Department of Nursing, Lehman College, Bronx New York 10709, USA.
J Nurs Educ. 2012 Aug;51(8):436-43. doi: 10.3928/01484834-20120615-01. Epub 2012 Jun 15.
This quasi-experimental study tested the effectiveness of an educational model, Developing Nurses' Thinking (DNT), on nursing students' clinical reasoning to achieve patient safety. Teaching nursing students to develop effective thinking habits that promote positive patient outcomes and patient safety is a challenging endeavor. Positive patient outcomes and safety are achieved when nurses accurately interpret data and subsequently implement appropriate plans of care. This study's pretest-posttest design determined whether use of the DNT model during 2 weeks of clinical postconferences improved nursing students' (N = 83) diagnostic accuracy. The DNT model helps students to integrate four constructs-patient safety, domain knowledge, critical thinking processes, and repeated practice-to guide their thinking when interpreting patient data and developing effective plans of care. The posttest scores of students from the intervention group showed statistically significant improvement in accuracy.
本类实验研究测试了一种教育模式，即发展护士思维（DNT），对护理学生实现患者安全的临床推理的有效性。教授护理学生养成促进积极的患者结果和患者安全的有效思维习惯是一项具有挑战性的任务。当护士准确地解释数据并随后实施适当的护理计划时，就会实现积极的患者结果和安全。本研究的前后测试设计确定了在 2 周的临床会后使用 DNT 模型是否可以提高护理学生（N=83）的诊断准确性。DNT 模型帮助学生整合四个结构 - 患者安全、领域知识、批判性思维过程和反复实践 - 指导他们在解释患者数据和制定有效护理计划时的思维。干预组学生的期末考试成绩显示，在准确性方面有显著提高。
