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A Technology-Supported Guidance Model to Support the Development of Critical Thinking Among Undergraduate Nursing Students in Clinical Practice: Concurrent, Exploratory, Flexible, and Multimethod Feasibility Study.

作者信息

Zlamal Jaroslav, Roth Gjevjon Edith, Fossum Mariann, Steindal Simen A, Nes Andréa Aparecida Gonçalves

机构信息

Department of Bachelor Education in Nursing, Lovisenberg Diaconal University College, Oslo, Norway.

Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway.

出版信息

JMIR Form Res. 2023 Apr 26;7:e43300. doi: 10.2196/43300.


DOI:10.2196/43300
PMID:37099377
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10173047/
Abstract

BACKGROUND: There is widespread recognition and acceptance of the need for critical thinking in nursing education, as it is necessary to provide high-quality nursing. The Technology-Supported Guidance Model (TSGM) intervention was conducted during clinical practice among undergraduate nursing students and aimed to support the development of critical thinking. A major element of this newly developed intervention is an app, Technology-Optimized Practice Process in Nursing (TOPP‑N), combined with the daily guidance of nursing students from nurse preceptors and summative assessments based on the Assessment of Clinical Education. OBJECTIVE: The main objective of this study was to assess the feasibility of a newly developed intervention, TSGM, among undergraduate nursing students, nurse preceptors, and nurse educators. Further objectives were to assess the primary and secondary outcome measures, recruitment strategy, and data collection strategy and to identify the potential causes of dropout and barriers to participant recruitment, retention, intervention fidelity, and adherence to the intervention. METHODS: This study was designed as a concurrent, exploratory, flexible, and multimethod feasibility study of the TSGM intervention that included quantitative and qualitative data from nursing students, nurse preceptors, and nurse educators. The primary outcome measures were the feasibility and acceptability of the intervention. The secondary outcomes included the suitability and acceptance of the outcome measures (critical thinking, self-efficacy, clinical learning environment, metacognition and self-regulation, technology acceptance, and competence of mentors); data collection strategy; recruitment strategy; challenges related to dropouts; and hindrances to recruitment, retention, and intervention fidelity and adherence. RESULTS: Nursing students, nurse preceptors, and nurse educators had varied experiences with the TSGM intervention. We identified factors that make the intervention feasible and challenging and may influence the feasibility, acceptability, dropout rate, adherence, and fidelity of the intervention. We also identified areas for future improvement of the intervention. CONCLUSIONS: The use of a newly developed intervention, TSGM, is feasible and accepted by undergraduate nursing students, nurse preceptors, and nurse educators; however, refinement and improvement of the intervention and the TOPP‑N app, improvement in intervention management, and mitigation of negative factors are necessary before a randomized controlled trial can be performed. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/31646.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4818/10173047/90f317fa2e7c/formative_v7i1e43300_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4818/10173047/f3221c12ccc3/formative_v7i1e43300_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4818/10173047/90f317fa2e7c/formative_v7i1e43300_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4818/10173047/f3221c12ccc3/formative_v7i1e43300_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4818/10173047/90f317fa2e7c/formative_v7i1e43300_fig2.jpg

相似文献

[1]
A Technology-Supported Guidance Model to Support the Development of Critical Thinking Among Undergraduate Nursing Students in Clinical Practice: Concurrent, Exploratory, Flexible, and Multimethod Feasibility Study.

JMIR Form Res. 2023-4-26

[2]
Technology-Supported Guidance Model to Support the Development of Critical Thinking Among Undergraduate Nursing Students in Clinical Practice: Protocol of an Exploratory, Flexible Mixed Methods Feasibility Study.

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[3]
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[4]
Technology-Supported Guidance Models Stimulating the Development of Critical Thinking in Clinical Practice: Mixed Methods Systematic Review.

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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Experiences of Using a Digital Guidance and Assessment Tool (the Technology-Optimized Practice Process in Nursing Application) During Clinical Practice in a Nursing Home: Focus Group Study Among Nursing Students.

JMIR Nurs. 2024-9-10

本文引用的文献

[1]
Technology-Supported Guidance Models Stimulating the Development of Critical Thinking in Clinical Practice: Mixed Methods Systematic Review.

JMIR Nurs. 2022-6-7

[2]
Technology-Supported Guidance Model to Support the Development of Critical Thinking Among Undergraduate Nursing Students in Clinical Practice: Protocol of an Exploratory, Flexible Mixed Methods Feasibility Study.

JMIR Res Protoc. 2021-10-13

[3]
Framework for the development and evaluation of complex interventions: gap analysis, workshop and consultation-informed update.

Health Technol Assess. 2021-9

[4]
The Effects of Nursing Education on Critical Thinking of Students: A Meta-Analysis.

Florence Nightingale Hemsire Derg. 2019-2-1

[5]
Assessing effective interventions to improve trial retention: do they contain behaviour change techniques?

Trials. 2020-2-21

[6]
Enablers and barriers to treatment adherence in heterozygous familial hypercholesterolaemia: a qualitative evidence synthesis.

BMJ Open. 2019-7-31

[7]
Development and psychometric testing of the nursing student mentors' competence instrument (MCI): A cross-sectional study.

Nurse Educ Today. 2018-6-5

[8]
Exploratory studies to decide whether and how to proceed with full-scale evaluations of public health interventions: a systematic review of guidance.

Pilot Feasibility Stud. 2018-5-28

[9]
Research Intervention Fidelity: Tips to Improve Internal Validity of Your Intervention Studies.

Clin Nurse Spec. 2018

[10]
Nursing students' socialisation into practical skills.

Nurse Educ Pract. 2017-11

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