探索物理治疗学生的诊断推理,自我效能和临床推理的关系
Shala Cunningham1, Matthew Kessinger2, Alejandra Mott3
1Department of Physical Therapy, Radford University, Roanoke, VA, USA.
Journal of clinical education in physical therapy
|December 17, 2025
概括
这项研究发现,物理治疗学生的自我评估得分与他们的临床推理表现之间没有相关性. 目前的自我评估工具不能准确预测学生的临床推理技能,以期在未来的病人护理.
科学领域:
- 物理治疗教育教育 物理治疗教育
- 临床推理评估评估
- 医疗保健专业发展
背景情况:
- 发展临床推理 (CR) 对入门级物理治疗学生至关重要,以提供以患者为中心的护理.
- 在临床经验之前评估CR发展是具有挑战性的,因为它具有背景性质.
- 自我评估工具为评估CR技能提供了一个潜在的时间效率高的方法.
研究的目的:
- 探索诊断推理,自我效能和物理治疗学生的CR发展之间的关系.
- 为了确定自我评估工具是否可以预测CR性能.
- 调查诊断推理,自我有效性和CR结果之间的相关性.
主要方法:
- 使用诊断思维库存 (DTI) 测量了诊断推理.
- 自我有效性是通过新一般自我有效性 (NGSE) 和物理治疗师自我有效性 (PTSE) 尺度进行评估的.
- 使用大声思考标准化患者检查 (TASPE) 和物理治疗师临床性能仪器 (CPI) 评估了CR能力.
主要成果:
- 在DTI,NGSE或PTSE得分与TASPE上的CR表现之间没有发现显著的相关性.
- 学生的自我评估得分与临床教练在临床经验期间使用CPI进行的评估没有相关性.
- 12周的全日制临床经验被用于绩效评估.
结论:
- 该研究无法确定可靠的自我评估工具来预测物理治疗学生的CR表现.
- 目前的指标并不能准确地预测即将到来的临床经验的CR技能.
- 需要进一步的研究来开发物理治疗教育中有效的CR评估方法.
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