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.
Research in nursing & health
|January 16, 2025
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.
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.
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