Authors :
Mary Shini D.; Dr Angela Gnanadurai
Volume/Issue :
Volume 11 - 2026, Issue 9 - September
Google Scholar :
https://tinyurl.com/yej7fkbd
DOI :
https://doi.org/10.38124/ijisrt/26sep015
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Introduction & Significance: Traditional lecture-based ethics education is predominantly instructor-centred. It
offers limited opportunities for active learning and critical reflection. Although staff nurses are licensed professionals,
ongoing ethics education is essential to enhance ethical decision-making in nursing practice. Case-based learning (CBL)
promotes active participation, critical thinking, and an application of ethical principles to real-life clinical situations. This
study determines the perceived usefulness of the CBL method in enhancing ethical decision-making skills in nursing practice.
Methodology: A quantitative, descriptive, post-test-only design was adopted.
Keywords :
Case-Based Learning (CBL), Perception, Staff Nurses, Ethical Decision Making (EDM), Nursing Practice, Critical Analysis.
References :
- Varma B, Karuveettil V, Fernandez R, Halcomb E, Rolls K, Kumar SV, Aravind MS. Effectiveness of case-based learning in comparison to alternate learning methods on learning competencies and student satisfaction among healthcare professional students: A systematic review. J Educ Health Promot. 2025 Feb 28;14:76. doi: 10.4103/jehp.jehp_510_24. PMID: 40144176; PMCID: PMC11940068.
- Anand S Tegginamani, H S Vanishree. The Benefits and Limits of Case-Based Learning (CBL): A Concise Review. J Multi Dent Res. 2024;10(2):74–80. https://doi.org/10.38138/JMDR/v10i2.26
- Hwu LJ, Pai HC. Exploring Ethical Dilemmas and Coping Strategies in Nursing: A Focus Group Study of Nurses and Nursing Students. Nurs Health Sci. 2025 Jun;27(2):e70082. doi: 10.1111/nhs.70082. PMID: 40273952; PMCID: PMC12021456.
- Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors. Nursing Management and Professional Concepts [Internet]. 2nd edition. Eau Claire (WI): Chippewa Valley Technical College; 2024. CHAPTER 6, ETHICAL PRACTICE. Available from: https://www.ncbi.nlm.nih.gov/books/NBK610435/
- Afonso, C., & Amaral, O. (2025). From Theory to Practice: An Implementing Case-Based Learning in a Family Health Nursing Master's Course. SAGE open nursing, 11, 23779608251379102. https://doi.org/10.1177/23779608251379102
- Abdolahi A, Estacio J C, Mokhtarinia B. Modern nursing ethics: Decision-making in complex situations and resource constraints. J Nurs Adv Clin Sci. 2026;():e243307. doi: 10.32598/JNACS.2026.1259
- Sartania N, Sneddon S, Boyle JG, McQuarrie E, de Koning HP. Increasing Collaborative Discussion in Case-Based Learning Improves Student Engagement and Knowledge Acquisition. Med Sci Educ. 2022 Sep 5;32(5):1055-1064. doi: 10.1007/s40670-022-01614-w. PMID: 36276760; PMCID: PMC9584010.
- James, M., Baptista, A.M.T., Barnabas, D. et al. Collaborative case-based learning with programmatic team-based assessment: a novel methodology for developing advanced skills in early-years medical students. BMC Med Educ 22, 81 (2022). https://doi.org/10.1186/s12909-022-03111-5
- Obeagu, G. U., & Muhammad, T. (2025). Impact of Case-based Learning on Critical Thinking in Clinical Decision-making Among Student Nurses of Kampala International University, Uganda. Advances in Medical Education and Practice, 16, 1861–1868. https://doi.org/10.2147/AMEP.S547292
- Daly R, Tunney E, Spooner M, Offiah G, Flood K, Kent F. Case-based learning (CBL) in undergraduate health professions education: A realist review. Med Educ. 2026; 60(8): 846-864. doi:10.1111/medu.70179
- McLean S. F. (2016). Case-Based Learning and its Application in Medical and Health-Care Fields: A Review of Worldwide Literature. Journal of medical education and curricular development, 3, JMECD.S20377. https://doi.org/10.4137/JMECD.S20377
- Zou, Y., Xie, W., Huang, H., Liu, D., Zhou, Q., Yi, Q., Tong, X., & Mao, P. (2026). The effects of case-based, problem-based, and team-based learning on nursing students' problem-solving, self-directed learning, and communication skills: a systematic review and meta-analysis. BMC Medical Education, 26(1), 270. https://doi.org/10.1186/s12909-026-08602-3
- Sartania, Nana & Sneddon, Sharon & Boyle, James & McQuarrie, Emily & De Koning, Harry. (2022). Increasing Collaborative Discussion in Case-Based Learning Improves Student Engagement and Knowledge Acquisition. Medical Science Educator. 32. 1055-1064. 10.1007/s40670-022-01614-w.
- De Silva, Kavishka & Kaushalya, K. & Asurakkody, Thanuja. (2024). Ethical Problems and Application of ethical decision-making models in Nursing Practice: A Scoping Review. University of Colombo Review. 5. 136-150. 10.4038/ucr.v5i2.179.
- Damanabi S, Behshid M, Moradi Z, Ghaderi-Nansa L. The Impact of Professional Ethics Case-based Learning on the Ethical Sensitivity of Health Information Technology Students. Perspect Health Inf Manag. 2024 Mar 1;21(1):1c. PMID: 40135696; PMCID: PMC11102062.
- Harkrider, Lauren & MacDougall, Alexandra & Sahatjian, Zhanna & Johnson, James & Thiel, Chase & Mumford, Michael & Connelly, Shane & Devenport, Lynn. (2013). Structuring Case-Based Ethics Training: How Comparing Cases and Structured Prompts Influence Training Effectiveness. Ethics & Behavior. 23. 179-198. 10.1080/10508422.2012.728470.
- Burucu, R., & Arslan, S. (2021). Nursing Students' Views and Suggestions About Case-Based Learning Integrated Into the Nursing Process: A Qualitative Study. Florence Nightingale journal of nursing, 29(3), 371–378. https://doi.org/10.5152/FNJN.2021.20180
- Shohani, M., Bastami, M., Gheshlaghi, L. A., & Nasrollahi, A. (2023). Nursing student's satisfaction with two methods of CBL and lecture-based learning. BMC medical education, 23(1), 48. https://doi.org/10.1186/s12909-023-04028-3
- Adams, S.N., Kater, K.A., Khan, A. et al. Development of a Case-Based Learning Framework for Medical Education: A Scoping Review. Med.Sci.Educ. 36, 975–987 (2026). https://doi.org/10.1007/s40670-025-02583-6
- Varghese, R. (2025, March 30-April 1). Effectiveness of Case-Based Learning (CBL) in training international nurses for the Evidence-Based Practice (EBP) Station in the Objective Structured Clinical Examination (OSCE) [Poster]. RCN Education Conference & Exhibition 2025, Glasgow. https://www.rcn.org.uk/
- Namadi F, Maslak M, Moradi Y, Ghasemzadeh N. The effects of nursing ethics education through case-based learning on moral reasoning. Nurs Midwifery Stud. 2019;8(2):85-90.
- Varma, B., Karuveettil, V., Fernandez, R., Halcomb, E., Rolls, K., Kumar, S. V., & Aravind, M. S. (2025). Effectiveness of case-based learning in comparison to alternate learning methods on learning competencies and student satisfaction among healthcare professional students: A systematic review. Journal of education and health promotion, 14, 76. https://doi.org/10.4103/jehp.jehp_510_24
- Das, S., Ponnusamy, K. A., Tripathi, A., Jaison, J., & Rathinam, B. A. D. (2022). Case-based learning: A 'Case' for restructuring anatomy education in Indian nursing curriculum. Journal of education and health promotion, 11, 258.
- Daly R, Tunney E, Spooner M, Offiah G, Flood K, Kent F. Case-based learning (CBL) in undergraduate health professions education: A realist review. Med Educ. 2026; 60(8): 846-864. doi:10.1111/medu.70179 https://doi.org/10.4103/jehp.jehp_710_21
- Nair, S. P., Shah, T., Seth, S., Pandit, N., & Shah, G. V. (2013). Case based learning: a method for better understanding of biochemistry in medical students. Journal of clinical and diagnostic research : JCDR, 7(8), 1576–1578. https://doi.org/10.7860/JCDR/2013/5795.3212
- Daly R, Tunney E, Spooner M, Offiah G, Flood K, Kent F. Case-based learning (CBL) in undergraduate health professions education: A realist review. Med Educ. 2026; 60(8): 846-864. doi:10.1111/medu.70179
- Wu, F., Wang, T., Yin, D. et al. Application of case-based learning in psychology teaching: a meta-analysis. BMC Med Educ 23, 609 (2023). https://doi.org/10.1186/s12909-023-04525-5
- Obeagu GU, Muhammad T. Impact of Case-based Learning on Critical Thinking in Clinical Decision-making Among Student Nurses of Kampala International University, Uganda. Adv Med Educ Pract. 2025 Oct 11;16:1861-1868. doi: 10.2147/AMEP.S547292. PMID: 41114408; PMCID: PMC12527965.
Introduction & Significance: Traditional lecture-based ethics education is predominantly instructor-centred. It
offers limited opportunities for active learning and critical reflection. Although staff nurses are licensed professionals,
ongoing ethics education is essential to enhance ethical decision-making in nursing practice. Case-based learning (CBL)
promotes active participation, critical thinking, and an application of ethical principles to real-life clinical situations. This
study determines the perceived usefulness of the CBL method in enhancing ethical decision-making skills in nursing practice.
Methodology: A quantitative, descriptive, post-test-only design was adopted.
Keywords :
Case-Based Learning (CBL), Perception, Staff Nurses, Ethical Decision Making (EDM), Nursing Practice, Critical Analysis.