Exploring the Effect of Problem Based Facilitatory Teaching Approach on Motivation to Learn in Nursing Education: A Quasi-Experimental Study of Nurse Students in Tanzania

Abstract Background: Currently, there has been a progressive shortage of not only the number of frontline healthcare providers but also a decline in the quality of nursing care. Reports about unethical and illegal practices, under standard care and malpractices are not uncommon around the globe. There is a growing concern to rethink the approaches on how nurses are prepared, explore, and test novel approaches for delivering the nursing curricula. This study tested the effect of Problem Based Facilitatory Teaching Approach on motivation to learn among nursing students in Tanzania, higher learning institutions. Methods: A pre-post test controlled quasi-experimental study of purposively selected 401 participants was conducted between February and June 2018. The Auditing Inventory developed by the researcher measured FPBE and Questionnaire titled Motivation to Learn Strategies in Nursing was adopted to measure the motivation to learn, respectively. Statistical Product for Service Solutions software program version 23 was use to perform analysis. Descriptive analysis was performed to analyze sociodemographic. The t-tests were performed to determine mean score differences of the levels of motivation to learn between groups. Regression analysis was performed to determine the association between variables. This study was not a clinical randomized controlled trial and thus it has not been identified in the title and no summary of trial design, methods, results, and conclusion. Results: Findings revealed that 65.8% of the study participants were males. The post-test results on Intrinsic motivation to learn indicated higher mean scores changes (p<0.01). Participants in an intervention group were 1.720 (AOR) times more likely to develop intrinsic motivation to learn than the control group (p<0.05). Moreover, FPBE was less times likely to enhance Extrinsic motivation to learn (AOR = 0.676, p>0.05) and Amotivation (AOR = 0.538, p>0.05) in learning among nurse students respectively respectively. Conclusion: FPBE had a positive effect on the intrinsic motivation to learn than conventional teaching pedagogy. Thus, FPBE has the potential to positively change the spectrum of nursing competency and quality of care. Recommendations were given based on the findings.