ArticleFlorence Nightingale journal of nursing2026
Integrating Project-Based Learning and Experiential Learning to Enhance Learning Outcomes in Long-Term Care Courses.
Article in Florence Nightingale journal of nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimThis study examined the effects of integrating project-based learning and experiential learning into a long-term care course on student learning outcomes. The focus surrounds enhancing self-reflection and insight, willingness to serve older adults, willingness to engage in long-term care services, and overall learning outcomes.
methodsA convergent mixed-methods design was used to provide a comprehensive understanding of learning outcomes. Data were collected between August 2021 and December 2022 from 56 master's students enrolled in an 18-week advanced long-term care course, followed by a 9-day experiential internship in long-term care institutions. Quantitative data were obtained using structured questionnaires administered before and after the intervention and analyzed using paired sample t-tests, while qualitative data were derived from students' reflective journals and learning reports and analyzed through content analysis.
resultsThe intervention significantly improved self-reflection and insight (t = 2.98, p < .01), willingness to serve older adults (t = 4.22, p < .001), and overall learning outcomes (t = 5.01, p < .001). Although an upward trend in willingness to engage in long-term care services was observed, this change was not statistically significant (p > .05). Qualitative findings further demonstrated enhanced empathy, teamwork, and professional identity, which complemented the quantitative results.
conclusionIntegrating project-based learning and experiential learning effectively strengthens key competencies in long-term care education, bridging the gap between theoretical instruction and clinical practice. Future studies should further investigate the long-term effects of these strategies on professional development and workforce sustainability. Cite this article as: Yang, F.C., & Chen, H.M. (2026). Integrating project-based learning and experiential learning to enhance learning outcomes in long-term care courses. Florence Nightingale Journal of Nursing, 34, 0191, doi:10.5152/FNJN.2026.25191.
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