had been accustomed to conventional learning settings and that 43% of students were not adequately prepared for the sessions and thus were minimally involved in the discussion.

In a case study by Cónsul-giribet [ 27 ], newly graduated nursing professionals reported a lack of perceived theoretical basic science knowledge at the end of their program, despite learning through PBL. The nurses perceived that this lack of knowledge might affect their expertise, identity, and professional image.

Likewise, a study by McKendree [ 28 ] reported the outcomes of a workshop that explored the strengths and weaknesses of PBL in an allied health sciences curriculum in the UK. The workshop found that problems related to PBL were mainly caused by students, the majority of whom came from conventional educational backgrounds either during high school or their first degree. They felt anxious when they were involved in PBL, concerned about “not knowing when to stop” in exploring the learning needs. Apart from a lack of basic science knowledge, the knowledge acquired during PBL sessions remains unorganized [ 29 ]. Hence, tutors must guide students in overcoming this situation by instilling appropriate insights and essential skills for the achievement of the learning outcomes [ 30 ]. It was also evident that the combination of intention and motivation to learn and desirable learning behavior determined the quality of learning outcomes [ 31 , 32 ]. However, effective learning behaviors that help develop these skills have not been systematically described. Thus, this scoping review aimed to unearth the elements of effective learning behavior in the PBL context.

Scoping Review Protocol

This scoping review was performed using a protocol by Arksey and O’Malley [ 33 ]. The protocol comprises five phases: (i) identification of research questions, (ii) identification of relevant articles, (iii) selection of relevant studies, (iv) data collection and charting, and (v) collating, summarizing, and reporting the results.

Identification of Research Questions

This scoping review was designed to unearth the elements of effective learning behavior that can be generated from learning through PBL instruction. The review aimed to answer one research question: “What are the effective learning behavior elements related to PBL?” For the purpose of the review, an operational definition of effective learning behavior was constructed, whereby it was defined as any learning behavior that is related to PBL instruction and has been shown to successfully attain the desired learning outcomes (i.e., cognitive, skill, or affective)—either quantitatively or qualitatively—in any intervention conducted in higher education institutions.

The positive outcome variables include student viewpoint or perception, student learning experience and performance, lecturer viewpoint and expert judgment, and other indirect variables that may be important indicators of successful PBL learning (i.e., attendance to PBL session, participation in PBL activity, number of interactions in PBL activity, and improvement in communication skills in PBL).

Identification of Relevant Articles

An extensive literature search was conducted on articles published in English between 2015 and 2019. Three databases—Google Scholar, Scopus, and PubMed—were used for the literature search. Seven search terms with the Boolean combination were used, whereby the keywords were identified from the Medical Subject Headings (MeSH) and Education Resources Information Center (ERIC) databases. The search terms were tested and refined with multiple test searches. The final search terms with the Boolean operation were as follows: “problem-based learning” AND (“learning behavior” OR “learning behaviour”) AND (student OR “medical students” OR undergraduate OR “medical education”).

Selection of Relevant Articles

The articles from the three databases were exported manually into Microsoft Excel. The duplicates were removed, and the remaining articles were reviewed based on the inclusion and exclusion criteria. These criteria were tested on titles and abstracts to ensure their robustness in capturing the articles related to learning behavior in PBL. The shortlisted articles were reviewed by two independent researchers, and a consensus was reached either to accept or reject each article based on the set criteria. When a disagreement occurred between the two reviewers, the particular article was re-evaluated independently by the third and fourth researchers (M.S.B.Y and A.F.A.R), who have vast experience in conducting qualitative research. The sets of criteria for selecting abstracts and final articles were developed. The inclusion and exclusion criteria are listed in Table ​ Table1 1 .

Inclusion and exclusion criteria

Data Charting

The selected final articles were reviewed, and several important data were extracted to provide an objective summary of the review. The extracted data were charted in a table, including the (i) title of the article, (ii) author(s), (iii) year of publication, (iv) aim or purpose of the study, (v) study design and method, (iv) intervention performed, and (v) study population and sample size.

Collating, Summarizing, and Reporting the Results

A content analysis was performed to identify the elements of effective learning behaviors in the literature by A.S.A.G and S.N.H.H, who have experience in conducting qualitative studies. The initial step of content analysis was to read the selected articles thoroughly to gain a general understanding of the articles and extract the elements of learning behavior which are available in the articles. Next, the elements of learning behavior that fulfil the inclusion criteria were extracted. The selected elements that were related to each other through their content or context were grouped into subtheme categories. Subsequently, the combinations of several subthemes expressing similar underlying meanings were grouped into themes. Each of the themes and subthemes was given a name, which was operationally defined based on the underlying elements. The selected themes and subthemes were presented to the independent researchers in the team (M.S.B.Y and A.F.A.R), and a consensus was reached either to accept or reformulate each of the themes and subthemes. The flow of the scoping review methods for this study is illustrated in Fig.  1 .

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The flow of literature search and article selection

Literature Search

Based on the keyword search, 1750 articles were obtained. Duplicate articles that were not original articles found in different databases and resources were removed. Based on the inclusion and exclusion criteria of title selection, the eligibility of 1750 abstracts was evaluated. The articles that did not fulfil the criteria were removed, leaving 328 articles for abstract screening. A total of 284 articles were screened according to the eligibility criteria for abstract selection. Based on these criteria, 284 articles were selected and screened according to the eligibility criteria for full article selection. Fourteen articles were selected for the final review. The information about these articles is summarized in Table ​ Table2 2 .

Studies characteristics

Study Characteristics

The final 14 articles were published between 2015 and 2019. The majority of the studies were conducted in Western Asian countries ( n  = 4), followed by China ( n  = 3), European countries ( n  = 2), Thailand ( n  = 2), Indonesia ( n  = 1), Singapore ( n  = 1), and South Africa ( n  = 1). Apart from traditional PBL, some studies incorporated other pedagogic modalities into their PBL sessions, such as online learning, blended learning, and gamification. The majority of the studies targeted a single-profession learner group, and one study was performed on mixed interprofessional health education learners.

Results of Thematic Analysis

The thematic analysis yielded three main themes of effective learning behavior: intrinsic empowerment, entrustment, and functional skills. Intrinsic empowerment overlies four proposed subthemes: proactivity, organization, diligence, and resourcefulness. For entrustment, there were four underlying subthemes: students as assessors, students as teachers, feedback-giving, and feedback-receiving. The functional skills theme contains four subthemes: time management, digital proficiency, data management, and collaboration.

Theme 1: Intrinsic Empowerment

Intrinsic empowerment enforces student learning behavior that can facilitate the achievement of learning outcomes. By empowering the development of these behaviors, students can become lifelong learners [ 34 ]. The first element of intrinsic empowerment is proactive behavior. In PBL, the students must be proactive in analyzing problems [ 35 , 36 ] and their learning needs [ 35 , 37 ], and this can be done by integrating prior knowledge and previous experience through a brainstorming session [ 35 , 38 ]. The students must be proactive in seeking guidance to ensure they stay focused and confident [ 39 , 40 ]. Finding ways to integrate content from different disciplines [ 35 , 41 ], formulate new explanations based on known facts [ 34 , 35 , 41 ], and incorporate hands-on activity [ 35 , 39 , 42 ] during a PBL session are also proactive behaviors.

The second element identified is “being organized” which reflects the ability of students to systematically manage their roles [ 43 ], ideas, and learning needs [ 34 ]. The students also need to understand the task for each learning role in PBL, such as chairperson or leader, scribe, recorder, and reflector. This role needs to be assigned appropriately to ensure that all members take part in the discussion [ 43 ]. Similarly, when discussing ideas or learning needs, the students need to follow the steps in the PBL process and organize and prioritize the information to ensure that the issues are discussed systematically and all aspects of the problems are covered accordingly [ 34 , 37 ]. This team organization and systematic thought process is an effective way for students to focus, plan, and finalize their learning tasks.

The third element of intrinsic empowerment is “being diligent.” Students must consistently conduct self-revision [ 40 ] and keep track of their learning plan to ensure the achievement of their learning goal [ 4 , 40 ]. The students must also be responsible for completing any given task and ensuring good understanding prior to their presentation [ 40 ]. Appropriate actions need to be undertaken to find solutions to unsolved problems [ 40 , 44 ]. This effort will help them think critically and apply their knowledge for problem-solving.

The fourth element identified is “being resourceful.” Students should be able to acquire knowledge from different resources, which include external resources (i.e., lecture notes, textbooks, journal articles, audiovisual instructions, the Internet) [ 38 , 40 , 45 ] and internal resources (i.e., students’ prior knowledge or experience) [ 35 , 39 ]. The resources must be evidence-based, and thus should be carefully selected by evaluating their cross-references and appraising them critically [ 37 ]. Students should also be able to understand and summarize the learned materials and explain them using their own words [ 4 , 34 ]. The subthemes of the intrinsic empowerment theme are summarized in Table ​ Table3 3 .

 Intrinsic empowerment subtheme with the learning behavior elements

Theme 2: Entrustment

Entrustment emphasizes the various roles of students in PBL that can promote effective learning. The first entrusted role identified is “student as an assessor.” This means that students evaluate their own performance in PBL [ 46 ]. The evaluation of their own performance must be based on the achievement of the learning outcomes and reflect actual understanding of the content as well as the ability to apply the learned information in problem-solving [ 46 ].

The second element identified in this review is “student as a teacher.” To ensure successful peer teaching in PBL, students need to comprehensively understand the content of the learning materials and summarize the content in an organized manner. The students should be able to explain the gist of the discussed information using their own words [ 4 , 34 ] and utilize teaching methods to cater to differences in learning styles (i.e., visual, auditory, and kinesthetic) [ 41 ]. These strategies help capture their group members’ attention and evoke interactive discussions among them.

The third element of entrustment is to “give feedback.” Students should try giving constructive feedback on individual and group performance in PBL. Feedback on individual performance must reflect the quality of the content and task presented in the PBL. Feedback on group performance should reflect the ways in which the group members communicate and complete the group task [ 47 ]. To ensure continuous constructive feedback, students should be able to generate feedback questions beforehand and immediately deliver them during the PBL sessions [ 44 , 47 ]. In addition, the feedback must include specific measures for improvement to help their peers to take appropriate action for the future [ 47 ].

The fourth element of entrustment is “receive feedback.” Students should listen carefully to the feedback given and ask questions to clarify the feedback [ 47 ]. They need to be attentive and learn to deal with negative feedback [ 47 ]. Also, if the student does not receive feedback, they should request it either from peers or teachers and ask specific questions, such as what aspects to improve and how to improve [ 47 ]. The data on the subthemes of the entrustment theme are summarized in Table ​ Table4 4 .

Entrustment subtheme with the learning behavior elements

Theme 3: Functional Skills

Functional skills refer to essential skills that can help students learn independently and competently. The first element identified is time management skills. In PBL, students must know how to prioritize learning tasks according to the needs and urgency of the tasks [ 40 ]. To ensure that students can self-pace their learning, a deadline should be set for each learning task within a manageable and achievable learning schedule [ 40 ].

Furthermore, students should have digital proficiency, the ability to utilize digital devices to support learning [ 38 , 40 , 44 ]. The student needs to know how to operate basic software (e.g., Words and PowerPoints) and the basic digital tools (i.e., social media, cloud storage, simulation, and online community learning platforms) to support their learning [ 39 , 40 ]. These skills are important for peer learning activities, which may require information sharing, information retrieval, online peer discussion, and online peer feedback [ 38 , 44 ].

The third functional skill identified is data management, the ability to collect key information in the PBL trigger and analyze that information to support the solution in a problem-solving activity [ 39 ]. Students need to work either individually or in a group to collect the key information from a different trigger or case format such as text lines, an interview, an investigation, or statistical results [ 39 ]. Subsequently, students also need to analyze the information and draw conclusions based on their analysis [ 39 ].

The fourth element of functional skill is collaboration. Students need to participate equally in the PBL discussion [ 41 , 46 ]. Through discussion, confusion and queries can be addressed and resolved by listening, respecting others’ viewpoints, and responding professionally [ 35 , 39 , 43 , 44 ]. In addition, the students need to learn from each other and reflect on their performance [ 48 ]. Table ​ Table5 5 summarizes the data on the subthemes of the functional skills theme.

Functional skills subtheme with the learning behavior elements

This scoping review outlines three themes of effective learning behavior elements in the PBL context: intrinsic empowerment, entrustment, and functional skills. Hence, it is evident from this review that successful PBL instruction demands students’ commitment to empower themselves with value-driven behaviors, skills, and roles.

In this review, intrinsic empowerment is viewed as enforcement of students’ internal strength in performing positive learning behaviors related to PBL. This theme requires the student to proactively engage in the learning process, organize their learning activities systematically, persevere in learning, and be intelligently resourceful. One of the elements of intrinsic empowerment is the identification and analysis of problems related to complex scenarios. This element is aligned with a study by Meyer [ 49 ], who observed students’ engagement in problem identification and clarification prior to problem-solving activities in a PBL session related to multiple engineering design. Rubenstein and colleagues [ 50 ] discovered in a semi-structured interview the importance of undergoing a problem identification process before proposing a solution during learning. It was reported that the problem identification process in PBL may enhance the attainment of learning outcomes, specifically in the domain of concept understanding [ 51 ].

The ability of the students to acquire and manage learning resources is essential for building their understanding of the learned materials and enriching discussion among team members during PBL. This is aligned with a study by Jeong and Hmelo-Silver [ 52 ], who studied the use of learning resources by students in PBL. The study concluded that in a resource-rich environment, the students need to learn how to access and understand the resources to ensure effective learning. Secondly, they need to process the content of the resources, integrate various resources, and apply them in problem-solving activities. Finally, they need to use the resources in collaborative learning activities, such as sharing and relating to peer resources.

Wong [ 53 ] documented that excellent students spent considerably more time managing academic resources than low achievers. The ability of the student to identify and utilize their internal learning resources, such as prior knowledge and experience, is also important. A study by Lee et al. [ 54 ] has shown that participants with high domain-specific prior knowledge displayed a more systematic approach and high accuracy in visual and motor reactions in solving problems compared to novice learners.

During the discussion phase in PBL, organizing ideas—e.g., arranging relevant information gathered from the learning resources into relevant categories—is essential for communicating the idea clearly [ 34 ]. This finding is in line with a typology study conducted by Larue [ 55 ] on second-year nursing students’ learning strategies during a group discussion. The study discovered that although the content presented by the student is adequate, they unable to make further progress in the group discussion until they are instructed by the tutor on how to organize the information given into a category [ 55 ].

Hence, the empowerment of student intrinsic behavior may enhance students’ learning in PBL by allowing them to make a decision in their learning objectives and instilling confidence in them to achieve goals. A study conducted by Kirk et al. [ 56 ] proved that highly empowered students obtain better grades, increase learning participation, and target higher educational aspirations.

Entrustment is the learning role given to students to be engaging and identify gaps in their learning. This theme requires the student to engage in self-assessment, prepare to teach others, give constructive feedback, and value the feedback received. One of the elements of entrustment is the ability to self-assess. In a study conducted by Mohd et al. [ 57 ] looking at the factors in PBL that can strengthen the capability of IT students, they discovered that one of the critical factors that contribute to these skills is the ability of the student to perform self-assessment in PBL. As mentioned by Daud, Kassim, and Daud [ 58 ], the self-assessment may be more reliable if the assessment is performed based on the objectives set beforehand and if the criteria of the assessment are understood by the learner. This is important to avoid the fact that the result of the self-assessment is influenced by the students’ perception of themselves rather than reflecting their true performance. However, having an assessment based on the learning objective only focuses on the immediate learning requirements in the PBL. To foster lifelong learning skills, it should also be balanced with the long-term focus of assessment, such as utilizing the assessment to foster the application of knowledge in solving real-life situations. This is aligned with the review by Boud and Falchikov [ 59 ] suggesting that students need to become assessors within the concept of participation in practice, that is, the kind that is within the context of real life and work.

The second subtheme of entrustment is “students as a teacher” in PBL. In our review, the student needs to be well prepared with the teaching materials. A cross-sectional study conducted by Charoensakulchai and colleagues discovered that student preparation is considered among the important factors in PBL success, alongside other factors such as “objective and contents,” “student assessment,” and “attitude towards group work” [ 60 ]. This is also aligned with a study conducted by Sukrajh [ 61 ] using focus group discussion on fifth-year medical students to explore their perception of preparedness before conducting peer teaching activity. In this study, the student in the focus group expressed that the preparation made them more confident in teaching others because preparing stimulated them to activate and revise prior knowledge, discover their knowledge gaps, construct new knowledge, reflect on their learning, improve their memory, inspire them to search several resources, and motivate them to learn the topics.

The next element of “student as a teacher” is using various learning styles to teach other members in the group. A study conducted by Almomani [ 62 ] showed that the most preferred learning pattern by the high school student is the visual pattern, followed by auditory pattern and then kinesthetic. However, in the university setting, Hamdani [ 63 ] discovered that students prefer a combination of the three learning styles. Anbarasi [ 64 ] also explained that incorporating teaching methods based on the student’s preferred learning style further promotes active learning among the students and significantly improved the long-term retrieval of knowledge. However, among the three learning styles group, he discovered that the kinesthetic group with the kinesthetic teaching method showed a significantly higher post-test score compared to the traditional group with the didactic teaching method, and he concluded that this is because of the involvement of more active learning activity in the kinesthetic group.

The ability of students to give constructive feedback on individual tasks is an important element in promoting student contribution in PBL because feedback from peers or teachers is needed to reassure themselves that they are on the right track in the learning process. Kamp et al. [ 65 ] performed a study on the effectiveness of midterm peer feedback on student individual cognitive, collaborative, and motivational contributions in PBL. The experimental group that received midterm peer feedback combined with goal-setting with face-to-face discussion showed an increased amount of individual contributions in PBL. Another element of effective feedback is that the feedback is given immediately after the observed behavior. Parikh and colleagues survey student feedback in PBL environments among 103 final-year medical students in five Ontario schools, including the University of Toronto, McMaster University, Queens University, the University of Ottawa, and the University of Western Ontario. They discovered that there was a dramatic difference between McMaster University and other universities in the immediacy of feedback they practiced. Seventy percent of students at McMaster reported receiving immediate feedback in PBL, compared to less than 40 percent of students from the other universities, in which most of them received feedback within one week or several weeks after the PBL had been conducted [ 66 ]. Another study, conducted among students of the International Medical University of Kuala Lumpur examining the student expectation on feedback, discovered that immediate feedback is effective if the feedback is in written form, simple but focused on the area of improvement, and delivered by a content expert. If the feedback is delivered by a content non-expert and using a model answer, it must be supplemented with teacher dialogue sessions to clarify the feedback received [ 67 ].

Requesting feedback from peers and teachers is an important element of the PBL learning environment, enabling students to discover their learning gaps and ways to fill them. This is aligned with a study conducted by de Jong and colleagues [ 68 ], who discovered that high-performing students are more motivated to seek feedback than low-performing students. The main reason for this is because high-performing students seek feedback as a tool to learn from, whereas low-performing students do so as an academic requirement. This resulted in high-performing students collecting more feedback. A study by Bose and Gijselaers [ 69 ] examined the factors that promote feedback-seeking behavior in medical residency. They discovered that feedback-seeking behavior can be promoted by providing residents with high-quality feedback to motivate them to ask for feedback for improvement.

By assigning an active role to students as teachers, assessors, and feedback providers, teachers give them the ownership and responsibility to craft their learning. The learner will then learn the skills to monitor and reflect on their learning to achieve academic success. Furthermore, an active role encourages students to be evaluative experts in their own learning, and promoting deep learning [ 70 ].

Functional skills refer to essential abilities for competently performing a task in PBL. This theme requires the student to organize and plan time for specific learning tasks, be digitally literate, use data effectively to support problem-solving, and work together efficiently to achieve agreed objectives. One of the elements in this theme is to have a schedule of learning tasks with deadlines. In a study conducted by Tadjer and colleagues [ 71 ], they discovered that setting deadlines with a restricted time period in a group activity improved students’ cognitive abilities and soft skills. Although the deadline may initially cause anxiety, coping with it encourages students to become more creative and energetic in performing various learning strategies [ 72 , 73 ]. Ballard et al. [ 74 ] reported that students tend to work harder to complete learning tasks if they face multiple deadlines.

The students also need to be digitally literate—i.e., able to demonstrate the use of technological devices and tools in PBL. Taradi et al. [ 75 ] discovered that incorporating technology in learning—blending web technology with PBL—removes time and place barriers in the creation of a collaborative environment. It was found that students who participated in web discussions achieved a significantly higher mean grade on a physiology final examination than those who used traditional methods. Also, the incorporation of an online platform in PBL can facilitate students to develop investigation and inquiry skills with high-level cognitive thought processes, which is crucial to successful problem-solving [ 76 ].

In PBL, students need to work collaboratively with their peers to solve problems. A study by Hidayati et al. [ 77 ] demonstrated that effective collaborative skills improve cognitive learning outcomes and problem-solving ability among students who undergo PBL integrated with digital mind maps. To ensure successful collaborative learning in PBL, professional communication among students is pertinent. Research by Zheng and Huang [ 78 ] has proven that co-regulation (i.e., warm and responsive communication that provides support to peers) improved collaborative effort and group performance among undergraduate and master’s students majoring in education and psychology. This is also in line with a study by Maraj and colleagues [ 79 ], which showed the strong team interaction within the PBL group leads to a high level of team efficacy and academic self-efficacy. Moreover, strengthening communication competence, such as by developing negotiation skills among partners during discussion sessions, improves student scores [ 80 ].

PBL also includes opportunities for students to learn from each other (i.e., peer learning). A study by Maraj et al. [ 79 ] discovered that the majority of the students in their study perceived improvement in their understanding of the learned subject when they learned from each other. Another study by Lyonga [ 81 ] documented the successful formation of cohesive group learning, where students could express and share their ideas with their friends and help each other. It was suggested that each student should be paired with a more knowledgeable student who has mastered certain learning components to promote purposeful structured learning within the group.

From this scoping review, it is clear that functional skills equip the students with abilities and knowledge needed for successful PBL. Studies have shown that strong time management skills, digital literacy, data management, and collaborative skills lead to positive academic achievement [ 77 , 82 , 83 ].

Limitation of the Study

This scoping review is aimed to capture the recent effective learning behavior in problem-based learning; therefore, the literature before 2015 was not included. Without denying the importance of publication before 2015, we are relying on Okoli and Schabram [ 84 ] who highlighted the impossibility of retrieving all the published articles when conducting a literature search. Based on this ground, we decided to focus on the time frame between 2015 and 2019, which is aligned with the concepts of study maturity (i.e., the more mature the field, the higher the published articles and therefore more topics were investigated) by Kraus et al. [ 85 ]. In fact, it was noted that within this time frame, a significant number of articles have been found as relevant to PBL with the recent discovery of effective learning behavior. Nevertheless, our time frame did not include the timing of the coronavirus disease 19 (COVID-19) pandemic outbreak, which began at the end of 2019. Hence, we might miss some important elements of learning behavior that are required for the successful implementation of PBL during the COVID-19 pandemic.

Surprisingly, the results obtained from this study are also applicable for the PBL sessions administration during the COVID-19 pandemic situation as one of the functional skills identified is digital proficiency. This skill is indeed important for the successful implementation of online PBL session.

This review identified the essential learning behaviors required for effective PBL in higher education and clustered them into three main themes: (i) intrinsic empowerment, (ii) entrustment, and (iii) functional skills. These learning behaviors must coexist to ensure the achievement of desired learning outcomes. In fact, the findings of this study indicated two important implications for future practice. Firstly, the identified learning behaviors can be incorporated as functional elements in the PBL framework and implementation. Secondly, the learning behaviors change and adaption can be considered to be a new domain of formative assessment related to PBL. It is noteworthy to highlight that these learning behaviors could help in fostering the development of lifelong skills for future workplace challenges. Nevertheless, considerably more work should be carried out to design a solid guideline on how to systematically adopt the learning behaviors in PBL sessions, especially during this COVID-19 pandemic situation.

This study was supported by Postgraduate Incentive Grant-PhD (GIPS-PhD, grant number: 311/PPSP/4404803).

Declarations

The study has received an ethical approval from the Human Research Ethics Committee of Universiti Sains Malaysia.

No informed consent required for the scoping review.

The authors declare no competing interests.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Writing and Assessing Student Learning Outcomes

By the end of a program of study, what do you want students to be able to do? How can your students demonstrate the knowledge the program intended them to learn? Student learning outcomes are statements developed by faculty that answer these questions. Typically, Student learning outcomes (SLOs) describe the knowledge, skills, attitudes, behaviors or values students should be able to demonstrate at the end of a program of study. A combination of methods may be used to assess student attainment of learning outcomes.

Characteristics of Student Learning Outcomes (SLOs)

  • Describe what students should be able to demonstrate, represent or produce upon completion of a program of study (Maki, 2010)

A diagram related to learning outcomes and action verbs. The content includes sample learning outcomes and demonstrated learning actions.

Student learning outcomes also:

  • Should align with the institution’s curriculum and co-curriculum outcomes (Maki, 2010)
  • Should be collaboratively authored and collectively accepted (Maki, 2010)
  • Should incorporate or adapt professional organizations outcome statements when they exist (Maki, 2010)
  • Can be quantitatively and/or qualitatively assessed during a student’s studies (Maki, 2010)

Examples of Student Learning Outcomes

The following examples of student learning outcomes are too general and would be very hard to measure : (T. Banta personal communication, October 20, 2010)

  • will appreciate the benefits of exercise science.
  • will understand the scientific method.
  • will become familiar with correct grammar and literary devices.
  • will develop problem-solving and conflict resolution skills.

The following examples, while better are still general and again would be hard to measure. (T. Banta personal communication, October 20, 2010)

  • will appreciate exercise as a stress reduction tool.
  • will apply the scientific method in problem solving.
  • will demonstrate the use of correct grammar and various literary devices.
  • will demonstrate critical thinking skills, such as problem solving as it relates to social issues.

The following examples are specific examples and would be fairly easy to measure when using the correct assessment measure: (T. Banta personal communication, October 20, 2010)

  • will explain how the science of exercise affects stress.
  • will design a grounded research study using the scientific method.
  • will demonstrate the use of correct grammar and various literary devices in creating an essay.
  • will analyze and respond to arguments about racial discrimination.

Importance of Action Verbs and Examples from Bloom’s Taxonomy

  • Action verbs result in overt behavior that can be observed and measured (see list below).
  • Verbs that are unclear, and verbs that relate to unobservable or unmeasurable behaviors, should be avoided (e.g., appreciate, understand, know, learn, become aware of, become familiar with). View Bloom’s Taxonomy Action Verbs

Assessing SLOs

Instructors may measure student learning outcomes directly, assessing student-produced artifacts and performances; instructors may also measure student learning indirectly, relying on students own perceptions of learning.

Direct Measures of Assessment

Direct measures of student learning require students to demonstrate their knowledge and skills. They provide tangible, visible and self-explanatory evidence of what students have and have not learned as a result of a course, program, or activity (Suskie, 2004; Palomba & Banta, 1999). Examples of direct measures include:

  • Objective tests
  • Presentations
  • Classroom assignments

This example of a Student Learning Outcome (SLO) from psychology could be assessed by an essay, case study, or presentation: Students will analyze current research findings in the areas of physiological psychology, perception, learning, abnormal and social psychology.

Indirect Measures of Assessment

Indirect measures of student learning capture students’ perceptions of their knowledge and skills; they supplement direct measures of learning by providing information about how and why learning is occurring. Examples of indirect measures include:

  • Self assessment
  • Peer feedback
  • End of course evaluations
  • Questionnaires
  • Focus groups
  • Exit interviews

Using the SLO example from above, an instructor could add questions to an end-of-course evaluation asking students to self-assess their ability to analyze current research findings in the areas of physiological psychology, perception, learning, abnormal and social psychology. Doing so would provide an indirect measure of the same SLO.

  • Balances the limitations inherent when using only one method (Maki, 2004).
  • Provides students the opportunity to demonstrate learning in an alternative way (Maki, 2004).
  • Contributes to an overall interpretation of student learning at both institutional and programmatic levels.
  • Values the many ways student learn (Maki, 2004).

Bloom, B. (1956) A taxonomy of educational objectives, The classification of educational goals-handbook I: Cognitive domain . New York: McKay .

Maki, P.L. (2004). Assessing for learning: Building a sustainable commitment across the institution . Sterling, VA: Stylus.

Maki, P.L. (2010 ). Assessing for learning: Building a sustainable commitment across the institution (2nd ed.) . Sterling, VA: Stylus.

Palomba, C.A., & Banta, T.W. (1999). Assessment essentials: Planning, implementing, and improving assessment in higher education . San Francisco: Jossey-Bass.

Suskie, L. (2004). Assessing student learning: A common sense guide. Bolton, MA: Anker Publishing.

Revised by Doug Jerolimov (April, 2016)

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  • Published: 11 January 2023

The effectiveness of collaborative problem solving in promoting students’ critical thinking: A meta-analysis based on empirical literature

  • Enwei Xu   ORCID: orcid.org/0000-0001-6424-8169 1 ,
  • Wei Wang 1 &
  • Qingxia Wang 1  

Humanities and Social Sciences Communications volume  10 , Article number:  16 ( 2023 ) Cite this article

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  • Science, technology and society

Collaborative problem-solving has been widely embraced in the classroom instruction of critical thinking, which is regarded as the core of curriculum reform based on key competencies in the field of education as well as a key competence for learners in the 21st century. However, the effectiveness of collaborative problem-solving in promoting students’ critical thinking remains uncertain. This current research presents the major findings of a meta-analysis of 36 pieces of the literature revealed in worldwide educational periodicals during the 21st century to identify the effectiveness of collaborative problem-solving in promoting students’ critical thinking and to determine, based on evidence, whether and to what extent collaborative problem solving can result in a rise or decrease in critical thinking. The findings show that (1) collaborative problem solving is an effective teaching approach to foster students’ critical thinking, with a significant overall effect size (ES = 0.82, z  = 12.78, P  < 0.01, 95% CI [0.69, 0.95]); (2) in respect to the dimensions of critical thinking, collaborative problem solving can significantly and successfully enhance students’ attitudinal tendencies (ES = 1.17, z  = 7.62, P  < 0.01, 95% CI[0.87, 1.47]); nevertheless, it falls short in terms of improving students’ cognitive skills, having only an upper-middle impact (ES = 0.70, z  = 11.55, P  < 0.01, 95% CI[0.58, 0.82]); and (3) the teaching type (chi 2  = 7.20, P  < 0.05), intervention duration (chi 2  = 12.18, P  < 0.01), subject area (chi 2  = 13.36, P  < 0.05), group size (chi 2  = 8.77, P  < 0.05), and learning scaffold (chi 2  = 9.03, P  < 0.01) all have an impact on critical thinking, and they can be viewed as important moderating factors that affect how critical thinking develops. On the basis of these results, recommendations are made for further study and instruction to better support students’ critical thinking in the context of collaborative problem-solving.

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A guide to critical thinking: implications for dental education

Deborah Martin

Introduction

Although critical thinking has a long history in research, the concept of critical thinking, which is regarded as an essential competence for learners in the 21st century, has recently attracted more attention from researchers and teaching practitioners (National Research Council, 2012 ). Critical thinking should be the core of curriculum reform based on key competencies in the field of education (Peng and Deng, 2017 ) because students with critical thinking can not only understand the meaning of knowledge but also effectively solve practical problems in real life even after knowledge is forgotten (Kek and Huijser, 2011 ). The definition of critical thinking is not universal (Ennis, 1989 ; Castle, 2009 ; Niu et al., 2013 ). In general, the definition of critical thinking is a self-aware and self-regulated thought process (Facione, 1990 ; Niu et al., 2013 ). It refers to the cognitive skills needed to interpret, analyze, synthesize, reason, and evaluate information as well as the attitudinal tendency to apply these abilities (Halpern, 2001 ). The view that critical thinking can be taught and learned through curriculum teaching has been widely supported by many researchers (e.g., Kuncel, 2011 ; Leng and Lu, 2020 ), leading to educators’ efforts to foster it among students. In the field of teaching practice, there are three types of courses for teaching critical thinking (Ennis, 1989 ). The first is an independent curriculum in which critical thinking is taught and cultivated without involving the knowledge of specific disciplines; the second is an integrated curriculum in which critical thinking is integrated into the teaching of other disciplines as a clear teaching goal; and the third is a mixed curriculum in which critical thinking is taught in parallel to the teaching of other disciplines for mixed teaching training. Furthermore, numerous measuring tools have been developed by researchers and educators to measure critical thinking in the context of teaching practice. These include standardized measurement tools, such as WGCTA, CCTST, CCTT, and CCTDI, which have been verified by repeated experiments and are considered effective and reliable by international scholars (Facione and Facione, 1992 ). In short, descriptions of critical thinking, including its two dimensions of attitudinal tendency and cognitive skills, different types of teaching courses, and standardized measurement tools provide a complex normative framework for understanding, teaching, and evaluating critical thinking.

Cultivating critical thinking in curriculum teaching can start with a problem, and one of the most popular critical thinking instructional approaches is problem-based learning (Liu et al., 2020 ). Duch et al. ( 2001 ) noted that problem-based learning in group collaboration is progressive active learning, which can improve students’ critical thinking and problem-solving skills. Collaborative problem-solving is the organic integration of collaborative learning and problem-based learning, which takes learners as the center of the learning process and uses problems with poor structure in real-world situations as the starting point for the learning process (Liang et al., 2017 ). Students learn the knowledge needed to solve problems in a collaborative group, reach a consensus on problems in the field, and form solutions through social cooperation methods, such as dialogue, interpretation, questioning, debate, negotiation, and reflection, thus promoting the development of learners’ domain knowledge and critical thinking (Cindy, 2004 ; Liang et al., 2017 ).

Collaborative problem-solving has been widely used in the teaching practice of critical thinking, and several studies have attempted to conduct a systematic review and meta-analysis of the empirical literature on critical thinking from various perspectives. However, little attention has been paid to the impact of collaborative problem-solving on critical thinking. Therefore, the best approach for developing and enhancing critical thinking throughout collaborative problem-solving is to examine how to implement critical thinking instruction; however, this issue is still unexplored, which means that many teachers are incapable of better instructing critical thinking (Leng and Lu, 2020 ; Niu et al., 2013 ). For example, Huber ( 2016 ) provided the meta-analysis findings of 71 publications on gaining critical thinking over various time frames in college with the aim of determining whether critical thinking was truly teachable. These authors found that learners significantly improve their critical thinking while in college and that critical thinking differs with factors such as teaching strategies, intervention duration, subject area, and teaching type. The usefulness of collaborative problem-solving in fostering students’ critical thinking, however, was not determined by this study, nor did it reveal whether there existed significant variations among the different elements. A meta-analysis of 31 pieces of educational literature was conducted by Liu et al. ( 2020 ) to assess the impact of problem-solving on college students’ critical thinking. These authors found that problem-solving could promote the development of critical thinking among college students and proposed establishing a reasonable group structure for problem-solving in a follow-up study to improve students’ critical thinking. Additionally, previous empirical studies have reached inconclusive and even contradictory conclusions about whether and to what extent collaborative problem-solving increases or decreases critical thinking levels. As an illustration, Yang et al. ( 2008 ) carried out an experiment on the integrated curriculum teaching of college students based on a web bulletin board with the goal of fostering participants’ critical thinking in the context of collaborative problem-solving. These authors’ research revealed that through sharing, debating, examining, and reflecting on various experiences and ideas, collaborative problem-solving can considerably enhance students’ critical thinking in real-life problem situations. In contrast, collaborative problem-solving had a positive impact on learners’ interaction and could improve learning interest and motivation but could not significantly improve students’ critical thinking when compared to traditional classroom teaching, according to research by Naber and Wyatt ( 2014 ) and Sendag and Odabasi ( 2009 ) on undergraduate and high school students, respectively.

The above studies show that there is inconsistency regarding the effectiveness of collaborative problem-solving in promoting students’ critical thinking. Therefore, it is essential to conduct a thorough and trustworthy review to detect and decide whether and to what degree collaborative problem-solving can result in a rise or decrease in critical thinking. Meta-analysis is a quantitative analysis approach that is utilized to examine quantitative data from various separate studies that are all focused on the same research topic. This approach characterizes the effectiveness of its impact by averaging the effect sizes of numerous qualitative studies in an effort to reduce the uncertainty brought on by independent research and produce more conclusive findings (Lipsey and Wilson, 2001 ).

This paper used a meta-analytic approach and carried out a meta-analysis to examine the effectiveness of collaborative problem-solving in promoting students’ critical thinking in order to make a contribution to both research and practice. The following research questions were addressed by this meta-analysis:

What is the overall effect size of collaborative problem-solving in promoting students’ critical thinking and its impact on the two dimensions of critical thinking (i.e., attitudinal tendency and cognitive skills)?

How are the disparities between the study conclusions impacted by various moderating variables if the impacts of various experimental designs in the included studies are heterogeneous?

This research followed the strict procedures (e.g., database searching, identification, screening, eligibility, merging, duplicate removal, and analysis of included studies) of Cooper’s ( 2010 ) proposed meta-analysis approach for examining quantitative data from various separate studies that are all focused on the same research topic. The relevant empirical research that appeared in worldwide educational periodicals within the 21st century was subjected to this meta-analysis using Rev-Man 5.4. The consistency of the data extracted separately by two researchers was tested using Cohen’s kappa coefficient, and a publication bias test and a heterogeneity test were run on the sample data to ascertain the quality of this meta-analysis.

Data sources and search strategies

There were three stages to the data collection process for this meta-analysis, as shown in Fig. 1 , which shows the number of articles included and eliminated during the selection process based on the statement and study eligibility criteria.

figure 1

This flowchart shows the number of records identified, included and excluded in the article.

First, the databases used to systematically search for relevant articles were the journal papers of the Web of Science Core Collection and the Chinese Core source journal, as well as the Chinese Social Science Citation Index (CSSCI) source journal papers included in CNKI. These databases were selected because they are credible platforms that are sources of scholarly and peer-reviewed information with advanced search tools and contain literature relevant to the subject of our topic from reliable researchers and experts. The search string with the Boolean operator used in the Web of Science was “TS = (((“critical thinking” or “ct” and “pretest” or “posttest”) or (“critical thinking” or “ct” and “control group” or “quasi experiment” or “experiment”)) and (“collaboration” or “collaborative learning” or “CSCL”) and (“problem solving” or “problem-based learning” or “PBL”))”. The research area was “Education Educational Research”, and the search period was “January 1, 2000, to December 30, 2021”. A total of 412 papers were obtained. The search string with the Boolean operator used in the CNKI was “SU = (‘critical thinking’*‘collaboration’ + ‘critical thinking’*‘collaborative learning’ + ‘critical thinking’*‘CSCL’ + ‘critical thinking’*‘problem solving’ + ‘critical thinking’*‘problem-based learning’ + ‘critical thinking’*‘PBL’ + ‘critical thinking’*‘problem oriented’) AND FT = (‘experiment’ + ‘quasi experiment’ + ‘pretest’ + ‘posttest’ + ‘empirical study’)” (translated into Chinese when searching). A total of 56 studies were found throughout the search period of “January 2000 to December 2021”. From the databases, all duplicates and retractions were eliminated before exporting the references into Endnote, a program for managing bibliographic references. In all, 466 studies were found.

Second, the studies that matched the inclusion and exclusion criteria for the meta-analysis were chosen by two researchers after they had reviewed the abstracts and titles of the gathered articles, yielding a total of 126 studies.

Third, two researchers thoroughly reviewed each included article’s whole text in accordance with the inclusion and exclusion criteria. Meanwhile, a snowball search was performed using the references and citations of the included articles to ensure complete coverage of the articles. Ultimately, 36 articles were kept.

Two researchers worked together to carry out this entire process, and a consensus rate of almost 94.7% was reached after discussion and negotiation to clarify any emerging differences.

Eligibility criteria

Since not all the retrieved studies matched the criteria for this meta-analysis, eligibility criteria for both inclusion and exclusion were developed as follows:

The publication language of the included studies was limited to English and Chinese, and the full text could be obtained. Articles that did not meet the publication language and articles not published between 2000 and 2021 were excluded.

The research design of the included studies must be empirical and quantitative studies that can assess the effect of collaborative problem-solving on the development of critical thinking. Articles that could not identify the causal mechanisms by which collaborative problem-solving affects critical thinking, such as review articles and theoretical articles, were excluded.

The research method of the included studies must feature a randomized control experiment or a quasi-experiment, or a natural experiment, which have a higher degree of internal validity with strong experimental designs and can all plausibly provide evidence that critical thinking and collaborative problem-solving are causally related. Articles with non-experimental research methods, such as purely correlational or observational studies, were excluded.

The participants of the included studies were only students in school, including K-12 students and college students. Articles in which the participants were non-school students, such as social workers or adult learners, were excluded.

The research results of the included studies must mention definite signs that may be utilized to gauge critical thinking’s impact (e.g., sample size, mean value, or standard deviation). Articles that lacked specific measurement indicators for critical thinking and could not calculate the effect size were excluded.

Data coding design

In order to perform a meta-analysis, it is necessary to collect the most important information from the articles, codify that information’s properties, and convert descriptive data into quantitative data. Therefore, this study designed a data coding template (see Table 1 ). Ultimately, 16 coding fields were retained.

The designed data-coding template consisted of three pieces of information. Basic information about the papers was included in the descriptive information: the publishing year, author, serial number, and title of the paper.

The variable information for the experimental design had three variables: the independent variable (instruction method), the dependent variable (critical thinking), and the moderating variable (learning stage, teaching type, intervention duration, learning scaffold, group size, measuring tool, and subject area). Depending on the topic of this study, the intervention strategy, as the independent variable, was coded into collaborative and non-collaborative problem-solving. The dependent variable, critical thinking, was coded as a cognitive skill and an attitudinal tendency. And seven moderating variables were created by grouping and combining the experimental design variables discovered within the 36 studies (see Table 1 ), where learning stages were encoded as higher education, high school, middle school, and primary school or lower; teaching types were encoded as mixed courses, integrated courses, and independent courses; intervention durations were encoded as 0–1 weeks, 1–4 weeks, 4–12 weeks, and more than 12 weeks; group sizes were encoded as 2–3 persons, 4–6 persons, 7–10 persons, and more than 10 persons; learning scaffolds were encoded as teacher-supported learning scaffold, technique-supported learning scaffold, and resource-supported learning scaffold; measuring tools were encoded as standardized measurement tools (e.g., WGCTA, CCTT, CCTST, and CCTDI) and self-adapting measurement tools (e.g., modified or made by researchers); and subject areas were encoded according to the specific subjects used in the 36 included studies.

The data information contained three metrics for measuring critical thinking: sample size, average value, and standard deviation. It is vital to remember that studies with various experimental designs frequently adopt various formulas to determine the effect size. And this paper used Morris’ proposed standardized mean difference (SMD) calculation formula ( 2008 , p. 369; see Supplementary Table S3 ).

Procedure for extracting and coding data

According to the data coding template (see Table 1 ), the 36 papers’ information was retrieved by two researchers, who then entered them into Excel (see Supplementary Table S1 ). The results of each study were extracted separately in the data extraction procedure if an article contained numerous studies on critical thinking, or if a study assessed different critical thinking dimensions. For instance, Tiwari et al. ( 2010 ) used four time points, which were viewed as numerous different studies, to examine the outcomes of critical thinking, and Chen ( 2013 ) included the two outcome variables of attitudinal tendency and cognitive skills, which were regarded as two studies. After discussion and negotiation during data extraction, the two researchers’ consistency test coefficients were roughly 93.27%. Supplementary Table S2 details the key characteristics of the 36 included articles with 79 effect quantities, including descriptive information (e.g., the publishing year, author, serial number, and title of the paper), variable information (e.g., independent variables, dependent variables, and moderating variables), and data information (e.g., mean values, standard deviations, and sample size). Following that, testing for publication bias and heterogeneity was done on the sample data using the Rev-Man 5.4 software, and then the test results were used to conduct a meta-analysis.

Publication bias test

When the sample of studies included in a meta-analysis does not accurately reflect the general status of research on the relevant subject, publication bias is said to be exhibited in this research. The reliability and accuracy of the meta-analysis may be impacted by publication bias. Due to this, the meta-analysis needs to check the sample data for publication bias (Stewart et al., 2006 ). A popular method to check for publication bias is the funnel plot; and it is unlikely that there will be publishing bias when the data are equally dispersed on either side of the average effect size and targeted within the higher region. The data are equally dispersed within the higher portion of the efficient zone, consistent with the funnel plot connected with this analysis (see Fig. 2 ), indicating that publication bias is unlikely in this situation.

figure 2

This funnel plot shows the result of publication bias of 79 effect quantities across 36 studies.

Heterogeneity test

To select the appropriate effect models for the meta-analysis, one might use the results of a heterogeneity test on the data effect sizes. In a meta-analysis, it is common practice to gauge the degree of data heterogeneity using the I 2 value, and I 2  ≥ 50% is typically understood to denote medium-high heterogeneity, which calls for the adoption of a random effect model; if not, a fixed effect model ought to be applied (Lipsey and Wilson, 2001 ). The findings of the heterogeneity test in this paper (see Table 2 ) revealed that I 2 was 86% and displayed significant heterogeneity ( P  < 0.01). To ensure accuracy and reliability, the overall effect size ought to be calculated utilizing the random effect model.

The analysis of the overall effect size

This meta-analysis utilized a random effect model to examine 79 effect quantities from 36 studies after eliminating heterogeneity. In accordance with Cohen’s criterion (Cohen, 1992 ), it is abundantly clear from the analysis results, which are shown in the forest plot of the overall effect (see Fig. 3 ), that the cumulative impact size of cooperative problem-solving is 0.82, which is statistically significant ( z  = 12.78, P  < 0.01, 95% CI [0.69, 0.95]), and can encourage learners to practice critical thinking.

figure 3

This forest plot shows the analysis result of the overall effect size across 36 studies.

In addition, this study examined two distinct dimensions of critical thinking to better understand the precise contributions that collaborative problem-solving makes to the growth of critical thinking. The findings (see Table 3 ) indicate that collaborative problem-solving improves cognitive skills (ES = 0.70) and attitudinal tendency (ES = 1.17), with significant intergroup differences (chi 2  = 7.95, P  < 0.01). Although collaborative problem-solving improves both dimensions of critical thinking, it is essential to point out that the improvements in students’ attitudinal tendency are much more pronounced and have a significant comprehensive effect (ES = 1.17, z  = 7.62, P  < 0.01, 95% CI [0.87, 1.47]), whereas gains in learners’ cognitive skill are slightly improved and are just above average. (ES = 0.70, z  = 11.55, P  < 0.01, 95% CI [0.58, 0.82]).

The analysis of moderator effect size

The whole forest plot’s 79 effect quantities underwent a two-tailed test, which revealed significant heterogeneity ( I 2  = 86%, z  = 12.78, P  < 0.01), indicating differences between various effect sizes that may have been influenced by moderating factors other than sampling error. Therefore, exploring possible moderating factors that might produce considerable heterogeneity was done using subgroup analysis, such as the learning stage, learning scaffold, teaching type, group size, duration of the intervention, measuring tool, and the subject area included in the 36 experimental designs, in order to further explore the key factors that influence critical thinking. The findings (see Table 4 ) indicate that various moderating factors have advantageous effects on critical thinking. In this situation, the subject area (chi 2  = 13.36, P  < 0.05), group size (chi 2  = 8.77, P  < 0.05), intervention duration (chi 2  = 12.18, P  < 0.01), learning scaffold (chi 2  = 9.03, P  < 0.01), and teaching type (chi 2  = 7.20, P  < 0.05) are all significant moderators that can be applied to support the cultivation of critical thinking. However, since the learning stage and the measuring tools did not significantly differ among intergroup (chi 2  = 3.15, P  = 0.21 > 0.05, and chi 2  = 0.08, P  = 0.78 > 0.05), we are unable to explain why these two factors are crucial in supporting the cultivation of critical thinking in the context of collaborative problem-solving. These are the precise outcomes, as follows:

Various learning stages influenced critical thinking positively, without significant intergroup differences (chi 2  = 3.15, P  = 0.21 > 0.05). High school was first on the list of effect sizes (ES = 1.36, P  < 0.01), then higher education (ES = 0.78, P  < 0.01), and middle school (ES = 0.73, P  < 0.01). These results show that, despite the learning stage’s beneficial influence on cultivating learners’ critical thinking, we are unable to explain why it is essential for cultivating critical thinking in the context of collaborative problem-solving.

Different teaching types had varying degrees of positive impact on critical thinking, with significant intergroup differences (chi 2  = 7.20, P  < 0.05). The effect size was ranked as follows: mixed courses (ES = 1.34, P  < 0.01), integrated courses (ES = 0.81, P  < 0.01), and independent courses (ES = 0.27, P  < 0.01). These results indicate that the most effective approach to cultivate critical thinking utilizing collaborative problem solving is through the teaching type of mixed courses.

Various intervention durations significantly improved critical thinking, and there were significant intergroup differences (chi 2  = 12.18, P  < 0.01). The effect sizes related to this variable showed a tendency to increase with longer intervention durations. The improvement in critical thinking reached a significant level (ES = 0.85, P  < 0.01) after more than 12 weeks of training. These findings indicate that the intervention duration and critical thinking’s impact are positively correlated, with a longer intervention duration having a greater effect.

Different learning scaffolds influenced critical thinking positively, with significant intergroup differences (chi 2  = 9.03, P  < 0.01). The resource-supported learning scaffold (ES = 0.69, P  < 0.01) acquired a medium-to-higher level of impact, the technique-supported learning scaffold (ES = 0.63, P  < 0.01) also attained a medium-to-higher level of impact, and the teacher-supported learning scaffold (ES = 0.92, P  < 0.01) displayed a high level of significant impact. These results show that the learning scaffold with teacher support has the greatest impact on cultivating critical thinking.

Various group sizes influenced critical thinking positively, and the intergroup differences were statistically significant (chi 2  = 8.77, P  < 0.05). Critical thinking showed a general declining trend with increasing group size. The overall effect size of 2–3 people in this situation was the biggest (ES = 0.99, P  < 0.01), and when the group size was greater than 7 people, the improvement in critical thinking was at the lower-middle level (ES < 0.5, P  < 0.01). These results show that the impact on critical thinking is positively connected with group size, and as group size grows, so does the overall impact.

Various measuring tools influenced critical thinking positively, with significant intergroup differences (chi 2  = 0.08, P  = 0.78 > 0.05). In this situation, the self-adapting measurement tools obtained an upper-medium level of effect (ES = 0.78), whereas the complete effect size of the standardized measurement tools was the largest, achieving a significant level of effect (ES = 0.84, P  < 0.01). These results show that, despite the beneficial influence of the measuring tool on cultivating critical thinking, we are unable to explain why it is crucial in fostering the growth of critical thinking by utilizing the approach of collaborative problem-solving.

Different subject areas had a greater impact on critical thinking, and the intergroup differences were statistically significant (chi 2  = 13.36, P  < 0.05). Mathematics had the greatest overall impact, achieving a significant level of effect (ES = 1.68, P  < 0.01), followed by science (ES = 1.25, P  < 0.01) and medical science (ES = 0.87, P  < 0.01), both of which also achieved a significant level of effect. Programming technology was the least effective (ES = 0.39, P  < 0.01), only having a medium-low degree of effect compared to education (ES = 0.72, P  < 0.01) and other fields (such as language, art, and social sciences) (ES = 0.58, P  < 0.01). These results suggest that scientific fields (e.g., mathematics, science) may be the most effective subject areas for cultivating critical thinking utilizing the approach of collaborative problem-solving.

The effectiveness of collaborative problem solving with regard to teaching critical thinking

According to this meta-analysis, using collaborative problem-solving as an intervention strategy in critical thinking teaching has a considerable amount of impact on cultivating learners’ critical thinking as a whole and has a favorable promotional effect on the two dimensions of critical thinking. According to certain studies, collaborative problem solving, the most frequently used critical thinking teaching strategy in curriculum instruction can considerably enhance students’ critical thinking (e.g., Liang et al., 2017 ; Liu et al., 2020 ; Cindy, 2004 ). This meta-analysis provides convergent data support for the above research views. Thus, the findings of this meta-analysis not only effectively address the first research query regarding the overall effect of cultivating critical thinking and its impact on the two dimensions of critical thinking (i.e., attitudinal tendency and cognitive skills) utilizing the approach of collaborative problem-solving, but also enhance our confidence in cultivating critical thinking by using collaborative problem-solving intervention approach in the context of classroom teaching.

Furthermore, the associated improvements in attitudinal tendency are much stronger, but the corresponding improvements in cognitive skill are only marginally better. According to certain studies, cognitive skill differs from the attitudinal tendency in classroom instruction; the cultivation and development of the former as a key ability is a process of gradual accumulation, while the latter as an attitude is affected by the context of the teaching situation (e.g., a novel and exciting teaching approach, challenging and rewarding tasks) (Halpern, 2001 ; Wei and Hong, 2022 ). Collaborative problem-solving as a teaching approach is exciting and interesting, as well as rewarding and challenging; because it takes the learners as the focus and examines problems with poor structure in real situations, and it can inspire students to fully realize their potential for problem-solving, which will significantly improve their attitudinal tendency toward solving problems (Liu et al., 2020 ). Similar to how collaborative problem-solving influences attitudinal tendency, attitudinal tendency impacts cognitive skill when attempting to solve a problem (Liu et al., 2020 ; Zhang et al., 2022 ), and stronger attitudinal tendencies are associated with improved learning achievement and cognitive ability in students (Sison, 2008 ; Zhang et al., 2022 ). It can be seen that the two specific dimensions of critical thinking as well as critical thinking as a whole are affected by collaborative problem-solving, and this study illuminates the nuanced links between cognitive skills and attitudinal tendencies with regard to these two dimensions of critical thinking. To fully develop students’ capacity for critical thinking, future empirical research should pay closer attention to cognitive skills.

The moderating effects of collaborative problem solving with regard to teaching critical thinking

In order to further explore the key factors that influence critical thinking, exploring possible moderating effects that might produce considerable heterogeneity was done using subgroup analysis. The findings show that the moderating factors, such as the teaching type, learning stage, group size, learning scaffold, duration of the intervention, measuring tool, and the subject area included in the 36 experimental designs, could all support the cultivation of collaborative problem-solving in critical thinking. Among them, the effect size differences between the learning stage and measuring tool are not significant, which does not explain why these two factors are crucial in supporting the cultivation of critical thinking utilizing the approach of collaborative problem-solving.

In terms of the learning stage, various learning stages influenced critical thinking positively without significant intergroup differences, indicating that we are unable to explain why it is crucial in fostering the growth of critical thinking.

Although high education accounts for 70.89% of all empirical studies performed by researchers, high school may be the appropriate learning stage to foster students’ critical thinking by utilizing the approach of collaborative problem-solving since it has the largest overall effect size. This phenomenon may be related to student’s cognitive development, which needs to be further studied in follow-up research.

With regard to teaching type, mixed course teaching may be the best teaching method to cultivate students’ critical thinking. Relevant studies have shown that in the actual teaching process if students are trained in thinking methods alone, the methods they learn are isolated and divorced from subject knowledge, which is not conducive to their transfer of thinking methods; therefore, if students’ thinking is trained only in subject teaching without systematic method training, it is challenging to apply to real-world circumstances (Ruggiero, 2012 ; Hu and Liu, 2015 ). Teaching critical thinking as mixed course teaching in parallel to other subject teachings can achieve the best effect on learners’ critical thinking, and explicit critical thinking instruction is more effective than less explicit critical thinking instruction (Bensley and Spero, 2014 ).

In terms of the intervention duration, with longer intervention times, the overall effect size shows an upward tendency. Thus, the intervention duration and critical thinking’s impact are positively correlated. Critical thinking, as a key competency for students in the 21st century, is difficult to get a meaningful improvement in a brief intervention duration. Instead, it could be developed over a lengthy period of time through consistent teaching and the progressive accumulation of knowledge (Halpern, 2001 ; Hu and Liu, 2015 ). Therefore, future empirical studies ought to take these restrictions into account throughout a longer period of critical thinking instruction.

With regard to group size, a group size of 2–3 persons has the highest effect size, and the comprehensive effect size decreases with increasing group size in general. This outcome is in line with some research findings; as an example, a group composed of two to four members is most appropriate for collaborative learning (Schellens and Valcke, 2006 ). However, the meta-analysis results also indicate that once the group size exceeds 7 people, small groups cannot produce better interaction and performance than large groups. This may be because the learning scaffolds of technique support, resource support, and teacher support improve the frequency and effectiveness of interaction among group members, and a collaborative group with more members may increase the diversity of views, which is helpful to cultivate critical thinking utilizing the approach of collaborative problem-solving.

With regard to the learning scaffold, the three different kinds of learning scaffolds can all enhance critical thinking. Among them, the teacher-supported learning scaffold has the largest overall effect size, demonstrating the interdependence of effective learning scaffolds and collaborative problem-solving. This outcome is in line with some research findings; as an example, a successful strategy is to encourage learners to collaborate, come up with solutions, and develop critical thinking skills by using learning scaffolds (Reiser, 2004 ; Xu et al., 2022 ); learning scaffolds can lower task complexity and unpleasant feelings while also enticing students to engage in learning activities (Wood et al., 2006 ); learning scaffolds are designed to assist students in using learning approaches more successfully to adapt the collaborative problem-solving process, and the teacher-supported learning scaffolds have the greatest influence on critical thinking in this process because they are more targeted, informative, and timely (Xu et al., 2022 ).

With respect to the measuring tool, despite the fact that standardized measurement tools (such as the WGCTA, CCTT, and CCTST) have been acknowledged as trustworthy and effective by worldwide experts, only 54.43% of the research included in this meta-analysis adopted them for assessment, and the results indicated no intergroup differences. These results suggest that not all teaching circumstances are appropriate for measuring critical thinking using standardized measurement tools. “The measuring tools for measuring thinking ability have limits in assessing learners in educational situations and should be adapted appropriately to accurately assess the changes in learners’ critical thinking.”, according to Simpson and Courtney ( 2002 , p. 91). As a result, in order to more fully and precisely gauge how learners’ critical thinking has evolved, we must properly modify standardized measuring tools based on collaborative problem-solving learning contexts.

With regard to the subject area, the comprehensive effect size of science departments (e.g., mathematics, science, medical science) is larger than that of language arts and social sciences. Some recent international education reforms have noted that critical thinking is a basic part of scientific literacy. Students with scientific literacy can prove the rationality of their judgment according to accurate evidence and reasonable standards when they face challenges or poorly structured problems (Kyndt et al., 2013 ), which makes critical thinking crucial for developing scientific understanding and applying this understanding to practical problem solving for problems related to science, technology, and society (Yore et al., 2007 ).

Suggestions for critical thinking teaching

Other than those stated in the discussion above, the following suggestions are offered for critical thinking instruction utilizing the approach of collaborative problem-solving.

First, teachers should put a special emphasis on the two core elements, which are collaboration and problem-solving, to design real problems based on collaborative situations. This meta-analysis provides evidence to support the view that collaborative problem-solving has a strong synergistic effect on promoting students’ critical thinking. Asking questions about real situations and allowing learners to take part in critical discussions on real problems during class instruction are key ways to teach critical thinking rather than simply reading speculative articles without practice (Mulnix, 2012 ). Furthermore, the improvement of students’ critical thinking is realized through cognitive conflict with other learners in the problem situation (Yang et al., 2008 ). Consequently, it is essential for teachers to put a special emphasis on the two core elements, which are collaboration and problem-solving, and design real problems and encourage students to discuss, negotiate, and argue based on collaborative problem-solving situations.

Second, teachers should design and implement mixed courses to cultivate learners’ critical thinking, utilizing the approach of collaborative problem-solving. Critical thinking can be taught through curriculum instruction (Kuncel, 2011 ; Leng and Lu, 2020 ), with the goal of cultivating learners’ critical thinking for flexible transfer and application in real problem-solving situations. This meta-analysis shows that mixed course teaching has a highly substantial impact on the cultivation and promotion of learners’ critical thinking. Therefore, teachers should design and implement mixed course teaching with real collaborative problem-solving situations in combination with the knowledge content of specific disciplines in conventional teaching, teach methods and strategies of critical thinking based on poorly structured problems to help students master critical thinking, and provide practical activities in which students can interact with each other to develop knowledge construction and critical thinking utilizing the approach of collaborative problem-solving.

Third, teachers should be more trained in critical thinking, particularly preservice teachers, and they also should be conscious of the ways in which teachers’ support for learning scaffolds can promote critical thinking. The learning scaffold supported by teachers had the greatest impact on learners’ critical thinking, in addition to being more directive, targeted, and timely (Wood et al., 2006 ). Critical thinking can only be effectively taught when teachers recognize the significance of critical thinking for students’ growth and use the proper approaches while designing instructional activities (Forawi, 2016 ). Therefore, with the intention of enabling teachers to create learning scaffolds to cultivate learners’ critical thinking utilizing the approach of collaborative problem solving, it is essential to concentrate on the teacher-supported learning scaffolds and enhance the instruction for teaching critical thinking to teachers, especially preservice teachers.

Implications and limitations

There are certain limitations in this meta-analysis, but future research can correct them. First, the search languages were restricted to English and Chinese, so it is possible that pertinent studies that were written in other languages were overlooked, resulting in an inadequate number of articles for review. Second, these data provided by the included studies are partially missing, such as whether teachers were trained in the theory and practice of critical thinking, the average age and gender of learners, and the differences in critical thinking among learners of various ages and genders. Third, as is typical for review articles, more studies were released while this meta-analysis was being done; therefore, it had a time limit. With the development of relevant research, future studies focusing on these issues are highly relevant and needed.

Conclusions

The subject of the magnitude of collaborative problem-solving’s impact on fostering students’ critical thinking, which received scant attention from other studies, was successfully addressed by this study. The question of the effectiveness of collaborative problem-solving in promoting students’ critical thinking was addressed in this study, which addressed a topic that had gotten little attention in earlier research. The following conclusions can be made:

Regarding the results obtained, collaborative problem solving is an effective teaching approach to foster learners’ critical thinking, with a significant overall effect size (ES = 0.82, z  = 12.78, P  < 0.01, 95% CI [0.69, 0.95]). With respect to the dimensions of critical thinking, collaborative problem-solving can significantly and effectively improve students’ attitudinal tendency, and the comprehensive effect is significant (ES = 1.17, z  = 7.62, P  < 0.01, 95% CI [0.87, 1.47]); nevertheless, it falls short in terms of improving students’ cognitive skills, having only an upper-middle impact (ES = 0.70, z  = 11.55, P  < 0.01, 95% CI [0.58, 0.82]).

As demonstrated by both the results and the discussion, there are varying degrees of beneficial effects on students’ critical thinking from all seven moderating factors, which were found across 36 studies. In this context, the teaching type (chi 2  = 7.20, P  < 0.05), intervention duration (chi 2  = 12.18, P  < 0.01), subject area (chi 2  = 13.36, P  < 0.05), group size (chi 2  = 8.77, P  < 0.05), and learning scaffold (chi 2  = 9.03, P  < 0.01) all have a positive impact on critical thinking, and they can be viewed as important moderating factors that affect how critical thinking develops. Since the learning stage (chi 2  = 3.15, P  = 0.21 > 0.05) and measuring tools (chi 2  = 0.08, P  = 0.78 > 0.05) did not demonstrate any significant intergroup differences, we are unable to explain why these two factors are crucial in supporting the cultivation of critical thinking in the context of collaborative problem-solving.

Data availability

All data generated or analyzed during this study are included within the article and its supplementary information files, and the supplementary information files are available in the Dataverse repository: https://doi.org/10.7910/DVN/IPFJO6 .

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Acknowledgements

This research was supported by the graduate scientific research and innovation project of Xinjiang Uygur Autonomous Region named “Research on in-depth learning of high school information technology courses for the cultivation of computing thinking” (No. XJ2022G190) and the independent innovation fund project for doctoral students of the College of Educational Science of Xinjiang Normal University named “Research on project-based teaching of high school information technology courses from the perspective of discipline core literacy” (No. XJNUJKYA2003).

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Xu, E., Wang, W. & Wang, Q. The effectiveness of collaborative problem solving in promoting students’ critical thinking: A meta-analysis based on empirical literature. Humanit Soc Sci Commun 10 , 16 (2023). https://doi.org/10.1057/s41599-023-01508-1

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The research that has been carried out aims to find out the improvement of problem solving skills, with student cognitive learning outcomes and to find out the relationship of problem solving skills with students’ cognitive learning outcomes using guided inquiry models. This research was conducted by the Classroom Action Research method which supported the correlation. The research approach used for Classroom Action Research is a qualitative and quantitative approach, in the first cycle basic competension 3.7 digestive system material and second cycle basic competension 3.8 respiratory system material supported by lessen study activities. While the research approach used for correlation research is quantitative by using the value of the second cycle. For quantitative data Classroom Action Research was analyzed using the N-gain formula. Whereas the correlation research approach was tested using SPSS Windows 16 analysis. The technique of collecting data is done by using the results of a written test containing essay questions and learning achievement data obtained from observations. The subject of this research is class students XI MIPA 4 Malang Senior High School, to 34 students. The results of the class action study found that there was an increase in the problem solving skills of the N-gain Cycle I results and the second cycle was 11.76%, the cognitive learning outcomes of the students there was an increase in the N-gain cyclical I and cycle II were 5.40%. While the results of the correlation study there is a relationship between problem solving skills with students’ cognitive outcomes with a coefficient value of 0.529 moderate correlation.

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Impact of blended learning on learning outcomes in the public healthcare education course: a review of flipped classroom with team-based learning

  • Hee Young Kang 1 &
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A flipped classroom with team-based learning is a blended educational strategy that guides active learning inside and outside the classroom. This study aimed to verify the effects of this innovative blended educational strategy on knowledge, problem-solving ability, and learning satisfaction of undergraduate nursing students undergoing public healthcare education.

The subjects were undergraduate nursing students enrolled in H University in South Korea. The experiment was conducted over a period of 8 weeks in the public healthcare course. Two groups, blended learning (A flipped classroom with team-based learning) which was the experimental group and traditional lecture-based classroom group, the control group, were assessed. In the blended learning group, the students had pre-class, in-class (including team-based learning elements), and post-class learning elements. The two groups were compared on the following learning outcomes: knowledge, problem-solving ability, and learning satisfaction.

Results showed that the blended learning instructional methods, in comparison with traditional lectures, enhanced the students’ knowledge, problem-solving ability, and learning satisfaction in the public healthcare course.

Conclusions

This study supports the feasibility of the flipped classroom with team-based learning as a blended learning strategy, able to produce improvements in nursing students’ learning outcomes. Blended learning approaches may be an effective alternative to conventional approaches in nursing education.

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In public healthcare systems, nurses play the most significant role and form the major component of most local public health education departments [ 1 ]. Public healthcare education, which requires the application of a holistic, multidisciplinary approach and considers the perspectives of various systems, including cooperation among different clinical specialists, is an important strategy to improve national health levels [ 2 , 3 ]. Therefore, it is important to develop an effective learning strategy for the public healthcare education course in the nursing undergraduate curriculum. The enhancement of healthcare students’ healthcare competencies can improve community healthcare quality and reduce the medical expenses incurred by vulnerable groups [ 4 ]. Therefore, expanding the healthcare professionals’ practical experience and collaboration skills to enable them to actively cooperate with professionals from various fields by integrating their knowledge and practical skills, is an important objective of healthcare education courses [ 5 , 6 ]. Moreover, it is important to improve healthcare education and administration methods to strengthen learners’ self-directed problem-solving and integrated thinking abilities [ 7 ]. To overcome the limitations of the traditional lecture (TL) method, the implementation of learner-centered education and active participation of learners in the classroom are necessary [ 8 , 9 ]. In addition, to overcome the financial constraints of college education and utilize recent developments in educational technology [ 10 ], a flexible active learning–based approach should be implemented in healthcare education [ 11 ]. Further, the increase in demands for such educational environments has led to the evolution of various teaching models and learning strategies, such as the flipped classroom (FC) approach and team-based learning (TBL).

In the FC, students acquire foundational knowledge through self-directed learning before class and, subsequently, knowledge is transferred from the instructor to the students through instructor-led learner-directed activities. Students then apply this knowledge in the classroom [ 12 , 13 ]. The FC approach comprises pre-, in-, and post-class learning strategies. In the FC, after the instructor provides various learning contents through an electronic network, students learn them using various digital media, such as their smartphones and notebooks, at their preferred time, space, and speed; subsequently, the students participate in the class [ 14 , 15 ]. The FC may encourage learners to become independent and creative critical thinkers [ 16 ]. However, it seems that the learners perform only limited pre-learning during the pre-class. For example, a study on medical students reported that one-third of students did not participate in the pre-class [ 17 ]. Therefore, in the FC, TBL application is likely to promote learners’ active learning. TBL involves the pedagogical use of small groups and intentionally employs specific procedures (e.g., readiness assurance, application activities, and assessment) to transform such groups into active learning teams [ 18 ]. This is a teaching strategy that enhances learners’ collaboration ability, disciplinary knowledge, and application ability [ 19 ]. Further, TBL has the potential to increase student engagement, satisfaction, and achievement [ 20 ]. In particular, the TBL experience helps students with low academic grades to achieve higher grades and improve their attitudes toward the class and pre-class preparation [ 21 ]. Therefore, in the FC approach, students are first exposed to learning materials through an online pre-class that they can access wherever they want. In TBL, students interact in small groups and learn together to solve public health care-related problems and reflect on their learnings [ 22 , 23 ].

The FC with TBL model is based on several pedagogical theories. According to Piaget’s active learning theory, a learner’s interest in collaborative interaction for TBL promotes self-directed learning in the FC [ 13 ]. Further, in Bloom’s taxonomy, learners perform low-level cognitive tasks outside the class and high-level cognitive tasks, such as knowledge application, problem analysis, and solution exploration along with their colleagues and instructors inside the class [ 24 ]. Therefore, we used TBL within the FC in the undergraduate public healthcare education course.

The FC with TBL approach improves students’ academic achievements by enabling them to learn individually and iteratively, facilitating the sharing of learning content among teams of students, and helping the students achieve high levels of knowledge [ 25 , 26 ]. Rather than solving tasks outside the classroom, students perform TBL inside the FC. This increases the opportunity for active instructor–learner and learner–learner interactions and, thereby, enhances the students’ problem-solving abilities [ 27 , 28 ].

Active participation in the learning process also helps improve students’ learning satisfaction [ 29 ]. Further, on perceiving the likelihood of positive outcomes, learners stay highly focused on their goals, experience less distress, and achieve higher learning progress. To realize their learning goals, the learners actively participate in the learning process, which includes assessing the demands of assignments, planning relevant strategies, and monitoring the realization of goals [ 30 ]. Earlier studies reported that the FC with TBL blended learning approach can more effectively confirm the improvement in learners’ positive recognition than the TL approach [ 18 , 31 ]. Furthermore, various research results indicated improvements in learners’ academic achievement and learning satisfaction and an increase in the possibility of implementing practical education when learners actively participate in learning content-related activities [ 32 ].

Limited research has been conducted so far on the effectiveness of the FC with TBL blended learning approach in the public healthcare education course for nursing undergraduate students. The purpose of this study is to overcome this research gap and compare the effectiveness of the FC with TBL blended learning strategy with that of the TL approach in the public healthcare education course with respect to nursing students’ knowledge, problem-solving ability, and learning satisfaction.

Design and participants

A quasi-experimental design was applied to evaluate the effects of the FC with TBL blended learning strategy on nursing students. To control for any bias arising from contamination, this study considered nursing students who had been in their third year of the public healthcare course in 2014 and 2017 as the TL (control) group and blended (experimental) group, respectively. The subjects consisted of 88 undergraduate nursing students in the 2017 batch and 96 undergraduate nursing students in the 2014 batch enrolled in the H university health department. The participants satisfied the following inclusion criteria: they had no experience in FC and TBL approaches, had no current physical or psychiatric symptoms that could impair their ability to provide informed consent or participate in educational sessions and assessments, and were willing to participate in this study. We assessed the respondents’ psychiatric symptoms using the question “Have you ever felt hopeless or sad for more than two weeks such that it was difficult to live an ordinary life during the last year?” If a participant answered “yes” to the question, we categorized them in the psychiatric symptom group. However, no potential participant replied “yes” in this study. From the 2017 batch, eight transfer students with FC and TBL experience and who provided incomplete questionnaires were excluded. Therefore, the data collected from 90.9% (80) of the participants in the blended learning group and from 93.8% (90) in the TL group were analyzed.

The estimation of the number of samples using G * Power 3.1.4 requires a total of 76 individuals with significance level α = .05, population number = 2, effect size = .50, and power = .95. The effect size was applied to the effect size criterion proposed by Cohen (1992).

Instruments

To test participants’ knowledge, the research team developed a 23-item multiple-choice questionnaire. Subsequently, two public healthcare nursing professors verified the questionnaire’s content validity. The questionnaire’s total scores ranged from 0 to 30.

This study used the problem-solving ability scale for college students developed by the Korean Educational Development Institute [ 33 ]. This scale comprises 45 items to be answered on a five-point Likert scale (ranging from 1 = strongly disagree to 5 = strongly agree). In this study, this scale was used to calculate the average score, and higher scores indicated better problem-solving ability.

Learning satisfaction was measured using the standardized scale of the university’s Teaching and Learning Center (Table  1 ). Further, this scale was regularly reviewed by the university’s academic advisory committees specialized in teaching and learning. This scale comprises 13 items to be answered on a 4-point Likert scale (ranging from 1 = strongly disagree to 4 = strongly agree). Using this scale, the average score was calculated. Higher scores indicated better learning satisfaction. In this study, the Cronbach’s α value of the scale was 0.88.

Data collection and procedures

The study was approved by the Human Ethics Committee of H University in South Korea, where the participating students were enrolled. Prior to data analysis, any details identifying the students, such as their names and identification numbers, were replaced with numerical codes.

Blended learning design

Figure  1 depicts the blended learning design, including the FC with TBL approach used in this study. According to this design, four topics were selected as the bases to develop blended learning: public healthcare definition and health policy, understanding international health, epidemiology, and environment and health. These topics were selected because the majority of the questions in the Korean National Examination were from these topics. The module comprised the development of TBL materials for pre- and post-class activities of the FC.

figure 1

Blended learning design including the FC with TBL approach used in this study. This course was held for eight weeks, including four modules.

The resources that were made available as pre-class materials included reading assignment contents, instructor-prepared lecture videos, Microsoft PowerPoint slides, and instructor-recorded lectures. Students were given the materials for the class on an online board a week before the class and asked to prepare before attending the class. They were required to learn the pre-class materials for at least 30 min. In class, the students performed TBL, which comprised two phases: individual and group readiness assurance tests (IRAT and GRAT), and a group application exercise (GAE) [ 18 ]. During the first in-class session, faculty presented the aim and overview of a lesson (5 min). Subsequently, students took the IRAT (10 min) and GRAT (30 min). The IRAT comprised 10 multiple-choice questions. In the GRAT, each team’s answers were presented on the white board, and each team described how they had arrived at their solutions, as well as the pros and cons that they considered. After the readiness assurance tests, the faculty answered the students’ questions and explained the key concepts of the chapter (20 min). In team learning, students checked the learning objective and included it in the learning plan (25 min). During the second in-class session, students applied the topic’s concepts. They were given materials with a case scenario developed for the GAE (60 min). Subsequently, they discussed and documented the public health problem, and the teams reported their answers during the class itself. After the GAE, the students individually described scenario-related problem-solving and management: the community application method, intervention plans based on evidence, and evaluation methods (60 min). Post-class, students discussed and commented on the topics in a team review. Team reviews were available online, and students had to participate for at least 30 min in a team review. This blended learning continued for 8 weeks, including eight in-class sessions of 2 h each.

Traditional lecture

Instead of performing blended learning, students attended TLs and individually analyzed case studies. This was an eight-week course, and each session comprised 2 h. One topic was taught for 2 weeks. During the first session, faculty presented the aim and overview of a lesson (5 min). Further, they explained key concepts, evidence-based interventions, and problem-solving and management methods in the community (100 min). After the lecture, students attended a question-and-answer session (15 min). During the second session, students individually analyzed the case scenario, documented the problem, and performed problem-solving and management of the public health issue (60 min). The case analysis was followed by debriefing (50 min), during which students expressed their thoughts. After the debriefing, students attended a question-and-answer session (10 min).

Before starting the education intervention, students in both groups completed questionnaires assessing their public healthcare education-related knowledge, problem-solving abilities, and learning satisfaction regarding the course that they had previously attended. In the ninth week, students in both groups completed the same questionnaires.

Statistical analysis

A Chi-square and independent t -tests were used to compare the general characteristics. An independent t-test was used to compare the pre-intervention learning outcome variables between the experimental and the control groups. The differences between the two groups in knowledge, problem-solving ability and learning satisfaction in accordance with intervention were analyzed by a one-way repeated measure ANOVA. The collected data were analyzed using the SPSS WIN 24.0 program, as follows: the data were normally distributed, and the verification method was selected. A p -values less than 0.05 were considered statistically significant.

General characteristics of participants between the two groups

Table  2 offers the general characteristics of the participants. Overall, more than 80% of the participants were women. The mean age of the experimental group and control group was 22.45 and 22.40, respectively. No significant differences were found between the two groups in gender, satisfaction with nursing, and grade point average. Grade point average is the official grade given from the first year to second year and has an available range of 0–4.5.

Differences in learning outcome variables between the two groups

No significant differences were found between the two groups in pre-intervention learning outcome variables. The blended learning significantly improved all the learning outcomes scores. Using repeated measures ANOVA, the knowledge score showed statistically significant differences in the interactions between the groups (F = 4.48, p = .036), between the measurement points groups (F = 464.30, p  < .001), and between the groups and the measurement points groups (F = 14.45, p  < .001). The problem-solving ability score showed statistically significant differences in the interactions between the groups (F = 185.04, p  < .001), between the measurement points groups (F = 783.56, p  < .001), and between the groups and the measurement points groups (F = 322.69, p  < .001). The learning satisfaction score showed statistically significant differences in the interactions between the groups (F = 33.41, p  < .001), between the measurement points groups (F = 311.78, p  < .001), and between the groups and the measurement points groups (F = 36.34, p  < .001) (Table  3 ).

The results of this study expand earlier findings on how blended learning, including the FC with TBL model, can enhance learning outcomes in education [ 31 ]. Moreover, this model was found to increase the effectiveness of teaching and learning methods to improve knowledge acquisition, which is consistent with the results of several other studies [ 34 , 35 ]. This unique three-process blended learning model is much more helpful in expanding participants’ knowledge than traditional classrooms. Further, the use of various pre-learning materials can help learners engage in self-directed learning [ 14 ]. It is noted that the FC does not merely involve the acquisition of knowledge outside the classroom. Rather, it involves pre-class preparation for team learning as the first step in nurturing active learners, who can perform high-level cognitive work. In addition, for successful blended learning, the composition of activities outside and inside the class must be consistent [ 36 ]. In an FC with TBL, educators should carefully consider course design and develop consistent learning flows from pre-class online content to TBL content in class and content for post-class reflection. This helps students participate in effective learning activities and maintain positive attitudes toward learning outcomes [ 37 ]. In addition, within the classroom, learners can experience peer instruction through TBL. Following the class, learners recognize their role as team members and expand their knowledge through a continuous self-assessment process.

In particular, the FC with TBL model provides learners with pre-class videos related to the topic. Since such videos can be easily accessed using smartphones and notebooks, they enable self-directed learning that transcends time and space. Further, participants familiar with smart devices do not encounter any difficulty in accessing these videos [ 38 ]. Hence, smart devices enable individual and iterative learning and facilitate team interactions. This seems to be an environmental factor that facilitates students’ active learning.

Further, the FC with TBL model was effective in enhancing participants’ problem-solving abilities by facilitating case studies requiring teamwork. To provide public healthcare, healthcare professionals must collaborate with experts. Finding and solving real-world public healthcare problems is a difficult endeavor for an individual healthcare professional. Hence, the main goal of TBL is to enable team development and team-centered problem solving [ 39 ]. Members of the FC with TBL group regularly demonstrated high levels of learning by applying, analyzing, evaluating, and even acquiring information during team activities depending on their understanding of public health [ 40 ]. Therefore, the current study revealed that participants’ problem-solving ability improved in the blended learning group.

The blended learning group members reported more positive learning satisfaction than the TL group members. The FC with TBL model is a student-centered approach and, hence, is different from traditional classrooms, which are mostly instructor centered and provide one-sided learning materials. Earlier studies suggest that learner-centered discussions and teacher facilitation behaviors expressed through learning activities help participants feel valued in a learning environment [ 41 , 42 ]. Further, participants can break the general boundaries of classroom instruction and achieve their learning goals by themselves both inside and outside the classroom. In particular, the predelivery of video lectures, which is a component of pre-class, enables participants to have a flexible framework that lets them decide for themselves when, where, and how to study in accordance with their personal learning pattern. This enables learners to perform self-directed learning, use familiar tools for learning, and maximize their positive awareness of the FC with TBL approach.

To implement such blended learning, it is important that information is transferred from resources such as videos to learners during pre-class learning [ 12 ]. Since the pre-class operation involved only limited student access through the university’s online system, this study delivered the required materials through social networking platforms and cloud technology. Videos were made using advanced technologies to ensure that learners could study without feeling bored. This further ensured that participants could access the learning materials relatively easily and create a deliberate but self-directed and autonomous learning environment. In this environment, learners could study at their own pace, which considerably improved their learning outcomes.

Very few studies in Korean nursing education use the FC with TBL model as a blended learning strategy to encourage students’ active participation. In this study, we applied this educational strategy to a public healthcare education course to promote outside-the-class learning associated with the FC, active learning, team interactions, and reflection. Our findings suggest that FC with TBL is a suitable model to teach public healthcare education courses, as evidenced by the improvements in learning outcomes. Finally, in this study, the FC with TBL model was evaluated in broader terms, such as its ability to increase problem-solving ability and learning satisfaction, over providing simple knowledge by standardized tools.

Limitations

This study has some limitations. The blended learning method discussed in this study can be improved with respect to the time, costs, and materials required for planning and content preparation, including videos for pre-class learning. Further, there is a two-year interval between the experimental and control groups; however, it is reasonable to believe that this delay did not affect the study results because the participants’ curriculum, educational environment, and research conditions remained the same over the years [ 17 ]. The participants in the two groups had different admission years and were asked to maintain the contents and evaluations of the class confidential; however, we did not check for contamination between the two groups. In this study, participants were third-year nursing students, and the scenario was limited to a public healthcare course. Hence, caution must be exercised when generalizing the results to applications with other levels of nursing students or to other nonpublic health content. We recommend that future studies on blended learning strategies include qualitative and observational components to more clearly ascertain a broader array of behavioral, cognitive, and motivational outcomes and, perhaps, elucidate the mechanisms by which FC and TBL affect student learning. Further, this study does not provide adequate data for long-term information retention. Finally, the psychiatry symptom variable was measured subjectively using simple questions, rather than standardized tools. Therefore, to obtain objective data on these variables, future studies should use standardized assessment scales.

This study found that the FC with TBL blended learning model enhanced the knowledge, problem-solving ability, and learning satisfaction of third-year Korean nursing students. Furthermore, it promoted self-directed learning. In addition, this educational strategy was found to be effective both outside and inside the classroom to obtain positive learning outcomes. Finally, we suggest that the FC with TBL approach is one of the most suitable methods for teaching public healthcare courses and may enhance nursing students’ cognitive abilities at a higher level.

Availability of data and materials

Not applicable.

Abbreviations

  • Flipped classroom

Group application exercise

Group readiness assurance test

Individual readiness assurance test

  • Team-based learning

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Acknowledgements

This study was supported by a research fund from Chosun University, 2018 [K207894001].

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HY was involved in the design of the study and analyzed the data. HR was involved in the design of the study and statistical analysis of the results. Both HY and HR were involved in drafting the manuscript. All authors have read and approved the final manuscript.

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This study was approved by the Ethics Committee of Honam University, South Korea. Participants were informed about the anonymized use of test results, and participation was voluntary. All our participants were informed about this educational program and adjacent study design prior to the start of the study. We gave them the opportunity to object to the use of their test results or data whenever they wanted.

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Kang, H.Y., Kim, H.R. Impact of blended learning on learning outcomes in the public healthcare education course: a review of flipped classroom with team-based learning. BMC Med Educ 21 , 78 (2021). https://doi.org/10.1186/s12909-021-02508-y

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Modeling for Meaningful Learning

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In the first part of the chapter, we argue that the goal of formal education should be meaningful learning. Meaningful learning is necessarily social, collaborative, intentional, authentic, and active. The result of meaningful learning lies in its cognitive residue, the learner’ mental model.

In the second part of this chapter, we describe different components of individual mental models and collaborative mental models. Mental models are rich, complex, interconnected, interdependent, multi-modal representations of what someone or some group knows.

Perhaps the most effective means for fostering the development of mental models is the construction of computational models. We argue that modeling is an essential skill for all disciplines engaging students in meaningful learning. So, the third part of the chapter focuses on how technologies can be used to support students’ construction of their own models and theories of how phenomena work. Students can build models of domain knowledge, problems, systems, semantic structures, and thinking while studying. In addition to distinguishing between what is modeled, we also distinguish between kinds of modeling systems (deductive simulations, inductive simulations, qualitative causal models like expert systems, and semantic modeling tools), and their affordances for supporting the construction of mental models.

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IMAGES

  1. 18 Problem-Based Learning Examples (2023)

    problem solving learning outcomes

  2. Collaborative Problem-Solving Steps

    problem solving learning outcomes

  3. What Is Problem-Solving? Steps, Processes, Exercises to do it Right

    problem solving learning outcomes

  4. 8 Ways To Improve Your Problem-Solving Skills

    problem solving learning outcomes

  5. How to improve your problem solving skills and strategies

    problem solving learning outcomes

  6. Problem-solving and Decision-making

    problem solving learning outcomes

VIDEO

  1. SLOs-Based Education: What, Why, How?

  2. Recipe Fun Playset Printable #chanafavors

  3. Lean Coach: Problem Solving Coaching / Avoiding Jumping to Solutions

  4. 문제해결학습 교수설계 가이드 book 훝어보기(JONASSEN)

  5. DSA AND PROBLEM SOLVING (Learning) Day 1

  6. What are Student Learning Outcomes (SLOs) and how to assess them

COMMENTS

  1. Core Outcomes: Critical Thinking and Problem Solving

    Core Outcomes. Sample Indicators. Level 1. Limited demonstration or application of knowledge and skills. Identifies the main problem, question at issue or the source's position. Identifies implicit aspects of the problem and addresses their relationship to each other. Level 2. Basic demonstration and application of knowledge and skills.

  2. Teaching Problem Solving

    Problem solving is a necessary skill in all disciplines and one that the Sheridan Center is focusing on as part of the Brown Learning Collaborative, which provides students the opportunity to achieve new levels of excellence in six key skills traditionally honed in a liberal arts education ­- critical reading, writing, research, data ...

  3. Creating Learning Outcomes

    Learning outcomes benefit instructors. Learning outcomes can help instructors in a number of ways by: Providing a framework and rationale for making course design decisions about the sequence of topics and instruction, content selection, and so on. Communicating to students what they must do to make progress in learning in your course.

  4. Problem-Based Learning: An Overview of its Process and Impact on

    Problem-based learning (PBL) has been widely adopted in diverse fields and educational contexts to promote critical thinking and problem-solving in authentic learning situations. Its close affiliation with workplace collaboration and interdisciplinary learning contributed to its spread beyond the traditional realm of clinical education 1 to ...

  5. Problem-Based Learning

    Nilson (2010) lists the following learning outcomes that are associated with PBL. A well-designed PBL project provides students with the opportunity to develop skills related to: Working in teams. Managing projects and holding leadership roles. Oral and written communication. Self-awareness and evaluation of group processes. Working independently.

  6. Effective Learning Behavior in Problem-Based Learning: a Scoping Review

    In PBL, students need to work collaboratively with their peers to solve problems. A study by Hidayati et al. demonstrated that effective collaborative skills improve cognitive learning outcomes and problem-solving ability among students who undergo PBL integrated with digital mind maps. To ensure successful collaborative learning in PBL ...

  7. Writing and Assessing Student Learning Outcomes

    Student learning outcomes are statements developed by faculty that answer these questions. Typically, Student learning outcomes (SLOs) describe the knowledge, skills, attitudes, behaviors or values students should be able to demonstrate at the end of a program of study. A combination of methods may be used to assess student attainment of ...

  8. Instructional design models for well-structured and III-structured

    Although problem solving is regarded by most educators as among the most important learning outcomes, few instructional design prescriptions are available for designing problem-solving instruction and engaging learners. This paper distinguishes between well-structured problems and ill-structured problems. Well-structured problems are constrained problems with convergent solutions that engage ...

  9. Assessing Problem Solving

    Methods for assessing problem-solving learning outcomes vary with the nature of the ­problem. For simpler well-structured problems, answer correctness and process may be used along with assessments of comprehension of problem schemas, including problem classification, text editing, and analogical comparisons.

  10. The effectiveness of collaborative problem solving in promoting

    Collaborative problem-solving is the organic integration of collaborative learning and problem-based learning, which takes learners as the center of the learning process and uses problems with ...

  11. Designing and Assessing Problem-Solving Skills in Learning Outcomes

    Problem-solving skills are essential for learning as they enable learners to apply their knowledge and skills to real-world scenarios and tasks, develop their metacognition and self-regulation ...

  12. Getting to the Root of the Problem in Experiential Learning:

    Experiential learning alone does not guarantee that students will accurately conceptualize content, or meet course outcomes in subsequent active experimentation stages. In an effort to more effectively meet learning objectives, the experiential learning cycle was modified with a unique combination of the 5 Whys root cause problem-solving tool ...

  13. Outcomes of problem-based learning in nurse education: A systematic

    1. Background. Nurses are the most significant component of the healthcare environment and have a major role in healthcare provision, favorable health outcomes, and care promotion (Considine et al., 2021; Rivaz et al., 2017).Nurses must develop critical thinking skills in order to be competent in flexible, personalized, and situation-specific problem-solving in today's healthcare environment ...

  14. Problem Solving

    CITE has developed the Problem Solving Rubric Template, based on AAC&U's Problem Solving VALUE Rubric, and the STEM Problem Solving Rubric Template to assist program leaders in developing their own rubrics for this learning outcome. You are welcome to draw on the linked editable files while designing a rubric for your program. Students will be ...

  15. and Ill-Structured Problem-Solving Learning

    learning outcomes, we must infer that problem solving would require a combination of analy-sis and synthesis skills, though it is not specif-ically identified. Component display theory (Merrill, 1983) does not acknowledge problem solving, so we must infer that it includes "using" and "finding" rules and principles.

  16. Effective Learning Behavior in Problem-Based Learning: a ...

    Problem-based learning (PBL) emphasizes learning behavior that leads to critical thinking, problem-solving, communication, and collaborative skills in preparing students for a professional medical career. However, learning behavior that develops these skills has not been systematically described. This review aimed to unearth the elements of effective learning behavior in a PBL context, using ...

  17. Improvement of problem solving skills and cognitive learning outcomes

    The results of the class action study found that there was an increase in the problem solving skills of the N-gain Cycle I results and the second cycle was 11.76%, the cognitive learning outcomes of the students there was an increase in the N-gain cyclical I and cycle II were 5.40%.

  18. Studying the student's perceptions of engagement and problem-solving

    Student engagement has emerged as a crucial factor in higher education, playing a vital role in shaping the overall quality of learning outcomes. It refers to the active involvement and participation of students in specific activities that research has consistently linked to improved academic achievements. The pervasiveness of the term 'student engagement' has significantly shaped the ...

  19. Improving student problem-solving skill and cognitive learning outcome

    The student skill to problem-solving in the PBL class was also significantly higher than the conventional class. In addition, students in the PBL class have a higher cognitive learning outcome ...

  20. (PDF) Instructional design models for well-structured and III

    So, instruction to support problem-solving learning outcomes should differ from that used to support, for instance, concept learning or rule learning. Assuming that and assuming that problem solving is more than the sum or even the synthesis of its component skills, specific models of problem-solving instruction need to be proposed and tested.

  21. Outcomes of Problem-Solving Using Constructivist Learning Environment

    The outcomes of problem-solving using constructivist learning environment to enhance learner problem solving was found consistent with the studies of Chaijareon Sumalee, Samat Charuni, and Kanjug Issara []; Clover []; Samat Charuni []; Chaijaroen Sumalee et al. [] that conducted the researches based on problem solving theory of Jonassen [].The theory was fundamentally used in design of ...

  22. Impact of blended learning on learning outcomes in the public

    Background A flipped classroom with team-based learning is a blended educational strategy that guides active learning inside and outside the classroom. This study aimed to verify the effects of this innovative blended educational strategy on knowledge, problem-solving ability, and learning satisfaction of undergraduate nursing students undergoing public healthcare education. Methods The ...

  23. Modeling for Meaningful Learning

    Instructional design models for well-structured and ill-structured problem-solving learning outcomes. Educational Technology: Research and Development, 45 ... Learning to relate qualitative and quantitative problem representations in a model-based setting for collaborative problem solving. Journal of the Learning Sciences, 8(2), 177-214 ...