护士教育中的元认知过程,情境因素和临床决策:一项量化纵向研究
FangFang Wang1, Dandan Liu2, ManHong Zhang3
1Shanxi Provincial People's Hospital, No. 29 Shuangta East Street, Yingze District, Taiyuan City, Shanxi Province, China.
BMC medical education
|December 25, 2024
概括
护理学生 护理学生
科学领域:
- 护理教育 护理教育
- 认知心理学 认知心理学
- 临床技能发展 临床技能发展
背景情况:
- 超认知技能对于护理中有效的临床决策至关重要.
- 了解这些技能的纵向发展对于优化培训至关重要.
- 个人差异和情境因素影响技能获得.
研究的目的:
- 检查护理学生的超认知技能和临床决策的纵向发展.
- 研究元认知过程,情境因素和个人差异之间的相互作用.
- 确定决策表现的预测因素和这些关系的调节者.
主要方法:
- 在一学年内对185名第三年护理学生进行了纵向定量研究.
- 在六个时间点采集数据,使用验证的库存和定制场景评估.
- 使用了潜增长曲线建模,多层次建模和适度分析.
主要成果:
- 对元认知意识和决策技能观察到显著的积极增长轨迹.
- 超认知调节强烈预测决策的质量和效率.
- 任务的复杂性和时间压力对决策产生了负面影响;认知风格和情绪智能适度影响.
结论:
- 超认知过程,情境因素和个体差异在培养临床决策技能的过程中显著相互作用.
- 教育干预措施应加强元认知调节,并考虑个人的认知风格.
- 个性化的教育方法对于准备护理学生进行复杂的临床实践至关重要.
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