测量指导性临床推理对高级护理程序质量、护士知识及态度的影响：研究方案。
Measuring the effects of guided clinical reasoning on the Advanced Nursing Process quality, on nurses' knowledge and attitude: Study protocol.
作者信息
Leoni-Scheiber Claudia, Mayer Hanna, Müller-Staub Maria
机构信息
Institute of Nursing Science University Vienna Vienna Austria.
Lectoraat Nursing Diagnostics Hanze University Groningen Groningen the Netherlands.
出版信息
Nurs Open. 2019 Jun 2;6(3):1269-1280. doi: 10.1002/nop2.299. eCollection 2019 Jul.
AIM
This article is a report of a study protocol designed to examine the effects of guided clinical reasoning on the quality of the Advanced Nursing Process-the evidence-based version of the traditional nursing process. It aims to describe the theoretical framework-Kirkpatrick's evaluation model, the key concepts and the instruments for the planned study.
DESIGN
A complex experimental intervention study using data and method triangulation is proposed.
METHODS
Registered Nurses ( = 92), nursing records ( = 180) and 24 patients will be included. Nurses' knowledge and attitude will be evaluated by questionnaires/tests, their clinical performance by observations. Patients' perspective will be addressed by qualitative interviews and patient records by using the instrument Quality of Diagnoses, Interventions and Outcomes revised (Q-DIO R).
DISCUSSION
Kirkpatrick's model (including quantitative and qualitative methods) is providing evaluations from different perspectives on the quality of the Advanced Nursing Process and on intervention effects.
目的
本文是一项研究方案的报告，该方案旨在检验引导式临床推理对高级护理程序（传统护理程序的循证版本）质量的影响。其目的是描述理论框架——柯克帕特里克评估模型、关键概念以及计划开展的研究所需使用的工具。
设计
建议采用一项运用数据和方法三角剖分法的复杂实验性干预研究。
方法
将纳入92名注册护士、180份护理记录以及24名患者。护士的知识和态度将通过问卷调查/测试进行评估，其临床操作表现则通过观察来评估。患者的观点将通过定性访谈予以探讨，患者记录将采用修订后的诊断、干预及结果质量工具（Q-DIO R）。
讨论
柯克帕特里克模型（包括定量和定性方法）正从不同角度对高级护理程序的质量和干预效果进行评估。
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