Effects of a Community-Based Learning in Community Health Nursing Process on the Community Health Management Competency in Nursing Students
DOI:
https://doi.org/10.60099/jtnmc.v38i02.261425Keywords:
community health nursing process, community-based learning, community health management competencyAbstract
Introduction Community-Based Learning is a teaching strategy that focuses on students’ ability to respond effectively to real-life community situations. This learning approach aims to improve nursing students’ knowledge, skills, and attitudes, helping them develop their community health management competencies.
Objective To compare nursing students’ community health management competencies at baseline, post-lecture and after program completion.
Design This study employs a quasi-experimental design with one-group repeated measures
Methodology Through purposive sampling, the sample consisted of 141 second-year nursing students from a nursing college, Phra Boromrajchanok Institute. Based on Kolb’s Learning theory, the Community-Based Learning approach in Community Health Nursing Process included five activities: 1) learning the community nursing process theory, 2) visiting the community area, 3) reflection, 4) summarizing the learning content, and 5) applying knowledge. The program was validated by content experts. Data were collected at baseline, post-lecture and after program completion using an assessment of community health management competency, which included three main competencies: 1) Community health management knowledge, 2) Community health management skills, and 3) Community health management attitude. The Cronbach Alpha coefficient was .97. Data were analyzed using descriptive statistics and One-way ANOVA with repeated measures.
Results After the program, the sample had higher community health management competencies (M = 4.48, SD = 0.62) compared to post-lecture (M = 3.63, SD = 0.49) and the baseline (M = 3.56, SD = 0.67), with statistical significance (F = 170.783, p < .001). However, no significant difference was found when comparing competencies at baseline and post-lecture.
Recommendation The community-based learning approach was effectively enhanced community health management competencies of nursing students and can be applied to other community-related subjects, such as family health care, school health, occupational health, and environmental health.
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