Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Instituto Politécnico de Santarém. Santarém, Portugal.
Rev Bras Enferm. 2020 Sep 21;73(6):e20180878. doi: 10.1590/0034-7167-2018-0878. eCollection 2020.
to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation.
this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric - Brazilian Version and the Diagnostic Thinking Inventory.
clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the "noticing" aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047).
the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.
确定临床模拟中护理学生临床判断和诊断推理之间的关联程度。
这是一项使用定量方法的相关性研究设计。样本由 41 名在高保真临床模拟环境中协助出现血管阻塞性危象的患者的护理学生组成。使用的工具包括 Lasater 临床判断量表 - 巴西版和诊断思维量表。
临床判断与诊断推理相关（r=0.313；p=0.046），临床判断的“察觉”方面与诊断推理相关（r=0.312；p=0.047）。
结果表明，解释患者数据的技能与诊断推理技能相关。教授临床判断技能对于培养护理学生的诊断推理能力是必要的。
