Author Affiliations: Assistant Professor (Dr White), Department of Advanced Nursing Practice, Georgetown University, Washington, DC; Instructor (Ms Fetter), Department of Nursing, Pennsylvania College of Health Sciences, Lancaster; and Professor (Dr Ruth-Sahd), Department of Nursing, York College of Pennsylvania, Pennsylvania.
Nurse Educ. 2019 Sep/Oct;44(5):239-244. doi: 10.1097/NNE.0000000000000625.
Clinical decision making (CDM), expected of professional nurses, affects patient outcomes but is arduous for nursing students to learn. Psychological barriers (low self-confidence [SC] and high anxiety with CDM) have an impact on its achievement. Externship programs help mitigate these barriers.
The aim was to examine the impact of summer employment (nurse extern [NE], nursing assistant, and non-health care employed) on students' confidence and anxiety with CDM.
The study used a quasi-experimental before-and-after design using the Nursing Anxiety and Self-Confidence with Clinical Decision Making scale. Associate and baccalaureate degree students (N = 134) from 2 nursing and 2 extern programs were included.
The NEs reported significantly increased SC (F = 14.02, P < .001) and reduced anxiety (F = 8.64, P < .001). Nonsignificant improvements were noted in other groups.
Externships appear to enhance students' SC and lessen their anxiety with CDM.
临床决策（CDM）是专业护士所应具备的能力，它会影响患者的治疗效果，但对护理学生来说却很难掌握。心理障碍（CDM 时的自信心不足和高度焦虑）会对其学习造成影响。实习项目有助于减轻这些障碍。
本研究旨在探讨暑期工作（护士实习生 [NE]、护理助理和非医疗保健工作者）对学生在 CDM 方面的信心和焦虑的影响。
本研究采用准实验前后设计，使用护理焦虑和临床决策自我效能感量表。共纳入来自 2 个护理专业和 2 个实习项目的 134 名大专和本科学生。
NE 组报告的自我效能感显著提高（F = 14.02，P <.001），焦虑感显著降低（F = 8.64，P <.001）。其他组则没有显著的改善。
实习似乎可以提高学生在 CDM 方面的自我效能感并减轻他们的焦虑感。
