Hanley Elaine, Higgins Agnes
Mater Misericordiae Hospital, Eccles Street, Dublin 7, Ireland.
Intensive Crit Care Nurs. 2005 Oct;21(5):276-83. doi: 10.1016/j.iccn.2004.10.004. Epub 2004 Dec 19.
Part I of this paper (literature review) identified some of the challenges around the development of suitable assessment tools to measure clinical competence. The lack of research on competence assessment, especially within an intensive care environment was also high lighted. In this, part 2, findings from a qualitative study aimed at exploring student nurses' perceptions of a new clinical competence assessment tool, recently introduced into a postgraduate intensive care nursing course are presented. Semi- structured interviews and a focus group interview were used to collect the data. Eleven students were involved in the study. The findings are presented in narrative form and in the context of literature on assessment and competence. Although the clinical competence assessment tool was in its infancy at the time of this study, the findings suggest that students not only had difficulty interpreting the language of the tool, but considered that because of its generic nature, it failed to capture the specialist skills required for intensive care nursing.
本文的第一部分（文献综述）指出了在开发合适的评估工具以衡量临床能力方面存在的一些挑战。能力评估研究的匮乏，尤其是在重症监护环境中的研究匮乏也受到了强调。在本文的第二部分，我们呈现了一项定性研究的结果，该研究旨在探究学生护士对最近引入研究生重症监护护理课程的一种新的临床能力评估工具的看法。我们采用了半结构化访谈和焦点小组访谈来收集数据。11名学生参与了该研究。研究结果以叙述形式呈现，并结合了关于评估和能力的文献背景。尽管在本研究开展时，临床能力评估工具尚处于初期阶段，但研究结果表明，学生们不仅在理解该工具的语言方面存在困难，而且认为由于其通用性，它未能涵盖重症监护护理所需的专业技能。
