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医院护士的管理决策:模拟情景的创建和验证。

Managerial Decision-Making of Nurses in Hospitals: creation and validation of a simulation scenario.

机构信息

Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

出版信息

Rev Lat Am Enfermagem. 2023 Jan-Dec;31:e3768. doi: 10.1590/1518-8345.6149.3768.

Abstract

OBJECTIVE

to build and validate a clinical simulation scenario on hospital nurse managerial decision-making competence for undergraduate nursing students.

METHOD

a descriptive and methodological study was carried out in a higher education institution, with the participation of 10 judges and five players. To do so, the conceptual simulation model proposed by Jeffries and standards of the International Nursing Association for Clinical Simulation and Learning were used to prepare the scenario and the checklist.

RESULTS

the scenario was called "Managerial decision-making of nurses in the face of adverse events in a hospital". The scenario script and checklist were built for validation. The checklist was face- and content-validated. Afterward, judges used the checklist to validate the scenario, which, in its final version, was composed of Prebriefing (seven items), Scenario in Action (18 items) and Debriefing (seven items).

CONCLUSION

the scenario proved to be a teaching strategy that anticipates the reality of future nurses, bringing them the self-confidence to perform their activities and helping them to act critically and reflectively during decision-making processes.

摘要

目的

为本科护生构建并验证一个关于医院护士管理决策能力的临床模拟情景。

方法

这是一项在高等教育机构中进行的描述性和方法学研究,共有 10 名裁判和 5 名参与者。为此,使用了 Jeffries 的概念模拟模型和国际护理协会临床模拟与学习的标准来准备情景和清单。

结果

该情景被命名为“医院护士面对不良事件时的管理决策”。编写了情景脚本和清单以进行验证。清单经过了表面效度和内容效度检验。之后,裁判使用清单对情景进行验证,最终版本包括简介(7 项)、情景行动(18 项)和反思(7 项)。

结论

该情景被证明是一种教学策略,可以让未来的护士提前体验现实,增强他们的信心,让他们在决策过程中批判性和反思性地行动。

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