基于模拟的学习和以前的学术成绩对护理学生临床判断的影响
Ayako Nishimura1, Yuma Ota1, Yasuyo Kasahara1
1Faculty of Healthcare, Division of Nursing, Tokyo Healthcare University, Tokyo, Japan.
JMA journal
|November 12, 2025
概括
在物理评估,批判性思维和护理过程中,基础护理知识显著提高了临床判断能力,根据拉萨特临床判断表 (LCJR) 的测量. 模拟性能也会影响这些分数,强调了综合学习的重要性.
科学领域:
- 护理教育 护理教育
- 临床判断 临床判断
- 基于模拟的学习
背景情况:
- 临床判断对于护理实践至关重要,直接影响患者的安全和结果.
- 基于模拟的学习是一种公认的策略,用于培养护理学生的临床推理和判断能力.
研究的目的:
- 调查模拟表现和护理学生临床判断基础学术知识之间的关系.
- 确定基于模拟的学习和先前的学术成绩对使用拉萨特临床判断标签 (LCJR) 的成绩的影响.
主要方法:
- 一项涉及85名第二年本科护理学生的横截面定量研究.
- 通过问卷收集的数据是关于模拟目标和以前的学术科目的自我评估成绩.
- 统计分析包括相关性和多重回归,以评估独立变量 (模拟和受试者成就) 对依赖变量 (LCJR分数) 的影响.
主要成果:
- 自我报告的身体评估,批判性思维和从以前的学术科目中获得的护理过程的成就与LCJR总分和"解释"维度有显著的相关性.
- 这些基础知识领域也对临床判断的"注意"维度产生了重大影响.
- 模拟学习目标,特别是"从电子医疗记录中收集信息"和"预期初步掌握",影响了"响应"维度.
结论:
- 身体评估,批判性思维和护理过程中的先前学术成就是临床判断能力的重要预测因素.
- 教育计划应该强调这些基础领域,以提高护理学生的临床判断能力.
- 模拟性能也起着作用,这表明基础知识和在开发临床判断时的实际应用之间存在协同效应.
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