发展临床判断:从比较课堂策略与模拟评估中吸取的教训
Lindsay A White1, Patricia L Pence2, Sandra Nielsen2
1Assessment Technologies Institute Testing, Leawood, Kansas, Illinois.
The Journal of nursing education
|March 2, 2026
概括
新毕业的护士表现出能力下降的情况. 这项研究探索了在线模拟,以提高护理学生的临床判断力,确定护理教育的关键挑战和有效策略.
科学领域:
- 护理教育 护理教育
- 医疗保健模拟器 医疗保健模拟器
- 临床判断能力的发展
背景情况:
- 新毕业的注册护士 (RN) 中基本能力的下降对患者安全和护理质量构成风险.
- 实践准备的差距需要创新的方法来为护理学生准备现实世界的临床场景.
- 传统的护理教育模式可能不足以为毕业生提供新手实践所需的批判性思维和决策技能.
研究的目的:
- 探索提高护理学生临床判断的策略.
- 评估在线模拟程序在改善实践准备方面的有效性.
- 确定从实施基于模拟的教育中吸取的经验教训,以告知未来的护理课程.
主要方法:
- 在课堂环境中实施在线模拟和测试程序.
- 在三个实验室模拟中,利用拉萨特临床判断表进行教师和学生评估.
- 学生参与自我反思,使用反思指南来处理他们的模拟经验.
主要成果:
- 确定的挑战包括复杂模拟的时间限制和新在线平台的技术问题.
- 强调了对学生和教师进行全面的指导,培训和准备的关键需求.
- 强调了结构化的汇报会议和适应性策略的重要性,以适应在线模拟中各种学习者的需求.
结论:
- 创新的教学策略,特别是在线模拟,对于加强护理学生的临床判断至关重要.
- 解决实施挑战和提供足够的支持对于成功将模拟纳入护理教育至关重要.
- 这些发现强调了基于模拟的课程的持续评估和改进的必要性,以确保毕业生符合能力标准.
相关概念视频
01:26Modeling in Therapy
612
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
612
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
2.6K
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...
2.6K
01:25Critical Thinking II
5.1K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
5.1K
01:26Metacognition
922
Metacognition is a conscious process where individuals are aware of their cognitive and executive processes, such as planning before solving a problem or self-monitoring during reading. For instance, a writer may need help with composing a piece. The situation involves a writer who is working on a piece of writing, but while doing so, they realize that something is missing. They notice that their characters lack depth or details. This realization occurs because the writer is reflecting on their...
922
01:24Critical Thinking I
5.7K
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...
5.7K
01:13Patient-centered Care
3.2K
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...
3.2K