Bartlett Robin, Bland Ann, Rossen Eileen, Kautz Donald, Benfield Susan, Carnevale Teresa
Hickory Outreach Program School of Nursing, 421 Moore Building, PO Box 26170, University of North Carolina at Greensboro, Greensboro, NC 27402-6170, USA.
J Nurs Educ. 2008 Aug;47(8):337-44. doi: 10.3928/01484834-20080801-01.
The Outcome-Present State Test (OPT) Model of Clinical Reasoning is a nursing process model designed to help students develop clinical reasoning skills. Although many nurse educators are using the OPT model as a teaching strategy, few are formally evaluating its use as a method. We used the OPT model as a teaching tool in an undergraduate psychiatric and mental health clinical nursing course and evaluated how quickly students became adept at using it. Most students mastered the use of the model; 29 of 43 students achieved the criterion score (a score greater than 65 on 3 or more models completed over 4 weeks). Not only did the students gain clinical reasoning skills, but they also used and learned more about the North American Nursing Diagnosis Association, Nursing Interventions Classification, and Nursing Outcomes Classification languages. Recommendations for future use of the model include adding client strengths and increasing focus on the quality of students' responses.
临床推理的结果-现状测试（OPT）模型是一种护理程序模型，旨在帮助学生培养临床推理技能。尽管许多护理教育工作者将OPT模型用作一种教学策略，但很少有人正式评估其作为一种方法的使用情况。我们在本科精神科和心理健康临床护理课程中使用OPT模型作为教学工具，并评估学生熟练使用该模型的速度。大多数学生掌握了该模型的使用方法；43名学生中有29名达到了标准分数（在4周内完成的3个或更多模型上得分高于65分）。学生不仅获得了临床推理技能，还使用并更多地了解了北美护理诊断协会、护理干预分类和护理结果分类语言。对该模型未来使用的建议包括增加服务对象的优势，并更加关注学生回答的质量。
