在新毕业的护士中观察到临床判断的使用
Journal of continuing education in nursing
|March 11, 2024
概括
新毕业的护士 (NGN) 显示临床判断能力下降,影响患者护理. 执业护士观察到NGN预期和实际表现之间存在很大的差距,突出了改善的关键需求.
科学领域:
- 护理教育 护理教育
- 临床判断 临床判断
- 医疗保健实践 医疗保健实践
背景情况:
- 学术护理教育工作者努力为学生提供临床判断技能.
- 文献表明,新毕业护士 (NGN) 的临床判断能力有所下降.
- 这项研究解决了在实践中理解NGN临床判断的需要.
研究的目的:
- 为了确定执业护士对NGN临床判断的观察.
- 在实践中探索与NGN临床判断相关的结果.
- 弥合护士教育和临床实践期望之间的差距.
主要方法:
- 进行了一项多站点,横截面的调查.
- 数据收集涉及多选项,利克特比例和开放响应项目.
- 雪球采样产生了来自美国19个州的314名参与者.
主要成果:
- 在预期和观察到的NGN临床判断之间存在显著的差异.
- 报告了对患者和NGN的负面影响.
- 执业护士确定了NGN在应用临床判断时所面临的具体挑战.
结论:
- 该研究提供了对NGN临床判断挑战的初步见解.
- 在护理教育中显然需要加强临床判断培训.
- 需要进行干预,以提高NGN在实践中的临床判断能力.
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