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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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临床判断新毕业护士的基于模型的批判性反思计划:非随机对照试验.

Ae Ran Kim1, Jeong Hee Hong1,2, Kyeongsug Kim2

  • 1Department of Nursing, Samsung Medical Center, Seoul, Republic of Korea.

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概括

批判性反思计划显著改善了新毕业的护士的临床判断和推理技能. 这种基于临床判断模型 (CJM) 和拉萨特临床判断表 (LCJR) 的干预措施在六周内显示出好处.

关键词:
临床推理 临床推理批判性思维 批判性思维 批判性思维教育教育教育教育的教育.审判的判断判断的判断.反射反射的反射反射的反射

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科学领域:

  • 护理教育 护理教育
  • 临床技能发展 临床技能发展
  • 医疗保健专业培训 医疗保健专业培训

背景情况:

  • 新毕业的护士需要强大的临床判断能力,以确保安全的病人护理.
  • 传统的现场培训可能无法充分发展先进的临床推理.
  • 临床判断模型 (CJM) 为理解临床判断提供了一个框架.

研究的目的:

  • 评估一个批判性反思计划对新毕业的护士临床判断能力的影响.
  • 在CJM框架内评估Laser临床判断表 (LCJR) 反思性问题的有效性.
  • 确定干预措施是否改善临床判断的特定组成部分,例如注意到和响应.

主要方法:

  • 一个准实验性的设计,有153名新毕业的护士分为控制和实验组.
  • 实验小组在标准现场培训和教导工作的同时接受了批判性反思计划.
  • 关于临床判断和推理的数据在基线,干预后6周和3个月收集.

主要成果:

  • 实验组在整体临床判断和6周后的"观察"阶段显示得分明显更高.
  • 两组在所有时间点的临床推理能力和临床判断力都显著改善.
  • 从预干预到6周的临床判断的"响应"阶段,观察到组之间存在显著差异.

结论:

  • 基于CJM和LCJR的批判性反思计划,有效地提高了新毕业的护士的临床判断力.
  • 该干预措施有望在职业适应的早期阶段改善临床判断.
  • 有针对性的反思可以加速初学者培养基本护理技能的发展.