Johnson Ragan, Clark Ricketta, O'Brien Tara
Duke University School of Nursing, Durham, North Carolina
University of Tennessee Health Science Center, Memphis, Tennessee.
J Dr Nurs Pract. 2018 Oct;11(2):114-118. doi: 10.1891/2380-9418.11.2.114.
Family nurse practitioner (FNP) students often lack the confidence to develop diagnostic skills and convey patient information to their clinical preceptor. Preparing FNP students for these tasks is essential to their clinical success.
To describe the adequacy of interactive case studies to increase confidence in making clinical decisions and presenting patient information to the clinical preceptor.
The authors developed three interactive case studies for student analysis during an on-campus intensive week prior to the students' first clinical rotation. Student confidence was examined pre and post to determine if the interactive cases had any effects on their diagnostic reasoning and skill in presenting patients to the preceptor.
The pretest survey found that students were least confident in presenting a patient to the preceptor (21% not confident). After the three interactive case studies, students demonstrated a significant increase in confidence.
Interactive case studies and role-playing the patient presentation prior to an initial clinical rotation is a successful educational methodology for improving FNP students' confidence for the clinical environment.
Faculty can implement interactive case studies in traditional and online courses to foster student confidence.
家庭执业护士（FNP）专业的学生往往缺乏培养诊断技能以及向临床带教老师传达患者信息的信心。让FNP专业的学生为这些任务做好准备对他们的临床实践成功至关重要。
描述交互式案例研究在增强学生做出临床决策以及向临床带教老师汇报患者信息的信心方面的充分性。
作者在学生首次临床轮转前的校内强化周期间开发了三个交互式案例研究供学生分析。在案例研究前后对学生的信心进行了评估，以确定交互式案例是否对他们的诊断推理以及向带教老师汇报患者情况的技能有任何影响。
预测试调查发现，学生在向带教老师汇报患者情况时最缺乏信心（21%的学生没有信心）。经过三个交互式案例研究后，学生的信心显著增强。
在首次临床轮转前进行交互式案例研究和患者汇报角色扮演是提高FNP专业学生在临床环境中的信心的一种成功教育方法。
教师可以在传统课程和在线课程中实施交互式案例研究，以增强学生的信心。
