临床推理提示对呼吸窘迫患者护理学生临床判断的影响。
Effects of Clinical Reasoning Prompts on Nursing Students' Clinical Judgment for a Patient Experiencing Respiratory Distress.
机构信息
Assistant Professor of Nursing, Lehman College, City University of New York, New York, New York.
Associate Professor of Nursing, School of Professional Studies, City University of New York, New York, New York.
出版信息
Int J Nurs Knowl. 2021 Jan;32(1):37-43. doi: 10.1111/2047-3095.12286. Epub 2020 Jul 1.
PURPOSE
To test the effects of clinical reasoning prompts on students' clinical judgment of a written case study.
METHODS
An experimental pre- and posttest study with second semester nursing students (N = 163).
FINDINGS
The intervention was insufficient to significantly improve clinical judgment. Students identified that the prompts would help them "narrow… down the problem" and "slow… the decision-making process" to improve analysis. The most accurate patient problem was identified by 28% of students in pretest and 35% in posttest.
CONCLUSIONS
This study provides evidence of variations in nursing students' clinical judgment and students' desire to use decision-making algorithms.
NURSING IMPLICATIONS
Nurse educators should provide students with additional education and practice to identify and solve these types of problems.
目的
测试临床推理提示对学生书面病例研究临床判断的影响。
方法
一项针对第二学期护理学生（N=163）的实验前测和后测研究。
结果
干预措施不足以显著提高临床判断。学生们认为提示会帮助他们“缩小……问题”和“减缓……决策过程”，以提高分析能力。最准确的患者问题被 28%的前测学生和 35%的后测学生识别出来。
结论
本研究提供了护理学生临床判断和学生使用决策算法的意愿变化的证据。
护理意义
护士教育者应向学生提供额外的教育和实践，以识别和解决这些类型的问题。
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