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Best Teaching/Learning Strategies to Foster Collaborative Learning and Team Building: A Literature Review

   

Added on  2022-12-28

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Leadership ManagementHealthcare and ResearchLanguages and Culture
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Best Teaching/Learning Strategies to Foster Collaborative Learning and Team Building:
A Literature Review

Jeannie Couper, PhD, RN-BC, CNE1,2

1Fairleigh Dickinson University, 2Saint Barnabas Medical Center

INTRODUCTION

METHODS

CONCLUSIONS

DISCUSSION

RESULTS

REFERENCES

ABSTRACT

CONTACT

RESULTS

Jeannie Couper, PhD, RN-BC, CNE

Fairleigh Dickinson University

Saint Barnabas Medical Center

Email: couperj@fdu.edu

Phone: 973-902-9929

As global citizens, nursing students are
concerned about their local communities as
well as national and international interests.
Social media, long-distance learning, and study
abroad programs have fostered a global
learning environment. Collaborative learning
appears to foster interprofessional
relationships and improve patient outcomes.

A narrow literature review of evidence-based
active learning strategies published between
2013 and 2017 focused on collaborative
learning and team building in nursing
education. Eight strategies were identified
including the incorporation of concept maps or
mind mapping, inter-professional practice
models, simulation with role-playing, the use of
social media, team-based learning, team-
building interventions, role-playing, and
interprofessional education (IPE) programs to
address core competencies.

Although many student-centered teaching-
learning strategies were identified, evidence is
scarce for each. The evidence to support best
practices to foster collaborative learning and
team-building remains limited. Further
research is required.

Although eight strategies were identified in the 11 studies in the most
recent literature, there are very few studies evaluating the effectiveness
of teaching strategies to foster collaborative learning and team-building.
Student-centered teaching-learning strategies identified include:

the incorporation of concept maps or mind mapping
(Rosciano, 2015)

integration of inter-professional practice models
(Sheppard et al., 2015)

simulation with role-playing
(Wheeler & McNelis, 2014)

the use of instructor-led simulation activities
(Luctkar-Flude et al., 2017)

the use of social media
(Stephens & Gunther, 2016)

team-based learning
(Cheng et al., 2014; Cheng et al., 2014)

team-building interventions
(Yi, 2015)

role-playing
(Wheeler & McNelis,2014)

IPE simulation to address core competencies
(Murphy & Nimmagadda, 2015)

The effectiveness of teaching strategies in nursing remains grossly
under studied. Nurse educators are seeking alternative
learning/teaching strategies to reach Millennial students who desire to
be actively engaged in the learning process.

These strategies afford students multiple opportunities to take
ownership of their learning, build on previous knowledge and
experiences, and learn to function effectively in inter-professional
teams.

Successful learning should positively impact patient outcomes, as
graduates are more prepared to practice collaboratively within the
multidisciplinary work environment.

More research needs to be done to further identify best-teaching
strategies to foster collaborative learning and team-building in nursing
education.

English-speaking, peer-reviewed sources published between 2013-2017
were examined to determine the current state of knowledge and
evidence of best teaching strategies to foster collaborative learning and
team-building in nursing education.

Data sources included CINAHL, ScienceDirect, and SAGE. Keywords
included collaborative learning, teambuilding, team-work, and nursing
education. Thirty articles were reviewed for relevance. Articles that
were theoretical or case studies were excluded. Eleven research
studies are included in this review.

The findings of this literature yield inconclusive results. More robust
research is needed to address this scarcity of evidence of best
educational practices to foster collaborative learning and team building,
and to promote deeper, more meaningful learning in nursing education.

Nurse are foundational to the health of communities and the nation. As
global citizens, nursing students are concerned about their local
communities as well as national and international interests. Social
media, long-distance learning, and study abroad programs have
fostered a global learning environment.

Students are expected to care for the whole person in collaboration
with a team of healthcare providers as patient care is more than
treating the illness or disability but requires the physical, emotional,
psychological and social needs of the patient/client be addressed.
Collaborative learning appears to foster inter-professional relationships
and improve patient outcomes.

Many nurse educators have adopted active learning strategies which
promote team work and collaborative learning beyond the classroom.
Many of the active learning strategies described in the literature support
student learning, and collaboration such as gaming (Boctor, 2016), a
global- service learning program (Kreye & Oetker-Black, 2013), and
simulation (Murphy & Nimmagadda, 2015), but lack the evidence to
support their effectiveness. There remains a paucity of research to
evaluate the best teaching strategies and practices to foster
collaborative learning and team-building.

Collaborative learning is supported by active learning strategies which
are student-centered. Active learning strategies are designed to
facilitate student learning by fostering inquiry and reflection, encourage
problem-solving, and promote critical thinking and deeper learning.

In an effort to explore the best evidence available to foster team building
and promote deeper learning in nursing education, a narrow literature
review of evidence-based active learning strategies focused on
collaborative learning was conducted.

Boctor, L. Active learning strategies: The use of gaming to reinforce learning in

nursing education. A case study. Nurse Education in Practice, 13(12),
96-100. doi: 10.1016/j.nepr.2012.07.010

Cheng, C., Liou, S., Hsu, T, Pan, M., Liu, H., & Chang, C.(2014). Preparing

nursing students to be competent for future professional practice: Applying
Team-based Learning- Teaching strategy. Journal of Professional Nursing,
30(4), 347-356. doi: 10.1016/j.profnurs.2013.11.005

Cheng, C., Liou, S., Tsai, H., & Chang, C. (2014). The effects of Team-based

Learning on learning behaviors in the maternal-child nursing course.
Nurse Education Today, 34(1), 25-30. doi: 10.1016/j.nedt.2013.03.013

Del Rossi, L., Kientz, M., Padden, M. , McGinnis, P., & Pawlowska, M. (2017). A

novel approach to pediatric education using interprofessional
collaboration. Journal of Physical Therapy Education, 31(2), 119-130.

Delunas, L. R. & Rouse, S. (2014). Nursing and medical student attitudes about

communication and collaboration before and after interprofessional
education experience. Nursing Education Perspectives, 35(2), 100-
105. doi: 10.5480/11-716.1

Kreye, S., & Oetker- Black, S. ( 2013). A global service-learning experience for

nursing students in Tanzania: A model for collaboration. Nursing Forum,
48(4), 256-261. doi: org/10.1111/nuf.12046

Luctkar-Flude, M., Wilson-Keates, B., Tyerman, J., Larocque, M., & Brown, C. A.
(2017). Comparing instructor-led versus student-led simulation

facilitation methods for novice nursing students. Clinical Simulation in
Nursing,13(6), 264-269.

Murphy, J. I., & Nimmagadda, J. (2015). Partnering to provide simulated learning

to address Interprofessional Education Collaborative core competencies.

Journal of Interprofessional Care, 29(3), 258-259. doi:
10.3109/13561820.2014.942779

Rosciano, A. (2015). The effectiveness of mindmapping as an active learning strategy

among associate nursing students. In Teaching and Learning in
Nursing,10(2):93-99. doi: 10.1016/j.teln.2015.01.003

Sheppard, K. D., Ford, C. R., Sawyer, P., Foley, K., Harada, C. N., Brown, C. J.,
& Ritchie, C. S. (2015). The interprofessional clinical experience.:
Interprofessional education in the nursing home. Journal
of Interprofessional Care, 29(2), 170-172.

Stephens, T. M., & Gunther, M. E. (2016). Twitter, millennials, and nursing education

research. Nursing Education Perspectives, 37(1), 23-27.doi: 10.5480/14-1462

Wheeler, C. A. & McNelis, A. M. (2014). Nursing student perceptions of a
community-based home visit experienced by a role-play simulation.
Nursing Education Perspectives, 35(4), 259-261.

Yi, Y. J. (2016). Effects of teambuilding on communication and teamwork among
nursing students. International Nursing Review, 63(1), 33-40.

Peer-reviewed
articles

Author and year

Country
Sample Sample
size

Design
Data collection
method

Analysis technique
Key findings or results
Cheng, Liou, Hsu,
Pan, Liu, & Chang
2014

Taiwan
RN-to-BSN
students

In 4 courses

387
Quasi-
experimental

Interventional

Questionnaires

Final exam score

Descriptive analysis

Analysis of covariance
(ANCOVA) and t-test

TBL improved students' learning
behaviors: collaborative learning, self-
directed learning, and in-class
engagement. Students identified
increased value of teams.

Cheng, Liou, Tsai, &
Chang

2014

Taiwan
RN-to-BSN
students-
single
program

Single course

207
Quasi-
experimental

Interventional

Questionnaires

Exam scores

Descriptive analysis

Analysis of covariance
(ANCOVA) and t-test

TBL improved students' learning
behaviors: collaborative learning, self-
directed learning, and in-class
engagement, and teamwork among
learners. Improved academic
performance (exam scores).

Delunas & Rouse
2014

USA
1st and 2nd yr
medical
students

Junior BSN

74
Quasi-
experimental

Questionnaires
Descriptive statistics,
paired and independent
t-tests, ANOVA, Tukey

In an interprofessional education
experience, med students had less
positive attitudes towards
interprofessional communication and
collaboration than nursing students; it
persisted over time.

BSN students also became less positive
over time.

Highlighted need for TeamSTEPPS
(AHRQ) in IPE experiences.

Wheeler & McNelis

2014

USA
Nursing
students

144
Mixed methods Questionnaires
Interviews/focus
groups

Descriptive statistics

Thematic analysis

Simulation with role-playing facilitated
active learning, collaborative learning,
diverse ways of learning, and high
expectations for learning.

Provided opportunity for problem-
solving, feedback, and time for
reflection.

Four themes emerged: realistic, fun,
thinking outside the box, and being in
the role.

Murphy &
Nimmagadda

2015

USA
Students:
Nursing and
social work
majors

88
Quasi-
experimental

Questionnaire

One-open ended
question

Descriptive statistics,
Kolmogorov-Smirnov
test

Content analysis

Following IPE simulations, more positive
attitudes; patient-centered, cultural
competence, compassion, , open-
mindedness, and reflective listening.

Five themes emerged: leadership,
communication, teamwork, attitudes,
and listening skills.

Rosciano,

2015

USA
Nursing
students

30
Mixed methods Rubric
Questionnaire

One-open ended
question

Rubric scores,
descriptive statistics

Thematic analysis

Mind mapping or the construction of
concept maps promoted learning.
Students gained clearer understanding
of concept, employed critical thinking,
and encouraged peer collaboration .

Sheppard, Ford,
Sawyer, Foley,
Harada, Brown, &
Ritchie

2015

USA
Students:
Medical
professional

171
Descriptive Questionnaire
Focus group

Descriptive statistics

Thematic analysis

Through an interprofessional clinical
experience, students gained a better
understanding of each other's roles and
responsibilities.

Experience highlighted the value of
collaboration among healthcare
professionals.

Stephens & Gunther

2016

USA
BSN students
Junior yr

Millennials

70
Quasi-
experimental

Questionnaire

Open-ended
question

Descriptive statistics

Thematic analysis

The use of Twitter to disseminate
information was viewed positively by >
80% millennial students

Viewed as an effective means of
information to delivery

Two themes emerged: positive and
negative aspects of the experience with
Twitter

Yi

2016

Korea
Junior nursing
students

195
Quasi-
experimental

Questionnaire
Descriptive statistics, t-
tests

Thematic analysis

Team-building activities strengthened
teamwork skills.

Collaboration to effectively achieve
goals.

Improved communication and teamwork
among students.

Del Rossi, Kientz,
Padden,, McGinnis, &
Pawlowska

2017

USA
OT, PT and
BSN students

79
Descriptive
Qualitative

Self-evaluation
with 3 open-ended
questions

Reflective writing
assignment

ICAR
(Interprofessional
Collaborator
Assessment Rubric)

Descriptive analysis

Thematic analysis

Interprofessional collaboration in
clinical lab fostered deep learning.

Four themes emerged: experience with
communication, deeper understanding
of developmental milestones, value of
working as a team, increased confidence
and personal comfort.

Developed trusting relationships with
families and healthcare team.

Gained deeper respect for culture,
values, roles and responsibilities, and
experience of members of team

Improved communication and
interprofessional collaboration .

Luctkar-Flude,
Wilson-Keates,
Tyerman, Larocque,
& Brown

2017

Canada
2nd yr BNSc
students

78
Mixed
Methods-
crossover
design

Questionnaires

Multiple-choice
quiz

Descriptive statistics, t-
tests, ANOVA, Tukey
HSD

Students preferred instructor-led
simulation.

4 themes identified: guidance and
communication, more opportunities to
correct errors and avoiding error
reinforcement, more realistic, and more
opportunities for collaborative problem-
solving.

http://www.quertime.com/article/top-20-collaboration-and-management-tools-for-students/
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