Hines Cheryl B, Wood Felecia G
J Nurs Educ. 2016 Dec 1;55(12):691-695. doi: 10.3928/01484834-20161114-05.
Clinical judgment encompasses how nurses use their knowledge of the patient to generate, assess, and prioritize patient care alternatives. Previous research has identified debriefing as critical to developing clinical judgment. Best practice for debriefing has yet to be identified. The purpose of this research was to investigate whether a standard debriefing script, based on Tanner's clinical judgment model, could foster clinical judgment.
Participants were senior nursing students in their final semester of study. Data were gathered and analyzed from three sources: independent raters observing students in simulation, participating students, and the students' clinical instructors.
Students identified the script as an effective debriefing tool, and significant improvements were observed in clinical judgment scores from all data sources.
The standardized debriefing script helped students focus on the learning process, resulting in student improvement in all areas of clinical judgment: noticing, interpreting, responding, and reflecting. [J Nurs Educ. 2016;55(12):691-695.].
临床判断包括护士如何运用其对患者的了解来生成、评估和确定患者护理方案的优先级。先前的研究已确定汇报是培养临床判断能力的关键。汇报的最佳实践方法尚未确定。本研究的目的是调查基于 Tanner 临床判断模型的标准汇报脚本是否能促进临床判断。
参与者为处于最后一学期学习的高年级护理专业学生。数据从三个来源收集并分析：独立评估者观察模拟情境中的学生、参与的学生以及学生的临床指导教师。
学生们将该脚本视为一种有效的汇报工具，并且从所有数据源的临床判断得分均有显著提高。
标准化汇报脚本帮助学生专注于学习过程，从而使学生在临床判断的各个方面都有所提升：注意、解读、反应和反思。[《护理教育杂志》。2016 年；55(12):691 - 695。]
