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护士教育者在培养护生临床推理能力方面所面临的挑战。

Challenges nurse educators experience with development of student nurses' clinical reasoning skills.

机构信息

Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

出版信息

Nurse Educ Pract. 2019 Oct;40:102623. doi: 10.1016/j.nepr.2019.102623. Epub 2019 Sep 12.

Abstract

Traditional teacher-centred teaching strategies do not always facilitate the development of desired clinical reasoning skills required for nursing practice. A multiphase study was conducted to facilitate a process of change towards improving educational practices in order to promote the development of undergraduate student nurses' clinical reasoning skills. The study was conducted at a military nursing education institution. This paper reflects on Phase 1, where a descriptive, qualitative study was conducted to explore the challenges nurse educators experienced in utilizing teaching and learning strategies that could promote the development of clinical reasoning skills in undergraduate student nurses. Unstructured interviews were conducted with 16 nurse educators who were selected purposively. Interviews were recorded, transcribed and data were analysed for content. The findings indicate that the clinical learning environment, the military environment, and various role players in the environment are instrumental in nurse educators not utilizing educational practices that promote the development of clinical reasoning skills in undergraduate student nurses. Addressing nurse educator challenges and empowering them with the means, opportunity and skills to utilize student-centred teaching and learning strategies may contribute to the development of undergraduate student nurses' clinical reasoning skills. Raising awareness of challenges nurse educators experience in implementing student-centred facilitation of learning can assist in developing strategies to ensure nurse educators become more student-centred in their teaching.

摘要

传统的以教师为中心的教学策略并不总是有利于培养护理实践所需的理想临床推理技能。本研究采用多阶段研究方法,促进教学实践的变革过程,以促进本科护生临床推理技能的发展。该研究在一个军事护理教育机构进行。本文反映了第 1 阶段的研究,该阶段进行了描述性的定性研究,以探索护士教育者在利用教学策略方面所面临的挑战,这些策略可以促进本科护生临床推理技能的发展。采用目的性抽样法,对 16 名护士教育者进行了非结构化访谈。访谈进行了录音、转录,并对数据进行了内容分析。研究结果表明,临床学习环境、军事环境以及环境中的各种角色扮演者在护士教育者没有利用教育实践来促进本科护生临床推理技能发展方面起着重要作用。解决护士教育者的挑战,并赋予他们利用以学生为中心的教学和学习策略的手段、机会和技能,可能有助于培养本科护生的临床推理技能。提高护士教育者在实施以学生为中心的学习促进方面所面临挑战的认识,可以帮助制定确保护士教育者在教学中更加以学生为中心的策略。

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