Journal List > J Korean Acad Nurs > v.40(6) > 1002679

Yoo, Park, and Lee: The Effects of Case-Based Learning Using Video on Clinical Decision Making and Learning Motivation in Undergraduate Nursing Students



The purpose of this study was to examine the effects of case-base learning (CBL) using video on clinical decision-making and learning motivation.


This research was conducted between June 2009 and April 2010 as a nonequivalent control group non-synchronized design. The study population was 44 third year nursing students who enrolled in a college of nursing, A University in Korea. The nursing students were divided into the CBL and the control group. The intervention was the CBL with three cases using video. The controls attended a traditional live lecture on the same topics. With questionnaires objective clinical decision-making, subjective clinical decision-making, and learning motivation were measured before the intervention, and 10 weeks after the intervention.


Significant group differences were observed in clinical decision-making and learning motivation. The post-test scores of clinical decision-making in the CBL group were statistically higher than the control group. Learning motivation was also significantly higher in the CBL group than in the control group.


These results indicate that CBL using video is effective in enhancing clinical decision-making and motivating students to learn by encouraging self-directed learning and creating more interest and curiosity in learning.

Figures and Tables

Figure 1
Research process. CBL=Case-based learning.
Table 1
Open-ended Questions to Facilitate Discussion
Table 2
Tests of Homogeneity of Groups (N=44)

CBL=Case-based learning.

Table 3
Effects of CBL using Video (N=44)

CBL=Case-based learning.


1. Ahn GJ. Learning styles and preferred learning methods of undergraduate nursing students. Journal of Korean Academic Society of Nursing Education. 2007. 13:13–22.
2. Baek MK. Relationship between level of autonomy and clinical decision-making in nursing scale of E.T nurse. 2005. Seoul: Yonsei University;Unpublished master's thesis.
3. Cho YN. Constructivist teaching-learning theories. 2002. Seoul: Kyoyookbook.
4. Choi H. The effects of PBL (problem-based learning) on the metacognition, critical thinking, and problem solving process of nursing students. Journal of Korean Academy of Nursing. 2004. 34:712–721.
5. Choi SM. An analysis of the concept of critical thinking and its educational justification. 1997. Daegu: Kyungbook National University;Unpublished doctoral dissertation.
6. Cohen J. Statistical power analysis for the behavioral Sciences. 1988. Hillsdale, NJ: Erlbaum.
7. Dickieson P, Carter LM, Walsh M. Integrative thinking and learning in undergraduate nursing education: Three strategies. International journal of nursing education scholarship. 2008. 5:Article 39.
8. Dietrich JE, De Silva NK, Young AE. Reliability study for pediatric and adolescent gynecology case-based learning in resident education. Journal of Pediatric and Adolescent Gynecology. 2010. 23:102–106.
9. Fero LJ, Witsberger CM, Wesmiller SW, Zullo TG, Hoffman LA. Critical thinking ability of new graduate and experienced nurses. Journal of Advanced Nursing. 2009. 65:139–148.
10. Greenberger H, Reches M, Riba S. Do new graduates of registered nursing programs in Israel perceive themselves as technically competent? Journal of Continuing Education in Nursing. 2005. 36:133–140.
11. Gilboy N, Kane D. Unfolding case based scenarios: A method of teaching and testing. Journal of Emergency Nursing. 2004. 30:83–85.
12. Herreid CF. Case studies in science: A novel method of science education. Journal of College Science Teaching. 1994. 23:221–229.
13. Jang HJ. The development and effectiveness of courseware for injection. 1996. Seoul: Ewha University;Unpublished doctoral dissertation.
14. Jenkins HM. Improving clinical decision making in nursing. Journal of Nursing Education. 1985. 24:242–243.
15. Keller JM. IMMS: Instructional materials motivation survey. 1987. Tallahassee, FL: Florida State University.
16. Kwak HS. Development and application of elementary science case-based learning program emphasizing problem solving process. 2008. Seoul: Seoul National University of Education;Unpublished master's thesis.
17. Kwak HS, Jang HS. The effects of case-based learning program for scientific problem solving. Elementary Science Education. 2009. 28:340–351.
18. Lee MH, Jung T. Examination of the learning motivational process models based on self-determination theory. Korean Journal of Psychological and Social Issues. 2008. 14:77–99.
19. Lim NY, Yi YJ. Factors on decision-making participation related to clinical experience difference. Journal of Korean Academy of Nursing. 2004. 34:270–277.
20. Lumlertgul N, Kijpaisalratana N, Pityaratstian N, Wangsaturaka D. Cinemeducation: A pilot student project using movies to help students learn medical professionalism. Medical Teacher. 2009. 31:e327–e332.
21. Pinsky LE, Wipf JE. A picture is worth a thousand words: Practical use of videotape in teaching. Journal of general internal medicine. 2000. 15:805–810.
22. SaraC L, Ok A. The effects of different instructional methods on students' acquisition and retention of cardiopulmonary resuscitation skills. Resuscitation. 2010. 81:555–561.
23. Simpelo V. Hoffman B, editor. Case-based learning. Encyclopedia of Educational Technology. 2004. Retrieved May 11, 2010. from
24. Thurman J, Volet SE, Bolton JR. Collaborative, case-based learning: How do students actually learn from each other? Journal of Veterinary Medical Education. 2009. 36:297–304.
25. Tomey AM. Learning with cases. Journal of continuing education in nursing. 2003. 34:34–38.
26. Yoo MS, Son YS, Kim YS, Park JH. Video-based self-assessment: Implementation and evaluation in an undergraduate nursing course. Nurse Education Today. 2009. 29:585–589.
27. Yoo MS, Yoo IY, Lee H. Nursing students' self-evaluation using a video recording of foley catheterization: Effects on students' competence, communication skills, and learning motivation. Journal of Nursing Education. 2010. 49:402–405.
28. Yoo MS, Yoo IY, Park YO, Son YJ. Comparison of student's clinical competency in different instructional methods for fundamentals of nursing practicum. Journal of Korean Academy of Nursing. 2002. 32:327–335.
Similar articles