دورية أكاديمية
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Effects of Clinical Reasoning Prompts on Nursing Students' Clinical Judgment for a Patient Experiencing Respiratory Distress.

التفاصيل البيبلوغرافية
العنوان: Effects of Clinical Reasoning Prompts on Nursing Students' Clinical Judgment for a Patient Experiencing Respiratory Distress.
المؤلفون: Tesoro MG; Assistant Professor of Nursing, Lehman College, City University of New York, New York, New York., Simmons AM; Associate Professor of Nursing, School of Professional Studies, City University of New York, New York, New York., de Barros ALBL; Full Professor of Nursing and Escola Paulista de Enfermagem Adjunct Professor of Nursing and Lidia Santiago Guandalini, BSN, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil., Lopes CT; Adjunct Professor of Nursing, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil., Guandalini LS; Full Professor of Nursing and Escola Paulista de Enfermagem Adjunct Professor of Nursing and Lidia Santiago Guandalini, BSN, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil., Cruz EDA; Associate Professor of Graduate Nursing Program and Aline Batista Maurício, RN Graduate Nursing Student (Master's degree), Federal University of Paraná, Curitiba, Parana, Brazil., Maurício AB; Associate Professor of Graduate Nursing Program and Aline Batista Maurício, RN Graduate Nursing Student (Master's degree), Federal University of Paraná, Curitiba, Parana, Brazil.
المصدر: International journal of nursing knowledge [Int J Nurs Knowl] 2021 Jan; Vol. 32 (1), pp. 37-43. Date of Electronic Publication: 2020 Jul 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 101582422 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-3095 (Electronic) Linking ISSN: 20473087 NLM ISO Abbreviation: Int J Nurs Knowl
أسماء مطبوعة: Original Publication: Malden, MA : Wiley
مواضيع طبية MeSH: Education, Nursing, Baccalaureate* , Respiratory Distress Syndrome* , Students, Nursing*, Clinical Competence ; Clinical Reasoning ; Humans ; Judgment
مستخلص: Purpose: To test the effects of clinical reasoning prompts on students' clinical judgment of a written case study.
Methods: An experimental pre- and posttest study with second semester nursing students (N = 163).
Findings: The intervention was insufficient to significantly improve clinical judgment. Students identified that the prompts would help them "narrow… down the problem" and "slow… the decision-making process" to improve analysis. The most accurate patient problem was identified by 28% of students in pretest and 35% in posttest.
Conclusions: This study provides evidence of variations in nursing students' clinical judgment and students' desire to use decision-making algorithms.
Nursing Implications: Nurse educators should provide students with additional education and practice to identify and solve these types of problems.
(© 2020 NANDA International, Inc.)
References: American Association of Colleges of Nursing. (2011). The Essentials of Baccalaureate Education for Professional Nursing Practice. Washington, DC: AACN.
Brasil, V. V. (1997). [What nurses say about observation]. Revista Latino-americana de Enfermagem, 5(3), 83-94. [Portuguese].
Clarke, S. P., & Aiken, L. H. (2003). Failure to rescue: Needless deaths are prime examples of the need for more nurses at the bedside. American Journal of Nursing, 103(1), 42-47.
Collins, A. (2013). Effect of continuing nursing education on nurses' attitude toward and accuracy of nursing diagnosis. International Journal of Nursing Knowledge, 24(3), 122-128.
Dallal, G. E. (2013). Welcome to Ramdomization.com. Retrieved from http://www.randomization.com/.
Dalton, M., Harrison, J., Malin, A., & Leavey, C. (2018). Factors that influence nurses' assessment of patient acuity and response to acute deterioration. British Journal of Nursing, 27(4), 212-218.
Dilorio, C., Soet, J. E., Marter, D. V., Woodring, T. M., & Dudley, W. N. (2000). An evaluation of a self-generated identification code. Research in Nursing & Health, 23, 167-174.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.
Hasegawa, T., Ogasawara, C., & Katz, E. C. (2007). Measuring diagnostic competency and the analysis of factors influencing competency using written case studies. International Journal of Nursing Terminologies and Classifications: The official journal of NANDA International, 18(3), 93-102.
Herdman, T. H., & Kamitsuru, S. (2014). NANDA International Nursing diagnoses: Definitions and classification: 2015-2017. Oxford: Wiley-Blackwell.
Herdman, T. H., & Kamitsuru, S. (2018). NANDA International, Inc. nursing diagnoses: Definitions & classification 2018-2020. New York, NY: Thieme.
Institute of Medicine. (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.
Institute of Medicine. (2004). Keeping patients safe: Transforming the work environment of nurses. Washington, DC: National Academies Press.
Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press.
James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospital care. Journal of Patient Safety, 9(3), 122-128. https://doi.org/10.1097/PTS.0b013e3182948a69.
Jensen, R., Da Cruz, D., Tesoro, M., & Lopes, M. (2014). Translation and cultural adaptation for Brazil of the Developing Nurses' Thinking model 1. Revista Latino-Americana De Enfermagem, 22(2), 197-203.
Kavanagh, J. M., & Szweda, C. (2017). A crisis in competency: The strategic and ethical imperative to assessing new graduate nurses’ clinical reasoning. Nursing Education Perspectives, 36(2), 56-62.
Lasater, K., Johnson, E. A., Ravert, P., & Rink, D. (2014). Role modeling clinical judgment for an unfolding older adult simulation. Journal of Nursing Education, 53(5), 257-264.
Lunney, M. (2009). Critical thinking to achieve positive health outcomes. Ames, IA: Wiley-Blackwell.
Lunney, M. (2010). Use of critical thinking in the diagnostic process. International Journal of Nursing Terminology and Classification, 21(2), 82-88.
Lunney, M., Karlik, B. A., Kiss, M., & Murphy, P. (1997). Accuracy of nurses’ diagnoses of psychosocial responses. Nursing Diagnoses, 8, 157-166.
Massey, D., Chaboyer, W., & Anderson, V. (2016). What factors influence ward nurses' recognition of and response to patient deterioration? An integrative review of the literature. Nursing Open, 4, 6-23. https://doi.org/10.1002/nop2.53.
National Academies of Sciences, Engineering, and Medicine. (2015). Improving diagnosis in health care. Washington, DC: The National Academies Press. https://doi.org/10.17226/21794.
National Council State Boards of Nursing. (2019). Clinical Judgement Model & Task Model. Next Generation NCLEX®. Newfile:///C:/Users/annes/AppData/Local/Temp/Temp1_NCSBN_reference.zip/NGN_Spring19_Eng_04_Final.pdf.
Scheffer, B. K., & Rubenfeld, M. G. (2000). A consensus statement on critical thinking. Journal of Nursing Education, 39, 352-*359.
Sternberg, R. J., & Williams, W. M. (1998). Intelligence, instruction, and assessment: Theory into practice. New Jersey: Lawrence Erlbaum Associates.
Tanner, C. A., Patrick, K .P., Westfall, U .E., & Putzier, D. J. (1987). Diagnostic reasoning strategies of nursing and nursing students. Nursing Research, 36(6), 368-363.
Tesoro, M. G. (2012). Effects of using developing nurses' thinking model on nursing students' diagnostic accuracy. Journal of Nursing Education, 51(8), 436-*443.
Thompson, C., & Stapley, S. (2011). Do educational interventions improve nurses’ clinical decision making and judgment? A systematic review. International Journal of Nursing Studies, 48(7), 881-893.
فهرسة مساهمة: Keywords: Clinical judgment; DNT model; clinical reasoning; patient problem; patient safety
تواريخ الأحداث: Date Created: 20200702 Date Completed: 20211025 Latest Revision: 20211025
رمز التحديث: 20231215
DOI: 10.1111/2047-3095.12286
PMID: 32608574
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-3095
DOI:10.1111/2047-3095.12286