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干预措施培养临床判断护士:一个系统的审查与叙事综合
Maite Mendívil-Pérez1, Ana Choperena2, Vanesa Salas1
1Clínica Universidad de Navarra, Spain.
Nurse education in practice
|February 26, 2025
概括
这项系统性审查发现,模拟策略有效地改善了护士的临床判断. 需要进一步的研究来探索一般注册护士的干预措施.
科学领域:
- 护理教育 护理教育
- 临床技能发展 临床技能发展
- 医疗保健干预措施 医疗保健干预措施
背景情况:
- 有效的临床判断对于护士管理患者护理和预防不良事件至关重要.
- 关于提高护士临床判断力的现有研究是有限而多样化的.
- 这项研究解决了对有效干预措施的综合证据的需求.
研究的目的:
- 系统地审查和综合有关旨在改善护士临床判断的干预措施的发现.
- 确定有效的策略和框架,用于在护理实践中制定临床判断.
主要方法:
- 进行了叙事综合的系统审查.
- 搜索了八个主要数据库,查找到2024年5月发表的研究.
- 包括13项研究,使用乔安娜·布里格斯研究所和混合方法评估工具评估质量.
主要成果:
- 模拟成为最常见的干预类型.
- 坦纳的临床判断模型和拉萨特的临床判断表经常被使用.
- 在13项分析的干预措施中,11项证明了有效性.
结论:
- 基于模拟的教学,利用坦纳的模型和拉萨特的标题,有效地提高了护士的临床判断.
- 在针对一般注册护士临床判断发展的干预措施的研究中存在很大的差距.
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