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拓展初级保健机会:临床推理模拟。

Expanding primary care opportunities: simulation for clinical reasoning.

机构信息

Vandebilt University School of Nursing, Nashville, TN, USA.

出版信息

J Nurs Educ. 2013 May;52(5):299-302. doi: 10.3928/01484834-20130412-02. Epub 2013 Apr 12.

DOI:10.3928/01484834-20130412-02
PMID:23586353
Abstract

Many nurse practitioner specialties are requiring that basic primary care be included in their curricula. However, some experienced faculty within the specialty lack primary care experience. With a national shortage of nursing faculty, it is more important than ever to maximize available resources without overtaxing faculty workloads. Revision of our primary care practicum allowed nurse-midwifery faculty to lead a primary care clinical conference, using Family Nurse Practitioner (FNP) faculty as primary care experts. We revamped the clinical conference time to simulate clinical visits to guide the students through the clinical reasoning process. Low-fidelity simulation allowed students time to take a systematic approach to patient assessment, planning, and charting. The FNP "experts" were used to critique student chart notes prior to grading. This collaborative approach to the primary care clinical conference was well received by students, faculty, and preceptors and was quick and inexpensive to implement.

摘要

许多护士从业者专业要求将基本的初级保健纳入其课程。然而,该专业内的一些有经验的教师缺乏初级保健经验。由于全国范围内护理教师短缺,因此,在不增加教师工作量的情况下,最大限度地利用现有资源变得比以往任何时候都更加重要。修改我们的初级保健实习课程,使助产学教师能够领导初级保健临床会议,利用家庭执业护士(FNP)教师作为初级保健专家。我们重新安排了临床会议时间,以模拟临床访问,指导学生完成临床推理过程。低保真模拟允许学生有时间对患者评估、计划和图表进行系统的处理。FNP“专家”用于在评分前对学生的图表记录进行评论。这种初级保健临床会议的合作方法受到学生、教师和导师的欢迎,并且实施起来快速且廉价。

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Expanding primary care opportunities: simulation for clinical reasoning.拓展初级保健机会:临床推理模拟。
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