Swerdlow Barry, Osborne-Smith Lisa, Arditti Douglas, Hatfield Lisa J
Nurse Anesthesia Program, Oregon Health & Science University, Portland, OR, USA.
Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, OR, USA.
Adv Med Educ Pract. 2023 Jun 19;14:627-635. doi: 10.2147/AMEP.S407737. eCollection 2023.
Advanced practice nursing in the United States is shifting toward doctoral certification, most commonly a Doctor of Nursing Practice degree. However, there is limited evidence that this transition improves clinical competence.
The aim of this study was to determine whether modifications in a nurse anesthesia curriculum that transitioned from a Master of Nursing to a Doctor of Nursing Practice program were associated with improved cognitive performance using an oral examination.
A prospective, comparative observational study of students from a single, university-based nurse anesthesia program.
This study was a small-scale investigation (n = 22) that used a quantitative method to compare the performances of consecutive cohorts of Master of Nursing and Doctor of Nursing Practice nurse anesthesia students as rated by oral examinations designed to evaluate critical thinking skills and previously shown to demonstrate internal consistency and reliability.
After completing an expanded curriculum, Doctor of Nursing Practice nurse anesthesia students performed significantly better than Master of Nursing students on oral examination, with improvements in cognitive domains previously identified as areas of underperformance by Master of Nursing students.
Targeted curricular additions in a Doctor of Nursing Practice program correlated with improvements in nurse anesthesia student cognitive competence as measured by oral examination.
美国的高级实践护理正在向博士认证转变，最常见的是护理实践博士学位。然而，仅有有限的证据表明这种转变能提高临床能力。
本研究的目的是确定从护理学硕士课程过渡到护理实践博士课程的护士麻醉学课程的修改是否与通过口试提高认知表现相关。
对来自单一大学的护士麻醉学项目的学生进行前瞻性、比较性观察研究。
本研究是一项小规模调查（n = 22），采用定量方法比较护理学硕士和护理实践博士护士麻醉学学生连续队列的表现，这些表现由旨在评估批判性思维技能的口试评定，且先前已证明该口试具有内部一致性和可靠性。
完成扩展课程后，护理实践博士护士麻醉学学生在口试中的表现明显优于护理学硕士学生，在先前被护理学硕士学生确定为表现不佳领域的认知领域有改善。
护理实践博士项目中有针对性的课程增加与通过口试衡量的护士麻醉学学生认知能力的提高相关。
