Ashley Jane, Stamp Kelly
J Nurs Educ. 2014 Sep;53(9):519-25. doi: 10.3928/01484834-20140821-14.
The purpose of this project was to examine the clinical judgment and reasoning skills of nursing students in high-fidelity simulation. Two levels of students (N = 104), novices and those who are slightly more advanced, participated in individual videotaped simulations. Afterward, interviews were conducted to explore what the student was thinking and feeling during simulation. Five themes emerged from the interviews: thinking like a nurse, assessment, looking for answers, communication, and magical or reflective thinking. There was a clear distinction in the reasoning skills of the novice students compared with students with more clinical experience. Tanner's model of clinical judgment in nursing is used to understand the findings of the study.
本项目的目的是检验护理专业学生在高仿真模拟中的临床判断和推理能力。两个层次的学生（N = 104），即新手和略为进阶的学生，参与了单独录制的模拟。之后，进行访谈以探究学生在模拟过程中的想法和感受。访谈中出现了五个主题：像护士一样思考、评估、寻找答案、沟通以及神奇或反思性思维。与临床经验更丰富的学生相比，新手学生的推理能力存在明显差异。本研究采用了坦纳的护理临床判断模型来理解研究结果。
