在临床护理教育中通过基于模型的反思开发临床判断
1About the Author Tiffany Condren, PhD, RNC, RN, CHSE, is assistant professor and simulation coordinator, William Jewell College, Liberty, Missouri. This article is based on her dissertation research at Liberty University, November 2024. For more information, contact Dr. Condren at condrent@william.jewell.edu .
Nursing education perspectives
|July 2, 2025
概括
结构化反思促使护理学生显著改善临床判断. 这种方法提高了临床推理技能和NCLEX (国家委员会执照考试) 的准备能力.
科学领域:
- 护理教育 护理教育
- 临床推理 临床推理
- 医疗保健专业发展
背景情况:
- 发展临床判断对于执照前的护理学生至关重要.
- 传统方法可能无法完全优化临床推理技能.
- 结构化反思为增强学习提供了一个潜在的途径.
研究的目的:
- 评估结构化,基于模型的临床推理反思提示的有效性.
- 评估对护理学学生在临床环境中的临床判断的影响.
- 为了确定这种方法是否可以提高NCLEX准备.
主要方法:
- 准实验性设计使用坦纳的临床判断模型进行提示.
- 使用了拉萨特临床判断表 (LCJR) 进行评估.
- 使用国家护理委员会 (NCSBN) 基于临床判断测量模型的NCLEX问题.
主要成果:
- 在Laser临床判断Rubric得分的统计学上显著改善.
- 在NCLEX准备成绩显著增加 (p <.001).
- 通过t测试证明的有效性 (t = 5.31对于LCJR,t = 5.14对于NCLEX准备).
结论:
- 结构化,基于模型的反思是护理教育的有效策略.
- 这种方法增强了护理学生的临床判断发展.
- 支持整合反射性实践,以改善NCLEX准备.
相关概念视频
Critical Thinking II
3.3K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
3.3K
Patient-centered Care
2.3K
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...
2.3K
Critical Thinking I
3.8K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.8K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.7K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.7K
Formulating and Validating Nursing Diagnosis II
3.0K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
3.0K
Formulating and Validating Nursing Diagnosis I
2.9K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
There are thirteen domains...
2.9K


