Foster Kim N, Lewis Melinda, Marshall Andrea, Lewis Peter
University of Sydney, Sydney, Australia.
J Contin Educ Nurs. 2013 Apr;44(4):155-62; quiz 163-4. doi: 10.3928/00220124-20130201-34. Epub 2013 Feb 8.
Physical and mental health problems are interconnected, and registered nurses need to be competent in performing comprehensive physical and mental health assessment. This article reports on a pilot evaluation of education in comprehensive health assessment and clinical judgment for registered nurses enrolled in a master of nursing program.
Observation and interview data were collected from nine teaching staff and students.
Analysis resulted in three themes: reconstructing specialty knowledge, integrating revised knowledge into practice, and expanding practice. Students and staff navigated a process of deconstructing existing specialty knowledge and reconstructing knowledge to incorporate a revised understanding of comprehensive assessment. Although there were barriers to implementing this process in practice, students reported that their extended understanding expanded their assessment practices and influenced some colleagues' practices.
There is a need for continuing education in comprehensive health assessment for registered nurses as well as investigation of the translation of this knowledge into practice.
身心健康问题相互关联,注册护士需要具备进行全面身心健康评估的能力。本文报告了一项针对攻读护理学硕士课程的注册护士进行的综合健康评估与临床判断教育的试点评估。
收集了9名教职员工和学生的观察及访谈数据。
分析得出三个主题:重建专业知识、将修订后的知识融入实践以及拓展实践。学生和教职员工经历了一个解构现有专业知识并重建知识的过程,以纳入对综合评估的修订理解。尽管在实践中实施这一过程存在障碍,但学生们报告称,他们扩展后的理解拓宽了评估实践,并影响了一些同事的实践。
注册护士需要接受综合健康评估方面的继续教育,同时也需要研究如何将这些知识转化为实践。