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Table 3 Overview of all included studies in systematic review

From: Effect of community-based education on undergraduate nursing students’ skills: a systematic review

Author, year

Location

Study type

Participants

Sample size(n)

Community-based education approach

Measure

Data collection

Main outcome

Nowak. 2015

[19]

United States

quasi-experimental

Pre-test and post-test

Two groups (control group)

baccalaureate nursing students

58

A community-based pilot program for disaster preparedness and partnerships with relief agencies

Questionnaire

(Data were collected at 3 times before, after and 2 weeks.)

experimental and comparison groups at three time periods

Community-based education effectively promotes main disaster preparedness skills such as communicating with families, participating in volunteer activities, and professional skills for students.

P<0.05

Lubbers et al. 2016

[20]

United States

quasi-experimental

Pre-test and post-test

Single group

baccalaureate nursing students

54

Community-based simulated experiences training course

Questionnaire

Perceived Confidence in Pediatric Knowledge and Skills Questionnaire at both pre-test and post-test intervals

Community-based curriculum increases nursing students ‘satisfaction with the curriculum and increases students’ confidence in knowledge, skills, and communication.

P<0.001

Lubbers et al. 2017

[21]

United States

quasi-experimental

Pre-test and post-test

Single group

baccalaureate nursing students

61

Community-based simulated experiences training course

Questionnaire

Student Satisfaction and Self-Confidence Scale, Educational Practice Scale for Simulation, Simulation Design Scale

Community-based curriculum increases students’ confidence, satisfaction, knowledge and deep awareness.

P<0.05

Higgins.2020

[22]

United States

quasi-experimental

Pre-test and post-test

Single group

baccalaureate nursing students

69

An online educational program about oral health

Questionnaire

pre and post assessment questionnaires to measure knowledge, skills, and attitudes

Increase skills and knowledge

Improving the attitude of nursing students towards oral health

Cheng et al. 2020

[23]

Taiwan

quasi-experimental

Pre-test and post-test

Single group

baccalaureate nursing students

103

An experiential learning program includes activities related to infants, pregnant women, and the elderly in the community

Questionnaire

The pre-test data were collected at the semester start date, and the post-test data were collected at the end of the semester (eighteen weeks later)

Strengthen self-reflection

Increase critical thinking

Boost confidence

P<0.01

De Villiers et al. 2004

[24]

South Africa

Descriptive

baccalaureate nursing students, Facilitators

53

Students

5

Facilitators

Students have received community-based and problem-based education programs in the past

Questionnaire

unstructured feedback, Interviews using the semi-structured questionnaire

Increasing the self confidence

Improving professional and clinical skills

Increasing teamwork

Ibrahim.2010

[12]

United States

Descriptive

Education (21 %), Sociology/Social Work (19 %), Psychology (9 %), Business/Health Care Administration (6 %), Biology/Pre-Med (6 %), Political Science (3 %), Communication (3 %), and Nursing (3 %)

176

Students have received community-based and problem-based education programs in the past

Questionnaire

Students filled out the survey in the classroom during the last week of Fall 2008 classes

Improving personal and communication skills

Increase critical thinking

Wee et al. 2010

[25]

Singapore

Cross-sectional

baccalaureate nursing students, Medical students

37 Nursing students

576 Medical students

Students have received a community-based learning project in the past

Questionnaire

using a self-administered anonymised questionnaire in Public Health Screening

Community-based learning projects improve communication skills, teamwork, leadership skills, critical thinking skills, and practical skills, the ability to identify community social issues, and the ability to use knowledge and understand challenges.

p<0.05

Street et al. 2007

[26]

England

Mixed method

baccalaureate nursing students, Medical students

66 Nursing students

94

Medical students

A two-week program to visit a child with a disability at home and at school. There is a control group.

Questionnaire

Feedback, focus group

Community-based professional learning experiences enhance students’ self-confidence and communication skills and a positive attitude, especially among nursing students.

Mwanika et al. 2011

[27]

Africa

Mixed method

Nursing students, pharmacists and doctors and dentists students

150

Participants have already received a community-based service and training program

Questionnaire

focus group

(Manifest content analysis)

A community-based educational and service program has a positive impact on students and promotes their self-confidence and skills in careers, management, teamwork, communication skills, and care competencies.

Parry

et al. 2018 [28]

Australia

Mixed method

baccalaureate nursing students, staff and clinical supervisor

T:14

8 Students

6 Staff

Students took an educational program in community settings.

Questionnaire

interview

Social spaces greatly increase nursing students’ understanding of the impact of health conditions on people. Also, community-based education and being in the community increase understanding, experience, extensive knowledge, expertise and increase decision-making skills and self-confidence in nursing students.

Lestari et al. 2020

[29]

Indonesia

Mixed method

Nursing, midwifery and medical students

84 Nursing students

61 Midwifery

109

Medical students

Students received a community-based inter-professional training program.

Questionnaire

focus group

Improving teamwork skills and practical skills

Improving students’ communication skills with the community

Baglin et al. 2010

[11]

United Kingdom

Qualitative

baccalaureate nursing students

6

Students received a community-based training program for 12 weeks.

descriptions of participants’ experiences

semi-structured, contemporaneous, reflective diaries

Nursing students’ learning experiences on community-based sites enhance basic skills, develop relationships with instructors, patients, and others in the community, as well as boost their self-confidence.

Bassi. 2011

[30]

United States

Qualitative

undergraduate nursing students

18

Students took part in a pilot service-learning project targeting tobacco use in a local elementary school.

students were assessed on the basis of their teaching plans and structured reflection assignments

structured interviews, survey,

sets of reflective assignments

Community-based learning program promotes academic, social and personal development, competence, independence, teamwork skills and community participation (interpersonal relationships) in students.

Peters et al. 2015

[31]

Australia

Qualitative

pre-registration nursing students

9

Students are trained in community-based clinical settings

interviews were conducted via telephone

Semi structured interviews, audio-recorded

Community-based educational sites and students’ experiences in these areas lead to performance independence, skills development and interest in them.

Stricklin. 2016

[32]

United States

Qualitative

baccalaureate nursing students, faculty members

42

Students4

faculty members

Students received a community-based inter-professional training program.

questionnaires

Semi-structured interviews, focus groups, and campus and clinical site visits

Improving clinical competence and skills

increasing the self confidence

Fereidouni

et al. 2017

[33]

Iran

Qualitative

Nursing students and professors

17

Students3

Professors

The community based training

and internship planning conducted for one year

This study was conducted using the content analysis approach

Semi-structured interviews, field notes, five focus groups

Improving communication

Promoting professional competence