The Comparative Study on Effect of education By two methods Case-based Learning and Lecture on Nurses, Clinical Decision Making in Intensive Care Unit

The unstable condition of clinical situation of patients in Intensive Care Unit; is require that nurses’ be competent in decision making. The case-based learning is one of the novel educational methods that can lead to development clinical decision making. This study was conducted to determine the effect of two methods of case-based learning and lecture on nurses clinical decision making skill in intansive care unit. In this experimental study pre test and post test method, Shahid Kamyab and Imam Reza Hospitals in Mashhad were assigned into two groups: case-based learning and lecture group. Then through randomization, 60 ICU nurses’ were selected. In Case-based learning group to education of nurses’ was used of reality-based scenarios and and in the traditional group of lecture. Both groups completed a clinical decision making questionnaire before and fourty five days after the intervention. Data analysis was done with using ttest, paired t-test, Mann-Whitney and Chi-Square in SPSS V.16 at the significant level 0.05. There was no significant difference in nurses’ decision making (P = 0.162) between the tow groups before the intervention; but significant differences were seen in both groups after the intervention (p = 0.02). In the mean difference pre and post-test in the case-based learning group (35.5 ± 28.2) than lecture group (13.4 ± 7.2) were seen significant differences (P < 0.001). The results showed that educational method of case-based learning will be more effective in the development of clinical decision making of nurses rather than lecture. Therefore, it is recommended that this educational method be used in service training programs to improve nurses decision making skills.