Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa, Escola Superior de Enfermagem de Lisboa. Av. Prof. Egas Moniz. 1600-190 Lisboa Portugal.
Cien Saude Colet. 2022 May;27(5):1731-1740. doi: 10.1590/1413-81232022275.23142021. Epub 2021 Nov 16.
Clinical judgment and decision-making are essential competencies in nursing, emerging as expanding learning areas of nursing education. Aiming to characterize the types of clinical judgment and decision-making adopted by nursing students in clinical education, we designed a qualitative, exploratory and descriptive study, with data collection obtained through documental analysis of nursing student's reflective journals, in clinical education settings. Data analysis was performed according to Bardin using the webQDA software. Thirty-four students participated in the study, while attending the Clinical Learning Curricular Unit: Caring for Clients with Increased Vulnerability and Families in Transition, producing a total of 40 reflective journals. Of the 248 identified registration units, we highlight the evaluation decision-making with 45 registration units and the intervention decision-making, with 55 registration units. It is concluded that student´s reflections in the context of clinical teaching, are mainly about the assessment of the care situation and the decision-making related to the action. This study is intended to guide the learning of these competencies in nursing education.
临床判断和决策是护理的基本能力，也是护理教育中不断发展的学习领域。本研究旨在描述护理学生在临床教育中采用的临床判断和决策类型，采用定性、探索性和描述性研究方法，通过对护理学生临床教育情境下的反思日志的文献分析收集数据。数据分析根据 Bardin 进行，并使用 webQDA 软件。共有 34 名学生参与了这项研究，他们参加了“临床学习课程单元：照顾脆弱性增加的客户和过渡中的家庭”，共产生了 40 份反思日志。在 248 个已识别的记录单元中，我们重点强调了评估决策（45 个记录单元）和干预决策（55 个记录单元）。研究结论认为，学生在临床教学背景下的反思主要是关于护理情况的评估和与行动相关的决策。本研究旨在为护理教育中这些能力的学习提供指导。
