Problem-Based Learning (PBL) in
Nursing Education
Definition
Problem-Based Learning (PBL) is a student-centered teaching
approach in which nursing students learn by working in small groups
to solve realistic clinical problems. The problem comes first, and
learning happens as students identify what they need to know to
manage it.
Key features of PBL
Real-life clinical scenarios
Small group learning
Student-directed study
Facilitator (teacher) acts as a guide, not a lecturer
Emphasis on critical thinking and clinical reasoning
Steps of PBL in nursing (classic model)
Presentation of the problem
Example: A patient with shortness of breath and chest pain.
Identify facts from the case
Vital signs, symptoms, history.
Define the problem(s)
Possible diagnoses or nursing issues.
Brainstorm possible explanations
Using prior knowledge.
Identify learning objectives
What students need to study (e.g., oxygen therapy, ECG
interpretation).
Self-directed learning
Students research independently.
Group discussion and synthesis
Apply new knowledge to the case.
Reflection and evaluation
Role of the nurse educator in PBL
Facilitator, not content-deliverer
Encourages questioning and discussion
Guides students toward learning objectives
Ensures learning outcomes are met
Benefits of PBL in nursing
Develops critical thinking and clinical reasoning
Improves problem-solving skills
Enhances teamwork and communication
Promotes lifelong learning
Bridges theory–practice gap
Challenges of PBL
Time-consuming
Requires trained facilitators
Students may feel uncomfortable without lectures
Needs adequate resources and planning
Example of PBL in nursing teaching
Scenario: A 65-year-old diabetic patient with a non-healing foot ulcer.
Students learn about:
Wound assessment
Infection control
Diabetic foot care
Patient education
Multidisciplinary management
PBL and benchmarking in nursing teaching
PBL can be benchmarked by comparing:
Student clinical reasoning scores
OSCE performance
Student satisfaction
Graduate competence
NCLEX/licensure outcomes