使用基于案例的学习和修改后的临床判断表 (LCJR) 进行临床判断技能.
Bev Wilgenbusch1, Rebekah Knauer
1About the Authors Bev Wilgenbusch, EdD, RN, CNE, CCRN, is assistant professor, Miami University, Department of Nursing, Hamilton, Ohio. Rebekah Knauer, EdD, RN, CCFP, is associate professor and director, Bailen Health Sciences Simulation Learning Center, Louisville, Kentucky. This research was based on Dr. Wilgenbusch's dissertation, published through the School of Education at Indiana University in 2021. For more information, contact Dr. Wilgenbusch at wilgenba@miamioh.edu.
评估临床判断能力是困难的. 这项研究探讨了基于案例的学习 (CBL) 和修改后的临床判断表 (LCJR) 以改进技能评估,尽管进行了试点研究,但显示出有希望的结果.
科学领域:
- 护理教育 护理教育
- 临床技能评估 临床技能评估
背景情况:
- 评估临床判断技能发展在医疗保健教育中是一个重大挑战.
- 现有的评估方法可能无法充分捕捉临床决策的细微差别.
研究的目的:
- 探索基于案例的学习 (CBL) 在促进临床判断方面的实用性.
- 为了评估临床判断技能,对拉萨特临床判断表 (LCJR) 的创新修改进行评估.
主要方法:
- 一项试点研究采用了准实验性设计.
- 数据收集包括测试前/测试后措施,基于案例的学习工作表和修改的LCJR.
主要成果:
- 测试前和测试后的分数显示了统计学上显著的改善.
- 虽然LCJR的整体数据没有显示出显著的变化,但有一个特定的组件表明了显著的改善.
结论:
- 这些发现表明,CBL与修改后的LCJR相结合,具有提高和评估临床判断能力的潜力.
- 尽管该研究的持续时间很短,但观察到的重大变化对未来的研究和应用是令人鼓舞的.
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