The Impact of Process-Oriented Guided-Inquiry Learning (POGIL) in Fundamental and Medical Surgical 11 Nursing Courses

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The Impact of Process-Oriented Guided-Inquiry Learning (POGIL) in Fundamental and Medical Surgical 11 Nursing Courses 1 Maureen C. Roller, DNP, RN, ANP-BC Susan Zori, DNP, RN, NEA-BC Erik Lyons, BSN, RN, CCRN College of Nursing and Public Health Nursing Education Research Conference

Dr. Roller & Dr. Zori: Adelphi University Mr. Lyons, BSN, RN: South Nassau Hospital LEARNING OBJECTIVES 2 1. Describe the research results of group scenario work using Process-Oriented Guided- Inquiry Learning (POGIL)compared to students that did not participate in (POGIL) in Fundamentals and Medical-Surgical II nursing courses 2. Discuss POGIL pedagogy as a method of increasing subject understanding and improving educational outcomes in Fundamentals and Medical-Surgical II adult nursing courses

3 Process-Oriented Guided-Inquiry Learning (POGIL) PURPOSE POGIL promotes student involvement in learning. POGIL is an interactive process of refning students understanding and developing students skills POGIL promotes teamwork and improves students understanding POGIL is a process to develop analytical critical thinking skills (POGIL, 2016)

TRADITIONAL UNIVERSITY 4 CLASSROOM

POGIL STRATEGY: How is it 5 Diferent? POGIL strategy provides a student centered methodology and structure that are consistent with the way students learn and achieve outcomes Learning environments can be competitive, individualized, or cooperative. Research has documented that relative to the other situations, students learn more, understand more, and remember more when they work together (POGIL, 2016). Students must develop critical thinking skills which can infuence problem solving and decision making (Zori, 2016).

6 BACKGROUND Research indicates that traditional teaching by lecturing does not work for most students POGIL has been documented as a successful active learning pedagogy in multiple research studies conducted with science courses that revealed an improvement in grade performance (Hein, 2012) POGIL uses small groups of students to analyse problem based case studies (POGIL, 2016) Students reported better understanding of course material and improvement in fnal grades with POGIL pedagogy (Roller & Zori, 2017)

STUDENTS in GROUPS of 7 FOUR

8 INSTRUCTOR ROLE Utilize POGIL to divide students into groups of 4 Students analyse case studies and answer questions embedded in the case study Instructor role is facilitator, who circulates through the class, guiding students, clarifying concepts Instructor coaches but does not giving answers, this leads students to fnd the answer

9 GROUP SCENARIO EXERCISE Gather in groups of four with diferent roles Choose roles: leader, refector, recorder & manager Review the scenario task: Group works together Share information 20-30 minutes Leaders present to entire class 10-15 minutes Faculty clarifes fndings 5 minutes Exercise approximately 45 minutes

10 EVALUATION of POGIL PROCESS Evaluation of the process is by individual and teams response of the process and issues shared in class. Learning should be an interactive process. Research: Will multiple nursing courses have the results reported by Science studies? The POGIL approach to learning has been documented in the literature in nursing education in a pilot study (Roller, 2015).

PURPOSE of STUDY 11 1. Examine and compare the demographics, pre-study GPA, fnal course grades and standardized national test scores of students in 2 groups Fundamentals nursing courses, where one group experiences POGIL as a pedagogy and one group does not. 2. Examine and compare the demographics, pre-study GPA, fnal course grades and standardized national test scores of students in 2 groups of Medical Surgical II nursing courses, where one group experiences POGIL as a pedagogy and one group does not. 3. Describe the students satisfaction with completing the case studies in a class that used POGIL with those who did not experience POGIL in Fundamentals and Medical Surgical II Nursing courses.

12 POGIL NURSING RESEACH Design: Descriptive comparative Subjects: Convenience sample of BSN students in either frst semester of junior year in fundamentals or fnal semester of senior year in medical-surgical adult nursing II classes Setting: Fundamental and Medical Surgical II classes, UniedStaturban and suburban mid-size private university in Northeastern United States Statistics: t-test used to compare pre research GPA, fnal grades and national standardized test scores Percentages used for demographics and student satisfaction with POGIL roles

METHOD 13 IRB exempt status Adelphi University & consents obtained Groups divided: Experimental and Control Demographics completed by both groups Fundamental Participants over 2 semesters, completed 6 group scenario, non-graded assignments in class. Non-participants were given the scenarios to voluntarily complete individually and submit to the professor for non-graded corrections. Medical- Surgical II Participants over 2 semesters completed 6 group scenario non-graded assignments in class. Non-participants were given

14 GROUP SCENARIOS 6 diferent topics of group scenario exercises Each exercise is case study of a client with a specifc disease process of the course curriculum 4-5 students assigned to each group Change groups of students each scenario Diferent leader for each group and in each scenario Leaders answer questions of scenario in each class

Fundamentals N POGIL POGIL % N COMPARISON 15 Comparison % WHITE 89 57.8% 42 73.7% AFRICAN AMERICAN BLACK 12 7.8% 1 1.8% ASIAN 26 16.9% 8 14% HISPANIC LATINO NATIVE AMERICAN NON HISPANIC/ LATINO 13 8.4% 3 5.3% 0 0% 0 0% 0 0% 0 0% OTHER 14 9.1% 3 5.3%

Demographics Medical- Surgical II N POGIL POGIL % N Comparison Comparison % WHITE 43 70.5% 34 64.2% AFRICAN AMERICAN BLACK 2 3.3% 4 7.5% ASIAN 6 9.8% 7 13.2% HISPANIC LATINO NATIVE AMERICAN NON HISPANIC/ LATINO 1 1.6% 1 1.9% 0 0% 0 0% 0 0% 1 1.9% OTHER 9 14.8% 6 11.3% 16

N RESULTS FUNDAMENTALS Age Mean Preresearch GPA Mean Preresearch GPA Standard. Deviation (SD) National Standard ized Exam Mean National Standard ized Exam (SD) Final Grade Mean 17 Final Grade (SD) POGIL Group Comparison Group 153 21.97 3.60.277 75.69 12.288 88.19 4.428 109 21.86 3.61.277 70.41 12.155 87.34 4.403 2 tail t-test significance p=.874 Not Signifi cant (NS) P=.657 (NS) p=.001 p=.124 (NS)

18 RESULTS MEDICAL-SURGICAL II N Age Mean Preresearch GPA Mean Preresearch GPA (SD) National Standard ized Exam Mean National Standard ized Exam (SD) Final Grade Mean Final Grade (SD) POGIL Group Comparison 61 22.9 3.48.275 72.00 10.504 85.31.639 54 25.6 3.46.266 72.78 12.726 87.01.776 Group 2 tail t-test significance p =.001 p=.756 p =.722 (NS) p =.090 (NS)

19 LIMITATIONS OF STUDY One baccalaureate RN (BSN) program in a private university in urban and suburban settings Participants were not randomly assigned over 2 semesters Learning styles, study habits and how students achieve mastery of the subject content as well as teaching styles of professors involved in the study could not be controlled for and could infuence the fnal grades achieved by students. Not all students in control group completed scenarios Professors that volunteered in experimental Medical- Surgical II group had limited training which could have infuenced outcomes

CONCLUSIONS 20 Fundamentals nursing courses using POGIL approach revealed improved grades. Satisfaction scores were positive in participating subjects Medical-surgical II nursing courses using POGIL approach did not reveal improved grades. Satisfaction scores were positive in participating subjects Exploring POGIL as a teaching strategy is in alignment with goals to promote evidence-based teaching POGIL pedagogy enhances the use of teamwork, which may help prepare students to meet an essential competency for professional nursing Replicating research with additional nursing courses may be benefcial

POGIL PROJECT 21

22 GOAL SUCCESSFU L NURSING STUDENTS

REFERENCES Hein, S.M.( 2012). Positive impacts using POGIL in organic chemistry. Journal of Chemical. Education. 89, 860 864 (dx.doi.orgl 10.1 0211ed10021 7v1J.Chem.Educ, pubs.acs.org/jchemeduc). POGIL, 2016. Description of roles POGIL: Process Inquiry Guided Inquiry Learning. [online]. Retrieved from. http://www.pogil.org/uploads/media_items/ descriptions-of-roles expanded.original.pdf (n.d.). Roller, M.C. (2015). Fundamental Nursing: Process-Oriented Guided-Inquiry Learning (POGIL) Research. Journal for Leadership and Instruction 14, (1), 20-23 Roller, M.C. and Zori, S.(2017) The Impact of Instituting Process-Oriented Guided-Inquiry Learning (POGIL) in a Fundamental Nursing Course. Nurse Education Today, 50, 72-76. DOI link: https://doi.org/10.1016/j.nedt. 2016.12.003 Zori, S. (2016). Teaching critical thinking using refective journaling in a nursing fellowship program. Journal of Continuing Education in Nursing 47 (7), 321 329 23

24 Thank You QUESTIONS????????????????????????????? Contact Info: Dr. Maureen C. Roller Dr. Susan Zori roller@adelphi.edu szori@adelphi.edu Mr. Erik Lyons, BSN, RN, CCRN eriklyons@mail.adelphi.edu