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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

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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.

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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.