Lindsey Jenkins Case

Piloting Case-based Learning in a Blended

Learning Nursing Curriculum.
EDCI 672

Dr. Brenda Lopez Ortiz

Heba Said

Contents
Stakeholders:....................................................................................................................................1
Lindsey Jenkins:......................................................................................................................1
Barbara Miller:.........................................................................................................................1
The Dean & School Curriculum Committee:..........................................................................1
Gina Smith:..............................................................................................................................1
David Cunningham:.................................................................................................................1
Jason Huang:............................................................................................................................2
Full-time Faculty:....................................................................................................................2
Students:..................................................................................................................................2
Instructional Design Challenges:.....................................................................................................2
Curriculum Challenge & Critical thinking:.............................................................................2
Design:.....................................................................................................................................3
Evaluation:...............................................................................................................................3
Case-specific issues and constraints:.......................................................................................3
Case-based learning method:.......................................................................................................3
Big size of classes:.......................................................................................................................3
Professors training:.....................................................................................................................3
Design Challenges Prioritization:....................................................................................................3
Week Reading & Experiences:........................................................................................................4
Reading:...................................................................................................................................4
Experience:..............................................................................................................................4
Solutions & Recommendations:......................................................................................................5
Issues............................................................................................................................................5
Solutions......................................................................................................................................5
Pros..............................................................................................................................................5
Cons.............................................................................................................................................5
Final Recommendation:...................................................................................................................6
References:......................................................................................................................................7

*SON: is the largest school in the Brooks Health Science Center

**NCLEX: National Council Licensure Examination.

Stakeholders:
Who are the key stakeholders in the case and what are their primary concerns (HINT:
stakeholders should be labeled, based on their primary roles in the case - e.g., client, audience,
designer, etc.)?

Lindsey Jenkins:
Job Title: Faculty-rank instructional designer at SON.
Role: internal Instructional Designer.
Primary Concern:
She has been handed a project that was already under way with predetermined approaches.
Info:
The main purpose in creating her position was the need for curriculum redesign at the school.

Barbara Miller:
Job Title: Associate Dean of Academic Affairs at SON
Role: Client
Concern:
In the past three years SONs* performance in NCLEX** had dropped.
Looking to improve students performance in the board exam.
Meeting accreditation standards.
Looking for evidence of improvement, good planning evaluation for the pilot courses to show to
accreditation.
Pilot courses evaluation improvement to adapt the case-based learning.

The Dean & School Curriculum Committee:

Job Title: School Committee
Role: Client
Concern:
In the past three years SONs* performance in NCLEX** had dropped.
Looking to improve students performance in the board exam.
Meeting accreditation standards.

Gina Smith:
Job Title: Professor teaches Acute and Chronic I
Role: Audience first year pilot
Concern:
Writing cases take times so it is hard to redesign the course.
Too many students to read their responses on cases and give feedback.
Students did not use discussion forum or wiki the right way.

*SON: is the largest school in the Brooks Health Science Center

**NCLEX: National Council Licensure Examination.

David Cunningham:
Job Title: Professor teaches Acute and Chronic II
Role: Audience first year pilot
Concern:
The case-based learning workshop wasnt helpful because the presenter wasnt from the medical
field and examples werent related to nursing.
He believes that case-based learning is not the right method for teaching in the nursing field.
He thinks that he will not cover all information if he uses case-based learning.
Doesnt have enough knowledge about wiki and doesnt think to use wiki for teaching and
learning.

Jason Huang:
Job Title: Instructional Technology Specialist
Role: SME Technology
Concern:
SONs faculty has high volume of technology issues and questions which he has to handle
himself. 70% of the courses are blended or online.
Professors are using different free software so he cant answer all their questions and concerns.

Full-time Faculty:
Job Title: Professors
Role: Audience second year pilot
Concern:
Not stated on the case.

Students:
Job Title: Student
Role: pilot participants.
Concern:
They are not satisfying with the quality of their education.
They have trouble when practicing NCLEX question. This courses dont prepare them for the
board exam (support needed).
They dont know how to apply information to real situations.
No much interactions with professor or peers.

Instructional Design Challenges:

What are the key (1-2) instructional design challenges in the case?

Curriculum Challenge & Critical thinking:

Design a well-developed curriculum that promote critical thinking and using case-based learning
method. Barbara stated one of the main curriculum challenges facing us is to shift our focus to
critical thinking NCLEX** has been placing an increasing emphasis on assessing students
*SON: is the largest school in the Brooks Health Science Center
**NCLEX: National Council Licensure Examination.

4
critical thinking skills. Accreditation going on calling for a curriculum to promote students
critical thinking.

Design:
Professors are using different free software for classes. Lindsey needs to provide one software
and help all professors use the same system. Professors are not aware of using collaborating tools
for online classes.

Evaluation:
Lindsey has to create a well-developed evaluation system to provide evidence of improvement.
Accreditation bodies will look at those evaluation. So Lindsey need to have good planning for
evaluation.
(Where in the ID process does the main design challenge fall?
The main challenge felt in the design process.
What has the designer been asked to do?
Lindsey had been asked to:
1. Redesign two courses, Acute and Chronic Nursing I & II, to focus on promote students
critical thinking.
2. Those two courses will be piloting the first year. The pilot will be evaluated.
3. The second year, depend on the outcome, the design will be implement to the rest of the
undergraduate core courses.
The school is looking to redesign two courses with the focus on promoting students critical
thinking. After piloting these courses, we will turn our attention to the ultimate goal is to
redesign the entire undergraduate core curriculum. (p. 138)

Case-specific issues and constraints:

How might other case-specific issues (e.g., communication, project management) impact the
ability of the designer to address the design challenges? (Think of the constraints in the case that
make it hard for the designer to complete his/her ID tasks.)

Case-based learning method:

Some of the professors started using this method without enough knowledge which resulted in
making confusion for both professors and students.

Big size of classes:

Classes are having big numbers of students such as 126 students. Professors have lots of issues to
read all cases and provide feedback.

Professors training:
Case-based training did not help professors to understand the benefit to use the case study
method. David stated that the speaker was not from the nursing or even medical field.
Professors did not have relevant experiences when they attend the workshop.

Design Challenges Prioritization:

How would you prioritize these design challenges and case-specific issues and why would you
choose this order?
*SON: is the largest school in the Brooks Health Science Center
**NCLEX: National Council Licensure Examination.

Design a well-developed curriculum that promote critical thinking and using case-based
learning method and well-planned evaluation to help in redesign the other courses.
Professors training and eliminate the use of too many free software. Help professors to
create cases that relevant to students real life examples. Also, connect cases and cases
questions to the NCLEX board test.
Class size and incorporate collaboration between students.
I will say that if Lindsey creates and redesign the curriculum to promote students critical
thinking, the professors will have good materials to use for classes. Also, in her design she can
include the software and the LMS that all professors can use. The professors training will comes
after the curriculum design and Lindsey or Jason can provide the training with an expert from the
nursing field.

Week Reading & Experiences:

Reading:
Interaction and social learning have big impact on learning. Having online class without social
interaction between peers and active learners will be a dead class and learning will not perform.
Gomes & Sousa stated In addition to social learning, many theorists cite active participation as
a major component of effective learning environment. According to constructivist theory,
meaning is gained through active learning, social interaction, and the construction of knowledge.
It also suggests that meaningful learning is depend on a rich and relevant context (p. 627)
Students learn better when learning materials become relevant to their life and make sense to
them.
Using discussions, blogs, and Wikis will help in exchange information and develop learning.
When students read a text book or article, they can understand and learn from different
prospective. Discussing the information in a wiki or discussion forum will help students to have
deep understanding and learning. Gomes & Sousa stated Web 2.0 applications, such as blogs,
Wikis, social networks, and social bookmark, focus more on social connectivity. Web 2.0
applications are provide venues for collaboration and the sharing of information, supporting the
networks for social and active learning. Using Web 2.0 technologies such as Wikis to supplement
in-class instructions could create an interactive, collaborative, learning experience for students,
in a media context with which they are familiar (p. 627).

Experience:
I started my online classes since 2005 for my undergraduate degree. I started taking online
classes as they are convenient for me when I give birth and have new baby. In my middle
journey of education, I started taking two classes on campus and two online. I found that I am
learning more in those courses than on campus courses. We spend less time in discussion and
participation in on-campus courses. I like how students interact and learn from each others.
Purdue Online program is a great example of successful online program. I learned, gained, and
mastered knowledge and performance skills. Discussions forum, wiki, peer evaluations, and peer

*SON: is the largest school in the Brooks Health Science Center

**NCLEX: National Council Licensure Examination.

6
reply are all great tools support my learning. So those students at SON* lost the opportunity of
collaborative learning and I feel how they got discourage from learning.

Solutions & Recommendations:

4.Outline at least two reasonable solutions/recommendations for the designer in the case. How
do these solutions/recommendations address the challenges described in #2 above?
5.Discuss the implications (pros and cons) for each solution/recommendation. Go beyond the
obvious to include both intended and potential unintended consequences.

Issues
Design well
developed
curriculum that
promote critical
thinking and
use the casebased method.

Solutions
Lindsey can ask to hire an
Expert in nursing or even
medical field to help in
creating and writing cases
which are relevant to
students and the subject
they are learning.

Pros

Cons

The cases will be

more understandable
to students.
Professors will have
extra time to focus on
teaching than writing
cases.

School Committee
may not be happy as
they just hired
Lindsey. The cost
for the project will
be very expensive.

Create cases with questions That will help

align with the NCLEX
students success in
Board exam question
the Board Exam

Technology
software

Lindsey will work with

Jason to create one
software system that
included in the whole
schools computers. All
professors will use the
same software and LMS to
teach their courses. Also,
Training models for
professors to explore and
learn. Technical support
will be provided through
Jason.

Collaborative

Encourage professors to

To align the
curriculum with the
state standards is
hard and require
time and budget.
Jason will be focus on It is hard for
one software and then professors to adapt
most softwares
one type of software
problems will
as some of them
disappear.
may like their old
This may help in
ones.
developing professors The whole school
collaboration when a
cant use the free
problem arise. Just a
software. To adapt
professor may seek
well-developed
another professor in
software, the school
the same department
will have to
instead of waiting for
purchase the
Jasons help.
software new
system. That will
need new budget to
develop.
This will help
I dont think this

*SON: is the largest school in the Brooks Health Science Center

**NCLEX: National Council Licensure Examination.

7
learning

use discussions board and

wikis in their teaching.
Provide training and create
some tutorial videos on
benefits of collaborative
learning and how to use
those methods in an
effective way.

professors to save time

on reading every
students case and
answering questions.
If students are in
groups of five then we
will have 25 groups.
Students can use wiki
to answer questions
and discuss the case
itself. Professors may
find time to review 25
final responds as each
represent one group.
Students working in
group will find
answers to their
questions from peers
instead of waiting for
busy professor.

solution have any

cons.
Just sometimes
students dont get
along when they are
working in groups.
That is very limited
and can be solved
fast.

Provide Participation
Rubric for students to
understand how they
get full points and
how the discussion
should be.

Final Recommendation:
What is your final recommendation? Justify your choice and discuss how you will eliminate or
address the cons listed in the previous point.
Lindsey has enough time to redesign the two courses but her big issues is some professors started
case-based method without developing and mastering their skills to use this method. Also,
professors like David dont believe in using case-based method. Lindsey can develop and
provide a workshop on how case-based method will develop students critical thinking. Having
an Expert in nursing and medical field to create cases will be very expensive but she can conduct
a research and ask students in Master and PhD program to help in creating those cases from their
experience and work. Lindsey can ask for budget to help the pilot success and I dont think that
will be a big deal. Students can work together in groups for two cases and then they will be

*SON: is the largest school in the Brooks Health Science Center

**NCLEX: National Council Licensure Examination.

8
change to avoid groups problems and dislike. I observed many collaborative learning in
different ages and I found all of them were succeed.

References:
Ertmer, P. A., Quinn, J. A., & Glazewski, K. D. (2014). The ID CaseBook: Case studies in
instructional design (4th ed.). Upper Saddle River, NJ: Pearson (Chapter 13, pages 136-145)
Gomes, R. & Sousa, L. Teaching and learning through wikis in higher education. Instructional
Journal of Information and Education Technology. December, 2013 V 3(6) pages 627-633.

*SON: is the largest school in the Brooks Health Science Center

**NCLEX: National Council Licensure Examination.