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Updated: Mar 11, 2026

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改变护理教育以提高综合护理能力:基于Delphi的方法论研究基于症状的临床推理
Jeung-Im Kim1, Soyoung Yu2, Jin-Hee Park3
1School of Nursing, Soonchunhyang University College of Medicine, Cheonan, South Korea.
Journal of Korean Academy of Nursing
|March 9, 2026
概括
这项研究将护理课程与2028年综合国家执照考试 (NLE) 保持一致,通过整合七个综合护理能力 (INC) 和基于症状的临床推理 (SBCR) 来提高临床能力.
科学领域:
- 护理教育 护理教育
- 课程开发 课程开发
- 临床推理 临床推理
背景情况:
- 护士职业正在向基于能力的教育转变.
- 2028年综合国家执照考试 (NLE) 需要一个新的教育框架.
- 目前的课程可能没有充分准备学生进行综合评估.
研究的目的:
- 建立NLE领域,七个综合护理能力 (INC) 和课程目标之间的结构调整.
- 在护理教育中实施基于症状的临床推理 (SBCR).
- 开发一个统一的课程模式,以提高临床能力.
主要方法:
- 基于德尔菲的方法研究,涉及内容和护理教育专家.
- 计算了内容有效性指数 (CVI) 和规模级CVI/平均值.
- 对研讨会数据进行定性分析,以获得综合学习主题和SBCR教育模型.
主要成果:
- 证实了将INC纳入课程结构的有效性.
- 制定了一个框架,分阶段学习目标和核心临床问题.
- 根据米勒的临床能力金字塔创建了一个SBCR头痛管理的教育模型.
结论:
- 为护理课程重新设计提供基础,以实现全面的,以患者为中心的SBCR模型.
- 促进从分散的,以科目为基础的向综合教学过渡.
- 预计将提高实际的临床能力,并与集成的NLE要求保持一致.
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