Integrating case-based learning into the ADDIE model for higher vocational rehabilitation nursing courses: a quasi-experimental study - Report - MDSpire
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Incorporating Case-Based Learning within the ADDIE Framework for Advanced Vocational Rehabilitation Nursing Education: A Quasi-Experimental Investigation

  • By

  • Weihua Li

  • Yuhan Wang

  • Xiaoqiong Hu

  • Zhenrong Zhang

  • Shuangli Li

  • August 18, 2026

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Clinical Report: Incorporating Case-Based Learning within the ADDIE Framework

Overview

This study evaluates the effectiveness of an integrated ADDIE-CBL teaching model in vocational rehabilitation nursing education. Results indicate differences in practical examination scores, critical thinking disposition, and student satisfaction in the experimental group compared to the control group.

Background

The demand for rehabilitation nursing professionals is increasing due to an aging population and chronic diseases. Traditional lecture-based education may hinder the development of essential clinical competencies. Reforming nursing curricula to incorporate active learning strategies like case-based learning is crucial for bridging the gap between theory and practice.

Data Highlights

GroupRegular ExamsPractical ExamsFinal ExamsCritical ThinkingHumanistic CareTeaching Satisfaction
Control (n=53)Scores not specifiedScores not specifiedScores not specifiedScores not specifiedScores not specifiedScores not specified
Experimental (n=51)Scores not specifiedScores not specifiedScores not specifiedScores not specifiedScores not specifiedScores not specified

Key Findings

  • The ADDIE-CBL model improved practical examination scores in the experimental group (p < 0.05).
  • Students in the experimental group showed enhanced critical thinking disposition compared to the control group (p < 0.05).
  • Humanistic care ability was significantly higher in the experimental group (p < 0.05).
  • Teaching satisfaction ratings were improved in the experimental group (p < 0.05).
  • No significant differences were found in theory examination scores between groups (p > 0.05).

Clinical Implications

The integration of case-based learning within the ADDIE framework may enhance practical skills and critical thinking of nursing students.

Conclusion

The study indicates that the ADDIE-CBL integrated teaching model can enhance various competencies in vocational rehabilitation nursing education.

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