Lasater Kathie, Nielsen Ann
Oregon Health & Science University, School of Nursing, Portland, OR 97239, USA.
J Nurs Educ. 2009 Aug;48(8):441-6. doi: 10.3928/01484834-20090518-04. Epub 2009 May 28.
The traditional nursing clinical education model of total patient care is becoming inadequate. New models are needed to foster deeper clinical thinking, thereby affecting students' development of clinical judgment. Concept-based learning activities, first introduced in 1990, offer a focus on a specific concept. This study evaluated the effect of concept-based learning activities on the development of clinical judgment in baccalaureate nursing students. The clinical judgment of students who were and were not exposed to concept-based learning activities was compared. Quantitative data were analyzed using a univariate analysis. In addition, a focus group consisting of members of the treatment group provided qualitative data. Results suggest concept-based learning activities are a clinical learning strategy that should be considered by faculty to deepen clinical thinking in preparation for reaching sound clinical judgments.
传统的全病人护理临床教育模式正变得不足。需要新的模式来培养更深入的临床思维,从而影响学生临床判断力的发展。基于概念的学习活动于1990年首次引入,专注于特定概念。本研究评估了基于概念的学习活动对本科护理学生临床判断力发展的影响。比较了接触和未接触基于概念的学习活动的学生的临床判断力。定量数据采用单变量分析进行分析。此外,由治疗组成员组成的焦点小组提供了定性数据。结果表明,基于概念的学习活动是一种临床学习策略,教师应考虑采用该策略来深化临床思维,为做出合理的临床判断做好准备。