Institute of Biomedical Health and Innovation, Queensland University of Technology, Brisbane, Australia.
Nursing, School of Nursing, Queensland University of Technology, Brisbane, Australia.
Int J Nurs Educ Scholarsh. 2021 Mar 17;18(1):ijnes-2019-0110. doi: 10.1515/ijnes-2019-0110.
This pilot study examined if the Clinical Reasoning Observer Worksheet (CROW) compared to a standard observer worksheet used during simulation, would enhance nursing students active learning behaviours and perceptions of clinical reasoning ability.
This pilot study was undertaken to test the design and processes for a future larger study and reports on preliminary evidence of efficacy of recruitment procedures and instrumentation in addition to student's learning outcomes.
There was little overall difference in outcomes between groups who used either simulation observer worksheet. Overall, participants who used either worksheet perceived their ability to apply clinical reasoning to an episode of patient care increased.
Modifications were identified as necessary for a larger study including changes to instrumentation, method of survey delivery and training of simulation facilitators. A more definitive evaluation will be achievable with a larger group of students in a main study with the suggested modifications.
本试点研究旨在探讨临床推理观察表(CROW)与模拟教学中使用的标准观察表相比,是否能增强护理学生的主动学习行为和对临床推理能力的感知。
本试点研究旨在测试未来更大规模研究的设计和流程,并报告招募程序和仪器设备的初步效果证据,以及学生的学习成果。
使用两种模拟观察表的组之间的结果总体差异不大。总体而言,使用任何一种工作表的参与者都认为他们将临床推理应用于患者护理的能力有所提高。
需要对更大规模的研究进行修改,包括对仪器设备、调查交付方式和模拟促进者培训的修改。在一项主要研究中,随着修改意见的提出,用更大的学生群体进行更明确的评估将是可行的。