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诊断准备测试:让执业护士学生为国家认证考试做好准备。

Diagnostic readiness tests: Preparing nurse practitioner students for national certification examinations.

作者信息

Coppa Denise, Barcelos Winchester Suzy

机构信息

College of Nursing, University of Rhode Island, South Kingstown, Rhode Island.

出版信息

J Am Assoc Nurse Pract. 2020 Jan;32(1):52-59. doi: 10.1097/JXX.0000000000000191.

Abstract

BACKGROUND AND PURPOSE

Nurse practitioner (NP) faculties are challenged to offer programs that balance didactic knowledge with the clinical experiences required to prepare graduates for the complexities of health care. Students have the stress of extrapolating the information they obtain during these programs and applying it to postgraduation certification examinations. Innovative educational tools are necessary to ease the uncertainty that NP students experience to graduate and pass certification examinations. Tools include academic-clinical partnerships (ACPs) to enhance clinical opportunities and resources to integrate diagnostic readiness tests (DRTs) into curricula.

METHODS

This was a quasi-experimental one group, pretest/posttest design using a convenience sample of NP students randomly assigned to clinical in ACP or non-ACP clinical placements. They completed the DRTs twice during their final program semesters.

CONCLUSIONS

The overall DRT group scores for the NP students significantly improved over time. The Wilcoxon signed ranks test showed that the posttest scores were significantly higher than the pretest scores. The Mann-Whitney U test revealed no differences between the ACP and non-ACP students. Students performed the best on assessment, diagnosis, management, and pharmacology domains. This demonstrates support for the integration of DRTs into NP programs.

IMPLICATIONS FOR PRACTICE

Integrating DRTs into NP programs can facilitate transition to the NP role.

摘要

背景与目的

执业护士(NP)教员面临挑战,需要提供能够平衡理论知识与临床经验的课程,以使毕业生为复杂的医疗保健工作做好准备。学生们面临着将在这些课程中获得的信息进行推断并应用于毕业后认证考试的压力。创新的教育工具对于缓解NP学生在毕业和通过认证考试时所经历的不确定性是必要的。这些工具包括学术 - 临床伙伴关系(ACP),以增加临床机会,并将诊断准备度测试(DRT)纳入课程的资源。

方法

这是一项准实验性单组前测/后测设计,使用NP学生的便利样本,随机分配到ACP或非ACP临床实习中。他们在课程最后一学期期间两次完成DRT。

结论

随着时间推移,NP学生的DRT总体小组分数显著提高。威尔科克森符号秩检验表明后测分数显著高于前测分数。曼 - 惠特尼U检验显示ACP学生和非ACP学生之间没有差异。学生在评估、诊断、管理和药理学领域表现最佳。这表明支持将DRT纳入NP课程。

对实践的启示

将DRT纳入NP课程可以促进向NP角色的转变。

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