准确诊断：利用屏幕模拟改善家庭护士教育中的诊断推理因素

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-05-14 DOI:10.1016/j.ecns.2024.101528

Sarah L. Beebe PhD, APRN, CNM, WHNPr, CHSE , Angela M. McNelis PhD, RN, CNE, ANEF, FAAN , Majeda El-Banna PhD, RN, CNE, ANEF , Kristina T Dreifuerst PhD, RN, CNE, ANEF, FAAN , Qiuping Pearl Zhou PhD, RN

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引用次数: 0

摘要

背景医务人员的诊断技能和推理能力对患者和医疗系统的健康与安全至关重要。本研究采用准实验、前测/后测一组的设计，调查了为期 5 周的基于屏幕的模拟干预对临床课程最后一学期家庭护士执业者学生的元认知意识、知识和诊断推理因素的影响。单变量描述性统计用于描述人口统计学数据和研究变量。结果在 72 名学生的研究样本中，经过基于屏幕的模拟干预后，学生的知识、元认知意识和诊断推理得分从测试前到测试后都有统计学意义上的显著提高（p <.001）。结论本研究的结果表明，学生元认知和知识的整体提高导致了诊断推理能力的提高，而诊断推理能力的提高可以导致准确的诊断并防止错误的发生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Nailing the Diagnosis: Using Screen-Based Simulation to Improve Factors of Diagnostic Reasoning in Family Nurse Practitioner Education

Background

Providers’ diagnostic skills and reasoning are essential to the health and safety of patients and the healthcare system. Simulation is a promising modality for improving diagnostic reasoning, with the ability to practice, receive feedback, and reflect in a safe learning environment.

Methods

This study used a quasi-experimental, pretest/posttest one group design to investigate the effect of a 5-week intervention screen-based simulation intervention on metacognitive awareness, knowledge, and diagnostic reasoning factors in family nurse practitioner students in their final semester of clinical coursework. Univariate descriptive statistics were used to describe demographic data and study variables. Paired sample t-tests were used to examine differences in the three study variables pre- and postintervention.

Results

In the study sample of 72 students, there were statistically significant increases (p < .001) in knowledge, metacognitive awareness, and diagnostic reasoning scores from pretest to posttest after a screen-based simulation intervention.

Conclusions

Findings of this study suggest that the overall improvement in students’ metacognition and knowledge led to an improvement in diagnostic reasoning, which could lead to accurate diagnosis and prevent errors.

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.