在护理学生中调查出血并发症的临床决策:一个纵向混合方法研究
Patrick Lavoie1, Alexandra Lapierre1, Marie-France Deschênes2
1Faculty of Nursing, Université de Montréal, 2375 Chemin De la Côte-Sainte-Catherine, Montreal, Quebec H3C 3J7, Canada; Montreal Heart Institute, 5000 Bélanger Street, Montreal, Quebec H1T 1C8, Canada.
Nurse education in practice
|September 18, 2024
概括
本科护理学生经常优先考虑立即控制出血,而不是评估原因. 他们的临床决策不断演变,到最后一年,他们更加关注不稳定性.
科学领域:
- 护理教育 护理教育
- 临床决策 - 临床决策
- 患者安全 患者安全
背景情况:
- 术后出血是一种常见的并发症,需要强烈的护理决策.
- 目前对护理学生在出血情景中的临床决策的理解有限.
- 在整个护理教育中,这些决策技能的演变在很大程度上是未知的.
研究的目的:
- 描述本科护理学生在术后出血场景中的临床决策.
- 探索从第一年到最后一年的学习过程中他们决策的变化.
主要方法:
- 使用基于认可的决策模型进行长度混合方法研究.
- 59名学生回应了关于部手术后和心脏导管术后出血的短片.
- 对学生反应的内容分析,专注于线索,目标,行动和期望.
主要成果:
- 学生们主要关注的是"出血"和"不稳定性和冲击"类别.
- 较少的学生解决了"疼痛"或"伤口感染"等二级类别.
- 学生往往优先考虑立即行动而不是原因评估;最后一年的学生表现出更专注的不稳定性评估.
结论:
- 护理学生倾向于优先考虑立即控制出血,有时忽视潜在原因或更广泛的护理目标.
- 基于概念的学习和对长期结果的反思可能会增强临床决策.
- 进一步的研究可以完善关键术后护理的教育策略.
相关概念视频
Critical Thinking II
2.8K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
2.8K
The Scientific Method in Nursing Process
9.5K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
9.5K
Ethical Dilemmas II
957
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
957
Critical Thinking I
3.2K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.2K
Ethical Dilemmas I
857
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
857
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K


