Background: Cooperative learning strategies like team-based learning have a great effect on the
learning process. It increase problem solving skill, learning motivation and academic achievement and
allows interaction between students and increases their engagement. The aim of the study was to
evaluate the effect of implementing team-based learning strategy regarding gastrostomy feeding on
group engagement for pediatric nursing students' performance. Research design: True experimental
research design was utilized. Subjects and setting: 140 pediatric nursing students in third year,
Faculty of Nursing, Tanta University. Four tools were used to collect data: Tool I: Structured
Questionnaire of pediatric nursing Students' Knowledge regarding Gastrostomy Feeding. Tool II:
Gastrostomy Feeding Observational Checklist. Tool III Pediatric Nursing Students' Group
Engagement Questionnaire. Tool IV: Team-Based Learning Feedback Questionnaire. The results:
The total scores of pediatric nursing students' knowledge, practices and group engagement were
improved immediately and two weeks after the implementation of team-based learning strategy. The
study concluded that using the team-based learning strategy in the pediatric nursing course has a
beneficial effect on enhancing the knowledge, critical thinking, clinical performance, and engagement
of the students. The study recommended that the curriculum of the pediatric nursing department
should contain a team-based learning strategy as an engaging teaching technique