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This study was conducted to identify changes in the reflective thinking level of students who performed Problem-based Learning(PBL) on patient safety.It also provided primary data for developing the program to improve their competence in patient safety management activities.Reflective journals submitted by 72 fourth-year nursing students were analyzed at University D in City B from March 2 to April 15, 2022, while performing PBL in patient safety management activities.The collected data were analyzed using SPSS/WIN 28.0 computer program, descriptive statistics, paired t-tests, one-way ANOVAs, and chi-square tests.The mean score of nursing students' reflective thinking level was 2.74 (95% CI 2.67-2.81),which was highest in Q6 action planning (M±SD = 3.09±0.66,95% CI 2.98-3.20)and lowest in Q2 emotions (M±SD = 2.76±0.89,95% CI 1.73-2.05).The level of reflective thinking by PBL time point was significantly higher at the end than at the planning (t=7.50, p<.001), and there was a statistically significant difference in the distribution of non-reflective and reflective thinking (x2 =23.61, p<.001).However, there was no difference in the level of reflective thinking based on the PBL topic.Based on the results of this study, it is necessary to conduct repeated studies to identify changes in the level of reflective thinking in nursing students' patient safety PBL process in detail and to develop educational programs that can be linked to the experience of patient safety management activities.
Yun et al. (Mon,) studied this question.