教学医院护理人员运用 King 模式概念处理实际情境之临床推理能力。

Clinical reasoning skill of nurses working in teaching medical centers in dealing with practical scenarios of King's model concepts.

机构信息

Department of Medical Surgical Nursing, Chronic Disease (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran.

Department of Pediatric Nursing, Chronic Disease (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran.

出版信息

BMC Med Educ. 2024 Mar 13;24(1):280. doi: 10.1186/s12909-024-05256-x.

DOI:10.1186/s12909-024-05256-x

PMID:38481323

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10938746/

Abstract

BACKGROUND

The present study was conducted to determine clinical reasoning of nurses working in teaching medical centers in dealing with practical scenarios of King's concepts.

METHODS

The study population in this cross-sectional descriptive-analytical study comprised 133 nurses. Data were collected using scenarios based on the King's model. Data were analyzed in SPSS-16.

FINDINGS

Mean age of the participating nurses was 27.71 ± 8.1 years.The clinical reasoning score was less than average in most participating nurses, and had a significant relationship with education(P < 0.05), service ward(P < 0.001)and organizational position(P < 0.05). In the multivariate analysis of factors relating to clinical reasoning, higher education level (B = 9.5, P = 0.018) and organizational position (B = 4.3, P = 0.017) were predictors of clinical reasoning score.

DISCUSSION

Existing nursing models such as King's, which is closely related to clinical reasoning, can be used more in educational and clinical systems, and as a clinical guide for promoting the clinical reasoning of nurses and students.

摘要

背景

本研究旨在确定在教学医学中心工作的护士在处理基于 King 概念的实际情况时的临床推理能力。

方法

本横断面描述性分析研究的研究对象包括 133 名护士。使用基于 King 模型的情景来收集数据。数据在 SPSS-16 中进行分析。

结果

参与护士的平均年龄为 27.71±8.1 岁。大多数参与护士的临床推理得分低于平均水平，且与教育程度（P<0.05）、服务病房（P<0.001）和组织职位（P<0.05）显著相关。在与临床推理相关的因素的多变量分析中，较高的教育水平（B=9.5，P=0.018）和组织职位（B=4.3，P=0.017）是临床推理得分的预测因素。