University of North Carolina Wilmington, School of Nursing, 28403, USA.
J Nurs Educ. 2010 Aug;49(8):429-36. doi: 10.3928/01484834-20100430-01.
The standard in nursing education today is to prepare nurses for future practice through generic programs with a culminating practicum experience. The clinical faculty in this program was interested in evaluating differences in student thinking strategies that occurred as a result of an increase from 60 to 120 clinical hours, coupled with reflective journaling. The Self-Regulated Learning model was used as a conceptual support for the journaling prompts, as well as a structure for narrative analysis. the 120-hour practicum group revealed a greater use of metacognitive self-evaluation strategies versus greater use of behavioral self-monitoring strategies by the 60-hour practicum group. This finding suggests that although self-observation and self-monitoring are important and desired thinking habits to develop in nursing students, an increase to 120 hours is beneficial. It promotes a greater use of self-evaluation of thinking and greater levels of self-efficacy in making decisions to solve clinical problems.
如今,护理教育的标准是通过通用课程为护士做好未来实践的准备,其中包括最终的实习经验。该计划中的临床教师有兴趣评估由于临床时间从 60 小时增加到 120 小时以及反思性日志记录而导致的学生思维策略的差异。自我调节学习模型被用作日志记录提示的概念支持,以及叙事分析的结构。120 小时实习组比 60 小时实习组更多地使用元认知自我评价策略,而较少使用行为自我监控策略。这一发现表明,尽管自我观察和自我监控是护理学生需要培养的重要思维习惯,但增加到 120 小时是有益的。它促进了对思维的自我评估的更多使用,并在解决临床问题时提高了自我效能感。