Ribbons R M, McKenna L G
Subfaculty of Nursing, Monash University, Vic., Australia.
Stud Health Technol Inform. 1997;46:389-92.
The introduction of university based nurse education in Australia has nursing students spending more time in the classroom and less time in clinical settings. This decrease in clinical exposure may result in reduced opportunities for students to develop pertinent patient assessment and management skills. This is particularly true of skills required for effective wound assessment and management. Computerised databases offer an innovative method of teaching or refining these skills in a cost and time-effective manner without risk to patients or students. Such technology can also provide important grounding in data identification, hypothesis testing, problem solving and clinical decision making skills. This paper explores the underlying pedagogical principles of database use and describes the development of the prototype closed database, DECUBITUS. The prototype database included the following data fields; physical assessment, clinical diagnosis, risk assessment, wound assessment and treatment modality. The introduction of more sophisticated databases will permit the storage of visual images of actual wounds thus providing an additional dimension to the teaching of wound assessment and management.
澳大利亚引入基于大学的护理教育后，护理专业学生在课堂上花费的时间增多，而在临床环境中的时间减少。临床接触时间的减少可能导致学生发展相关患者评估和管理技能的机会减少。对于有效的伤口评估和管理所需的技能而言尤其如此。计算机化数据库提供了一种创新方法，能够以具有成本效益且节省时间的方式教授或完善这些技能，同时不会对患者或学生造成风险。此类技术还可为数据识别、假设检验、问题解决和临床决策技能提供重要基础。本文探讨了使用数据库的潜在教学原则，并描述了原型封闭数据库DECUBITUS的开发过程。该原型数据库包括以下数据字段：体格检查、临床诊断、风险评估、伤口评估和治疗方式。引入更复杂的数据库将允许存储实际伤口的视觉图像，从而为伤口评估和管理教学增添新的维度。
