Sask Polytechnic Institute, Canada.
MacEwan University, Canada.
Nurse Educ Pract. 2018 Jul;31:171-176. doi: 10.1016/j.nepr.2018.05.005. Epub 2018 May 26.
Linear care plans have traditionally been used in nursing education to support nursing students in identifying potential and actual health care problems, and to follow up on those issues with nursing interventions. However, the linear care plan does not support the nursing student with learning in-depth critical thinking, clinical reasoning, creative thinking, and other ways of thinking. Concept mapping was introduced as a way to support the nursing student to improve upon critical thinking and clinical reasoning and to identify relationships among the patient's health care problems. The present manuscript features the development and evaluation of the Concepto-Plan (C-P), an innovative, holistic care plan that moves away from the linear care plan and improves upon the concept map care plan. The C-P focuses on the relationships among the data clusters and the nursing diagnoses and can be used to enhance the therapeutic relationship between the patient and the nursing student. Quality improvement data supports the effectiveness of the C-P for nursing students to organize and prioritize client-centred care while experiencing meaningful learning, professional self-reflection, clinical reasoning, creative and critical thinking skills and the ability to provide an individualized holistic care plan. As a result, the C-P has been integrated into the curriculum in two different nursing programs in two Canadian provinces.
线性护理计划在护理教育中一直被用于支持护理学生识别潜在和实际的医疗保健问题，并通过护理干预来跟进这些问题。然而，线性护理计划并不能支持护理学生深入学习批判性思维、临床推理、创造性思维和其他思维方式。概念图被引入作为一种支持护理学生提高批判性思维和临床推理能力以及识别患者医疗保健问题之间关系的方法。本文介绍了 Concepto-Plan（C-P）的开发和评估，这是一种创新的、整体的护理计划，它摆脱了线性护理计划，并改进了概念图护理计划。C-P 侧重于数据群集和护理诊断之间的关系，可用于增强患者和护理学生之间的治疗关系。质量改进数据支持 C-P 对护理学生的有效性，使他们能够组织和优先考虑以客户为中心的护理，同时体验有意义的学习、专业自我反思、临床推理、创造性和批判性思维技能以及提供个性化整体护理计划的能力。因此，C-P 已被纳入加拿大两个省份的两个不同护理项目的课程中。
