Hallin Karin, Bäckström Britt, Häggström Marie, Kristiansen Lisbeth
Department of Nursing Science, Mid Sweden University, Sweden.
Department of Nursing Science, Mid Sweden University, Sweden.
Nurse Educ Pract. 2016 Jul;19:12-8. doi: 10.1016/j.nepr.2016.03.010. Epub 2016 Apr 4.
Nursing educators have the challenge of preparing nursing students to handle complex patient care situations in real life, but much remains unknown about the ability to make clinical judgments. In this study, high-fidelity simulation (HFS) was used at a Swedish university to find answers about pre-licensure nursing students' success in clinical judgment in terms of team ability and relationships with theoretical achievements, and personal and scenario circumstances. The matrix Lasater Clinical Judgment Rubric (LCJR) was used to analyze and score the students' ability in teams to notice, interpret and respond to complex care situations. Overall, the results showed the student teams in their first meeting with HFS in a complex care situation achieved low clinical judgment points; most teams were in the stages of Beginning and Developing. For attaining high team achievements the majority of the students in the team should theoretically be "high performance". Being observers and having HFS experience before nursing education was significant too. However, age, health care experience, and assistant nurse degrees were of secondary importance. Further research at universities regionally, nationally, and internationally is needed.
护理教育工作者面临着让护理专业学生做好准备应对现实生活中复杂患者护理情况的挑战，但关于做出临床判断的能力仍有许多未知之处。在这项研究中，瑞典一所大学采用了高保真模拟（HFS），以探寻关于执照前护理专业学生在团队能力、与理论成绩的关系以及个人和场景情况方面临床判断成功与否的答案。使用矩阵式拉萨特临床判断评分量表（LCJR）来分析和评估学生团队在注意、解读和应对复杂护理情况方面的能力。总体而言，结果显示学生团队在首次面对复杂护理情况的高保真模拟时，临床判断得分较低；大多数团队处于初级和发展阶段。为了取得高团队成绩，理论上团队中的大多数学生应该是“高绩效”的。作为观察者以及在护理教育之前有高保真模拟经验也很重要。然而，年龄、医疗保健经验和助理护士学位的重要性次之。需要在地区、国家和国际层面的大学进行进一步研究。
