Rotterdam University, The Netherlands.
J Nurs Educ. 2012 Oct;51(10):563-9. doi: 10.3928/01484834-20120820-05. Epub 2012 Aug 20.
The transition from RN to nurse practitioner presents challenges. Because nurse practitioners require deeper critical decision-making abilities to provide safe and quality health care, the Master in Advanced Nursing Practice curriculum implemented reflective case studies to facilitate active and reflective learning. To identify the learning opportunities, we performed a qualitative interpretative study of 77 reflective case studies written by students enrolled in the program. Analysis revealed two categories of learning opportunities-(a) Direct Care, with subcategories of focusing on patients' needs, exploring one's own values, and providing comprehensive care; and (b) Increased Performance Demands, with subcategories of handling independence and dependence, and dealing with emotions. The reflective case study is a powerful educational tool to create and guide a new professional with increased responsibilities for a comprehensive and compassionate response to patients' needs.
从注册护士到执业护士的转变带来了挑战。由于执业护士需要更深入的批判性决策能力来提供安全和高质量的医疗保健，因此高级护理实践硕士课程实施了反思性案例研究，以促进主动和反思性学习。为了确定学习机会，我们对该计划注册学生撰写的 77 篇反思性案例研究进行了定性解释研究。分析揭示了两类学习机会：（a）直接护理，包含关注患者需求、探索自身价值观和提供全面护理等亚类；（b）提高绩效要求，包含处理独立性和依赖性以及处理情绪等亚类。反思性案例研究是一种强大的教育工具，可以培养和指导具有更高责任感的新专业人员，以全面、富有同情心的方式回应患者的需求。
