Claims

Problem-solving benefits of modern methods hold across durations, designs, sample sizes, and sophomore/senior grades, but not third-year students

Claim · All claims
Evidence · 1 study (2 entries) · quant-synthesis r3 · q3 · i3 large
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims

Reading the evidence codes

q is the design tier, i the impact, n the sample, and the kind with its r the rigour judged within that kind: what each code means.

This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.

q3 i3 Problem-solving effects are significant for ≤5 weeks and >5 weeks, RCTs and quasi-experiments, small and large samples, and sophomores and seniors, but not third-year students (SMD = 1.74, P = 0.15). → Zou Ya 2026

Evidence

Zou Ya 2026

Zou Ya, Xie Wenzhao, Huang Hui, Liu Dan, Zhou Qing, Yi Qifeng, Tong Xiaoliang, Mao Ping. (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. https://doi.org/10.1186/s12909-026-08602-3

q3 · i3 · quant-synthesis · r3

Study-design subgroup analysis for problem-solving abilities (Table 4): both RCTs and quasi-experimental designs show significant effects, with a larger point estimate in RCTs. Duration, sample-size, and grade subgroups are also reported as significant except third-year students.

"the subgroup analysis revealed that both RCTs (SMD = 1.08, 95% CI: 0.27–1.78, I2 = 96%, P < 0.001) and quasi-experimental studies with control groups (SMD = 0.51, 95% CI: 0.11–0.83, I2 = 93%, P < 0.001) demonstrated that modern teaching methods could significantly enhanced the problem-solving abilities of nursing students, although the effect size was larger in RCTs"

Zou Ya 2026 (2)

Zou Ya, Xie Wenzhao, Huang Hui, Liu Dan, Zhou Qing, Yi Qifeng, Tong Xiaoliang, Mao Ping. (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. https://doi.org/10.1186/s12909-026-08602-3

q3 · i? · quant-synthesis · r3

Grade subgroup for problem-solving (Table 4): third-year (junior) students show no significant effect, with very high heterogeneity ("I2 = 97%").

"the third-year students did not (SMD = 1.74, 95% CI: -0.65-4.13, I2 = 97%, P = 0.15)"

Discussion

Learner Variables

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